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The traditions of shared physical space have evolved over time.
Sharing of communication in virtual space involves a modification of social conventions.
Patients entering electronic equipment filled clinical space benefit from reassurance that they are truly interacting with a human rather than a machine.
The videoteleconferencing environment requires the clinician to be purposeful with the technical parameters under their control.
References
Shore, J. H., Savin, D. M., Novins, D., & Manson, S. M. (2006). Cultural aspects of telepsychiatry. Journal of Telemedicine and Telecare, 12(3), 116-121.