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Cindy Boersma's avatar

I agree that the phone (unlike video conferencing technology) can allow more freedom for therapist and patient for free association and reverie, goals of Freud's use of the couch, a freedom of mind and experience that can be limited by the self-consciousness invoked by being looked at directly. (which is a real limitation of video conferencing telehealth). However, because the patient is not visible or fully audible, nor is the therapist, we can't hear or see each other breathe (which is possible with the couch); notice shifts in body posture, and of course, miss all the other shared sensory experiences that help create a relationship for thinking and feeling together.

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Catherine Adler's avatar

There are so many enjoyable elements in this essay..the way the parts link and build a koan like experience for me the reader, similar to the authors experience that day, the simplicity married to the complexity of these ideas--that we turn from knowing to save ourselves and that when we turn toward knowing, a little bit at a time, it is calming even when we come to know a disturbing thing! It seems to be the embodied accompaniment that our animal body-consciousness longs for! Thank you again Gary for presenting an idea is such a felt and useful way!

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