I had a private practice as a psychoanalytic psychotherapist and group psychoanalyst from 1979 until 2006. As of 2007 I have changed my orientation: I provide a service that is not a therapy: I consult with people who want to become more satisfied and productive in their careers and/or personal lives. The focus is on resolving whatever impedes progress. I consider most common anxiety and depression to be a normal part of the maturational process, rather than symptoms of illness Certainly some people require psychiatric diagnosis and treatment, but many more are simply experiencing "growing pains;" and in a culture of tiny nuclear families, most with two incomes, we no longer have extended families, each family member with their own bits of wisdom and perspective, to help us over the hurdles of life, which becomes more complex each day. Popular "self-help" tends to have gimmicks, coaching is just that and all lack the humanity we humans need to accomplish our maturational tasks.
One of the most important aspects of this paradigm shift is the humanity of the analyst, which tends less to foster a dependency over long periods of time, and allows for a "give and take" in the relationship. In other words, the process is no longer interminable.
To put it bluntly: all analytic training seems to serve the function of getting patients to come back for years, and even decades, which helps the analysts' income more than it helps them.
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