Play Therapy Quotes

[Children] just cannot be sad too long, it is not in them, as children mourn in little bits here and there like patchwork in their lives.

BDSM isn't about play, not for pleasure purists. It's our own fucked up version of therapy. If we weren't fucked up, sick and twisted this shit wouldn't get us off.

I'd written Smashed not because I was ambitious and not because writing down my feelings was cathartic (it felt more like playing one's own neurosurgeon sans anesthesia). No. I'd made a habit--and eventually a profession--of memoir because I hail from one of those families where shows of emotions are discouraged.

Sometimes it is very difficult to keep in mind the fact that the parents, too, have reasons for what they do-- have reasons, locked in the depths of their personalities, for their inability to love, to understand, to give of themselves to their children.

Birds fly, fish swim, and children play.

Therapists will have much more impact when they are able to conceptualize or discern more precisely what this client’s core problem really is, how it came about developmentally, and how it is being played out and causing symptoms and problems in his current life.

...sometimes they almost made me feel glad that I had a few extra years to play my depression out with therapy and other means, because I think its useful in youth- unless suicide or drug abuse are the alternatives- to have some faith in the mind to cure itself, to not rush to doctors or diagnosis's...I sometimes worry that part of what creates depression in young people is their own, and their parents, and the whole worlds impatience with allowing the phases of life to run their course. We will very likely soon be living in a society that confuses disease with normal life if the panic and rush to judgment and labeling do not slow down a bit. Somewhere between the unbelievable tardiness that the medical profession was guilty of in administering proper treatment to me and the eagerness to with which practitioners prescribe Ritalin for 8 year old boys and Paxil for 14 year old girls, there is a sane course of action.

Imagination is tapping into the subconscious in a form of open play. That is why art or music therapy, which encourages a person to take up brushes and paint or an instrument, and just express themselves, is so powerful.

[T]echnique has a different meaning for the novice than for the expert. One needs technique in learning to play the piano but eventually, if one is to make music, one must transcend learned technique and trust one's spontaneous moves.

Underlying the attack on psychotherapy, I believe, is a recognition of the potential power of any relationship of witnessing. The consulting room is a privileged space dedicated to memory. Within that space, survivors gain the freedom to know and tell their stories. Even the most private and confidential disclosure of past abuses increases the likelihood of eventual public disclosure. And public disclosure is something that perpetrators are determined to prevent. As in the case of more overtly political crimes, perpetrators will fight tenaciously to ensure that their abuses remain unseen, unacknowledged, and consigned to oblivion. The dialectic of trauma is playing itself out once again. It is worth remembering that this is not the first time in history that those who have listened closely to trauma survivors have been subject to challenge. Nor will it be the last. In the past few years, many clinicians have had to learn to deal with the same tactics of harassment and intimidation that grassroots advocates for women, children and other oppressed groups have long endured. We, the bystanders, have had to look within ourselves to find some small portion of the courage that victims of violence must muster every day. Some attacks have been downright silly; many have been quite ugly. Though frightening, these attacks are an implicit tribute to the power of the healing relationship. They remind us that creating a protected space where survivors can speak their truth is an act of liberation. They remind us that bearing witness, even within the confines of that sanctuary, is an act of solidarity. They remind us also that moral neutrality in the conflict between victim and perpetrator is not an option. Like all other bystanders, therapists are sometimes forced to take sides. Those who stand with the victim will inevitably have to face the perpetrator's unmasked fury. For many of us, there can be no greater honor. p.246 - 247 Judith Lewis Herman, M.D. February, 1997

I’M SORRY I am developing a new board game. It’s called “I’m Sorry.” It’s also a form of “Self-Help Psychological Therapy!” You take turns moving around the board like Monopoly. But if you land on a Yellow or Green “I’m Sorry Space”… you have to make a Phone call. Both green and yellow cards are labeled- the same with things like: Your Ex, Parental figure, friend, co-worker, boss, children, etc. You get the point… If you land on the yellow space, the game stops, everyone gets quiet and you have to call that person up – on speakerphone. You apologize for something you’ve done in your past. Come on you know you are not perfect and you probably screwed up, hurt or disappointed everyone in your past at one time or another. So you call and you apologize. You explain what you did to them wrong if they forgive you, you move forward 10 places and everyone cheers! No forgiveness back- you move back to the beginning. If you land on the green space- it’s similar. But you call the person up and you try to explain to them how, in someway, they hurt you in the past. If they apologize… cheers and you move forward 10 spaces. No apology… move backward ten spaces. They curse at you- game over. In the original packaging of the yellow and green cards, are mixed in a set of “I’m Sorry Cards.” If you are lucky enough to get to pick up an “I’m Sorry Card,” it’s like a Get Out of Jail Free Card, and you don’t have to make the call. The only catch is that the cards come hermetically sealed. After opening up the package, and the cards are exposed to air, all of the “I’m Sorry Cards,” magically turn into “Deal With it Cards!” And so, you really never get a free ride. In reality, every time you pick up a yellow or green card, you have to- Deal with It! Of course you can always order a new factory set of sealed of “I’m Sorry Cards.” But they only last about 30 minutes and are very expensive, so you’ll have to play fast. Cute Game? Hey, don’t steal my idea!!!

The brevity of mini (psycho)therapies is another efficient forestaller of healing. The neocortex rapidly master didactic information, but the limbic brain takes mountains of repetition. No one expects to play the flute in six lessons or to become fluent in Italian in ten. (189)

Because when a little girl wants to wear jeans and play soccer, her parents are thrilled, but when a little boy wants to wear a dress and play dolls, his parents send him to therapy and enroll him in a study. We just don’t know yet the long-term effects on these kids of puberty suppression.

