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International Forum of Psychoanalysis

ISSN: (Print) (Online) Journal homepage: https://www.tandfonline.com/loi/spsy20

1
Attempting a metapsychology for tele-copresence

Lucio Alberto Gutiérrez Herane

To cite this article: Lucio Alberto Gutiérrez Herane (2023): Attempting a


1
metapsychology for tele-copresence , International Forum of Psychoanalysis, DOI:
10.1080/0803706X.2023.2210794

To link to this article: https://doi.org/10.1080/0803706X.2023.2210794

Published online: 26 Jun 2023.

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https://www.tandfonline.com/action/journalInformation?journalCode=spsy20
International Forum of Psychoanalysis, 2023
https://doi.org/10.1080/0803706X.2023.2210794

Attempting a metapsychology for tele-copresence1

LUCIO ALBERTO GUTIÉRREZ HERANE

Abstract
The concepts of immersion and digital presence have been widely used in the human–computer interaction and virtual
environment research fields and have been particularly valuable when it comes to a better understanding of tele-therapy,
tele-analysis, and other forms of tele-linking. Using a metapsychological perspective, we will attempt a psychoanalytic
interpretation of these phenomena. We will conceptualize them as hypnoid states that reflect a compromise between
internal and external conditions, including specific defensive mechanisms and psychic dynamics. This conceptualization
will be applied to the tele-analytic situation and other relevant fields of application.

Key words: tele-copresence, tele-linking, presence, immersion, virtual-digital.

It is usually growth that is the result of adapting well however, be a discussion that would henceforth
to crises. One of the effects of the COVID-19 pan- remain amid the widespread shift. This is something
demic was the need to alter how people develop in that I found to be extremely interesting. What was
different fields of human activity. Work, education, once a discussion strongly based on theoretical preju-
and personal and social lives were all impacted in dices was now incorporated into an ongoing
ways that people had never experienced before. experience.
This is a vast subject on which I think sociologists The debate on distance and mediation in psycho-
and anthropologists have more to say than psycho- analysis is not new. It involves matters related to
analysts (e.g., Bauman, 2003, 2005; Han, 2014; technical modifications, setting transformations of
Johnson, 1997; Turkle, 1995, 2011), and we will and changes to the meeting and the working con-
not attempt such an ambitious undertaking here. ditions. It seems, in a certain way, a continuation
To keep things as simple as possible, we will talk of the old debate about telephone analysis. And
about a single issue that has to do with the virtual before that, the discussions about analyses by
mediation of the analytic encounter. Determining letter, intermittent and shuttle analyses, and con-
whether to continue working in the field of psycho- centrated analyses. It can be also included as part
analysis, engage in other forms of therapeutic work, of the curious list of technical and technological
or discontinue altogether was the most widespread modifications throughout the history of psychoana-
issue our practice encountered in the wake of the lysis, including the use of the couch, the answering
COVID-19 crisis. Most continued working – machine, the waiting room, and instant messaging,
whether for clinical or extraclinical, altruistic or among others.
self-serving motives. The massive adoption of The issue has still not yet been resolved, which is
mediated psychoanalytic work led to a de facto vali- something we have all probably run into in our psy-
dation of the telematic setting. Whether we would choanalytic groups and institutions. In the broadest
consider it full-fledged tele-psychoanalysis, remote terms, some analysts consider that tele-linking irre-
psychoanalytic psychotherapy, or another more mediably alters the most basic conditions for psycho-
“diluted” form of psychoanalytic work would, analytic work. Others believe it poses important but

1
An adapted and extended version of the paper read at the XXIIth IFPS Forum, Central Panel, Friday October 21, 2022, Centro Psicoanalítico de Madrid,
Madrid, Spain.
Correspondence: Lucio Alberto Gutiérrez Herane, Sociedad Chilena de Psicoanálisis ICHPA, Alonso de Córdova 5870 of 1204, Las Condes, RM, Santiago,
Chile. +56984187920 . E-mail: lgutierrez@ichpa.cl

