OBJECTIVE: Painful trigeminal neuropathy is a complex clinical entity due to its severity and refractoriness to pharmacological and interventional management. We describe our experience in treating refractory painful trigeminal neuropathy (RPTN) with gasserian ganglion stimulation (GGS).
METHODS: Six patients with RPTN were treated with GGS in our Unit between 2019 and 2022. The following data were collected: socio-demographic characteristics, triggering event, duration of the disease and treatment received prior to surgery, pre- and post-intervention visual analogue scale (VAS) score, follow-up time, and pre- and post-intervention functionality and quality of life.
RESULTS: All patients were women who had received aggressive first-, second-, and third-line pharmacological, non-pharmacological, and interventional management before being referred for GGS. Patients reported a 50%-72% decrease in pain on VAS and improved functionality during follow-up.
CONCLUSIONS: GGS is a promising therapeutic alternative for patients with RPTN. Although the initial outcomes and experience are encouraging, RPTN is recommended on the basis of safety, reproducibility, and trends observed in clinical practice.

This paper proposes that exploring the use of internet pornography creates a potentially beneficial, albeit defensive liminal space that can be used therapeutically. The content of compelling sexual scenes can be viewed as the psyche\'s way of mastering internal trauma and masking an inner emptiness. However, from a Jungian perspective, the use of internet pornography can also be seen as a patient\'s distorted way of trying to make dissociated affects more bearable by triumphing over them. The sexual use of technology can express intrapsychic conflict encapsulated in what Stoller called \'microdots\'. Stoller\'s microdots are unique scripts - a kind of emotional code that gives clinicians an opportunity to reveal unconscious processes and transcend them through meaning making. Wood\'s work at the Portman Clinic on the chosen \'compelling scenarios\' of pornography-addicted patients is also examined with this Jungian lens. Jung\'s idea of the transcendent function is used to show the value of holding the tension of fantasy and frustration provoked by intimacy. The paper illustrates how they come together within the therapeutic relationship to stimulate something new.
Cet article suggère qu’étudier l’utilisation de la pornographie sur internet crée un espace potentiellement bénéfique, même s’il est défensif, et qui peut être utilisé de manière thérapeutique. Le contenu de scènes sexuelles impressionnantes peut être compris comme la manière dont la psyché maitrise le traumatisme interne et masque le vide intérieur. Mais d’un point de vue Jungien, l’utilisation de la pornographie sur internet peut également être pensée comme la manière, certes perturbée, du patient pour tenter de rendre plus supportables des affects dissociés en prenant le dessus sur ces fameux affects. L’utilisation sexuelle de la technologie peut exprimer le conflit intrapsychique encapsulé dans ce que Stoller a appelé les ‘micropoints’. Les micropoints de Stoller sont des scénarios uniques - une sorte de code émotionnel qui donne aux cliniciens l’occasion de révéler les processus inconscients et de les transcender en y donnant du sens. Le travail de Wood à la Portman Clinic - sur les ‘scénarios fascinants’ des patients dépendants à la pornographie - est également étudié à travers la perspective Jungienne. L’idée Jungienne de la fonction transcendante est utilisée pour montrer qu’il est précieux de tenir la tension entre fantasme et frustration, tension qui provient de l’intimité. Cet article illustre comment ils se rejoignent dans la relation thérapeutique pour stimuler quelque chose de nouveau.
In diesem Aufsatz wird der Vorschlag unterbreitet, daß die Erforschung der Verwendung von Internetpornographie einen potentiell vorteilhaften, wenn auch defensiven Grenzraum schafft, der therapeutisch genutzt werden kann. Der Inhalt animierender Sexszenen kann als Mittel der Psyche angesehen werden, ein inneres Trauma zu bewältigen und eine innere Leere zu maskieren. Aus einer Jungianischen Perspektive heraus kann der Gebrauch von Internetpornographie jedoch auch als verzerrter Versuch eines Patienten angesehen werden, dissoziierte Affekte erträglicher zu machen, indem er über sie triumphiert. Der sexuelle Gebrauch von Technologie kann intrapsychische Konflikte ausdrücken, die in dem verkapselt sind, was Stoller ‘Mikropunkte’ nannte. Stollers Mikropunkte sind einzigartige Skripte - eine Art emotionaler Code, der Klinikern die Möglichkeit gibt, unbewußte Prozesse aufzudecken und sie durch Sinnstiftung zu transzendieren. Woods Arbeit an der Portman Clinic zu den ausgewählten ‘zwingenden Szenarien’ von pornographiesüchtigen Patienten wird ebenfalls mit Hilfe dieser Jungianischen Linse untersucht. Jungs Idee der transzendenten Funktion wird verwendet, um den Wert aufzuzeigen der darin besteht, die durch Intimität hervorgerufene Spannung von Fantasie und Frustration aufrechtzuerhalten. Der Beitrag veranschaulicht, wie beide in der therapeutischen Beziehung zusammenkommen, um etwas Neues anzuregen.