The cases described in this section (The Fear of Being) may seem extreme, but I have become convinced that they are not as uncommon as one would think. Beneath the seemingly rational exterior of our lives is a fear of insanity. We dare not question the values by which we live or rebel against the roles we play for fear of putting our sanity into doubt. We are like the inmates of a mental institution who must accept its inhumanity and insensitivity as caring and knowledgeableness if they hope to be regarded as sane enough to leave. The question who is sane and who is crazy was the theme of the novel One Flew Over The Cuckoo's Nest. The question, what is sanity? was clearly asked in the play Equus. The idea that much of what we do is insane and that if we want to be sane, we must let ourselves go crazy has been strongly advanced by R.D. Laing. In the preface to the Pelican edition of his book The Divided Self, Laing writes: "In the context of our present pervasive madness that we call normality, sanity, freedom, all of our frames of reference are ambiguous and equivocal." And in the same preface: "Thus I would wish to emphasize that our 'normal' 'adjusted' state is too often the abdication of ecstasy, the betrayal of our true potentialities; that many of us are only too successful in acquiring a false self to adapt to false realities." Wilhelm Reich had a somewhat similar view of present-day human behavior. Thus Reich says, "Homo normalis blocks off entirely the perception of basic orgonotic functioning by means of rigid armoring; in the schizophrenic, on the other hand, the armoring practically breaks down and thus the biosystem is flooded with deep experiences from the biophysical core with which it cannot cope." The "deep experiences" to which Reich refers are the pleasurable streaming sensations associated with intense excitation that is mainly sexual in nature. The schizophrenic cannot cope with these sensations because his body is too contracted to tolerate the charge. Unable to "block" the excitation or reduce it as a neurotic can, and unable to "stand" the charge, the schizophrenic is literally "driven crazy." But the neurotic does not escape so easily either. He avoids insanity by blocking the excitation, that is, by reducing it to a point where there is no danger of explosion, or bursting. In effect the neurotic undergoes a psychological castration. However, the potential for explosive release is still present in his body, although it is rigidly guarded as if it were a bomb. The neurotic is on guard against himself, terrified to let go of his defenses and allow his feelings free expression. Having become, as Reich calls him, "homo normalis," having bartered his freedom and ecstasy for the security of being "well adjusted," he sees the alternative as "crazy." And in a sense he is right. Without going "crazy," without becoming "mad," so mad that he could kill, it is impossible to give up the defenses that protect him in the same way that a mental institution protects its inmates from self-destruction and the destruction of others.

Uncle Bob was about to kill the lot of us, screaming about how unfair it was to play poker with a bunch of mutants with supernatural gifts. I felt the name-calling was a not-so-silent cry for help, but he refused to agree to therapy. Donovan offered to roofie him, so that was nice. I shook my head, though. He'd totally arrest us all. Especially me.

But the self is precisely the integrator; it is the synthetic unity, as Kant said. It is the artist of life. It is only a small factor in the total organism/environment interaction, but it plays the crucial role of finding and making the meanings that we grow by.

Expressive arts therapy--the purposeful application of art, music, dance/movement, dramatic enactment, creative writing, and imaginative play--is a non-verbal way of self-expression of feelings and perceptions. More importantly, they are action-oriented and tap implicit, embodied experiences of trauma that can defy expression through verbal therapy or logic.

Not one of us gets all of the understanding we want, and few get as much as we need.

The ability to say no allows us to feel safe to surrender even further into the experience of play and be taken over by the experience of play, 'yes' and being creative.

Current interventions in use with children include psycho-pharmacological treatments, play therapy, psychological debriefing and testimony therapy, but this was Nazi Germany in 1945!

There are, in fact, no more important communications between one human being and another than those expressed emotionally, and no information more vital for constructing and reconstructing working models of the self and other than information about how each feels towards the other...it is the emotional communication between a patient and his therapist that play the crucial part. John Bowlby

Since I am in this pain, the pain of having what is special taken from me, I look inside myself and I don’t like what I see: a man who is broken and alone. I think of all the time Lily and I spent together, just the two of us—the talks about boys, the Monopoly, the movies, the pizza nights—and I wonder how much of it was real. Dogs don’t eat pizza; dogs don’t play Monopoly. I know this on some level, but everything feels so true. How much of it was an elaborate construct to mask my own loneliness? How much of it was built to convince myself the attempts I made at real life—therapy, dating—were not just that: attempts?

And although I played along with him for a while so as not to prick his bubble, inside I felt pretty bleak indeed, because now I knew that he was going to be just as pliable and credulous as everyone else, he didn't appear to have anything close to the firepower I'd need to give me any hope of getting helped out of the trap of fraudulence and unhappiness I'd constructed for myself.

I became convinced that the advanced industrial countries, through international organizations like the International Monetary Fund (IMF), the World Trade Organization (WTO), and the World Bank, were not only not doing all that they could to help these [developing] countries but were sometimes making their life more difficult. IMF programs had clearly worsened the East Asian crisis, and the "shock therapy" they had pushed in the former Soviet Union and its satellites played an important role in the failure of the transition.

If our methods are so bad,' asked Dr Weinburger harshly, 'then why do any of our patients improve at all?' 'Because we've encouraged them to play new roles,' Dr Rhinehart answered promptly. 'Primarily the role of "being honest", but also the roles of feeling guilty, having sinned, being oppressed, discovering insights, being sexually liberated and so on. Of course, the patient and therapist are under the illusion that they are getting at true desires, when in fact they are only releasing and developing new and different selves.

Play is the child’s symbolic language of self-expression and can reveal (a) what the child has experienced; (b) reactions to what was experienced; (c) feelings about what was experienced; (d) what the child wishes, wants, or needs; and (e) the child’s perception of self.

