Shrunk

 New York City

Nothing says New York like a psychoanalyst’s couch. Think Woody Allen or those New Yorker cartoons. It fits our perception of east-coast Americans as all neurotic and self-obsessed. But that mental picture needs updating, because traditional psychoanalysis is in dramatic decline in its traditional heartland.

Across the urban US, in fact, the profession is dying out or having to change drastically.