The Poor Prole’s Almanac

Therapy, Activism, and Radical Politics: Rethinking the Role of Psychotherapy in Societal Change

Sep 28, 2025
In this thought-provoking discussion, Dr. Carter J. Carter, a psychotherapist and academic specializing in trauma and radical politics, unpacks the relationship between therapy and activism. He challenges the notion of therapy as a mere salve for systemic issues, suggesting it can, at times, numb individuals to injustice. Dr. Carter advocates for collective healing over individual therapy, emphasizing the benefits of unions and community support. He also critiques traditional analytic methods and explores how relational injuries impact mental health, urging a radical reevaluation of therapeutic practices.
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ADVICE

Prioritize Unions Over Therapy

  • If possible, organize people into unions because unions materially reduce psychological suffering.
  • Promote collective structures rather than relying solely on individual therapy.
INSIGHT

Disorders Are Largely Relational

  • Most psychological disorders are rooted in relationships and social contexts.
  • Healing usually runs through relational reconnection and collective interventions, not isolated self-work.
ADVICE

Match Intervention To Need

  • Use a gradient of interventions from collective organizing to individual therapy depending on needs.
  • Teach distinct skills for group work, large-scale interventions, and individual clinical care.
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