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The discussant addresses the following questions: is the paper a critique of the role of video technology in treatment, including its strengths and weaknesses? How far is it a clinical paper investigating the power of shame, including over generations, and the technical challenges in addressing this remotely? Treating such a profound and difficult condition as is described in the paper - in any therapeutic context - poses very significant difficulties. Does the paper deal with all of these considerations and, if so, to what extent?