Culture and class in contemporary Chinese psychotherapy

Abstract

Working with US-based psychoanalysts who instruct Chinese psychoanalytic trainees, some reject any discussion of ‘culture’ as a means by which patients avoid difficult material, whilst others draw a sharp contrast between ‘the Chinese mind’ and ‘the Western mind’. My discussion with Chinese psychoanalytic trainees suggests that although they often use a ‘China/West’ dichotomy to understand clinical work, they are more likely than their predominantly Euro-American analytic trainers to look at this distinction in fluid terms affected by other differences. They often draw attention to the ‘type’ of person who is the typical client of psychoanalytic therapy in contemporary China: young, urban, cosmopolitan and financially solvent. This article investigates how Chinese psychoanalytic trainees’ perceptions of relevant differences in their practice vary depending on the conversational context, challenging both the universalist claims of traditional psychoanalytic theory and the recent emphasis on cultural differences in the field.