It's very arrogant for analysts to think only their brand of “therapeutic relationship” brings out psychological changes while normal friendship is purely psychologically superficial. Especially when the majority of them grow up and live in upper-middle class liberal environments. Move from a rural area to a city and you would know what I'm talking about. It doesn't mean rural people are better and in other metrics they are worse. But people have more potential to be psychologically honest when it costs less financial and social punishment. And that is closer to psychoanalysis than what psychoanalysis tries to be.