Listening from across the Atlantic: Reflections on the state of psychoanalysis and psychoanalytic psychotherapy in the United States

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Authors: John R. Paddock
Cited by: 0
References: 42

Abstract

Abstract Encouraged by the journal's current Editor‐in‐Chief, as a new member of the Editorial Board with this essay, I use myself as a representative case example of current pluralistic trends in training in the United States and describe multiple threads that characterized my journey to become a psychoanalyst. Amid these pluralistic influences, I identify six vectors of concern for modern psychoanalysis and psychoanalytic psychotherapy as practiced in America: pluralistic training; how technology has changed the analytic frame; economic issues; diversity, equity and inclusion; political polarization; and the existential threat of climate change.

Fields of Study & Subjects

Psychoanalysis and Psychopathology Research Psychology and Mental Health Psychoanalysis and Social Critique

Publication details

Journal / source
British Journal of Psychotherapy
Volume
42
Issue
2
Pages
113–124
Publication date
11 February 2026
Language
EN