Your article was very interesting John, particularly the pro and con format you used. Thank you. Some of the boundary issues that I'm concerned about are in a psychodynamic context rather than a cognitive/behavioral context. I'm interested in the advantages and pitfalls of using email with clients to supplement the one on one therapy sessions. For instance using some email exchange may help create a greater sense of support for the client in that the therapist's "ear" is always listening, even if the reply must wait until the next scheduled session. This may be helpful during times when the therapist is away and sessions cannot be held. Important issues may be communicated to the therapist as they arise to consciousness in the client, issues that may be forgotten before the next scheduled session. On the other hand, attending to email correspondence could become an extra burden on the therapist's time. This raises issues about billing for this time. Some of the "ceremony" and "ritual" of the therapy session could be lost. What harm might this do? I suppose I have many more questions than answers.
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