Confer's upcoming webinar series (throughout June and July, 2020) examines the impact of the current Covid-19 crisis on individuals, couples and families through the eyes of practitioners. See here for more information: [ Ссылка ]

As Head of Online Therapy at Tavistock Relationships, Pierre shares his tips on moving to online work. He advises to keep the technology simple but ensure you know how it works and highlights the importance of creating a thoughtful space in which to provide the therapy. Considerations of working with transference and countertransference, attunement and disinhibition are considered and how in moving to online work you lose but you also gain.

Topics

00:44 - The online set up lighting, camera angle, microphone
02:47 - Supporting the client to work online including lighting, privacy, laptop position
06:56 - Flexibility and thoughtfulness as the frame has changed, acknowledge and work with this
09:05 - Perception of presence and considerations of the therapeutic space
13:10 - Transitions
17:29 - Disinhibition
22:56 - Primitive anxieties when both therapist and client are in paranoid schizoid state
24:45 - Camera as holding or intrusive gaze
26:03 - How does the client and the therapist relate to the technology
29:06 - Disinhibition in cyber space linking in with free association on the couch
31:21 - Practice online work with colleagues!
33:41 - Ability to manipulate the image so that the image the therapist sees is the patient
38:30 - Lack of ideal setting for client and therapist
48:28 - Continuity of care is important at this time of international distress, we have to be tolerant that the shift to online work takes time

Biography

Head of Online Therapy, Dr Pierre Cachia first joined Tavistock Relationships in 2007 as a trainee on the MA in couple psychotherapy and subsequently undertook doctoral research in the field. Since 2013 he has formed part of the clinical leadership while retaining an active role in training. Over the past three years he led the setting up of the Online Couple Psychotherapy Service which he currently heads and supervisees. He is a qualified counselling psychologist, psychoanalytic couple psychotherapist, individual psychotherapist and clinical supervisor.

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