However, happy to say this discussion has reminded me that I need to read more about the neo-freudians. Particularly, the hilariously named Karen Horney.
Many of her ideas (e.g. concerning narcissism) have held up remarkably well.
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Placebo is still a positive effect, but all the jockeying for position as a "scientific" method is utterly irrelevant when they don't produce better results.