This paper explores psychoanalytic definitions of creativity and presents a creatively relational approach working with clients presenting with cultural issues and illustrates this with a clinical example. The author explores her personal and historical contribution to the countertransferential elements of this article using the autobiographical and ethnographical to examine the emergence of and dependence on creativity. Linking the arts and psychoanalysis, she elucidates the relationship between what is personal and what is political and asks the audience as they read to keep considering what might be personal for them. She reviews concepts of Winnicott and Klein’s creative in psychological terms; that of an active demonstration of the ego being different from the creative as the production of an object, the commonality being the creation of a new stimulus. She considers a case example from a socio-genetic perspective to demonstrate the creative as a response to trauma. Holding the view that an urgent need and therapeutic responsibility exists for new creative measures she concludes that it is in the articulation of the therapist’s unconscious psychic reality where the potential lies to actively acknowledge and avoid the deepening of existing societal fissures.