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

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.