The second trait of narcissism in which asceticism plays a role is blankness. “If only I could feel”—in this formula the self-denial and self-absorption reach a perverse fulfillment. Nothing is real if I cannot feel it, but I can feel nothing. The defense against there being something real outside the self is perfected, because, since I am blank, nothing outside me is alive. In therapy the patient reproaches himself for an inability to care, and yet this reproach, seemingly so laden with self-disgust, is really an accusation against the outside. For the real formula is, nothing suffices to make me feel. Under cover of blankness, there is the more childish plaint that nothing can make me feel if I don’t want to, and hidden in the characters of those who truly suffer because they go blank faced with a person or activity they always thought they had desired, there is the secret, unrecognized conviction that other people, or other things as they are, will never be good enough.

an interaction is not a relationship; rather, a relationship is the remembered history of previous interactions.

Be good to the child and he will come to you tomorrow. - Unknown

Empathy plays a crucial role in the reduction of stress from the moment of birth.

When a little girl wants to wear jeans and play soccer, her parents are thrilled, but when a little boy wants to wear a dress and play dolls, his parents send him to therapy.

One need only to observe the physical response of a child to realize that, when happy, he is happy all over.

This etymology puts me in mind of Winnicott’s notion of potential space–that intermediate area between the subjective and objective in which creativity and play occur. Psychotherapy is akin to play, according to Winnicott. Therapy takes place neither inside the mind of the patient nor inside that of the therapist, but in some middle area, in the potential space between them.

Generally what happens between therapist and patient also plays out between the patient and people in the outside world, and it’s in the safe space of the therapy room that the patient can begin to understand why.

Not all models of professional therapeutic play are identical. Some therapies take a passive, unstructured approach, and these are not effective for at-risk children with a history of neglect or orphanage rearing.

There is just reality as it is: a unified being of infinite awareness that is playing with itself as an expression of itself. Everything and everyone in all places and times is merely God interacting with itself, and It is You.

Much of the control exerted by the caregiver is accomplished through being indirect, such as implying expectations. The caregiver may tell the child what the child feels and thinks, particularly when he or she is upset or angry. "You don't really feel that way, do you?" is a phrase heard often in the families of people with a compressed structure. Statements like, "You want to play the piano for Aunt Martha, don't you?" are used to get the child to do what the caregiver wants without directly asking the child what he wants or not leaving the child any room to say no. The caregiver may act in a way that assumes the child feels as the caregiver feels, as if the child were an extension of the caregiver, by saying, for example, "I'm cold, put on your sweater." Children growing up in this situation become so well attuned to the feelings and will of the caregiver that the caregiver may eventually need only to shiver a little for the child to go to get a sweater for both of them.

Healing is not only a specific method, healing is also to invite another person into our own inner light, to invite another person into our presence, love, joy, acceptance, humor, understanding, playfulness, meditation and silence. Healing can also be a loving word, an understanding glance, a present touch, a silent listening or simply joking with another person and making him or her happy. Humor is also one of the strongest healing powers to see our situation and ourselves in a new and creative light.

Attachment begins early but grows slowly. There are no shortcuts. Verbal guarantees of safety or nurturance carry no more weight than those for hair-replacement systems and miracle slicers. A therapist must prove trustworthy over time. Only consistent experiential demonstrations, in times of both quietude and turbulence, convince the child. Though all children love to be wined and dined, the safety, understanding, warmth, and containment of therapy are what foster trust and ultimately seduce the child patient.

I’m so sick of that argument. I’ve been hearing it for centuries. Playing God. Wolfgang, we played God when people believed they could dictate their baby’s gender by having sex in a certain position. We played God when we invented birth control, amniocentesis, cesarean sections, when we developed modern medicine and surgery. Flight is playing God. Fighting cancer is playing God. Contact lenses and glasses are playing God. Anything we do to modify our lives in a way that we were not born into is playing God. In vitro fertilization. Hormone replacement therapy. Gender reassignment surgery. Antibiotics.

stopped drinking so much caffeine. I played with my kids. I did a lot of therapy. And then I did some more. I prayed. I looked up every scripture in the Bible that talks about rest. I had dinner with my girlfriends. I went on dates with my husband. I taught myself to take it one day at a time, to stop obsessing over the next victory, and

Like a good harbor, the child therapist offers the besiegedc child physical shelter, tolerance of her defensive preoccupation, and a rare opportunity to let down her guard and rest. Just as a sinking hull must be righted and secured before more lasting repairs can be made, therapy can help a child enduringly heal only after she has been spared further abuse and neglect.

She had a pocket recorder and was taking all this down: every five seconds, as the law required, the thing went teep. “Will you describe the therapy you’re employing please, teep and explain the role this device plays in it? Don’t tell me how it teep works, that’s in your report, but what it does. Teep for instance, how does its use differ from the Elektroson or the trancap?

When we say that a narrative is, or is not, someone’s ‘story to tell’, what we unwittingly suggest is that when the story is yours, as in it happened within time as you directly experience it, you are given some power over it. Is this the biggest betrayal of pop psychology via talk therapy? That in language a person can find sufficient tools to erect a life undisturbed by demons? Or the thought, even, that a person can comprehend what it is they have lived through. - Survivors of all things, always trying to reconstruct the moment they survived through. - Strange, though, that even as you narrate it, you get to the horror point, and you think, this time, it’ll go differently. But the film reel keeps playing through, all the way, and, whoosh: powerless.

