1st Edition

Psychoanalytic Work in East Africa

By Barbara Saegesser Copyright 2025
    168 Pages 4 B/W Illustrations
    by Routledge

    168 Pages 4 B/W Illustrations
    by Routledge

    Psychoanalytic Work in East Africa presents a unique insight into psychoanalytic practice with urban populations in Eastern Africa.

    Barbara Saegesser describes her psychoanalytic work in different East-African locations and in a wide range of contexts. Each chapter considers a particular context, from work in hospitals, in psychiatric hospitals and with children in orphanages to maternity wards with women who have been submitted to genital mutilation. Saegesser also reflects on questions of gender, religion and working across cultures throughout, and considers the benefits of this approach for people who haven’t previously encountered psychoanalysis.

    Psychoanalytic Work in East Africa will be of great interest to psychoanalysts and psychoanalytic psychotherapists looking to learn more about working with people in complex and challenging, also dangerous situations, across cultures, and in areas where psychoanalysis is not at all known.

    Summary to 1: Personal Introduction

    1. Personal Introduction

    1.1 Psychoanalytic work in East African cities   

    Summary to 2: Psychoanalytical field work in East African cities.

    2. Psychoanalytic Fieldwork in East African Cities

    Summary to 3: Drop-in and Home for Street boys

    3. Drop-in and Home for Street boys

    Summary to 4: Parenthood in East African cities

    4. Parenthood in East African Cities      

    Summary to 5: School system in East African cities and rural areas         

    5. School systems and school visits in East African cities and rural areas 

    Summary to 6

    6. The Baby and the child without a mother

    Summary to 7  

    7. Babies with their mothers      

    Summary to 8  

    8. Sex/Gender differences         

    Summary to 9  

    9. The Quran, children’s games, and creative playing in the Sands of El-Alamein          

    Summary to 10

    10. Concepts and treatments for psychosomatic patients in the East African environment 1) 

    Summary to 11 

    11. Free ambulatory choice of patients in the big room of female station

    Summary to 12

    12. What is it that initiates inner und and outer psychic change, what initiates a transformation process?



    Barbara Saegesser is a training analyst with the Swiss Psychoanalytical Society and also with IPA. She was president of the commission treating ethical problems in the Swiss Society of Psychoanalysis and has worked in East Africa since 2005, in a wide range of contexts including orphanages, shelters, psychiatric hospitals and on maternity department with many victims of female genital mutilation.