(Received 7 February 2023; accepted 24 April 2023)


© 2023 The International Federation of Psychoanalytic Societies
2 L. A. Gutiérrez Herane
sometimes surmountable problems. There are those or lacking in some way. Other activities, such as
who think it poses no problem at all as a matter of typing on a keyboard or shopping online, can be
preferences or adaptations, while others consider appreciated differently. However, when it comes to
how it affects individual patients, the dyad, and/or interconnecting, most people refer to a loss: a “some-
even the moment of treatment. Theoretical affiliation thing” that is missing concerning the experience of
may have a lot to do with the acceptability of the tele- being with someone else. This opinion, at least accord-
analytic device, but there are also variables such as ing to some of our research (Gutiérrez & Haye, 2017),
the analyst’s experience, the perceived severity of is not reserved only for people over the age of 50,
the patient’s condition, and prior knowledge of the “digital foreigners,” or latecomers to the digital realm.
dyad. And there is always the issue of familiarity When asked about that “something missing,” a slew
with digital life – especially digital social life, connec- of formulations emerge. “The body is lost,” “corpor-
tivity conditions, and technological equipment. ality is lost,” “the person is lost,” “the other is there
We could continue, but the point of bringing all this and is not there,” “the subject is lost,” “the encounter
up is to illustrate that tele-linking is a complex matter is lost,” “the spontaneity is lost,” and so on. My favor-
that must be approached from the vantage point of a ite formulation, perhaps because of the clarity with
serious consideration of its complexity. In my which I want to communicate, is that of a person
opinion, the COVID-19 pandemic brought tele-treat- outside the psi-sphere who defined it as “there is an
ment into the mainstream, especially in the face of the other-less-other”: a diminished sense of otherness.
social naturalization of hybrid interactions between On the other hand, there is clinical evidence that
the tangible face-to-face and the virtual face-to-face. some people cope very well with tele-connecting.
So, de facto validated, the treatments that we are carry- Some people even like it. Or they deal with various
ing out today require scrutiny without falling into an a levels of discomfort without experiencing it as a
priori reductionism or a simple sum of factors. A the- source of suffering. In terms of treatments, we have
orization would help us think about what experience is reports that many of them have worked very well.
showing us, without blind adaptation or having to There are telematic-mediated relationships that can
build a catalogue of considerations. develop significant levels of intimacy. Some dyads
In this complex scenario, attempting an understand- appear to be able to overcome this “something
ing based on Freud’s “witch metapsychology“ may be missing” – at least partially: to use a well-known
especially useful, as it allows us to read the technical term, it is a “good-enough” overcoming.
transformations without necessarily forcing a modifi- So, I wonder about the conditions that have made it
cation of the pillars that support our practices. Metap- possible for this “something missing” to be restored or
sychology works for me as a good way to approach elaborated in such a way that acknowledging it does
innovation in a flexible manner, without jeopardizing not preclude the development of forms of intimacy
our subject’s perspective – which always requires and deep bonding in some dyads, while in other cir-
ethical, political, and existential considerations. cumstances it has become an insurmountable issue.
From this standpoint, I will present a series of reflec-
tions that bring together previous and convergent
developments in tele-linking, video game research Immersion and presence as the hallmark of
and social networks, and my work with parents in the virtual-digital
modern upbringing. And, of course, clinical experi-
ence, both in tele-psychoanalytic settings and in listen- A consideration of research on human–computer
ing to patients’ diverse experiences with virtual modes. interactions helps to illustrate the state of mind in
virtual-digital activities, particularly video games,
social networks, and tele-conferences, where we
enter psychological states of intense involvement
Digital user experiences, peer, and patient
known as immersion and presence.2
reports: a starting point
Immersion and presence are broadly conceived as
My reflections are based on a practical issue that has expressions of a perceptual illusion of nonmediation
been proved to persist over time in conversations (Lombard & Ditton, 1997, 2000) between two
with colleagues and people with tele-linking experi- environments. Immersion refers to the metaphor of
ences. Many people claim that telematically mediated being underwater at various depths. Presence
relationships are not merely different from tangible emphasizes the reduction or elimination of the per-
face-to-face relationships, but that they are negative ception of the spatiotemporal difference between