I am not all knowing. Therefore, I will not even attempt to be. I need to be loved. Therefore, I will be open to loving children. I want to be more accepting of the child in me. Therefore, I will with wonder and awe allow children to illuminate my world. I know so little about the complex intricacies of childhood. Therefore, I will allow children to teach me. I learn my best from and am impacted most by my personal struggles. Therefore, I will join with children in their struggles. I sometimes need a refuge. Therefore, I will provide a refuge for children. I like it when I am fully accepted for the person I am. Therefore, I will strive to experience and appreciate the person of the child. I make mistakes. They are a declaration of the way I am - human and fallible. Therefore, I will be tolerant of the humanness of children. I react with emotional internalization and expression to my world of reality. Therefore, I will relinquish the grasp I have on reality and try to enter the world as experienced by the child. It feels good to be an authority, to provide answers. Therefore, I will need to work hard to protect children from me! I am more fully me when I feel safe. Therefore I will be consistent in my interactions with children. I am the only person who can live my life. Therefore, I will not attempt to rule a child's life. I have learned most of what I know from experiencing. Therefore, I will allow children to experience. The hope I experience and the will to live come from within me. Therefore, I will recognize and confirm the child's will and selfhood. I cannot make children's hurts and fears and frustrations and disappointments go away. Therefore, I will soften the blow. I experience fear when I am vulnerable. Therefore, I will with kindness, gentleness, and tenderness touch the inner world of the vulnerable child. - Principles for Relationships with Children

My point is that every course of therapy consists of small and large spontaneously generated responses or techniques that are impossible to program in advance. Of course, technique has a different meaning for the novice than for the expert. One needs technique in learning to play the piano but eventually, if one is to make music, one must transcend learned technique and trust one’s spontaneous moves.

Helping the identities to be aware of one another as legitimate parts of the self and to negotiate and resolve their conflicts is at the very core of the therapeutic process. It is countertherapeutic for the therapist to treat any alternate identity as if it were more “real” or more important than any other. The therapist should not “play favorites” among the alternate identities or exclude apparently unlikable or disruptive ones from the therapy (although such steps may be necessary for a limited period of time at some stages in the treatment of some patients to provide for the safety and stability of the patient or the safety of others). The therapist should foster the idea that all alternate identities represent adaptive attempts to cope or to master problems that the patient has faced. Thus, it is countertherapeutic to tell patients to ignore or “get rid” of identities (although it is acceptable to provide strategies for the patient to resist the influence of destructive identities, or to help control the emergence of certain identities at inappropriate circumstances or times). It is countertherapeutic to suggest that the patient create additional alternate identities, to name identities when they have no names (although the patient may choose names if he or she wishes), or to suggest that identities function in a more elaborated and autonomous way than they already are functioning. A desirable treatment outcome is a workable form of integration or harmony among alternate identities." Guidelines for Treating Dissociative Identity Disorder in Adults, Third Revision, Journal of Trauma & Dissociation, 12:2, 115-187 (2011) DOI 10.1080/15299732.2011.537247

We can pray over the cholera victim, or we can give her 500 milligrams of tetracycline every 12 hours. (There is still a religion, Christian Science, that denies the germ theory of disease; if prayer fails, the faithful would rather see their children die than give them antibiotics.) We can try nearly futile psychoanalytic talk therapy on the schizophrenic patient, or we can give him 300 to 500 milligrams a day of clozapine. The scientific treatments are hundreds or thousands of times more effective than the alternatives. (And even when the alternatives seem to work, we don’t actually know that they played any role: Spontaneous remissions, even of cholera and schizophrenia, can occur without prayer and without psychoanalysis.) Abandoning science means abandoning much more than air conditioning, CD players, hair dryers, and fast cars.

Do you know what kind of a world we live in? We live in a world where, if a man came up with a sure cure for cancer, and if that man were found to be married to his sister, his neighbors would righteously burn down his house and all his notes. If a man built the most beautiful tower in the country, and that man later begins to believe that Satan should be worshipped, they’ll blow up his tower. I know a great and moving book written by a woman who later went quite crazy and wrote crazy books, and nobody will read her great one any more. I can name three kinds of mental therapy that could have changed the face of the earth, and in each case the men who found it went on to insane Institutes and so-called religions and made fools of themselves—dangerous fools at that—and now no one will look at their really great early discoveries. Great politicians have been prevented from being great statesmen because they were divorced. And I wasn’t going to have the Mensch machine stolen or buried or laughed at and forgotten just because I had long hair and played the lute. You know, it’s easy to have long hair and play the lute and be kind to people when everyone else around you is doing it. It’s a much harder thing to be the one who does it first, because then you have to pay a price, you get jeered at and they throw stones and shut you out.

For something that can’t be seen, heard, or measured, thoughts have incredible power. Our mood for an entire day can hinge on how we interpret a single disappointment. Thoughts can also have a profound effect on our behavior, affecting whether we forgive or retaliate, engage or withdraw, persevere or give up. No matter what you’ve been struggling with, chances are that your thoughts have played a role, either in causing your distress or in prolonging it.

Accepting who we are is a practice of non-harming. Sadly, much self-help literature contains seeds of harm: We are urged to remake ourselves into someone who will be spiritually or psychologically acceptable, and that acceptance is conditional on our performance in the areas of therapy, growth, or meditation. We are still not accepting ourselves unconditionally, just as we are in this moment, with a full and joyful heart. A more merciful practice begins with acceptance. It begins with the assumption that we were never broken, never defective. By surrendering into a deep acceptance of our own nature—rather than by tearing apart who we are—we actually make more room for genuine, rich, merciful, playful growth and change. If we feel our fundamental strength, creativity, and wisdom, then change is not frightening at all. Things simply fall away when they are ready, making room for the rich harvest underneath.

Years later, my father, too, would take his own meaningful walk: he had had a bad night on the drink where he fell through some bushes or something, and he talked to Debbie about it the following morning and she said, “Is this the way you want to live your life?” And he said, no—then he went for a walk and quit drinking and hasn’t had a drop since. Excuse me? You went for a walk and quit drinking? I have spent upward of $7 million trying to get sober. I have been to six thousand AA meetings. (Not an exaggeration, more an educated guess.) I’ve been to rehab fifteen times. I’ve been in a mental institution, gone to therapy twice a week for thirty years, been to death’s door. And you went for a fucking walk? I’ll tell you where you can take a walk. But my dad can’t write a play, star on Friends, help the helpless. And he doesn’t have $7 million to spend on anything. Life has its trade-offs, I suppose. This begs the question—would I trade places with him? Why don’t we get to that one later?

