As I thought about the general psychology of violence and protest in our country - in relation to both my clinical work and the particular milieu of my academic life - one word seemed to capture it all: alienation. Whether in relation to the state, communities, institutions, working environments, families, spouses - even one’s sense of self - it appeared to me that South African protestors were raging against an abiding disconnect between internal desire and external reality, or a state of alienation written into both the objective conditions of life in the external world, as well as their internal, subjective experiences of that world.

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.

What is of immediate interest to me as a psychotherapist is that the dominant political trend of our time - identity politics - is profoundly psychological, being organised around the injured dignity of oppressed groups. Each group, that is, claims a misattunement between a felt group identity and an outer world that rejects it. For proponents of identity politics, therefore, the problem of dignity turns on a society that is pathologically invalidating. Human beings are first and foremost social beings, and when social formations compromise the dignity of marginalised groups as a matter of routine, the consequences are devastating, involving either self-hating shame or envious resentment.

In the world beyond therapy, however, intersubjective hope demands nourishment at two levels - first, at a socio-psychological level defined by reciprocal recognition, and second, at a social-material level involving an equitable distribution of the resources required for dignified living. This is easier said than done: what I am describing, after all, is a virtual utopia in which each of us feels recognised in our humanity, and in which our basic needs are adequately satisfied. In fact, when placing this quandary in proper historical context, one realises that the history of our species - never mind South Africa - is a history of masters and slaves.

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.