[sci.psychology] Telepsych - BLYTHnet

tzippy@dasys1.UUCP (Tzipporah BenAvraham) (03/19/89)

                                  Telepsych(tm)
                           a service of Blythe Systems
                            235 East 87 Street, #12J
                               New York, NY  10128


             Humans:                                    Computers:
    Kathleen Kelly (212) 348-2875                    (718) 448-2358
    Bob  Richards  (718) 447-7663                    (718) 448-2683



                             WHAT IS TELEPSYCH(tm)?


     Telepsych is a new way to use the personal computer for counseling and
psychotherapy.  It  was  developed  by  Kathleen  Kelly and Bob Richards of 
Blythe  Systems,  and  is  available  by  subscription  to  social  service
providers and mental health professionals.



                   TYPES OF SERVICE AVAILABLE ON TELEPSYCH


A. Online Individual Counseling (1-on-1 sessions)

     If  a therapist and client both have access to a keyboard and a modem, 
they can dial up the  Telepsych  system.   With  Telepsych,  a  client  and
therapist  can  talk  in  person to each other, even if they are physically 
unable to meet in person.   It  is  useful  for  scheduling  late-night  or
early-morning  hours,  and  for  home-bound  clients  (the  disabled,  AIDs
patients, therapists who are traveling or recuperating from illness, etc.).
Telepsych records the session as it is typed, and files a transcript in the 
therapists' confidential files.  The transcripts  are  garbled  (scrambled)
for  security  before  they  are  stored  in  archives.  No  one except the
subscriber (not even the system operators) can read the transcripts. 

     Questionnaires  and  informational  files  are   also   available   to
therapists and, selectively, to clients.  There is a public domain software
section  as  well,  with  a  variety  of  programs  geared  to the needs of
psychotherapists. 

     In addition, clients and therapists can  use  the  system  in  between
online  "visits,"  to  leave  notes  about items for discussion at the next
meeting, reactions to the last meeting, to record a dream for the therapist 
to read, etc.  This use of the system can reduce some of the client's  need
for telephone contact between visits.


B. Online Group Counseling: (from 2 to 30 participants)

     Telepsych  is  also  a  way for people to participate in a therapeutic 
support group, even if members of  the  group  are  all  homebound,  or  in
distant  locations.   Ordinarily,  this  could only be done with conference 
calls, which are difficult and expensive to set up.  Telepsych  provides  a
good alternative that is affordable and easy to use.  Once it is installed,
gaining  access  to  a group meeting is automatic and simple.  In an Online 
Group session, each group  member  simultaneously  sees  what  every  other
person  "says" (types) and can respond to it.  A transcript of the group is
created automatically by Telepsych.  Other uses for Group Online Counseling 
include an electronic classroom for  homebound  students,  or  professional
staff meetings and case conferences.


C. Group Conferencing: (any number of participants)

     Telepsych  also  provides  a  group  conferencing facility that allows 
group members to take part  in  discussions  that  are  time-delayed.   The
Conference  is  like  a  series  of open letters typed in by members of the 
group.  Every person in the group can read what everyone else  has  written
and respond to it, at their own pace, and when it is convenient.  The group
conference  is  not  "live" or happening in "real-time," so people can call
the system and participate any day or time they wish.  The group conference 
is ideal for discussion groups that want to focus on specific topics,  such
as  recovering  alcoholics,  Vietnam  veterans' PTSD support groups, cancer 
patients, outpatient psychiatric  patients,  etc.   Only  authorized  group
members  can  take part in these conferences, so they provide privacy and a
sense of acceptance that encourages free expression and exploration.


D. Administrative Communications: (any number of participants) 

     Anyone  who  subscribes  to  Telepsych  can  communicate  with   other
subscribers,  using  messages that one subscriber writes online to another. 
Whenever subscribers call the system, they can collect their mail, read  it
and  respond to it online.  Messages can be individual notes or semi-public 
memos that provide rapid and reliable administrative  communications.   For
example,  suppose  a  multi-service  network of social agencies exists with 
many  affiliated  agencies  in  5  boroughs  of  New  York  City.   If  the
administrators  and  staff  of all those agencies could communicate through 
one central electronic mailbox, they simplify office  routines  and  reduce
costs.   With Group Conferencing, administrative and professional staff can 
easily consult colleagues in  other  facilities  on  specific  problems  or
questions.  