The patient brings with him into therapy all the failures and suspicions and losses he has experienced through his life. The defensive forms of insecure attachment - avoidance, ambivalence, disorganisation - will be brought into play in relation to the therapist. There will be a struggle between these habitual patterns and the skill of the therapist in providing a secure base - the capacity to be responsive and attuned to the patient's feelings, to receive projections and to transmute them in such a way that the patient can face their hitherto unmanageable feelings. To the extent that this happens, the patient will gradually relinquish their attachment to the therapist while, simultaneously, an internal secure base is built up inside. As a result, as therapy draws to a close, the patient is better able to form less anxious attachment relationships in the external world and feels more secure in himself. As concrete attachment to the therapist lessens, so the qualities of self-responsiveness and self-attunement are more firmly established in the inner world.

My favorite time with the staff was when they came in with no assigned task, only to hear how I was, or talk about normal, everyday stuff. Not my medication, not my fingers, not my diet. Just asking what I used to do, what I dreamt of doing, and commenting on things happening in the world. All my strength went into physical and occupational therapy. I didn’t have a drop of energy for the outside world, but I liked to hear about it nevertheless, a bit like playing on the kitchen floor when I was a child and my parents listened to the radio.

The main reason we learn any habit, as Drs. Frederick Kanfer and Jeanne Phillips tell us in Learning Foundations of Behavior Therapy, is that even a seemingly counterproductive habit like procrastination is immediately followed by some reward. Procrastination reduces tension by taking us away from something we view as painful or threatening. The more painful work is for you, the more you will try to seek relief through avoidance or through involvement in more pleasurable activities. The more you feel that endless work deprives you of the pleasure of leisure time, the more you will avoid work.

Given the considerable number of children who come to therapy begrudgingly, you might expect me to rejoice for those who come with bells on their toes. And sometimes I do. Experience has tempered my exuberance, however, since the speediest in are often also the speediest out. James, who had spent his second hour raving about his first, never came to the third or fourth. When a child too readily pleads for treatment every day or “forever,” I watch for signs of a premature desertion. The precipitant for quitting may be, not an underlying dislike of therapy, but the intolerable frustration over having so little of it.

The very best thing about landing in that grave? Perspective. So I peer through this morning's prism: a science test looming in second period, an a-hole of a coach who probably could have used more childhood therapy than I got, and a tell-tale tampon under my foot. I consider the clawed tiger on the bed, the one wearing the zebra-printed sports bra - the same tiger that every Sunday transforms into the girl who voluntarily walks next door to help sort Miss Effie's medicine into her days-of-the-week pill container. The one who pretended her ankle hurt one day last week so the backup settler on her volleyball team would get to play on her birthday.

chess is deeper and more mysterious than all of us put together; it’ll exist until somebody manages to master it completely, and that’ll never happen, Ferenck, it’s impossible for that to happen. Oslovski looked at him in surprise, and said, at the end of the day it’s a question of statistics: we’ll keep getting better, more intelligent, more gifted, we’ll keep going farther. Soon the great men of the 21st century will be born, or rather, they’ll turn into adults, because many may already have been born, and then we’ll know about them. The Freuds and Marxes and Einsteins and Nietzsches of the 21st century must be going to school right now, or still playing with toy cars, or watching the fall of a leaf in a park, who knows? And apart from them, there’ll also be a young Kafka suffering then turning to literature as therapy, and there’ll be an aristocratic Proust, who’ll portray the decadent bourgeoisie of the early 21st century from within, and of course the new Rimbaud must already be walking the streets, a young man with his fists clenched with hate, struggling against the social forms, and the Bukowski of the 21st century receiving a thrashing from his father and discovering that alcohol dulls the pain, and of course some boy of seven or eight must be on the verge of checkmating an adult on a chessboard,

Writing is one of the best therapies that exist. Either on paper, computer, phone or tablet, in any form it is helpful. Whenever you feel like writing, just do it. Let the words flow out of your mind and heart. It doesn’t have to make sense to anyone but you. Some people may find easier to express themselves in writing than verbally. While you will have time to choose the best words, you will also escape the fear of immediate reaction. Take your time and play with the words until you feel you got them right. One can write about anything. About a dream, a fantasy, a love story, happenings during the day, an apology or a greeting, everything is permitted in the world of writing. There it is no good or bad.

we were to allow the wonder of the life of a child to reach us fully and truly and to be our teacher, we would have to say: Thank you, child of man…for reminding me about the joy and excitement of being human. Thank you for letting me grow together with you, that I can learn again of what I have forgotten about simplicity, intensity, totality, wonder and love and learn to respect my own life in its uniqueness. Thank you for allowing me to learn from your tears about the pain of growing up and the sufferings of the world. Thank you for showing me that to love another person and to be with people, big or small, is the most natural of gifts that grows like a flower when we live in the wonder of life. (p. 10)

Basics of Good Self-Care Exercise moderately but regularly Eat healthy but delicious meals Regularize your sleep cycle Practice good personal hygiene Don’t drink to excess or abuse drugs Spend some time every day in play Develop recreational outlets that encourage creativity Avoid unstructured time Limit exposure to mass media Distance yourself from destructive situations or people Practice mindfulness meditation, or a walk, or an intimate talk, every day Cultivate your sense of humor Allow yourself to feel pride in your accomplishments Listen to compliments and expressions of affection Avoid depressed self-absorption Build and use a support system Pay more attention to small pleasures and sensations Challenge yourself

I knew this was the best therapy for him. Surfing at Boulders was downright dangerous, but Steve reveled in the challenge. He surfed with Wes, his best mate in the world. I sat on a rocky point with my eye glued to the camera so I wouldn’t miss a single wave. While Bindi gathered shells and played on the beach under her nanny’s watchful eye, I admired Steve with his long arms and broad shoulders, powerfully paddling onto wave after wave. Not even the Pacific Ocean with its most powerful sets could slow him down. He caught the most amazing barrels I have ever seen, and carved up the waves with such ferocity that I didn’t want the camera to miss a single moment. On the beach in Samoa, while Bindi helped her dad wax his board, I caught a glimpse of joy in eyes that had been so sad.