Questo articolo suggerisce che l’esplorazione dell’uso della pornografia online crei uno spazio liminale potenzialmente benefico, seppur difensivo, che può essere usato terapeuticamente. Il contenuto di scene sessuali coinvolgenti può essere visto come il tentativo della psiche di padroneggiare il trauma interno e mascherare un vuoto interiore. Tuttavia, da una prospettiva junghiana, l’utilizzo della pornografia online può anche essere visto come il modo distorto del paziente per cercare di rendere più sopportabili gli affetti dissociati trionfando su di essi. L’uso sessuale della tecnologia può esprimere un conflitto intrapsichico racchiuso in quelli che Stoller chiama ‘micropunti’. I micropunti di Stoller sono degli scritti unici - un tipo di codice emotivo che offre agli specialisti un’opportunità per individuare i processi inconsci e trascenderli tramite la creazione di significati. Anche il lavoro di Wood presso la clinica Portman sugli ‘scenari avvincenti’ scelti dai pazienti dipendenti dalla pornografia viene esaminato con queste lente junghiana. L’idea di Jung della funzione trascendente viene usata per mostrare il valore del tenere la tensione della fantasia e la frustrazione provocata dall’intimità. L’articolo illustra come questi confluiscono all’interno della relazione terapeutica per stimolare qualcosa di nuovo.
В статье предполагается, что исследование обращения к интернет-порнографии создает потенциально полезное, хотя и защитное лиминальное пространство, которое может быть использовано в терапевтических целях. В содержании навязчивых сексуальных сцен можно видеть попытки психики справиться с внутренней травмой и замаскировать внутреннюю пустоту. Однако, с точки зрения Юнга, обращение пациента к интернет-порнографии можно также рассматривать как уродливые попытки сделать диссоциированные аффекты более переносимыми, одержав над ними победу. Использование технологий в сексуальных целях может быть манифестацией интрапсихического конфликта, выраженного посредством того, что Столлер назвал \"микроточками\". Микроточка, по Столлеру - это уникальный сценарий, своего рода эмоциональный код, с помощью которого клиницисты имеют возможность выявлять бессознательные процессы и справляться с ними путем создания смысла. Предлагается юнгианский взгляд на исследование выборки «навязчивых сценариев» у пациентов с порнографической зависимостью, выполненное Вудом в клинике Портмана. Важность удерживания напряжения между фантазией и фрустрацией, провоцируемыми близостью, обосновывается с помощью юнговской концепции трансцендентной функции. В статье показано, как они соединяются в терапевтических отношениях, что стимулирует возникновение чего-то нового.
El presente trabajo propone que la exploración del uso de pornografía por internet crea un beneficio potencial, aún siendo un espacio liminal defensivo, que puede ser usado terapéuticamente. El contenido de atractivas escenas sexuales puede percibirse como el modo de la psique de dominar el trauma interno y de enmascarar el vacío interior. Sin embargo, desde una perspectiva Junguiana, el uso de pornografía por internet puede considerarse como un modo distorsionado del paciente de tratar de hacer más tolerables emociones disociadas triunfando sobre las mismas. El uso sexual de tecnología puede expresar conflicto intrapsíquico encapsulado en lo que Stoller llamó `micropuntos`. Los `micropuntos`de Stoller son guiones únicos - una especie de código emocional que le da al clínico una oportunidad para revelar procesos inconscientes y trascenderlos a través de darles sentido. También se examina con este lente Junguiano el trabajo de Wood en la Clínica Portman sobre los elegidos `escenarios cautivantes` de pacientes con adicción a la pornografía. La idea de Jung sobre la Función Trascendente es utilizada para mostrar el valor de sostener la tensión entre fantasía y frustración provocada por la intimidad. El trabajo ilustra cómo ambas coinciden en la relación terapéutica para estimular algo nuevo.