                              PRACTICAL INFORMATION


What Equipment Do I Need?

     To  use Telepsych, you will need a keyboard, a monitor or TV receiver,
and a modem (you can use any baud rate from 300 to 19,500 bps).  A personal 
computer is NOT needed, although with a PC you can keep copies of  messages
and sessions for your own records.

     The  system  is  available for use 21 hours a day.  The only times you 
can't access Telespych system are during the 3 hours  when  the  lines  are
shut down for maintenance.

     Setting up a private Group Conferencing system on your own PC requires
that you own an IBM-compatible computer with a hard disk, 640K of memory, a
Hayes modem, a dedicated phone line, and a package of custom software.  The
system software is maintained by Blythe Systems via remote access.


How Much Does It Cost?

     The following are tentative subscriber rates for Telepsych's different
services,  after  an  initial  fee  for installation and orientation to the
system.  There is a 3-month minimum trial subscription for new subscribers, 
with installation charges and one month's service deposit due  on  purchase
of a subscription.  Rates do not include sales tax.


ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3                    TENTATIVE RATE SCHEDULE FOR TELEPSYCH                 3
3                                                                          3
3                                         Basic         Telco    Install'n 3
3     TYPE OF SERVICE             Hourly  Subscription  Install.  +1 Month 3
3      (@1200 baud)                Use *  per Month     Charge     Deposit 3
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3                                                                          3
3  A. Online Individ. Counseling  $ 16.69   $ 200.24  $ 263.84   $ 464.08  3
3  B. Online Group Counseling **     8.34     100.12    140.69     240.81  3
3  C. Group Conferences              1.25      15.02      0.00      15.02  3
3  D. Message Service                0.63       7.51      0.00       7.51  3
3                                                                          3
3  * Rates include 12 free hours of use per month. Excess time billed at   3
3    hourly rates shown above.  Telepsych is available 21 hours a day.     3
3                                                                          3
3 ** Group Counseling charges to subscriber are per participant.           3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY


     One  Basic subscription provides an online office available 21 hours a
day for individual counseling or conferencing with another person, 12 hours 
of online time, transcripts of online sessions, confidential notepad  faci-
lity and files access.  (Additional hours online are billed at $16.69/hr.)


Security and Confidentiality

     The  system  is as secure as your telephone.  If you would not discuss
something over the phone, don't discuss it on a computer over a phone line. 
Otherwise, subscribers can be confident of Telepsych's confidentiality  and
built-in  security  measures.  Only the authorized subscriber has access to
client transcripts.  For extra security, transcripts of sessions are stored 
as archives in a "garbled" format that requires a password  to  unscramble.
Electronic  messages  that are delivered to your computer are encrypted for 
complete  confidentiality.   Each  therapist  also   has   a   confidential
"notebook" for private notations and reminders.


                   LOG ON FOR A DEMONSTRATION OF TELEPSYCH

CALL: 718-448-2358        Modem Parameters: N,8,1       Baud Rates:  300
  OR: 718-448-2683                                                  1200
                                                                    2400  


     If you have a modem and a keyboard, you can see a demonstration  of  a
working  Telepsych  area by calling one of the two numbers listed above. Be 
sure your communications software  is  set  to  the  specifications  listed
above.   When  you  are  first  connected to Telepsych, you will see Blythe 
System's opening screen and you'll be asked to sign in by typing your  name
and password. 

     A therapist's area is available if you log on as DEMO DOCTOR.  To  see
what  the  system would look like to Demo Doctor's client, log on again and 
use the name DEMO CLIENT.  The password for both  demonstrations  is:  demo
(Type  demo  just  as it appears here, using lower-case letters).  Once you 
are logged onto the system, you'll see a list of choices called  a  "menu."
Just  choose  the  option  you  want by pressing the <K>ey indicated in the
menu, and then press "Return." 

