This paper assesses the history of psychoanalysis in the United States in order to inform a “professional memoir” of the author’s experience of analytic training in the 21^st Century. The mix of historical and personal landscapes supports a contention that there is something missing or lost in American psychoanalysis, that psychoanalysis has lost sight of the radical and subversive nature of unconscious processes. I argue that only by returning to a study of rigorous and comprehensive theory, seated in Freud’s work, can this absence be addressed.

中文翻译：

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21世纪精神分析的诊断：作为医学的弗洛伊德

本文评估了美国精神分析的历史，以便为作者在 21 世纪的分析训练经验提供一本“专业回忆录^”。历史和个人景观的混合支持了这样一种论点，即美国精神分析中缺少或丢失了某些东西，即精神分析已经忽视了无意识过程的激进和颠覆性本质。我认为，只有回到对弗洛伊德著作中严谨而全面的理论的研究，才能解决这种缺失。