诱惑、欺骗和技术 本文提出, 对互联网色情制品的使用的探索, 可以创造了一个潜在的获益, 虽说那是个防御性的边缘空间, 但仍可以被用于治疗。令人信服的性爱场景的内容, 可以被视为心灵的一种对内在创伤获得掌控的方式, 以及遮掩内在空洞的方式。然而, 从荣格的角度来看, 使用网络色情制品也可以被看作是病人试图通过一种扭曲的方式, 来战胜被解离的情感, 从而使它们更可容忍。技术在性上的使用, 可以表达一种心理内部的冲突, 它被封装在斯托勒称之为 “微点 ”地方的。斯托勒的微点是一个独特的脚本--它是一种情感代码, 使临床医生有机会揭示无意识的过程, 并通过意义创造来超越它们。 文章还从荣格的视角来审视伍德在波特曼诊所所做的工作, 即对色情成瘾患者所选择的 “引人注目的场景 ”所做的工作。荣格的超越功能的想法被用来表明, 抱持住幻想的张力和由亲密关系引发的挫折的价值。本文说明了它们是如何在治疗关系中结合在一起以激发新的东西。.

OBJECTIVE: The aim of this study is to examine the social media and technology use of mothers during breastfeeding.
METHODS: Descriptive cross-sectional study. The study was carried out with mothers who brought their children for follow-up in the pediatric outpatient clinics of a public hospital, a university hospital and a private hospital located in Turkey. A questionnaire developed «ad hoc» was used for data collection.
RESULTS: The total sample consisted of 275 mothers (n = 275). Mothers participating in the study 89.8% of the mothers used social media, 86.5% sought on the reliability of the information on the internet, 73.8% used the medical information on the internet to decide on any case about breastfeeding and 66.9% of them used cell phone or computer during breastfeeding. A statistically significant difference was determined between the education level of the mothers and social media use (p < 0.05). It was determined that the mothers who were secondary school graduate and those with three or more children talked on a cell phone while breastfeeding.
CONCLUSIONS: Most of the mothers used social media and technology at a level limiting their interaction with their children. It is recommended to protect mothers from digital addiction and improve their digital literacy levels.

BACKGROUND: New technologies are increasingly widespread in biomedicine. Using the consensus definition of new technologies established by the New Technologies Ad-Hoc Committee of the Spanish Society of Neurology (SEN), we evaluated the impact of these technologies on Spanish neurology, based on communications presented at Annual Meetings of the SEN.
METHODS: We defined the concept of new technology in neurology as a novel technology or novel application of an existing technology, characterised by a certain degree of coherence persisting over time, with the potential to have an impact on the present and/or future of neurology. We conducted a descriptive study of scientific communications presented at the SEN\'s annual meetings from 2012 to 2018, analysing the type of technology, the field of neurology, and the geographical provenance of the studies.
RESULTS: We identified 299 communications related with new technologies from a total of 8139 (3.7%), including 120 posters and 179 oral communications, ranging from 1.6% of all communications in 2012 to 6.8% in 2018. The technologies most commonly addressed were advanced neuroimaging (24.7%), biosensors (17.1%), electrophysiology and neurostimulation (14.7%), and telemedicine (13.7%). The neurological fields where new technologies were most widely employed were movement disorders (18.4%), cerebrovascular diseases (15.7%), and dementia (13.4%). Madrid was the region presenting the highest number of communications related to new technologies (32.8%), followed by Catalonia (26.8%) and Andalusia (9.0%).
CONCLUSIONS: The number of communications addressing new technologies follows an upward trend. The number of technologies used in neurology has increased in parallel with their availability. We found scientific communications in all neurological subspecialties, with a heterogeneous geographical distribution.