     On the next screens you will  see  a  sample  of  what  the  Telepsych
demonstration will show you:


                            A SAMPLE THERAPIST LOGON

(set your modem parameters to N, 8, 1; then dial one of the numbers above)


-                           ---==WELCOME TO==---                            -
-                                                                           -
------- /////////     //      //       // /////////// //      //   //////// -
------ //       //   //       //     //       //     //      //   //       --
----- //       //   //        //   //        //     //      //   //       ---
---- /////////     //         // //         //     //////////   ///////  ----
--- //       //   //          //           //     //      //   //       -----
-- //       //   //          //           //     //      //   //       ------
- /////////     /////////   //           //     //      //   //////// -------
--------                                                             --------
-------           //      //  //////// ////////////                 ---------
------           ////    //  //            //                      ----------
-----           // //   //  //            //                      -----------
----           //  //  //  ///////       //                      ------------
---           //   // //  //            //                      -------------
--           //    ////  //            //      ///             --------------
-           //      //  /////////     //      ///             ---------------
-                                                                           -
-                      ---==People Reaching People==---                     -


 You See:        <==YOU TYPE:

First name: DEMO (HIT RETURN) <==
Last name:  DOCTOR (HIT RETURN) <==

 DEMO DOCTOR calling from NY, NY, is that correct?  Y (HIT RETURN) <==
 Password: demo (HIT RETURN)  <== type "demo" in lower case 

Now  you  will  see a welcome statement and be notified of any mail waiting
for you.  You can read it now, or later, as you like. 

Next you will reach Demo Doctor's "online office." Here  is  Demo  Doctor's
main menu:

THERAPIST'S MAIN MENU:

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3         Welcome to Telepsych        3
3       Doctor's Office  Online       3 <-- THERAPIST'S NAME GOES HERE.
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3   <M>ailbox - Enter/Read Messages   3
3                                     3
3   <K>eyboard Therapy Session        3
3   <N>otepad                         3 <-- invisible to clients
3                                     3
3   <R>ead Today's Transcript         3 <-- only therapist can read this
3   <D>ownload Previous Transcripts   3 <-- only therapist can do this
3                                     3
3   <S>oftware                        3 <-- optional on client menus
3   <C>onferences                     3 <-- optional on client menus
3                                     3
3   <A>nnouncements                   3
3   <!>Change your announcements      3
3   <H>elp & System Information       3
3   <-> Return to Previous Menu       3
3   <G>oodbye for now                 3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY


Each of the choices listed will take you to another service area of
Telepsych. Each choice in order reveals these menus:


CHOOSE <M> FOR MAILBOX:
 
ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3                                     3
3           Telepsych Messages        3
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3                                     3
3     <Q>uick Scan messages           3
3     <R>ead Messages                 3
3     <E>nter a message               3
3                                     3
3     <H>elp & System Information     3
3     <-> Return to Previous Menu     3
3     <G>oodbye for now               3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY


CHOOSE <A> FOR ANNOUNCEMENTS:

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3      Telepsych Announcements        3
3       Doctor's Office Online        3 <--therapist's name here
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3                                     3
3   <1> Welcome to Telepsych          3
3   <2> General Information           3
3   <3> Suicide: Questions & Answers  3
3   <4> Post-Traumatic Stress         3 <--YOUR CHOICE OF WHAT ANNOUNCEMENTS
3        Disorder: PTSD               3    APPEAR.
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY


CHOOSE <N> FOR NOTEPAD:

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3                                     3
3        Confidential Notepad         3 <-- therapist only can see this
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4     section.
3     <E>nter a note                  3
3                                     3
3     <Q>uickscan your notes          3
3     <R>ead your notes               3
3     <#>Delete a note                3
3                                     3
3     <H>elp & System Information     3
3     <-> Return to Previous Menu     3
3     <G>oodbye for now               3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY

CHOOSE <C> FOR CONFERENCES:

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3        Welcome to Telepsych         3
3     Group Conference Selection      3
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3                                     3
3   <R>ecovering Alcoholics           3
3                                     3
3   <A>IDS/ARC                        3
3                                     3
3   <V>ietnam Veterans' Rap Group     3
3                                     3
3   <P>sychiatric OPD Group           3
3                                     3
3   <C>omputers in Social Service     3
3                                     3
3   <H>elp & System Information       3
3                                     3
3   <-> Return to Previous Menu       3
3   <G>oodbye for now                 3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY


CHOOSE <S> FOR SOFTWARE:

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3                                     3
3          Software & Files           3
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3                                     3
3   <1> Quiz: General Psychology      3 <-- Therapist decides what goes 
3   <2> PTSD Symptom Checklist        3   here, and whether clients have
3                                     3   access.
3   <L>ist Files for Downloading      3
3                                     3
3   <H>elp & System Information       3
3   <-> Return to Previous Menu       3
3   <G>oodbye for now                 3
3                                     3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY


If you choose "<L>ist Files for Downloading," a list like this
appears:

               Telepsych Files

Text Files (use ASCII download protocol to read online)
-------------------------------------------------------
PTSD_1.TXT     27648  Posttraumatic Stress Disorder, Part I
STRESSMA.LD    12416  Stress:Effect on learning disabilities
ESTEEM.SLF     18560  Info Resources: learning disabilities
SETECH.LU      30848  Large list of Special Educ Resources
JRNLS.LD        4864  Learning Disability: publications

Programs and questionnaires (Use XModem or YModem to download)
--------------------------------------------------------------
PTSD.QAF        5120  TBBS questionnaire: PTSD symptoms
MYERBRIG.EXE   48128  Meyer-Briggs type Inventory program
DSM3R.ARC     121395  Assists diagnosis per DSM III-R
STRESS.ARC      4096  Stressful Life Events rating scale pgm
STRESSDX.ARC   14336  Simpler version, Life Events pgm
BMOD1.ARC     209920  Behavior Mod Interactive Teaching Pgm

Archived Files (use ARC.EXE or ARCE.COM to extract)
-------------------------------------------------------
LEARNDIS.ARC   34905  Resources for learning disabled



                              A SAMPLE CLIENT LOGON

Here are the same menus, showing what the client will see:


CLIENT'S MAIN MENU:

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3        Welcome to Telepsych         3
3       Doctor's Office on Line       3 <-- Therapist's Name here 
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3  <A>nnouncements                    3 <-- Gives Client a choice of reading
3                                     3     (announcements, articles, etc.)
3  <K>eyboard Therapy Session         3
3                                     3
3  <M>ailbox - Enter/Read Messages    3 <-- private mail, public notes
3  <S>oftware                         3 <-- access can be restricted or open
3                                     3
3  <H>elp & System Information        3
3  <-> Return to Previous Menu        3
3  <G>oodbye for now                  3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY


CHOOSE <A> FOR ANNOUNCEMENTS:

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3       Telepsych Announcements       3
3       Doctor's Office Online        3
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3                                     3
3   <1> Welcome to Telepsych          3
3   <2> General Information           3
3   <3> Suicide: Questions & Answers  3
3   <4> Post-Traumatic                3
3         Stress Disorder             3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY


CHOOSE <M> FOR MESSAGES:

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3                                     3
3           Telepsych Messages        3
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3                                     3
3     <Q>uick Scan messages           3
3     <R>ead Messages                 3
3     <E>nter a message               3
3                                     3
3     <H>elp & System Information     3
3     <-> Return to Previous Menu     3
3     <G>oodbye for now               3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY

CHOOSE <S> FOR SOFTWARE: 

ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
3                                     3
3          Software & Files           3
CDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD4
3                                     3
3   <1> Quiz: General Psychology      3
3   <2> PTSD Symptom Checklist        3
3                                     3
3   <L>ist Files for Downloading      3
3                                     3
3   <H>elp & System Information       3
3   <-> Return to Previous Menu       3
3   <G>oodbye for now                 3
3                                     3
@DDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDY

<L> will present a list of files to read or download.
 
                         Telepsych(tm)
                  a service of Blythe Systems
                   235 East 87 Street, #12J
                      New York, NY  10128
            Modem: (718) 448-2358 & (718) 448-2683





       ** PLEASE NOTE:  THIS IS A DEMONSTRATION ONLY. ** 



     The transcript excerpts you will read here are taken from  actual
sessions,   and  have  been  disguised  to  preserve  confidentiality. 
However, if this were a  real  therapist's  section,  downloading  and
reading files would not be possible without the therapist's password.


     As  with  this  Demonstration,  all  therapists'  Online  Offices 
contain files that can be read *only* by the subscriber therapist.  In
a   real   working   area,   there  is  more  security  than  in  this 
demonstration.  The  transcript  files  are  "garbled"  to  make  them
unreadable  to  anyone,  even if someone did obtain them.  Breeches of 
Telepsych's security are nearly impossible, but if it did happen,  the
files  would  be  meaningless,  since  only  the  subscriber's  secret
password will unscramble the garbled transcripts.




                      ** PLEASE NOTE: ** 


      ** THESE TRANSCRIPTS MAY CONTAIN FRANK LANGUAGE. **


  If  you  feel  you  may be offended by frank language, please do NOT
read any further!