2
We will not distinguish between related uses, sometimes separated phenomenologically or by intensity gradients, between immersion as absorption, envelop-
ment, involvement, and even sometimes flow. But we will distinguish it from the idea of presence.
Attempting a metapsychology for tele-copresence 3
two environments, resulting in a subjective percep- caused by psychic processes of redistribution of
tion of actually being in the mediated environment. cathectic energy, which in classic psychoanalysis
The perceptual components of immersion and have been examined from the scope of hypnoid
presence involve continuous and real-time responses states – precisely those that have occupied a very
of the human being’s sensory, cognitive, and affective special place as the point of origin of the psychoana-
systems to objects and entities in the digital and non- lytic method. These phenomena bring us back to the
digital environments. The illusion of nonmediation hypnoid, albeit without a tangible mesmerizer. It is a
occurs when the person fails to perceive or recognize type of hetero-induced trance: via an excitatory
the existence of a medium in their environment and activity using a platform or digital environment that
responds as if this medium were not there (Lombard interacts with us (e.g., Instagram auto-refresh selec-
& Ditton, 2000). We can cite several examples of tions or virtual reality scenarios); regarding specific
this gamers at any given moment feel as if they are forms of synthetic alterities (e.g., a video game with
inside the game. If they drive a race car, they move interacting avatars); or, as in our case study, in
the body alongside the game controller. If an object response to a mediated human alterity that expects
comes towards the screen, they duck (and when communication as well. Psychic interest, overdeter-
there are haptic controls this physical response is mined by the unconscious, will be a decisive mobiliz-
even more intense); users of virtual reality glasses ing factor for these hypnoid states. Let’s put it this
physically stagger as they approach a precipice in the way: at its central core, immersion is a hypnoid
virtual environment; and two people in a videoconfer- phenomenon based on the intense distribution of
ence have the impression of sharing the same place for mobile cathectic energy towards a form of digitally
a moment (tele-copresence) – a central phenomenon mediated or virtual-digital alterity.
in tele-psychoanalysis. Also, in previous works (Gutiérrez, 2016, 2019b,
Of course, when asked about the state of reality, 2021), we proposed that the set of immersion and pres-
most of these people will respond by objectifying ence phenomena cannot be explained without the
the conditions and recognizing the distance: gamers implementation of defense mechanisms – particularly
will recognize that it is a game and that they are not dissociation and ego-splitting – and in their intermedi-
actually in it; the users of virtual reality glasses will ate forms, predominantly renegation. The hypnoid
recognize that it is a digitally constructed reality nature of the immersion is based on the dissociation
and not a tangible one; and the interlocutors will of consciousness and an externally driven temporary
recognize that they are not in the same physical demand of ego-splitting, given the dual reality to
location and do not necessarily share the same time which the ego must respond.4 The user immersed in
zone, but that they nevertheless share the same the virtual-digital environment maintains an accep-
moment. The point is that, while the activity is tance attitude toward the virtual-digital reality as if it
taking place, it is perceived and felt differently. were a tangible reality (suspension of discredit), while
It is important to consider that most of the current objectively appreciating the distance or difference
theories about immersion and presence stem from between virtual-digital reality and tangible reality.
classic North American social psychology cognitivist But not every process of immersion leads to pres-
models3 in the tradition of information-processing ence – only the most intense ones. To understand
models. We will use them in another sense – a neo- presence we must also consider a degree of negative
Freudian sense – from which we will try to give them hallucination of certain aspects of reality,5 in its
a renewed depth. dual external and interoceptive objectal border
(Green, 1993).
So, taking everything into consideration, we
A psychoanalytic reading of immersion and
propose that immersion be understood as a
presence
hypnoid state caused by an intense redistribution of
Immersion and presence, in our perspective, should mobile cathectic energy,6 achieving various forms of
be considered altered states of consciousness suspension of disbelief through the use of

