Organizational schism: Looking after a psychiatric service

What is opposed to psychoanalysis is not psychiatry but psychiatrists. (Freud, 1916–1917, p. 254)     

Why we can't get along

The author examines various arguments to explain the internal conflicts and schisms that have afflicted depth psychology since its beginnings. These arguments include the inevitable splits that occur in the course of institutional development, the inheritance of family schisms within the profession, historical, geographical and political influences, Freud's notion of the 'narcissism of minor differences' along with Gordon's idea of the need for enemies in establishing identity, and the impact of market forces. The author refutes these arguments and postulates instead that the profession attracts narcissistically disturbed members who have not been or cannot be sufficiently analysed. The profession needs to address this endemic narcissism in order to prevent further splitting and to establish a more ecumenical framework.