Written communication usually takes place in the course of psychotherapy under three sets of conditions: (1) physical circumstances which separate patient from therapist, (2) special occurrences in the transference or countertransference, (3) conditions which preclude or limit other types of communication.
A case is being presented which illustrates all three sets of conditions. The authors conclude that similarities and differences between office psychotherapy and correspondence therapy do occur and should be known to therapists who plan to use written communication effectively with their patients.
Burnell GM, Motelet KP. Correspondence Therapy. Arch Gen Psychiatry. 1973;28(5):728-731. doi:10.1001/archpsyc.1973.01750350096017