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Racial Difference, Rupture, and Repair: A View from the Couch and Back

Three Black patients training to be psychotherapists explore experiences of racial difference, rupture and repair with their White psychoanalytic psychotherapists. Therapists often fail to identify moments of rupture, particularly in relation to racial difference. Patient perspectives offer not simply a different voice but a different invitation to dialogue with transformative potential. Patients powerfully describe avoidance, silence, shame, hate and racial identifications and disidentifications, but also a process of coming to recognition and repair. The dual tensions of being a patient and trainee are explored. The underexplored viewpoint of patient/trainee holds implications for therapists and for working with racial difference.