The relevance of type 1 diabetes during pregnancy stems from its impact on the health of mother and offspring and its increasing prevalence. Glycemic control during pregnancy is one of the main risk factors for adverse events. Besides, treatment becomes a major challenge not only due to the modifications in insulin requirements due to changes in hormones and cytokines but also to the stricter control targets. Given the recent appearance of new ultra-rapid and basal insulin analogues and the constant evolution of technology to treat people with diabetes, we review these aspects in relation to the treatment of women with type 1 diabetes during pregnancy.

Conservation technology holds the potential to vastly increase conservationists\' ability to understand and address critical environmental challenges, but systemic constraints appear to hamper its development and adoption. Understanding of these constraints and opportunities for advancement remains limited. We conducted a global online survey of 248 conservation technology users and developers to identify perceptions of existing tools\' current performance and potential impact, user and developer constraints, and key opportunities for growth. We also conducted focus groups with 45 leading experts to triangulate findings. The technologies with the highest perceived potential were machine learning and computer vision, eDNA and genomics, and networked sensors. A total of 95%, 94%, and 92% respondents, respectively, rated them as very helpful or game changers. The most pressing challenges affecting the field as a whole were competition for limited funding, duplication of efforts, and inadequate capacity building. A total of 76%, 67%, and 55% respondents, respectively, identified these as primary concerns. The key opportunities for growth identified in focus groups were increasing collaboration and information sharing, improving the interoperability of tools, and enhancing capacity for data analyses at scale. Some constraints appeared to disproportionately affect marginalized groups. Respondents in countries with developing economies were more likely to report being constrained by upfront costs, maintenance costs, and development funding (p = 0.048, odds ratio [OR] = 2.78; p = 0.005, OR = 4.23; p = 0.024, OR = 4.26), and female respondents were more likely to report being constrained by development funding and perceived technical skills (p = 0.027, OR = 3.98; p = 0.048, OR = 2.33). To our knowledge, this is the first attempt to formally capture the perspectives and needs of the global conservation technology community, providing foundational data that can serve as a benchmark to measure progress. We see tremendous potential for this community to further the vision they define, in which collaboration trumps competition; solutions are open, accessible, and interoperable; and user-friendly processing tools empower the rapid translation of data into conservation action. Article impact statement: Addressing financing, coordination, and capacity-building constraints is critical to the development and adoption of conservation technology.
La tecnología de conservación tiene el potencial para incrementar considerablemente la habilidad de los conservacionistas para entender y lidiar con los retos ambientales más importantes, pero las restricciones sistémicas parecen dificultar su desarrollo y adopción. La comprensión de estas restricciones y las oportunidades para el avance todavía son limitadas. Encuestamos en línea a 248 usuarios y programadores mundiales de tecnología de conservación para identificar las percepciones existentes del desempeño e impacto potencial de las herramientas actuales, restricciones para los usuarios y programadores y oportunidades clave para el crecimiento. También realizamos grupos de discusión con 45 expertos destacados para triangular los hallazgos. Las tecnologías con el potencial percibido más alto fueron el aprendizaje mecánico y la visión por computadora, la genómica y el eADN y los sensores en red. El 95%, 94% y 92% de los respondientes, respectivamente, clasificó estas tecnologías como muy útiles o como puntos de inflexión. Los retos más apremiantes que afectaron al área como conjunto fueron la competencia por el financiamiento limitado, la duplicación de esfuerzos y el desarrollo inadecuado de capacidades. El 76%, 67% y 55% de los respondientes, respectivamente, identificaron estos retos como de interés primario. Las oportunidades clave para el crecimiento que se identificaron en los grupos de diálogo fueron el incremento de la colaboración y la distribución de información, la mejoría de la operatividad entre herramientas y la potenciación de la capacidad de análisis de datos a escala. Algunas restricciones parecieron afectar desproporcionadamente a grupos marginalizados. Los respondientes de países con economías en desarrollo tuvieron mayor probabilidad de reportar la restricción por los costos iniciales, costos de mantenimiento y la financiación del desarrollo (p = 0.048, tasa de probabilidad [OR] = 2.78; p = 0.005, OR = 4.23; p = 0.024, OR = 4.26), y las mujeres respondientes tuvieron una mayor probabilidad de reportar restricciones por la financiación del desarrollo y habilidades técnicas percibidas (p = 0.027, OR = 3.98; p = 0.048, OR = 2.33). A nuestro entendimiento, este es el primero intento por capturar formalmente las perspectivas y necesidades de la comunidad mundial de la tecnología de conservación, proporcionando datos fundamentales que pueden servir como referencia para medir el progreso. Vemos un potencial tremendo para que esta comunidad amplíe la visión que definen, en la cual la colaboración se sobrepone a la competencia; las soluciones son abierta, accesibles e interoperativas; y las herramientas intuitivas de procesamiento capacitan la traducción veloz de datos a acciones de conservación.

