Italian Psychoanalytic Society, Milan, Italy.
Société Psychanalytique de Paris, Paris, France.
Int J Psychoanal. 2021 Feb;102(1):159-177. doi: 10.1080/00207578.2021.1876401.
What has come into question in our analytic practice with children and adolescents during the COVID-19 pandemic? Do the new practices related to the virtual allow the creation of a therapeutic playground and the continuity of an analytic process? In the literature, the effectiveness and the perplexities raised in teleanalysis with adults are described. Conversely, no research on the use of the virtual in child analysis is available. Given the specificity of the developmental age, the three authors present their clinical experience and theoretical and technical reflections on the remote setting with children and adolescents. Particular emphasis is given to the technical changes and to the deep meaning that these changes have had in reference to the analytic relationship. Using the Winnicottian theoretical vertex, the opposition between fetishistic and transitional use, the denial of separation and recognition of otherness in the analytic virtual space will be discussed using clinical examples. The video tool may generate in children a great excitement and unleash the infantile sexual perversions. The co-creation of an intermediate virtual playground allows sufficient psychic continuity to work on the unconscious material, and even to make emerge previous traumas that then find a chance to be worked-through.
在 COVID-19 大流行期间,我们对儿童和青少年进行的分析实践中出现了什么问题?与虚拟相关的新实践是否能够创造一个治疗性的游乐场,并延续分析过程?在文献中,描述了成人远程分析的有效性和引起的困惑。相反,对于儿童分析中使用虚拟技术的研究还没有。鉴于发展年龄的特殊性,三位作者介绍了他们在远程环境中与儿童和青少年进行的临床经验以及理论和技术反思。特别强调了技术变化,以及这些变化在分析关系方面所具有的深刻意义。使用温尼科特的理论顶点,即恋物癖和过渡性使用的对立,通过临床实例讨论了在分析虚拟空间中对分离的否认和对他者的承认。视频工具可能会在儿童中引起极大的兴奋,并释放出婴儿性欲倒错。共同创造一个中间虚拟游乐场可以提供足够的心理连续性,从而处理无意识的材料,甚至可以使以前的创伤浮现出来,然后有机会进行处理。