In 1995, Neil Altman did what few psychoanalysts did or even
dared to do: He brought the theory and practice of psychoanalysis
out of the cozy confines of the consulting room and into the realms
of the marginalized, to the very individuals whom this theory and
practice often overlooked. In doing so, he brought together
psychoanalytic and social theory, and examined how divisions of
race, class and culture reflect and influence splits in the
developing self, more often than not leading to a negative self
image of the "other" in an increasingly polarized society.
Much like the original, this second edition of The Analyst in
the Inner City opens up with updated, detailed clinical vignettes
and case presentations, which illustrate the challenges of working
within this clinical milieu. Altman greatly expands his section on
race, both in the psychoanalytic and the larger social world,
including a focus on "whiteness" which, he argues, is socially
constructed in relation to "blackness." However, he admits the
inadequacy of such categorizations and proffers a more fluid view
of the structure of race. A brand new section, "Thinking
Systemically and Psychoanalytically at the Same Time," examines the
impact of the socio-political context in which psychotherapy takes
place, whether local or global, on the clinical work itself and the
socio-economic categories of its patients, and vice-versa. Topics
in this section include the APA's relationship to CIA interrogation
practices, group dynamics in child and adolescent psychotherapeutic
interventions, and psychoanalytic views on suicide bombing.
Ranging from the day-to-day work in a public clinic in the South
Bronx to considerations of global events far outside the clinic's
doors (but closer than one might think), this book is a timely
revision of a groundbreaking work in psychoanalytic literature,
expanding the import of psychoanalysis from the centers of
analytical thought to the margins of clinical need.
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