In his book The Analyst in the Inner City: Race, Class, and Culture Through an Analytic Lens (Routledge, 2009), the well-respected psychoanalyst Dr. Neil Altman explores what happens when one practices analysis outside the private practice frame and, instead, among the urban poor. Drawing on years of experience helping underprivileged groups, Altman discusses the impact of poverty on the analyst and patient alike, delineating what he calls the social “third” and its role in the treatment, all the while suggesting that clinicians must encounter and reckon with their own inevitable unconscious predispositions concerning “others.”

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