         EXCERPT #1  FROM AN ONLINE KEYBOARD SESSION:


<THERAPIST> hello S.; ready to begin?

<PT.> Hello! Yes -- all set. Did you get my message?

<THERAPIST> good. Yes I did -- interesting! Is that what you'd
like to talk about today?

<PT.> Yeah; i also remembered a dream while driving home too,
weird.

THERAPIST> yeah? tell

 PT.> well, it was a dream from last night. i was there at your
office, ready to leave, you say to me 'it's cold outside' and
hand me a pair of earmuffs, we go down the elevator together,
and i walk outside without the earmuffs on, i start to freeze,
and feel very cold all over. i put on the muffs and instantly i
was warm all over again. i marvel at how the muffs warm all of
me, not just my ears.

THERAPIST> end of dream?

PT.> yes.

THERAPIST> ok. tell me how you felt in the dream, go thru it
with feelings. what were earmuffs like? I stayed inside?

 PT.> the earmuffs were round, grey, very furry, and very warm.
they felt very good. but i felt that they would do little good
against the bitter cold. i didn't believe they would do much
good, but the cold was so painful and cutting, that i wanted
even the little relief they would afford. when i put the muffs
on, i feel instant warmth all over, and feel very very good
about what you gave me, at first i see the muffs as inadequate
for the task, when i use them however, they perform better than
they are expecetd to.... warm the entire body, all is
warm....furry, comfy. i feel surprised at the power of the
muffs.

THERAPIST> any thoughts?

PT.> sort of, i don't really. you have given me new ways of
coping and understand, but i don't feel they are weak or
inadaquate, and i don't feel they are not up to the task... ????
as usual, it's not clear.

THERAPIST> as usual?

 ...

THERAPIST> ok; well, i agree, it is about therapy, partly. Since
it is about the power of something you thought inadequate, not
up to the task, it may be that you felt some doubt about the
efficacy of therapy. It would not be unusual. surely you must
have felt moments of doubt that what we were doing was truly
going to be successful.

PT.> i didn't realy think in those terms at all. i had found a
friend, one to talk to, one to listen, one who i could trust to
do right, and one i felt i could call at any time and you would
help, or send help if needed. i never thought of this as a
long-term thing. i just felt i found a friend, and all was
getting better.

THERAPIST> ah. Well, let's look at the paragraph about the
feelings in the dream again:

  ...
(BEGIN QUOTE)

PT.> the earmuffs were round, grey, very furry, and very warm.
they felt very good. but i felt that they would do little good
against the bitter cold. i didn't believe they would do much
good, but the cold was so painful and cutting, that i wanted
even the little reliefe they would afford. when i put the muffs
on, i feel instant warmth all over, and feel very very good
about what you gave me, at first i see the muffs as inadaquate
for the task, when i use them however, they perform better than
they are expecetd to.... warm the entire body, all is
warm....furry, comfy. i feel surprised at the power of the
muffs. 
(END OF QUOTE)

THERAPIST> you read it fast, what do you get -- what images?

 PT.> going outside into the cold, freezing, feel bad, wear your
muffs,  and all is well. --- funny i remembered it as i turned
right onto highway, just popped into memory.

THERAPIST> how come? do you think?

 PT.> no idea. i remembered 'dreaming' and that dream in
particular. there were others, but i just remembered the details
of that one. i was thinking about you, about today, about
therapy, ..... and then i remembered dreaming, and that dream.
are you sleepy too?

THERAPIST> no; just thinking; what were you thinking about
specifically about today re therapy?

 PT.> was just thinking how good things are on all fronts, how
things in general are all in perspective, and all is under
control, or at least understood well enough that it's not a
problem. i feel safe and cared for... it is a good time! was
thinking along those lines.

THERAPIST> and the dream is consistent with that thought.

 ...


          EXCERPT #2 FROM AN ONLINE KEYBOARD SESSION:

<PT.>  ... awaiting arrival of shrink
        ... awaiting arrival of shrink

<THERAPIST> hi L --,; sorry i am late.

<PT.> Hello  Not late.... I had time to collect thoughts.

<THERAPIST> good.  so ... job offer?

