Shrunk
New York City Nothing says New York like a psychoanalyst’s couch. Think Woody Allen or those New Yorker cartoons. It fits our perception of east-coast Americans as all neurotic and self-obsessed. But that mental picture needs updating, because traditional psychoanalysis is in dramatic decline in its traditional heartland. Across the urban US, in fact, the profession is dying out or having to change drastically. New figures from the American Psychoanalytic Association reveal that the average age of its 3,109 members is 66, up four years in a decade. More seriously, the average numbers of patients each therapist sees has fallen to 2.75. Some shrinks now never meet patients, dealing with
