Do psychotherapy online, in Paris 9
Do psychotherapy online, in Paris 9
How to do remote psychotherapy, in Paris or elsewhere? Is it possible to do therapy online? Under what conditions should you do remote therapy, in the Paris region or elsewhere?
In certain situations, remote psychotherapy is particularly recommended, particularly for those who cannot travel or who cannot find psychoanalysts in their region. However, a quick glance at the internet leads us to realise that it is difficult to find a distance therapy offer that is truly psychotherapy. From brief therapies to monthly subscriptions for sessions by “text” or “videoconference”, the term psychotherapy is massively overused through a multitude of “care” offers which are more akin to a trade fair. But psychotherapy is not a consumer product. It is neither fast nor effective via an email exchange is serious work that requires diligence and commitment. Of course, this discourse turns out to be less attractive than that which promotes rapid effectiveness through false online therapies or brief therapies.
But does psychotherapy aim to nourish illusions or, on the contrary, does it allow us to escape from alienation?
Like an antidepressant which produces relief for the symptom without curing the illness, advertisements for online therapies and brief therapies sell precisely on this temporal illusion which allows treatment to be confused with momentary relief.
But can we call psychotherapy a treatment that soothes the symptom without aiming for cure?
If the answer is contained in the question, it invites us to ask ourselves how psychotherapy can be carried out online.
In our article on psychotherapy by telephone, we tried to answer this question by emphasising that psychotherapeutic work can take place remotely as long as it respects the framework of the treatment.. Beyond the regularity of sessions, psychotherapy seems to be able to be done remotely as long as the method of free associations is respected. Indeed, it is this possibility of freely speaking each of his thoughts which allows the patient to resolve the intrapsychic conflict which is represented in his symptomatology. Whether he speaks his thoughts via a telephone receiver or via the microphone of his computer, the fundamental rule of psychotherapy can be respected and the clinician can thus operate remotely, he can direct the treatment so that it can find its outcome . Let us remember that the outcome of a treatment is characterised by the lasting liquidation of the symptoms, or by the real appeasement of the intrapsychic conflict in which the being consumes his strength, sometimes since his earliest childhood.
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On the other hand, it is difficult to consider online “psychotherapy” which does not respect this therapeutic framework as real care. This is the case for all processes that use exchanges by email or SMS. Likewise, the use of the webcam seems problematic because the image is highlighted at the expense of speech. Indeed, Jacques Lacan has never ceased to highlight that the relationship with the image constitutes a brake on the possibility of the emergence of a full speech, that is to say a speech which produces transformative effects for the being.
Failing to truly treat, these forms of remote therapy act in the same way as antidepressants or so-called brief therapies: they can have a temporary calming function but in no case do they truly cure the intrapsychic conflict. Moreover, the phenomenon is not new, we can think well before the appearance of the internet of the telephone consultations offered by “clairvoyants”, mediums and astrologers.
Given this profusion of misleading offers of care, how can we find a psychotherapist to provide remote psychotherapy?
Rather than going through a company that sells "online therapies", rather than having to deal with salespeople who haggle over subscriptions, it seems more appropriate to call directly on an established clinician who agrees to dedicate part of his consultation time at sessions by telephone. Of course, we can imagine that the idea of a monthly subscription may seem more financially attractive. But as for listening services with volunteers, this is a false economy to the extent that these commercial proposals, however attractive they may be, never lead to real psychological care, or to a treatment which produces transformative effects on long term. In other words, these false economic solutions are wasteful in the long term, both financially and temporally. Furthermore, it is also true that the price of psychoanalysis sessions can prove prohibitive, particularly in Paris and the Paris region. In the same way that free sessions prove counterproductive by infantilizing or leaving the patient destitute once the number of free sessions has been exceeded, the prohibitive prices charged by certain analysts are not clinically justified. The importance of the investment is certainly essential for the solidity of the treatment but it varies according to the desire and financial possibilities of each person. This is the reason why a certain number of clinicians agree to adjust the price of consultations according to the means of each patient. particularly in Paris and the Paris region. In the same way that free sessions prove counterproductive by infantilizing or leaving the patient destitute once the number of free sessions has been exceeded, the prohibitive prices charged by certain analysts are not clinically justified. The importance of the investment is certainly essential for the solidity of the treatment but it varies according to the desire and financial possibilities of each person. This is the reason why a certain number of clinicians agree to adjust the price of consultations according to the means of each patient. particularly in Paris and the Paris region. In the same way that free sessions prove counterproductive by infantilizing or leaving the patient destitute once the number of free sessions has been exceeded, the prohibitive prices charged by certain analysts are not clinically justified. The importance of the investment is certainly essential for the solidity of the treatment but it varies according to the desire and financial possibilities of each person. This is the reason why a certain number of clinicians agree to adjust the price of consultations according to the means of each patient. the prohibitive prices that some analysts charge are not clinically justified. The importance of the investment is certainly essential for the solidity of the treatment but it varies according to the desire and financial possibilities of each person. This is the reason why a certain number of clinicians agree to adjust the price of consultations according to the means of each patient. the prohibitive prices that some analysts charge are not clinically justified. The importance of the investment is certainly essential for the solidity of the treatment but it varies according to the desire and financial possibilities of each person. This is the reason why a certain number of clinicians agree to adjust the price of consultations according to the means of each patient.
In the Paris region, for example, the School of Psychoanalysis of the Network for Psychoanalysis at the Hospital (RPH) set up the Public Psychoanalysis Consultation (CPP). In this context, the clinicians who are members of the School adapt the amount of the sessions according to the pace desired by the patient and according to their means. It is therefore the patient himself who determines,
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during the first session, the price and regularity he wishes for his treatment. Of course, the clinician ensures that the patient's investment proves neither insufficient nor too heavy to bear. Not only does this way of proceeding allow as many people as possible to be able to carry out psychotherapy and psychoanalysis, but above all it makes it possible to make the patient responsible for their own treatment. Having proven itself clinically, this model, which has worked for more than 20 years, will probably be the standard in a few years.
Furthermore, the RPH School of Psychoanalysis has also set up an Emergency Telephone Listening Service (the SETU?) which operates 24 hours a day, 7 days a week. Unlike the telephone listening systems of emergencies provided by volunteers or salespeople, or call numbers which do not allow psychotherapeutic follow-up, the clinicians who ensure the permanence of the SETU? are trained to facilitate the implementation of psychotherapy, whether it takes place in a psychotherapy and psychoanalysis office or, for those who cannot do otherwise, remotely.
Thus, online psychotherapy is possible in a specific framework, that is to say in a framework which allows the method of free associations to be respected as best as possible. If treatment in the psychotherapy and psychoanalysis office is not possible, online psychotherapy, by telephone or via internet calls, can constitute an interesting alternative for those who suffer and wish to get rid of the internal conflict which monopolises their existence.
Online psychologist in Paris
Do psychotherapy online, in Paris 9
Traduit du français par Olajumoke BALOGUN