Article
French
ID: <
10670/1.wcphgn>
Abstract
Medical interviews during a medical teleconsultation tend to be short, simple, and focused on a specific problem. In this article, we attempt to identify the difficulties of teleconsultation and the psychiatric symptomatology we observed during lockdown in relation to the Covid-19 pandemic. The framework of our observations is that of person-centered private psychiatric practice, which can link prescription work and psychotherapy. The main technical difficulties were related to emotional changes in the practitioner, with emotional blunting, flattening of elaborative reverie, and extreme fatigue. We observed in the majority of cases a stabilization of symptomatology among patients. We attempt here to put forward some possible explanatory factors. Those related to the social context include the restriction of freedom; the desolate atmosphere; and the radical change of work habits. Those related to the technical modalities of interviews in the absence of real bodies include major upheavals in the modalities of contact and therefore of its examination; the modification of a holding environment, making it harder to speak about intimate issues; the possibility of taking over a space; and the emergence of fantasies.