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sapiens: in the states, psychoanalysis is amongst a range of therapeutic options that you, as consumer driven by whatever to see in therapy a way to maybe make your life easier to have, can choose or not choose. there are lots of types of p/a to choose from. were you in france, you'd have a different, more extensive set of alternatives, a different sense of what was entailed, a different sense of relative success rates ,etc. these things--institutionalization/relative rates of success--are circular.
personally, i am agnostic about it as a therapeutic framework.
i'm way less agnostic about the present state of affairs that seems to obtain in the land of hmo-covered treatments, though, in the context of which it seems almost inevitable (and if my cadre of friends/acquaintances is any indication, inevitable) that meds are substituted for the "messier" track of therapy itself. for cost-effective reasons no doubt--but this also seems to me a way in which the implications of this "hard"/"soft" science nonsense surfaces, generally without any upside for the folk whose treatment is impacted by it.
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a gramophone its corrugated trumpet silver handle
spinning dog. such faithfulness it hear
it make you sick.
-kamau brathwaite
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