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Re: Hypotheses about Online Text Communication

Posted by Cindy W on October 6, 2000, at 22:39:03

In reply to Re: Hypotheses about Online Text Communication » Dr. Bob, posted by Sigolene on October 5, 2000, at 14:56:49

> I agree with your hypothesis.
> But I think there's a big danger in exchanging between doctor and patient through internet. The danger is that the doc doesn't see the effect on the patient of what he says, at the moment the patient read the text. As many psychiatric patients tend to make misinterpretations of intentions of others (due to his/her projections linked with bad early experiences), they are prone to misunderstand. For exemple they could interpret a simple neutral message as a rejection. Normally in face to face situation, the intention of the doc can be seen in his non verbal attitude. And he can see the reaction of the patient to what he says. Normally the sens of a message is at 80% given by non verbal attitude of the speaker. But if he don't have this info, the patient could think: he/she hates me, he don't want to talk with me and so on...and the patient in left alone with these feelings.
> I don't want to say that everything is bad with internet therapy, but just try to draw your attention on this particulary problem. I hope my english is not too bad and you understand what i mean.
> Sigolene.

Dr. Bob, I agree with most of your hypotheses about online text communication. Still, I'd rather see a live human being, f2f, because that adds a lot for me (the unambiguous nonverbal cues, I guess, plus the feeling that a real live human being cares...it's still hard for me to realize that when I write a message online, the person is reading it, and there is no immediacy of reply. --Cindy W


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