PSYCHOANALYSIS ON THE INTERNET:
A Discussion of its Theoretical Implications for
Both Online and Offline Therapeutic Technique
Paolo Migone, MD
Psicoterapia e Scienze Umane, Parma, Italy
Psychoanalysis over the Internet is discussed as a means of reflecting on the way
we think about theory of technique generally, and on what we mean by
“communication” between patient and analyst. The way we think about online
therapy has direct implications for the way we practice “offline” therapy. This
problem is discussed from the point of view of the history of the theory of
psychoanalytic technique, with reference to the classic 1953 paper by Kurt
Eissler (K. R. Eissler, 1953, The effect of the structure of the ego on psycho-
analytic technique, Journal of the American Psychoanalytic Association, Vol. 1,
pp. 104 –143) on “parameters,” and also with reference to the redefinition of
psychoanalysis itself in terms of the analysis of the transference by the late
Merton Gill (e.g., M. M. Gill, 1984, Psychoanalysis and psychotherapy: A
revision, International Review of Psychoanalysis, Vol. 11, pp. 161–179). Online
therapy is simply a different therapy, in the same way as two therapies, both
offline (or both online), may be different from each other. The fil rouge that runs
through this paper is a reflection on the very identity of psychoanalysis.
Keywords: Internet psychotherapy, Internet psychoanalysis, online psychother-
apy, theory of psychoanalytic technique, parameters of psychoanalytic
technique
It is a commonplace to say that the Internet is changing the way we communicate, and also
the way we live, with repercussions that are not easily foreseeable. The worldwide web
(www) is penetrating into every corner of our life, gradually changing ourselves and itself
as it becomes more and more sophisticated in order to meet the most diversified needs.
The importance of the Internet has been compared to the revolutionary discovery of the
printing press.
Here I will take into consideration only one of the many possibilities the Internet can
offer, namely as a vehicle for psychoanalytic therapy. But this paper will not deal with the
The author thanks Morris N. Eagle and John Kerr for their help in revising this paper.
Correspondence concerning this article should be addressed to Paolo Migone, MD, Via
Palestro 14, 43123 Parma, Italy. E-mail: migone@unipr.it
This document is copyrighted by the American Psychological Association or one of its allied publishers.
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Psychoanalytic Psychology © 2013 American Psychological Association
2013, Vol. 30, No. 2, 281–299 0736-9735/13/$12.00 DOI: 10.1037/a0031507
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