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

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.

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Publication Details

Journal
British Journal of Psychotherapy
Published
2026-02-11
DOI
https://doi.org/10.1111/bjp.70014
Primary Topic
Psychotherapy Techniques and Applications
Type
article
Field-Weighted Citation Impact
0.00

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article

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

John R. Paddock
British Journal of Psychotherapy
Psychotherapy Techniques and Applications
article

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

John R. Paddock
article en

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.

British Journal of Psychotherapy
Emory University (US), New York Psychoanalytic Society and Institute (US), Institute of Contemporary Psychoanalysis (US)
Emory University
Reduced inequalities
Openalex Percentile: Top 60%
Psychotherapy Techniques and Applications
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Listening from across the Atlantic: Reflections on the state of psychoanalysis and psychoanalytic psychotherapy in the United States — John R. Paddock · British Journal of Psychotherapy (2026) | TGRS Research Map | TGRS