3
Some developments, such as Riva and collaborators’ model of presence as an expression of the self (Riva, Waterworth, & Waterworth, 2004; Riva, Waterworth,
Waterworth, & Mantovani, 2011), defy this generalization. However, it shares the limitations of most positivist psychological frames in that they are trapped in
bio-automatisms (e.g., the pre-reflective self) and in conscious motivational aspects, which vastly underrepresents the dynamic factor of the psyche, and do not
accept notions such as the unconscious overdetermination or the work of the negative.
4
I base my assumptions on the premise of an ego that includes living responsiveness as one of its defining features.
5
In moments of presence the virtual-digital reality becomes the only reality.
6
Immersion shifts the “balance” of coexisting virtual-digital and tangible-material reality scenes, favoring the interest, objectification, and qualification of the
virtual-digital environment as a potentially responsive otherness, while decreasing interest in and attention to the sensory and living qualities of the tangible-
material.
4 L. A. Gutiérrez Herane
dissociation and in response to an external-tempor- can be felt by the dyad as a relational difficulty, as a
ary demand to split the ego relation from reality, limitation of analysts’ listening capacity, or as an ana-
among other mechanisms. Presence, in addition to lysand’s difficulty working through their conflicts (or
that, includes negative hallucination as part of the even symbolizing them). Immersion and presence are
defining mechanism.7 maintained only to the extent that, in the manner of a
compromise formation, a certain balance of forces in
tension can be sufficiently preserved and that
Applications environmental and psychic conditions allow it.
Approaching the virtual-digital through the lenses of But this poses another problem. Unlike social net-
immersion and presence provides a new vertex of works and video games where a demand for reaction
analysis for a variety of topics of our interest. through stimulating question/answer responses and
calls to action is employed, in tele-analysis
moments of presence are achieved without having
Dynamics of immersion and presence in tele-analysis digital protocols demanding continuous attention
capture. In an analytic session, little or nothing may
Immersion and presence should not be considered be said, and an interesting narrative may not be con-
states of constant intensity and quality. Their structed. There are no psychomotor “calls to action”
achievement, strength, and preservation over time (e.g., pressing buttons, answering “hook” questions
depend to a large extent on the balance between on Instagram, or responding to the stimulus of a
the use of the previously described psychic mechan- video game), nor do we expect large attention-grab-
isms at the service of wish fulfilment, the psychomo- bing processes to take place in relation to a narcissis-
tor activity involved, and the attention to external tic-specular gratification (e.g., receiving and
factors. expecting “likes” on social media).
Just as Freud stated that the dream – as a compro- So, if the psychoanalytic encounter and its digital
mise formation – is the result of a psychic work that interface are not organized around action, spectacle,
allows one to maintain sleep while processing the and/or immediate gratification, where do we find a
motions of desire, we will say that a central aspect drive with sufficient intensity as to achieve
of the psychic work involved in immersion and pres- moments of presence? I believe we must return to
ence consists of the tolerance of the split between the our origins: it will be in the interest towards the
tangible-material reality and the virtual-digital cure and the dynamics of the transference – the
reality, negativizing the first and intensifying the unconscious purposive ideas of the treatment and
interest in the second.8 the treater (Freud, 1900) – where we will find the
The compromise achieved between the motions of true drive for intense presence during a tele-analytic
interest towards virtual-digital reality and towards session.9
tangible-material reality can be altered, facilitated,
or interfered with by external (e.g., characteristics
of the physical setting, social privacy, characteristics Psychopathology
of the interface, connectivity, or the technical compe-
tence of the user) or internal (e.g., unresolved Another directly related topic is psychopathological
anxieties, resistances towards treatment, or ego-inte- phenomena and processes, for example (Gutiérrez,
gration) conditions. However, the efficiency factor 2019a, 2019b):
will have to do with cathexis distribution and the 1. so-called “internet and video game addic-
psychic processes involved. tions” that can be understood as compulsive
From a compromise formation perspective, we digital uses, searching for an experience of
understand that the classic resistance to treatment presence at the service of compensation
may be expressed as a reluctance to tele-analysis dynamics and ego-integration restitution;
itself, or that we may encounter an overdetermined 2. more cryptic forms, such as wish-fulfilments
complaint about connectivity (e.g., “I cannot hear through excitatory action-based concretized
you well”), among many others. On the other fantasies in video games, at the service of per-
hand, we may see how a problem with technology verse or psychopathic dynamics;

