In this respect, Jungian analyst James Hillman goes as far as holding psychotherapy responsible for the tawdriness of American politics since the 1950s. In his reckoning, all the smart people are sitting in therapy incapacitated, their therapists having convinved them that the source of their misery is to be found within themselves. The net result is a state of near oblivion as regards the political debacles that have unfolded around them for the last half-a-century.

Accordingly, the chapter explains why the sick behaviour of individuals can be a reflection not of chemical imbalances or dysfunctional childhoods, but of the degree of sickness prevailing in any given society. It argues further that the negation of universal human needs such as creativity, sociality and autonomy generates alienation in its technical sense, giving rise in turn to all manner of relational disturbances. The chapter maintains that the cultivation of hope, which, like all other emotions can be approached intersubjectively, depends on our capacity for recognising and responding to the psychological and material needs of our fellow South Africans.

It is no wonder that the few who rise above their class cannot live with the shame of having distinguished themselves. They can neither be who they are nor stay where they are: many will marry outside their social circle; most will leave the neighbourhood for good. That is how class society operates: “In turning people against each other, the class system of authority and judgement-making goes itself into hiding; the system is left unchallenged as people enthralled by the enigmas of its power battle one another for respect.”

In an unequal society that professes equality for all, shame rears its head at every turn; for the poor and working classes in particular substance use becomes a ready consolation. Indeed, South Africa - with the second highest Gini coefficient for income inequality - also has one of the highest alcohol consumptions in the world.

I have maintained over the course of this book that various forms of inequality reverberate in the subterraneous life of South Africans, and that the major fallout has been the corruption of our relational needs. But is there empirical evidence of such a link between our external and internal worlds?

To foster an intersubjective milieu that both recognises and honours the inherent sociality of human beings is no simple feat, especially in violent societies where projection and withdrawal are the common psychological responses to perceptions of threat. Add to this mix the phenomenology of alienation - and a difficult task becomes a seemingly insurmountable one. Psychoanalyst Nina Coltart had something interesting to say about this, namely, the person who is interested only in getting better: “Psychoanalytical therapy has nothing to offer a patient who only wishes to be relieved of his suffering.