Technology is one of the pillars of surgery in the 21st century and is a key factor in achieving better surgical results. The current surgical process involves not only surgical techniques, but also a very high degree of specialisation and the knowledge and use of techniques and devices from other fields. In Spain, there are no studies published at a national level in this regard. From the Minimally Invasive Surgery and Technological Innovation section of the Spanish Association of Surgeons we have designed a study whose main objective is to evaluate the degree of technological implantation in the specialty of General Surgery in Spain, as well as to analyze the devices available in the different centres of the country. We propose to make a detailed description of the applications of these devices and techniques by areas of interest, pointing out the pathologies and procedures in which this technology is used.

There have been many reflections, both individual and collective within our Institutes, on the effects on our work with patients caused by COVID-19 and the requirement to move suddenly from the setting of our own consulting rooms to working with patients online (see also, the previous issue of this Journal). This paper focuses on what we have learned from these experiences that can add to our knowledge about the role of the setting in analytic work. Drawing on Bleger\'s (1967) seminal paper highlighting the usual setting as a mute projection carrier for primitive wishes and affects, the paper explores how different patients have reacted to the loss of the analyst as the guardian of the setting and in particular as an embodied presence. Some key questions and challenges for both patients and analysts during the pandemic, when \'the setting begins to weep\', are explored.
Il y a eu beaucoup de réflexions, à la fois individuelles et en groupe au sein de nos Instituts, sur les effets du Covid-19 sur notre travail avec les patients et sur l’obligation de passer soudainement du cadre de notre salle de consultation au travail avec nos patients en ligne (voir également le numéro précédent de ce Journal). Cet article se concentre sur ce que nous avons appris de telles expériences qui puisse s’ajouter à notre connaissance en ce qui concerne le rôle du cadre dans le travail analytique. M’appuyant sur l’article fondamental de Bleger (1967) - qui souligne que le cadre habituel est le porteur silencieux des projections d’affects et de souhaits primaires - l’article explore comment différents patients ont réagi à la perte de l’analyste en tant que gardien du cadre et en particulier, en tant que présence incarnée. L’article explore quelques questions clés et défis des patients et des analystes durant la pandémie, « quand le cadre a commencé à pleurer ».
In unseren Instituten gab es viele individuelle und kollektive Überlegungen zu den Auswirkungen von COVID-19 auf unsere Arbeit mit Patienten und der Notwendigkeit, plötzlich von der Einrichtung unserer eigenen Beratungsräume zur Online-Arbeit mit Patienten überzugehen (siehe auch die vorherige Ausgabe dieses Journals). Dieser Beitrag konzentriert sich auf das, was wir aus diesen Erfahrungen gelernt haben, was unser Wissen über die Rolle des Settings in der analytischen Arbeit erweitern kann. In Anlehnung an Blegers (1967) grundlegenden Artikel, in dem die übliche Haltung als stummer Projektionsträger für primitive Wünsche und Affekte hervorgehoben wird, wird hier untersucht, wie verschiedene Patienten auf den Verlust des Analytikers als Hüter des Settings und insbesondere als verkörperte Präsenz reagiert haben. Einige Schlüsselfragen und Herausforderungen für Patienten und Analytiker während der Pandemie, wenn ‘das Setting zu weinen beginnt’, werden untersucht.
Ci sono molte riflessioni, sia individuali che collettive all\'interno dei nostri Istituti, sugli effetti sul nostro lavoro con i pazienti causati dal COVID-19 e la necessità di spostarsi rapidamente dai setting delle nostre stanze di consultazione al lavoro online con i pazienti (si veda anche il precedente numero di questo Journal). Questo articolo si focalizza su ciò che noi abbiamo appreso da queste esperienze e che possiamo aggiungere alla nostra conoscenza sul ruolo del setting nel lavoro analitico. Facendo riferimento al lavoro di Bleger (1967) che mette in luce il setting nella sua dimensione fatta di proiezioni di affetti e desideri primitivi, l\'articolo esplora come pazienti differenti hanno risposto alla perdita dell\'analista come custode del setting e, più particolarmente, alla perdita della sua presenza fisica. Vengono esplorate alcune domande chiave e sfide sia per i pazienti che per gli analisti durante la pandemia, quando il “setting inizia a lacrimare”.