As long as people are either hyperaroused or shut down, they cannot learn from experience. Even if they manage to stay in control, they become so uptight (Alcoholics Anonymous calls this “white-knuckle sobriety”) that they are inflexible, stubborn, and depressed. Recovery from trauma involves the restoration of executive functioning and, with it, self-confidence and the capacity for playfulness and creativity. If we want to change posttraumatic reactions, we have to access the emotional brain and do “limbic system therapy”: repairing faulty alarm systems and restoring the emotional brain to its ordinary job of being a quiet background presence that takes care of the housekeeping of the body, ensuring that you eat, sleep, connect with intimate partners, protect your children, and defend against danger.

Social Skills Training Social skills training is based on the belief that socially anxious people lack certain social skills, such as how to make small talk or introduce themselves to strangers. Therapists think that anxiety would lessen for people if they knew the correct way to behave. In social skills training, you practice techniques such as rehearsal (practicing a certain skill until it becomes comfortable), modeling (imitating others in social situations until the behavior feels natural), and role playing. You also receive homework assignments, such as “This week, talk about the weather with three strangers.” A problem with this type of therapy is that even though many people know how they should act, they can’t do it because of fear, negative thoughts, and avoidance. Although practicing social skills may take away some of the uncertainty, it doesn’t address the deeper issues.

Being traumatized is not just an issue of being stuck in the past; it is just as much a problem of not being fully alive in the present. One form of exposure treatment is virtual-reality therapy in which veterans wear high-tech goggles that make it possible to refight the battle of Fallujah in lifelike detail. As far as I know, the US Marines performed very well in combat. The problem is that they cannot tolerate being home. Recent studies of Australian combat veterans show that their brains are rewired to be alert for emergencies, at the expense of being focused on the small details of everyday life.43 (We’ll learn more about this in chapter 19, on neurofeedback.) More than virtual-reality therapy, traumatized patients need “real world” therapy, which helps them to feel as alive when walking through the local supermarket or playing with their kids as they did in the streets of Baghdad.

Sorry about our . . . altercation in the buggy. I was only playing. I’m Raphael.” “The one who likes the hurting.” I moved to shake his hand and he reversed it and kissed my fingers instead, singeing me with a look that was pure smolder. I took my hand back. “That woke me up.” He smiled a picture-perfect smile. “Been a while?” For some reason, I felt like answering. “Two years. And if you could tone down that smile, I’d appreciate it. Getting weak in the knees.” Raphael took a step back. His face took on the same concerned look I saw on Doolittle when I assured him I was fine. “Two years? That’s entirely too long. If you want, we can take care of that. After two years, it’s pure therapy.” “No thank you. Curran already offered to help me with that problem, and since I turned him down, I wouldn’t want to cause any friction between you two.” The last thing I needed was to set Curran and the hyenas on a collision course. Raphael backed away with his hands in the air, strategically positioning himself behind Andrea. “No offense.” “None taken.” “Is Curran serious?” Aunt B asked. She wanted to know if she now had to walk on eggshells around me. For once, I was happy to disappoint. “No, he’s just being an asshole. Apparently every time he calls me ‘baby,’ I look like a red-hot poker is stuck up my butt. Causes him no end of fun.” Aunt B gave me an odd look. “You know,” she said, stirring her tea, “the fastest way to get him off your back is to sleep with him. And tell him you love him. Preferably while in bed.” I smirked and the tea almost came out of my nose. “He’d run like he was on fire.” Raphael rested his hands on Andrea’s shoulders. “Still a bit tense?” His fingers began to gently knead her muscles. “Will you do it?” Aunt B gazed at me over the rim of her cup. “Not while I’m alive, no. Wait, I take it back. That should be ‘hell no.

​Dr. Wallace shook her head and I swear her voice was slightly condescending."Mrs. Davis, Shannon is very ill. Although she has been discharged, she still needs to come to therapy for quite some time. Even though she won’t speak to me now, I’m hoping for some breakthroughs with Shannon. She needs you to attend these therapy sessions in order to make progress."  ​Rolling my eyes upwards, I replied with annoyance, "I have other things in my life, Doctor. I do have two children. Five and six. Boys. They have very busy schedules. Hockey and piano lessons and play dates. I'm not like Shannon with no responsibilities or a care in the world." I also have a live in nanny, but the doctor doesn’t need to know that, right?  ​"I understand. Boys are busy little creatures. I have four of them," she replied, no malice in her voice whatsoever.  ​"Oh," I replied curtly. Well, I'm sure her social calendar is not nearly as filled as yours, Kathryn.

This hall of epistemological mirrors was just one of the many challenges facing the researchers who wanted to bring LSD into the field of psychiatry and psychotherapy: psychedelic therapy could look more like shamanism or faith healing than medicine. Another challenge was the irrational exuberance that seemed to infect any researchers who got involved with LSD, an enthusiasm that might have improved the results of their experiments at the same time it fueled the skepticism of colleagues who remained psychedelic virgins. Yet a third challenge was how to fit psychedelics into the existing structures of science and psychiatry, if indeed that was possible. How do you do a controlled experiment with a psychedelic? How do you effectively blind your patients and clinicians or control for the powerful expectancy effect? When “set” and “setting” play such a big role in the patient’s experience, how can you hope to isolate a single variable or design a therapeutic application?

