Introduction My metapsychological and historical work has for decades traced core shifts in human character structure and self-formation that bore strong parallels with the work of Kohut. Engaging more and more intensively with Kohut’s work in the past fifteen years, I have increasingly integrated the insights

This paper sprung from my personal experience of an aspect of psychoanalytic practice that is increasingly being recognized and afforded serious consideration: namely: that patients’ socio-political milieus accompany them into the consulting room. The majority of my patients occupy a cultural space similar to my