<PT.> Yeah; seems they are at least interested. Even though no
budget yet I do have to temper enthuiasm... they will think I
am overdoing it

<THERAPIST> why don't any of these people have budgets yet?  are
THEY working for nothing??  (consultants) -- How come they have
money for consultants but not for salaries?

<PT.> Oh; well, no problem, Just another interview, been on
hundreds, I think I am an expert. They are in need of exactly
what I am. But have no budget till june. This would be good to
sew up, and have it in the bag so    to speak for summer.

<THERAPIST> what happens when you go on an interview -- not
necessarily one like this, but a job interview -- like N Co.,
etc?  what is going on in your head? you out to dazzle them?

<PT.> Hmmmm I am out to show them that I am the best they could
possibly find, I interrview the interviewer too, both to learn
about the company and also to let her know that I am deciding as
well whether or not to grace them with my presence.

<THERAPIST> people may be intimidated by you on the one hand,
and convinced that you must be crazy on the other. sometimes
both, i think. you come on very strong, people may resent it,
or think it is inappropriate.

<PT.> I have had almost 100% success with it in corporations. I
learned that if you bargain from a position of strength it wins.

<THERAPIST> these people are not corporations. they may think
-- if you aren't sort of nuts, maybe you are an industrial spy
-- yes, they might well think so. Because of your willingness
to help them. see? the response i had above -- "how come the X
Co. has a budget for the consultant? " -- is more appropriate
to someone who isn't about to work for nothing. But you need to
seduce each job interviewer, wanting to be wanted each time --
lots of emotional energy in it & people may pick that up.  you
want to show them you are the best they could POSSIBLY EVER GET?
hmmm -- who you proving yourself to?

<PT.> It just started that way. I got the job at M, Inc., and I
was totally unqualified for it; had to go to night school and
cram just to do my work, I projected an image of
super-competence to compensate for my own feelings of
inadaquacy, but it worked... Each time I used it, it worked, and
I was able go from one kind of publishing to another, totally
different areas... Each move, was a move into a different field,
one I was totally unfamilliar with. So that sense of "oh shit!
I don't know anything about this stuff" wasn't apparent to the
interviewer.

THERAPIST> right. we are getting to something important now.
Each time, it was an area that was totally unfamiliar -- your
phrase.  Why?  How come you ended up with the same same sort of
"challenge"-- or struggle -- each time you switched jobs? Ever
wonder about that?

<PT.> No; I never wondered, or even connected it that way before.
I understand that I am dealing with healthy, or at least
healthier, people now, people who don't want a crazed worker
running around doing everything.

THERAPIST> ... that's true, healthy folks are not going to be
impressed with a neurotic manic number.  In corporations, you
can do a neurotic tango with the next level of authority, cause
they are into it too.  It happens in small co's, but less.

<THERAPIST> anyway -- you have a wonderful pattern of self-
fulfilling prophecy -- you end up a fraud in your own eyes no
matter what you do. then a pattern of resentment begins that
ends in a blow-up with a radical switch to a new sub-specialty,
because you don't like having to put up a supernova image -- but
you have to, and because you feel guilty at the "fraud" and you
have to work so hard (you think) to cover over the "fraud," you
start getting very angry at the people you feel you must pretend
in front of. any of this make sense?

<PT.> Thinking... Yes and no... It's true, I supernova into a
joint, then supernova around, dazzle all.... once all dazzled I
want to slow down to normal speed, that's when the trouble
begins; the slowdown is opposed, and I fight back, citing the
supernova.

<THERAPIST> why do you do a supernova to begin with?
  ...

... if it is hard, try imagining what would happen if you went
to an interview and did NOT do a supernova. what would happen?

<PT.> To be honest, I don't feel "confident"... Or more
accurately I think I am being perceived as incompetent, so the
supernova to dispell the perception, which is realy a belief
(thought?) and not an external reality at all.

<THERAPIST> right you got it. now, where does THAT come from?

<PT.> thinking ...  it comes from the feelings I had of never
being able to do anything right as a child as far as my mother
was concerned 

<THERAPIST> Does it feel similar?

<PT.> similar... pretty much same.  it feels the same now that
I think about the feelings then and on certain interviews

<THERAPIST> did you do the same thing with your mother in
response? razzle-dazzle?

<PT.> yes... you know? i did.

<THERAPIST> can you think of an example?

<PT.> yes.... thinking ...  YMCA camp.  dazzled her with info
about camp.... about me.