Последнее время в наших институтах появилось размышлений, личных и коллективных, о влиянии коронавируса на нашу работу с пациентами и требованием немедленно перейти к онлайн терапии (смотри предыдущий номер журнала). В этой статье внимание сфокусировано на том, что мы узнали и поняли в ходе удаленной работы, как это обогатило наше знание о роли сеттинга в аналитической работе. Отталкиваясь от знаменитой публикации Бледжера (1967) об обычном сеттинге как безмолвном носителе проекций примитивных желаний и аффектов, автор исследует, как разные пациенты отреагировали на потерю аналитика как стража сеттинга, в особенности, в качестве воплощенного, физического присутствия. Рассматриваются некоторые ключевые вопросы и вызовы для пациентов и аналитиков во время пандемии, когда «сеттинг начал плакать».
Ha habido muchas reflexiones, tanto individuales como colectivas al interior de nuestros Institutos, sobre los efectos causados por el COVID-19 en nuestro trabajo con pacientes, y la necesidad de moverse repentinamente desde el encuadre en nuestros propios consultorios a trabajar con pacientes en modalidad virtual (ver también la edición previa de esta Revista). El presente trabajo se focaliza en aquello que hemos aprendido de estas experiencias que puede enriquecer nuestro conocimiento sobre el rol del encuadre en el trabajo analítico. Tomando como base el trabajo seminal de Bleger (1967) en el que se subraya el encuadre usual como portador de proyecciones silenciadas para deseos y emociones primitivas, el trabajo explora cómo diversos pacientes han reaccionado a la pérdida del analista como guardián del encuadre, y en particular como presencia corpórea. Se exploran algunas preguntas y desafíos claves para ambos, paciente y analista, durante la pandemia, cuando ‘el encuadre comienza a llorar’.
在我们的学派里已有许多关于个体或集体的反思, 反思我们对新冠病人的工作, 以及反思突然从咨询室转向线上工作的变化所需要的准备 (参见上期杂志)。这篇文章关注我们在这些经验中所汲取的教训, 以增进我们对于分析工作中设置所扮演的角色的理解。文章运用Bleger富有创意的论文的观点, 把一般性的设置看作是静音的原始愿望与情感投射的载体, 透过这种观点, 文章探讨了不同的病人如何应对失去分析师, 这位设置的守护者, 特别是作为具身的存在的失去的应对。文章探讨了一些疫情期间, 当“设置开始哭泣时”, 病人和分析师所面对的关键问题与挑战。.

BACKGROUND: People with mental health conditions frequently attend primary care centers, but these conditions are underdiagnosed and undertreated. The objective of this paper is to describe the model and the findings of the implementation of a technology-based model of care for depression and unhealthy alcohol use in primary care centers in Colombia.
METHODS: Between February 2018 and March 2020, we implemented a technology-based model of care for depression and unhealthy alcohol use, following a modified stepped wedge methodology, in six urban and rural primary care centers in Colombia. The model included a series of steps aimed at screening patients attending medical appointments with general practitioners and supporting the diagnosis and treatment given by the general practitioner. We describe the model, its implementation and the characteristics of the screened and assessed patients.
RESULTS: During the implementation period, we conducted 22,354 screenings among 16,188 patients. The observed rate of general practitioner (GP)-confirmed depression diagnosis was 10.1% and of GP-confirmed diagnosis of unhealthy alcohol use was 1.3%. Patients with a depression diagnosis were primarily middle-aged women, while patients with unhealthy alcohol use were mainly young adult men.