7
The near-hallucinatory quality of presence states is based on the negative hallucination of the tangible-material reference.
8
We must also consider the psychic tolerance for the near-hallucinatory.
9
This may also allow us to understand why in tele-analysis (unlike other digital activities) presence is expressed as “fleeting moments” that are so dependent upon
the conditions of the analytic process and its dynamics, in addition to relational, situational, and technological conditions. A related question is whether an ana-
lytic work carried out electronically can become a proper psychoanalytic process and what would be the role of these moments of presence in it. The value given
to the need of a regression for any analysis, as well as shared figurability-work (Botella & Botella, 2005), is involved in this question.
Attempting a metapsychology for tele-copresence 5
3. the common search for presence in digital wanting to let go of the video game)? Or is it
modalities as a way of accessing neurotic and that they “neither hear nor listen”?
non-neurotic temporary withdrawal states . Only at the end of a game does a gamer become
(Winnicott, 1955), or even organized withdra- aware of hunger, fatigue, or an urge to urinate.
wals as psychic retreats (Steiner, 1994); Have they felt them but dismissed them
4. the realization of fantasies-in-action, typical of (immersion) or has there not been a qualitative
the neurotic rigidized playful experience; record of the organic tension (presence)?
5. and even the most classic forms of the impov- . Instagram users do not realize that they have
erishment of the ability to love and work can been in the application for 30 minutes. It felt
take advantage of the social invisibility of like just five. What was this distortion of tem-
immersion and presence. porary consciousness due to? Was it inattention
due to involvement, or a genuine negative hal-
Especially, the varied uses and exploitations of
lucination of time?
video gaming at the service of ego needs (Winnicott, . WhatsApp users walking down the street trip or
1955) and the search for the restitution of depen-
run into posts (pop psychology has coined the
dency using an artificial otherness may be under-
term Smartphone zombie, an urban problem
stood in greater depth from this theorization. An
in highly populated cities). Is this temporal
immense field of study opens when trying to under-
ataxia suggestive of presence?
stand our “digital states of mind” (Gutiérrez,
2023a) and their convergence with contemporary
psychopathology.
Distracted parenting and asperity in emotional
developments10

Creation and play Another aspect worth mentioning, which is more


speculative but relevant for the future, is the one
It must be noted that not all virtual-digital involve- that refers to the effects of immersion and presence
ment results in a psychopathological process. There in relation to primitive and early emotional develop-
is a whole different dimension of human digital ment. In short, “digitally distracted parenting”
experiences aligned with the ideas of virtual habitat, (Gutiérrez, 2017).
creativity, play, and social encounter, which is also Take two disturbing but mundane scenes: a
dependent on achieving enough immersion and pres- mother breastfeeding her baby while scrolling
ence. A whole path opens up for us in understanding through social media, and a father rocking the stroller
the relationships between play and immersion in the while playing a casual video game. If ordinary primi-
field of the intermediate area of human experience tive emotional development depends on processes of
(Winnicott, 1971). An interesting question arises: mutual regulation of the most delicate order possible,
to what extent is the use of defense mechanisms how does this dulling of the caregivers’ attention
part of a healthy and creative life? Perhaps the affect the mutual regulation processes?
answer will reveal diverse positions from theoretical Taking immersion and presence into account, it
and personal convictions. would seem appropriate to raise serious concerns
about some digital activities as a potential threat to
children’s primitive emotional development. Accord-
Psychopathologies of everyday digital life ing to our theory, attentional captures in deep
immersion and presence are far more intense and
The “psychopathologies of everyday (digital) life”
fixated than reading a newspaper, chatting with a
also show us an abundance of themes in which we
friend, or other pre-digital activities performed
observe the effects of immersion and presence, with
“alongside” primary caring tasks. During immersive
distinctions that are not always clear. Let’s review
states, responding to the demands of the child takes
some examples:
longer. Caregivers become less sensitive and their
. It is useless to tell a child who is playing video interactions less fluid.
games “just five more minutes!” since they will Sufficient primitive care, understood both as living
nod while playing but will not be cognizant of contact and in its protective functions (Khan, 1963),
time passing. This is a recurring problem with allows mutuality to develop over time into a sense of
parenting. Is it that children “hear but do not continuity of being (Winnicott, 1945, 1988) and,
listen” due to their excessive involvement (not later, a vigorous sense of self. So, if digitally