<THERAPIST> super-enthusiasm? like, look how much i know & i
have learned?

<PT.> yes... and look, i swam the 5 mile swim, went the 50 mile
cannoe trip.. et.

<THERAPIST> so you never stopped trying, struggling to get her
approval. what would happen? Did you ever get her approval?

<PT.> no.... as good as i did, i 'could have done better'
FUCK!!!!!!!

THERAPIST> so, you had to keep it up all the time, and in the
end you had to do even more. Then you got understandably
angry--furious, because here you had been knocking yourself out
-- and you get conditional love. Do more or no more love. Does
this sound right?

<PT.> yes indeed... i live in a world of always having to do it
better, never is realy good enough.

<THERAPIST> yeah, and that's very frustrating. Yet you are
locked into it -- the environment demands it of you because you
set it up that way. Now, you know intellectually that you are
not incompetent but you are afraid of being perceived as -- god
forbid -- ordinarily good? 

<PT.> yes..... you see 'ordinarily good' was bad to my mom. hell
man i got beat up for poor grades, or for a comment like 'is not
performing up to ability' PUNISHMENT is prescribed to those who
fuck off.

<THERAPIST> yes, i can understand it. Better than the rest of
the neighborhood, but also somehow worse.  That feeling of being
a superior being, but a fraudulent one.  Well, Mom can't beat
you up any more, and the world is not Mother.

<PT.> Thank nature!

<THERAPIST> you can free yourself from those things that detract
from enjoyment of your work -- things that have a driven quality
are not much fun. the world is full of razzle-dazzle ripoffs.
The real experts tend to be quiet about it, assured and
knowledgeable, but not "selling".  you are a real expert, but
your effort to be THE BEST EVER POSSIBLE may be doing some harm
in these interviews.

<PT.> right! things with driven qualities to them are exciting
for a short time, then it's tiring. I have always been attracted
to situations which are 'driven'

<THERAPIST> yeah, mental health via moderation sometimes seems
very dull, perhaps?

<PT.> not dull, different, requiring different life habits. old
habits are always with us... this one i never saw at all.

<THERAPIST> until today

<PT.> right..  It's not going to be easy being "real" on an
interview.

<THERAPIST> do you think you can relax a little about being so
fucking wonderful?? you don't have to add anything -- just relax
a little.

<PT.> this life habit is involved in all of me. Not just my
job/interview history.

<THERAPIST> i know that -- wherever you find yourself doing a
super sell, you might think about whether you have that same
sort of driven need to be perfect all the time -- you know? If
you are in a struggle, it isn't much fun and eventually you are
going to get pretty damn pissed at whomever you have put out all
this energy for. ...


                    FOR MORE INFORMATION about Telepsych(tm)
                       please address your enquiries to...

                                 Blythe Systems
                            235 East 87 Street, #12J
                               New York, NY  10128

                                    or call:

                         Bob Richards    (718) 447-7663

      Bob  Richards  is  an electrical engineer, designer and microcomputer 
specialist.  In addition to his private consulting and  running  Telepsych,
he  is  the  Sysop  of the NY Transfer, a free bulletin board system in New
York City.


                         Kathleen Kelly   (212) 348-2875 

    Kathleen Kelly earned her doctorate in social psychology  at  the  City
University  of  New  York  and  is  currently  a psychotherapist in private
practice. She bought her first microcomputer in 1982.


Tzipporah BenAvraham
Big Electric Cat Public UNIX
..!cmcl2!phri!dasys1!tzippy
-- 
Tzipporah BenAvraham
Big Electric Cat Public UNIX
..!cmcl2!phri!dasys1!tzippy

mark@intek01.UUCP (Mark McWiggins) (03/22/89)

From article <9045@dasys1.UUCP>, by tzippy@dasys1.UUCP (Tzipporah BenAvraham):
> 
> 
>                                   Telepsych(tm)
>                            a service of Blythe Systems
>                             235 East 87 Street, #12J
>                                New York, NY  10128

Looks like they're not kidding about this ... How do we know it's not
just ELIZA on the other end? :)

But seriously ... typed text carries so much less information than an
in-person interview (body language) or even a phone call (hesitations,
tone of voice) that it seems of very limited value for therapy.  You 
can say "I love you" in such a way that it means "Beat it, I'm working 
and I don't want to talk with you right now", but that doesn't come across
on the tube at 1200 bps.

