There’s no amount of psychoanalysis that can cure a trauma caused by the material reality of a patient. You can give them coping skills, you can make them understand certain aspects of their psyche, but cannot advance any further without improving the material existence.
Exactly. This should be a repeated opening statement for anyone getting into therapy whether as a giver or receiver. Too often it’s treated as some mystical “science” whereby all of the patient’s ills can be therapized away with just enough inner effort (and money!). I’ve had many traumas to deal with and at the end of it all the singular thing that helped me the most was solving my basic material needs. Thankfully I came to the same realization as your statement on my own (after much introspection) before getting pathologized and needlessly medicated. I reailze there are people who may need the medication and all, but I’d wager that they are not the majority of people who end up there.
Solidarity comrade.