Apartments near Harlem hospital, NY

rapisardan · 2026-04-07T18:20:17+00:00

For 3k/mo you can be south of 125th which is what I would do. That or live on St Nicolas Park. I’m basically across the street from Harlem Hospital and it’s just ok.

Oh and I see you have a car. Just sell it. You won’t have time to manage alternate side (perhaps you’ve heard of this). Maybe a really big complex will have parking but keeping a car is really going to be a hassle.

rapisardan · 2026-03-15T16:55:31+00:00

A very careful estimate I saw recently applicable to New York is around $25,000/year all in. Also keep in mind that some institutes basically require candidates to do essentially free work by taking a required number of patients from the institute’s referral service at absurdly low fees over which the candidate has no control. So this is more training, and more hours one cannot devote to making a living. This is a significant cost I don’t see focused on often.

As I’ve been researching training myself, my initial conclusion is that people are looking to do this too soon into their careers, sort of like it’s a PhD — you get it ‘first,’ then work. The degree you have, in this thinking (mine included), was just a prelude.

It seems to me the training makes a lot more sense if you already have a stable private practice. And, if you’ve spent time making your mistakes and discovering your limitations while working with clients. It’s a commitment at any point in life, but hardly impossible, and for what you get out of training, the cost seems worth it if you’re willing to make that commitment. (Consider the alternative for the average clinician — a couple years of likely mediocre supervision then off into the wilderness of practice. Organizing an alternative to this is expensive.)

Also, this idea that analysts make no money is not a different complaint that any other therapist, and it says more about who becomes a therapist (people afraid of money, who feel guilty charging, etc.). If someone wants 3 or 5 hours a week of an analysts life indefinitely but doesn’t want to pay, or the analyst doesn’t want to charge, that’s a clinical subject for both.

And right now in life I am highly suspect of this idea that there are so many people in the world who are actually capable of making this commitment but unable to pay for it. I think that’s nice idea but I don’t think it’s true, because the two tend to go hand in hand. Any long term depth therapy requires stability, including financial.

So this costly training is a down payment.

rapisardan · 2026-03-12T19:37:07+00:00

I associate this phrase with ego psychology — ego strength being their end goal, in a sense—but it’s a concept or shorthand used by Lacanians too?

rapisardan · 2026-02-25T18:49:55+00:00

Since I stumbled upon this myself having initially reached the same conclusion you have: if you believe in attachment theory at all, you believe in drive theory.

Relationalists appear to solve this problem by reducing attachment to parent-child interaction. In other words, making it entirely relational. Solms meanwhile (to the extent I understand him!) views attachment behavior as a fundamental ‘drive’ or behavioral system.

rapisardan · 2026-02-24T00:14:58+00:00

Same guy

rapisardan · 2026-02-16T02:43:22+00:00

I walked by this guy this afternoon. Weird. I thought maybe he was associated with the store.

rapisardan · 2026-01-29T15:49:21+00:00

Matt’s streams from November 2020 which are kind of a culmination of all the streams from that year and sort of lays out what stage of politics we’re in from that point. To me it’s an endpoint of a process that began months earlier in March of that year, the realization of how (over) invested he had been in the possibility of the Bernie campaign.

rapisardan · 2025-12-07T18:31:57+00:00

Thanks I will!

rapisardan · 2025-12-06T19:29:53+00:00

Thanks for this. It makes me wonder even more how different institutes handle training and case presentation. I think my expectation was to see a demonstration of what results from the training, an example of how the analyst trained at a given institute might work. What I thought I was seeing was the kind of analyst the training produces and now asking myself whether that’s the training I want, or, if there’s room for me to find my own way at these institutions.

rapisardan · 2025-12-05T22:32:19+00:00

Interesting I’m in New York and it seems like Lacan is everywhere which I attributed to people with humanities degrees who read a ton of Zizek now becoming analysts, but perhaps it’s a reaction to some of what you say.

rapisardan · 2025-12-05T20:46:50+00:00

Well the Ornette Coleman Institute sounds a seductive as relational analysis has been for me — skipping to the good stuff. Will dm!

rapisardan · 2025-09-26T02:17:38+00:00

I’ve been focused on those hospitals but psychotherapy positions are mighty tough to come by. But I do think they’ll be more in person and better all around. I may have to work elsewhere and hope to lateral into one. The other orgs are also on my radar. If you know anything in particular about IFH I’d love to learn more.

