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Neil Altman - Psychoanalysis in an Age of Accelerating Cultural Change: Spiritual Globalization

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Neil Altman Psychoanalysis in an Age of Accelerating Cultural Change: Spiritual Globalization
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Psychoanalysis in an Age of Accelerating Cultural Change: Spiritual Globalization: summary, description and annotation

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Psychoanalysis in an Age of Accelerating Cultural Change: Spiritual Globalization addresses the current status of mental health work in the public and private sectors. The careful, thorough, approach to the individual person characteristic of psychoanalysis is mostly the province of an affluent few. Meanwhile, community-based mental health treatment, given shrinking budgets, tends to emphasize medication and short-term therapies. In an increasingly diverse society, considerations of culture in mental health treatment are given short shrift, despite obligatory nods to cultural competence.

The field of mental health has suffered from the mutual isolation of psychoanalysis, community-based clinical work, and cultural studies. Here, Neil Altman shows how these areas of study and practice require and enrich each other - the field of psychoanalysis benefits by engaging marginalized communities; community-based clinical work benefits from psychoanalytic concepts, while all forms of clinical work benefit from awareness of culture. Including reports of clinical experiences and programmatic developments from around the world, its international scope explores the operation of culture and cultural differences in conceptions of mental health. In addition the book addresses the origin and treatment of mental illness, from notions of spirit possession treated by shamans, to conceptions of psychic trauma, to biological understandings and pharmacological treatments. In the background of this discussion is globalization, the impact of which is tracked in terms of its psychological effects on people, as well as on the resources and programs available to provide psychological care around the world.

As a unique examination of current mental health work, this book will appeal to psychoanalysts, psychotherapists, community-based mental health workers, and students in Cultural Studies.

Neil Altman is a psychoanalytic psychologist, Visiting Professor at Ambedkar University of Delhi, India, and faculty and supervisor at the William Alanson White Institute. He is an Honorary Member of the William Alanson White Society and Editor Emeritus of Psychoanalytic Dialogues. Author of The Analyst in the Inner City: Race, Class, and Culture through a Psychoanalytic Lens (Routledge, 2nd edition, 2010)

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Psychoanalysis in an Age of Accelerating Cultural Change

Spiritual Globalization

Psychoanalysis in an Age of Accelerating Cultural Change: Spiritual Globalization addresses the current status of mental health work in the public and private sectors. The careful, thorough, approach to the individual person characteristic of psychoanalysis is mostly the province of an affluent few. Meanwhile, community-based mental health treatment, given shrinking budgets, tends to emphasize medication and short-term therapies. In an increasingly diverse society, considerations of culture in mental health treatment are given short shrift, despite obligatory nods to cultural competence.

The field of mental health has suffered from the mutual isolation of psychoanalysis, community-based clinical work, and cultural studies. Here, Neil Altman shows how these areas of study and practice require and enrich each other the field of psychoanalysis benefits by engaging marginalized communities; community-based clinical work benefits from psychoanalytic concepts, while all forms of clinical work benefit from awareness of culture. Including reports of clinical experiences and programmatic developments from around the world, its international scope explores the operation of culture and cultural differences in conceptions of mental health. In addition the book addresses the origin and treatment of mental illness, from notions of spirit possession treated by shamans, to conceptions of psychic trauma, to biological understandings and pharmacological treatments. In the background of this discussion is globalization, the impact of which is tracked in terms of its psychological effects on people, as well as on the resources and programs available to provide psychological care around the world.

As a unique examination of current mental health work, this book will appeal to psychoanalysts, psychotherapists, community-based mental health workers, and students in Cultural Studies.

Neil Altman is a psychoanalytic psychologist, Visiting Professor at Ambedkar University of Delhi, India, and faculty and supervisor at the William Alanson White Institute. He is an Honorary Member of the William Alanson White Society and Editor Emeritus of Psychoanalytic Dialogues.