Maybe when real-time holography comes along this would be more an option,
for those who can do without a hug anyhow ...

eliot@phoenix.Princeton.EDU (Eliot Handelman) (03/22/89)

In article <9045@dasys1.UUCP> tzippy@dasys1.UUCP (Tzipporah BenAvraham) writes:

>     If  a therapist and client both have access to a keyboard and a modem, 
>they can dial up the  Telepsych  system. 

Wow, this sounds great! 

>With  Telepsych,  a  client  and
>therapist  can  talk  in  person to each other, even if they are physically 
>unable to meet in person. 

Great! Now I don't have to listen to my therapist's rotten voice!

It  is  useful  for  scheduling  late-night  or
>early-morning  hours,  and  for  home-bound  clients  (the  disabled,  AIDs
>patients, therapists who are traveling or recuperating from illness, etc.).

Gee, that does sound pretty useful!

>Telepsych records the session as it is typed, and files a transcript in the 
>therapists' confidential files.

Wow! I guess the therapist will study the transcript later on and tell me what's
wrong with me! They must work pretty hard!

>The transcripts  are  garbled  (scrambled)
>for  security  before  they  are  stored  in  archives. 

Boy, that'll prevent malfeasants from getting into the twisted details of
my therapy!

>No  one except the
>subscriber (not even the system operators) can read the transcripts. 

I'll bet he needs a special password, huh?

>     Questionnaires  and  informational  files  are   also   available   to
>therapists and, selectively, to clients. 

Can I read them over my modem too?

There is a public domain software
>section  as  well,  with  a  variety  of  programs  geared  to the needs of
>psychotherapists. 

This is great! For sure they're better than the doctor that comes with GNU
emacs!

>     In addition, clients and therapists can  use  the  system  in  between
>online  "visits,"  to  leave  notes  about items for discussion at the next
>meeting, reactions to the last meeting, to record a dream for the therapist 
>to read, etc. 

Holy cow! You mean, I can actually send mail by computer? That's just so
incredibly rad! What'll they think of next!

>     Telepsych  is  also  a  way for people to participate in a therapeutic 
>support group, even if members of  the  group  are  all  homebound,  or  in
>distant  locations. 

You mean, people just like me? I've made a lot of friends on 972-FUCK!

Ordinarily,  this  could only be done with conference 
>calls, which are difficult and expensive to set up.

Really! 972-FUCK costs a buck for the first minute!

>Telepsych  provides  a
>good alternative that is affordable and easy to use.

I'm sold! When do we start?

Once it is installed,
>gaining  access  to  a group meeting is automatic and simple.

I knew it was too good to be true! This thing hasn't even been installed?

The
>Conference  is  like  a  series  of open letters typed in by members of the 
>group.

Great! Great! This is going to be better than usenet, which is a series of
letters typed in by memebers of the group!

Every person in the group can read what everyone else  has  written
>and respond to it, at their own pace, and when it is convenient. 

Great, because the big problem with usenet is that I always find myself
responding when it's most inconvenient!


The group conference 
>is ideal for discussion groups that want to focus on specific topics,  such
>as  recovering  alcoholics,  Vietnam  veterans' PTSD support groups, cancer 
>patients, outpatient psychiatric  patients,  etc. 

Whoa! These people sound like the same ones who contribute to usenet! 

Only  authorized  group
>members  can  take part in these conferences, so they provide privacy and a
>sense of acceptance that encourages free expression and exploration.

Oh I get it! So it's like a hand-picked usenet! Gee, I wonder if they'll accept
me!

>     Anyone  who  subscribes  to  Telepsych  can  communicate  with   other
>subscribers,  using  messages that one subscriber writes online to another. 

Great! Great! I want to communicate with other outpatient psychiatric patients!

>Whenever subscribers call the system, they can collect their mail, read  it
>and  respond to it online. 

Great! Great!! I'll look forward to getting mail from those outpatient
pschiatric patients! I'll bet they have a lot of interesting things to
say!

>     The  system  is  available for use 21 hours a day.  The only times you 
>can't access Telespych system are during the 3 hours  when  the  lines  are
>shut down for maintenance.

Great! That way I can get 3 hours sleep!


>ZDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDDD?
>3                    TENTATIVE RATE SCHEDULE FOR TELEPSYCH                 3

After looking at these rates, it may be cheaper to stick to 972-FUCK!