CONCLUSIONS: The provision of training and technology-based strategies to screen patients and support the decision-making of GPs during the medical appointment enhanced the diagnosis and care provision of patients with depression and unhealthy alcohol use. However, time constraints, as well as structural and cultural barriers, were challenges for the implementation of the model, and the model should take into account local values, policies and resources to guarantee its long-term sustainability. As such, the long-term sustainability of the model will depend on the alignment of different stakeholders, including decision-makers, institutions, insurers, GPs, patients and communities, to reduce the amount of patients seeking medical care whose mental health conditions remain undetected, and therefore untreated, and to ensure an appropriate response to the demand for mental healthcare that was revealed by the implementation of our model.

This paper explores the experience of working as a Jungian analyst through the various phases of the global COVID-19 pandemic, examining the importance of the physical containing space alongside the analyst\'s internal mind and how technology can both help and hinder understanding. A number of clinical vignettes illustrate the challenge of communicating over a distance, paying particular attention to the way countertransference phenomena can become re-attuned. Reference is made to mythology and symbols of hope, and consideration given to the meaning and purpose of the pandemic.
Cet article étudie l’expérience de travailler en tant qu’analyste Jungien à travers les différentes phases de la pandémie globale de COVID-19. L’article explore l’importance d’un espace physiquement contenant aux côtés du monde interne de l’analyste, et s’intéresse à comment la technologie peut faciliter mais aussi gêner la compréhension. Plusieurs vignettes cliniques illustrent le défi de communiquer à distance, s’occupant particulièrement de la manière dont les phénomènes de contretransfert peuvent s’en trouver accordés d’une nouvelle manière. L’article fait référence à la mythologie et aux symboles d’espoir, et considère le sens et le but de la pandémie.
In diesem Artikel wird die Erfahrung der Arbeit als Jungianischer Analytiker in den verschiedenen Phasen der globalen COVID-19-Pandemie untersucht. Dabei wird geprüft, wie wichtig der physische Raum neben dem inneren des Analytikers ist und wie Technologie das Verstehen sowohl unterstützen als auch behindern kann. Eine Reihe klinischer Vignetten veranschaulicht die Herausforderung der Telekommunikation, wobei besonders darauf geachtet wird, wie Gegenübertragungsphänomene neu abgestimmt werden können. Es wird auf die Mythologie und Symbole der Hoffnung verwiesen und die Bedeutung und der Zweck der Pandemie berücksichtigt.
Questo articolo esplora l’esperienza del lavoro di un analista junghiano durante le varie fasi della pandemia COVID-19, esamina l\'importanza dello spazio fisico di contenimento parallelamente allo spazio mentale dell\'analista e come la tecnologia possa sia aiutarne che ostacolarne la comprensione. Alcune vignette cliniche illustrano la sfida della comunicazione a distanza dando particolare attenzione al modo in cui i fenomeni controtransferali possano ri-armonizzarsi. Vengono fatti riferimenti alla mitologia ed ai simboli della speranza, e viene presa in considerazione il significato e lo scopo della pandemia.
В статье исследуется опыт работы юнгианского аналитика в разные периоды пандемии Ковид-19, обсуждается важность физического контеинирующего пространства и внутреннего состояния аналитика, а также роль технологий как помогающих, так и препятствующих пониманию. Несколько клинических виньеток иллюстрируют сложности коммуникации на расстоянии. Особое внимание уделено феномену контрпереноса как повторной настройки. Проведены параллели с мифологией и символами надежды, а также рассмотрены смысли и цель пандемии.
El presente trabajo explora la experiencia de trabajar como analista Junguiana a través de las diversas fases de la pandemia global COVID-19, examinando la importancia del espacio físico de contención junto a la mente de la analista y cómo la tecnología puede tanto contribuir como obstaculizar la comprensión. Un número de viñetas clínicas ilustran el desafío de comunicarse a la distancia, prestando particular atención al modo en el que la contratransferencia puede sintonizarse nuevamente. Se presentan referencias a símbolos y mitologías de esperanza, y una consideración al sentido y al propósito de la pandemia.
一起---分离:在分离时刻的接近 本文探讨了在全球新冠疫情不同阶段作为荣格分析师的工作经验, 探讨了物理的容纳空间及分析师内在心灵的重要性, 以及技术如何即帮助又妨碍理解的发生。文中许多临床工作的片段描述了远程沟通的挑战, 文章特别关注如何进行反移情现象的再调试。文章参考了神话学及关于希望的象征, 考虑了疫情的意义与意图。.