Altmans book opens our minds to the new cultural and social scenario marked by globalization where mental health professionals work and live today. His deep knowledge of cultural differences and their impact on our lives is now contextualized from his experience both in clinical and community settings. Contemporary psychoanalysis is not only a matter of office based practice, but has opened to the community, and as he says, needs to be practiced there if it is to survive with much social relevance, overcomig its roots in elitism and isolation. Facing a present focus on evidence based treatments, Altman gives us the opportunity to consider the many proposals and the most influential evidence, cultural and social, where professionals need to learn about opportunities that their countertransference offers in a culture-based practice.

Prof. Alejandro vila, PhD, Complutense University, Madrid
Training member and honorary president of the Institute of Relational Psychotherapy and chair of IARPPs Spanish chapter

Neil Altmans words flow with ease and grace as the book acquires a vibrancy nourished by real life illustrations of an involved psychoanalyst. The distinction of this extremely important and timely work lies in its ability to make us sit up and question the social injustice which inheres in the practice of mental health including that of psychoanalysis, psychiatry and all modern visions of managed cure. By invoking the need for community work and a reflexive cultural sensitivity, he urges his colleagues to attend to the emotional needs of those relegated to invisible social peripheries. In times of rising capitalism and increasing globalisation, Neil Altman thus speaks to us from the depths of an awakened conscience and emerges as a unique voice, committed to humanising an engaged and relational psychotherapeutic-psychoanalytical approach.

Honey Oberoi Vahali, Dean, School of Human Studies and Director, Centre of Psychotherapy and Clinical Research, Ambedkar University Delhi, India

First published 2015

by Routledge

27 Church Road, Hove, East Sussex, BN3 2FA

And by Routledge

711 Third Avenue, New York, NY 10017

Routledge is an imprint of the Taylor & Francis Group, an informa business

2015 Neil Altman

The right of Neil Altman to be identified as author of this work has been asserted by him/her in accordance with sections 77 and 78 of the Copyright, Designs and Patents Act 1988.

All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.

Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.

British Library Cataloguing in Publication Data

A catalogue record for this book is available from the British Library

Library of Congress Cataloging-in-Publication Data

Altman, Neil, 1946, author.

Psychoanalysis in an age of accelerating cultural change :

spiritual globalization / Neil Altman.

p. ; cm.

Includes bibliographical references.

I. Title.

[DNLM: 1. Psychoanalysis. 2. Community Mental Health
Services. 3. Cultural Characteristics. 4. Internationality.
5. Social Change. WM 460]

RC506

616.8917dc23

2014038108

ISBN: 978-0-415-81255-9 (hbk)

ISBN: 978-0-415-81256-6 (pbk)

ISBN: 978-1-315-71933-7 (ebk)

Typeset in Times New Roman

by Apex CoVantage, LLC

For Jillian

Contents

Giving and Taking in Community-Based Work

Donnel Stern (2002) once commented: We know no more about where our ordinary, unremarkable, reflective experience comes from than we do where clairvoyance or thought transmission does (p. 516). If we dont know where our ordinary thoughts come from, how can one hope to know or explain where a book comes from?

Nonetheless, I am moved to say something about where I think this book comes from within me so that you, the reader, will understand where I am coming from in my interests and (occasionally impassioned) opinions and beliefs.

I love psychoanalysis and I am, from time to time, disappointed, if not appalled, by the way it is deployed in the world. I love the way psychoanalysis, at its best, can make us curious about our blind spots (blind spots being one form taken by the unconscious) so that we can learn from our mistakes. Not that we wont keep on making mistakes (the unconscious is ubiquitous), but we can hope to keep on learning from them. I was delighted when contemporary psychoanalysis, especially relational versions, opened up the social world for psychoanalytic investigation, while making psychotherapeutic technique more flexible so that one could envision doing psychoanalytic therapy in the public sector. In the tradition of Isaiah Berlin, who taught us that there is no set of values that transcends conflict and choice, Stephen Mitchell taught me and us that there is no psychoanalytic theory or practice beyond personal commitment and choice in the face of uncertainty.

I love diversity among people. I love learning new things about cultures. When I travel, I prefer to sit in cafes, or ride in the metro, watching and listening to people and trying to get a feel for what life is like for them. I lived in a small village in India for nearly three years, have taught in Delhi for a number of years, and have travelled extensively around the world; Im eager to see new places and meet new people.

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