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Keep On Keepin' On—Alienation and Trauma Commentary on Ruth Fallenbaum's Paper

Ruth Fallenbaum's “The Injured Worker” focuses on something that not only the quotidian routine but also the inward focus of psychoanalysis inclines us to lose sight of: that in capitalism our search for empowerment ultimately disempowers us. Alienation is the psychology of class. It shows up as demoralization, shame, and inflamed psychesomas. It is a condition of institutionalized sadism that makes people “go postal.” “The Injured Worker” shows what we analysts must do when faced with the permanent trauma of alienation: patiently bear witness to our patients' tellings and retellings and, sometimes, get our hands dirty.