Healthcare 2.0 – Cyberpsychology and Telehealth MD Web 2.0 & New Media Meetup Discussing the Impact of Web 2.0 on Healthcare 05 August 2009 Marie-Michelle Strah, PhD

Health 2.0 Web 2.0 tools – the revolution is now: – Access to care – Quality of care – Patient education and health literacy – Communities of practice (research and provider education) – Virtual support groups 2

Health 2.0, Telehealth and Tele- Mental Health Telehealth – Web 1.0 tools for remote or tele- health, diagnosis, consultation, medical records management Mental health and Web 1.0? Fast forward to… Tele-Mental Health? Cyberpsychology? 3

Psychoanalysis, psychology and technology By way of introduction… if Freud had Facebook 4

Notes on the mystic writing pad… If Freud had a blog… Studies on Hysteria Notes on a case of hysteria 5

Technology and Telehealth Virtual Worlds Virtual Reality Virtual Exposure Therapy Second Life 6

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Technology and Telehealth 2.0 Social Media and Outreach Stigma vs. “TMI” 8

dia 9

Cyberpsychology? Telehealth Human factors analysis Psychology of the internet/cyberspace Media psychology Organizational behavior and healthcare administration New phenomena: cyber-bullying and cyber- stalking 10

Challenges How do we define the field of “cyberpsychology?” Training and education Communications – Language and culture – Miscommunication? – Netiquette – The talking cure? Broadband/High Speed Internet Access Cost HIPAA and information security 11

Challenges 2.0 “Presence” – Transference/Counter-transference – Levels of trust – Clinical practice guidelines – Identification, projection and alter egos… – Boundaries – Alienation Digital natives, early adopters and the “rest of the world” 12

Questions? 13