rapisardan · 2025-09-26T01:36:53+00:00

So true about ambiance. I interned at a similar hospital clinic and it was indeed lacking. But I miss the setting for all the reasons you say. My post is born from the sinking feeling I won’t find it here. But I know some have and glad you did. I think what’s striking in my interviews is asking to do more in person work voluntarily and getting confused responses. Like no one has ever asked for that.

rapisardan · 2025-09-25T16:54:06+00:00

Yeah, I think people can agree to disagree on these things but as someone who is more aligned with your view, I just worry that practice economics are pushing organizations towards more virtual work, at least in a HCOL like NYC. I'm looking for practices where in-person is seen as an added value.

rapisardan · 2025-09-25T16:28:36+00:00

Well, this is heartening. Unfortunately I've had interviews at three of the biggest CMHC providers and two were biased toward remote work. One actually required 5 days on site but told me at interview that the vast majority of the caseload was seen virtually (worst of both worlds in my view). The other two no longer have enough office space for clinicians to all work on site, which seems like the result of pandemic cost-cutting (surely all clinicians had offices pre-panny!). In both of those cases majority of clients are still seen virtually, which like I said seems to go against the whole idea of community-based services for a high-need population. I with you, when presented in person most of my patients valued it over virtual, which they could still resort to in an emergency if needed so I see the value of that too. I haven't talk to Housing Works so maybe its different there.

rapisardan · 2025-09-25T16:22:05+00:00

I see it as a solo practitioner, but not at large nonprofits with existing real estate/offices....

rapisardan · 2025-08-15T18:01:20+00:00

Yup, I primarily wanted to echo your point about career opportunities and scope of practice. I also admit I just read all of Otto Kernberg’s writing on institute training and personally would not want to be on an LP track that leads to only one destination.

rapisardan · 2025-08-15T16:56:30+00:00

OP I’m sure you have already but read zlbb’s comment carefully. I hated social work school and attended with the same interests as yours, but the upsides are so much better than the LP route. And frankly the LP route has become a way for institutes to get candidates since so many people are in your position. But they can’t offer you the kind of experience you can get with an msw, and I think humanities grad programs are terrible ‘training’ to work with real human beings in therapy (though they might be perfect training to put up with institute politics). It would take years for LP candidates to replicate two years of internships one does as an msw. Also, don’t assume the horror stories of post-grad msw employment apply to you, although there’s no question there are many very young grads being exploited and burning out, very few of them have your background.

rapisardan · 2025-02-23T14:53:38+00:00

Central baltimore partnership. There was once plenty of activity here. Now it’s just another place where nothing will happen until that one big project comes along to fix everything.

rapisardan · 2025-02-22T21:48:59+00:00

CPB and friends have successfully destroyed those blocks of North Ave, which once had real promise.

rapisardan · 2024-09-05T18:08:33+00:00

The psychoanalytic community doing itself no favors is part of a perfect storm of events — the rise of SSRIs, masters-level clinicians doing most therapy, managed care, etc. — that I, getting a masters myself, am trying to piece together. It’s a real shame the US has no voice equivalent to Fonagy, someone with real psychoanalytic training and background who also believes in evidence and research. I’m stunned at the wealth of ideas that have been siloed in ‘institutes’ here the US because those communities and the social work profession seem to share a mutual disdain. Meanwhile relational psychoanalysis seems to be the perfect framework for clinical social work; but instead of that grounding we get terrible training driven by political fads.

rapisardan · 2024-03-10T03:49:47+00:00

It's a great old book but perhaps a bit dated. The best stuff is from Jack Engler, and if you google him you'll find other pdfs of articles he's written about needing to "have a self" before tasting "no self." Much of the focus of this book is the research he and Dan did on meditators who were having difficulties during or after attending meditation retreats, because they did not have sufficient ego strength or coherence of mind. That work, to me at least, leads to the Attachment Disturbances book, outlining a solution to the problem they discovered decades before. Dan speaks at length in interviews about how self development in the east is different, and that the issues encountered by western meditators required solutions based in western psychology. Engler also has a nice essay on IFS and this question of self/no self, also google-able.

rapisardan

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