Each new human life retraces this ancient story. Young children are the very essence of human innocence. They run, play, and feel—and, as in Genesis, when they are naked they are not ashamed. Children provide a model for the assumption of healthy normality, and their innocence and vitality are part of why the assumption seems so obviously true. But that vision begins to fade as children acquire language and become more and more like the creatures adults see reflected every day in their mirrors. Adults unavoidably drag their children from the Garden with each word, conversation, or story they relate to them. We teach children to talk, think, compare, plan, and analyze. And as we do, their innocence falls away like petals from a flower, to be replaced by the thorns and stiff branches of fear, self-criticism, and pretense. We cannot prevent this gradual transformation, nor can we fully soften it. Our children must enter into the terrifying world of verbal knowledge. They must become like us.

I dial her mum's number, then sit down cross-legged, facing the wall. When she comes on the line, she sounds uncertain, hesitant. 'Hey! Guess where I am?' I ask, my voice loud with false cheer. 'Rami told me. The Wellesly Hospital in Worthing. What's it like?' 'For a loony-bin it's actually quite decent,' I reply. 'I don't have Sky or an en-suite, and the menu isn't exactly à la carte, but you know...' I tail off. There is a silence. 'Do you have your own room?' Jenna asks, 'Oh yeah, yeah. I have a lovely view of the sea between the bars of my window.' She doesn't laugh. 'Have you started' -there is a pause as she searches for the right word -'threatment?' 'Yeah, yeah. We had group therapy today. Tomorrow we'll probably have art therapy - maybe I'll draw you a hourse and a garden. I know, perhaps they'll teach us to make baskets! Isn't that why they call us basket cases?' 'Flynn, stop,' Jennah softly implores. 'And we'll probably have music therapy the day after. Maybe I'll get to play the tambourine. Or the triangle. I've always wanted to play the triangle!' 'Flynn-' 'No, I'm serious! I'll ask for some manuscript paper and see if I can write a composition for tambourine and triangle. Then I can post if off to you to hand in for my next composition assignment.' 'Flynn, listen-' 'Hold on, hold on! I'm making a note to myself now: Find fellow insane musician and start composing the Flynn Laukonen Sonata for Tambourine and Triangle.' 'Flynn-' 'And then, when they let me out, if they ever let me out, perhaps you could pull a few strigns and organize for me and my tambourine buddy to give a recital. I'm not sure where though -how about the subway at Marble Arch tube? Nice and central, good acoustics-' 'What are the other people like?' Jennah cuts in, an edge to her voice. I notice she doesn't use the word patients. Clever Jennah. For a moment there you almost made me forget I was locked up in a mental institution. 'Round the bend, just like me,' I reply. 'I'm in excellent company. We'll be swapping suicide tips in no time at all!' I give a harsh laugh.

Colby arrived the next day, with stitches down one lean cheek and a new prosthesis. He held it up as Cecily came out to the car to greet him. He held it up as Cecily came out to the car to greet him. “Nice, huh? Doesn’t it look more realistic than the last one?” “What happened to the last one?” she asked. “Got blown off. Don’t ask where,” he added darkly. “I know nothing,” she assured him. “Come on in. Leta made sandwiches.” Leta had only seen Colby once, on a visit with Tate. She was polite, but a little remote, and it showed. “She doesn’t like me,” Colby told Cecily when they were sitting on the steps later that evening. “She thinks I’m sleeping with you,” she said simply.” So does Tate.” “Why?” “Because I let him think I was,” she said bluntly. He gave her a hard look. “Bad move, Cecily.” “I won’t let him think I’m waiting around for him to notice me,” she said icily. “He’s already convinced that I’m in love with him, and that’s bad enough. I can’t have him know that I’m…well, what I am. I do have a little pride.” “I’m perfectly willing, if you’re serious,” he said matter-of-factly. His face broke into a grin, belying the solemnity of the words. “Or are you worried that I might not be able to handle it with one arm?” She burst out laughing and pressed affectionately against his side. “I adore you, I really do. But I had a bad experience in my teens. I’ve had therapy and all, but it’s still sort of traumatic for me to think about real intimacy.” “Even with Tate?” he probed gently. She wasn’t touching that line with a pole. “Tate doesn’t want me.” “You keep saying that, and he keeps making a liar of you.” “I don’t understand.” “He came to see me last night. Just after I spoke to you.” He ran his fingers down his damaged cheek. She caught her breath. “I thought you got that overseas!” “Tate wears a big silver turquoise ring on his middle right finger,” he reminded her. “It does a bit of damage when he hits people with it.” “He hit you? Why?” she exclaimed. “Because you told him we were sleeping together,” he said simply. “Honest to God, Cecily, I wish you’d tell me first when you plan to play games. I was caught off guard.” “What did he do after he hit you?” “I hit him, and one thing led to another. I don’t have a coffee table anymore. We won’t even discuss what he did to my best ashtry.” “I’m so sorry!” “Tate and I are pretty much matched in a fight,” he said. “Not that we’ve ever been in many. He hits harder than Pierce Hutton does in a temper.” He scowled down at her. “Are you sure Tate doesn’t want you? I can’t think of another reason he’d try to hammer my floor with my head.” “Big brother Tate, to the rescue,” she said miserably. She laughed bitterly. “He thinks you’re a bad risk.” “I am,” he said easily. “I like having you as my friend.” He smiled. “Me, too. There aren’t many people who stuck by me over the years, you know. When Maureen left me, I went crazy. I couldn’t live with the pain, so I found ways to numb it.” He shook his head. “I don’t think I came to my senses until you sent me to that psychologist over in Baltimore.” He glanced down at her. “Did you know she keeps snakes?” he added. “We all have our little quirks.

