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WHEN THE NUCLEUS OF INDIVIDUALS that started White Institute first got together over 50 years ago, the theory and practice of psychoanalysis was in a totally different place. The dominant ideas were still associated with the traditional metaphors of instinctual libido—or, as ego psychologists were then renaming it, drive, some with and some without libido. Clinical involvement with the larger social and cultural environment in which therapists and patients1 live out their daily lives was considered novel,