10
For reasons of length, this final section was not included in the original presentation.
6 L. A. Gutiérrez Herane
distracted parenting becomes a relational pattern, we ORCID
can expect their children to develop acute withdrawal
Lucio Alberto Gutiérrez Herane http://orcid.org/
techniques as well as other forms of dissociation as a
0000-0003-4792-1256
response (Gutiérrez, 2019a, 2019b).11
Please consider that I am addressing child dis-
sociation resulting from the primary caregivers’
digital distraction, and not directly from children’s References
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11
Acting out disorganization and antisocial tendencies can be alternatives to the extent of hope in reparation.
12
Sometimes also restlessness and exasperation.
13
Should we find here a source for our renewed cultural fascination with the living dead?
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paper-and-pencil instrument. Project abstract submitted for Lucio Alberto Antonio Gutiérrez Herane holds a
presentation at Presence 2000: The Third International doctorate in psychotherapy research from Pontificia
Workshop on Presence. Retrieved December 16, 2022, Universidad Católica de Chile. He is a psychoanalyst
from http://nimbus.temple.edu/~mlombard/P2000.htm. and full member of the Chilean Society of Psycho-
Riva, G., Waterworth, J.A., & Waterworth, E.L. (2004). The analysis (ICHPA), as well as an academic and train-
layers of presence: A bio-cultural approach to understanding
presence in natural and mediated environments. ing supervisor. He is a past president of ICHPA and
CyberPsychology & Behavior, 7, 402–416. alternate member of the International Federation of
Riva, G., Waterworth, J.A., Waterworth E.L. & Mantovani, F. Psychoanalytic Societies executive board.
(2011). From intention to action: The role of presence.
New Ideas in Psychology, 29, 24–37.
Dr. Gutiérrez works in private practice, treating adoles-
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New York: Simon & Schuster. longstanding line of conceptual and clinical research
Turkle, S. (2011). Alone together. Massachusetts: MIT Press. on how humans interact with the virtual-digital,
Winnicott, D.W. (1945). Primitive emotional development. In
based on Freudian–Winnicottian metapsychology.
Collected Papers (pp. 158). New York: Basic Books.
Winnicott, D.W. (1955). Metapsychological and clinical aspects of
regression within the psycho-analytical set-up. International Dr. Gutiérrez has published in various local and inter-
Journal of Psychoanalysis, 36, 16–26. Spanish version: Aspectos national journals as well as compilation books. His
́
clinicos y metapsicológicos de la regresión dentro del marco psi- paper “Silicon in ‘pure gold’? Theoretical contri-
́
coanalitico. Revista de Psicoanálisis, 1969, 26, 693–716.
butions and observations on tele-analysis by videocon-
Winnicott, D.W. (1971) The place where we Live. Playing and
Reality, 17, 104–110. ference” (Gutiérrez, 2016) reached The International
Winnicott, D.W. (1988). Integration. In Human nature (pp. 116– Journal of Psychoanalysis annual selection and was pub-
121). Levittown, PA: Brunner. Spanish version: Integración. lished in English, Spanish, and German.

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