There are several different techniques of Computer Therapy in psychiatry based on different patient problems and different conceptualizations of  etiology and therapy. The hall mark of most   computer therapies has been a direct interaction between the patient and the computer. It is this immediacy and anthropomorphization of a  machine that some find so threatening, regardless of  any  associated    benefits.

Reactions of most psychiatric patients to computer interviews that collect past history and present symptom descriptions are strongly positive, and some patients in a variety of  settings have found the interview experience itself helpful and,in their own words, “therapeutic.”

The biofeedback field has blossomed with the availability of small computers that can convert the patient’s  physiologic functions into  electronic signals that then guide the patient in modifying those very functions. Though this  field has pulled back from its overly optimistic and simplistic beginnings to a more reasoned and focused position, the  on-line computer will clearly play an important role in defining the ultimate applications of biofeedback to medical problems.

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