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Les téléconsultations en santé mentale

Abstract : The mental health teleconsultation frameworks that are developing on Internet offer particular conditions of interaction that are contributing to the transformation of psychotherapeutic practices and the therapeutic relationship. The physical and symbolic framework of this relationship is disrupted, the conditions of mutual observability and audibility are not as good as in face-to-face contact, and, in various ways, practitioners experience a sense of distance in their relationship with the patient. The new psychotherapeutic framework, due to greater openness, but also to the small technical dysfunctions that arise during sessions, makes interactions more fragile, in the sense that they can be disrupted or interrupted more easily than during face-to-face consultations in the protected space of the consulting room. Efforts to sustain attention must also be developed, to capture the different pieces of information produced by the patient – of which there are fewer during teleconsultations. Finally, clinical intuition manifests itself differently and practitioners doubt the quality of their judgment and diagnostic hypotheses more than they otherwise would, which causes them to ask more questions and leave less room for silence and its interpretation. However, the very fact that clinical intuitions can manifest during teleconsultations contributes to the establishment of an empathetic relationship, and thus to the accomplishment of remote psychotherapeutic work.
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Contributor : Alexandre Mathieu-Fritz Connect in order to contact the contributor
Submitted on : Monday, March 19, 2018 - 2:23:38 PM
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Alexandre Mathieu-Fritz. Les téléconsultations en santé mentale. Réseaux, La Découverte, 2018, 207 (1), pp.123-164. ⟨10.3917/res.207.0123⟩. ⟨halshs-01737364⟩



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