The story begins with the revelation Alicia murdered her husband. Why do you think the author made this admission at the very start?   2.  Alicia’s diary plays a key role in the book. What purpose do you think it serves? And does your perception of Alicia change the more you read?   3.  Alicia’s silence is related to the Greek myth of Alcestis. How do you feel about the story of the myth? Why do you think Alicia is silent?   4.  Theo’s motives to work with Alicia are complicated. Do you think he wanted to help her?   5.  Both Alicia and Theo had difficult childhoods. Early on, Theo says no one is born evil. That who we become depends on the environment into which we are born. By the end of the novel he appears to change his mind, saying that perhaps some of us are born evil, and, despite therapy, we remain that way. Which do you think is true?   6.  Weather plays a large role in the book, such as the heat wave during the summer. What purpose do you think the description of the weather serves in the novel?   7.  Do you think the world of a psychiatric unit was convincingly portrayed? How do you feel about Diomedes and the other psychiatrists?   8.  We never enter Kathy’s mind in the book. Do you have any sympathy for her?   9.  What do you think happens at the end of the book? The last line is ambiguous. 10.  It’s a psychological thriller with a twist. The author has said he was influenced by Agatha Christie. Did you feel this was simply a detective story or are there any other influences you can spot?

Psychoanalysis has suffered the accusation of being “unscientific” from its very beginnings (Schwartz, 1999). In recent years, the Berkeley literary critic Frederick Crews has renewed the assault on the talking cure in verbose, unreadable articles in the New York Review of Books (Crews, 1990), inevitably concluding, because nothing else really persuades, that psychoanalysis fails because it is unscientific. The chorus was joined by philosopher of science, Adolf Grunbaum (1985), who played both ends against the middle: to the philosophers he professed specialist knowledge of psychoanalysis; to the psychoanalysts he professed specialist knowledge of science, particularly physics. Neither was true (Schwartz, 1995a,b, 1996a,b, 2000). The problem that mental health clinicians always face is that we deal with human subjectivity in a culture that is deeply invested in denying the importance of human subjectivity. Freud’s great invention of the analytic hour allows us to explore, with our clients, their inner worlds. Can such a subjective instrument be trusted? Not by very many. It is so dangerously close to women’s intuition. Socalled objectivity is the name of the game in our culture. Nevertheless, 100 years of clinical practice have shown psychoanalysis and psychotherapy not only to be effective, but to yield real understandings of the dynamics of human relationships, particularly the reality of transference–countertransference re-enactments now reformulated by our neuroscientists as right brain to right brain communication (Schore, 1999).

Epsom Salt - Don't underestimate the powerful healing effects of regular Epsom salt.  Soaking in hot water infused with Epsom salts (magnesium sulfate) boosts blood levels of the ever important mineral magnesium, by as much as 35% in just 1 week.  Magnesium is a critical mineral that too many people are deficient in.  If you suffer from muscle tightness, stiffness, spasms, aches and pains, then buying Epsom salt in bulk and adding it to a hot bath 3 times a week, will bring magical relief to your discomfort.  The magnesium in Epsom salt will also bring much wanted relief to those who find themselves in a chronic state of tension, stress and anxiety.   The human body requires magnesium to manufacture the 2 enzymes quinone reductase, and glutathione S-transferase, both of which assist in neutralizing and eliminating chemical toxins.  Being deficient in magnesium, puts a significant damper on your body’s detoxification abilities. Magnesium also plays a critical role in regulating nerve and muscle activity, to help shield the body against the ravages and dangerous cumulative effects of stress.  Add 2-4 cups of pure Epsom salt to a hot bath several times a week, and see for yourself the incredible difference it makes.  Epsom salt baths can often turn even the most "bath-shy" guy, into a tub lover.   Most people can enjoy these detoxifying baths as often as they like.  The exception would be for those who suffer from any type of heart condition, epilepsy, narcolepsy, and pregnant women, all of whom, should only use bath therapy under the guidance and care of their health care provider.

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.

Designori's face had clouded over once more. "Some times," he said resignedly, "it seems to me that we have not only two different languages and ways of expressing ourselves, each of which can only vaguely be translated into the other, but that we are altogether and fundamentally different creatures who can never understand each other. Which of us is really the authentic and integral human being, you or me? Every so often I doubt that either of us is. There were times when I looked up to you members of the Order and Glass Bead Game players with such reverence, such a sense of inferiority, and such envy that you might have been gods or supermen, forever serene, forever playing, forever enjoying your own existences, forever immune to suffering. At other times you seemed to me either pitiable or contemptible, eunuchs, artificially confined to an eternal childhood, child-like and childish in your cool, tightly fenced, neatly tidied playground and kindergarten, where every nose is carefully wiped and every troublesome emotion is soothed, every dangerous thought repressed, where everyone plays nice, safe, bloodless games for a lifetime and every jagged stirring of life, every strong feeling, every genuine passion, every rapture is promptly checked, deflected, and neutralized by meditation therapy. Isn't it artificial, sterilized, didactically pruned world, a mere sham world in which you cravenly vegetate, a world without vices, without passions, without hunger, without sap and salt, a world without family, without mothers, without children, almost without women? The instinctual life is tamed by meditation. For generations you have left to others dangerous, daring, and responsible things like economics, law, and politics. Cowardly and well-protected, fed by others, and having few burdensome duties, you lead your drones' lives, and so that they won't be too boring you busy yourselves with all these erudite specialties, count syllables and letters, make music, and play the Glass Bead Game, while outside in the filth of the world poor harried people live real lives and do real work.

It's possible to see how much the brand culture rubs off on even the most sceptical employee. Joanne Ciulla sums up the dangers of these management practices: 'First, scientific management sought to capture the body, then human relations sought to capture the heart, now consultants want tap into the soul... what they offer is therapy and spirituality lite... [which] makes you feel good, but does not address problems of power, conflict and autonomy.'¹0 The greatest success of the employer brand' concept has been to mask the declining power of workers, for whom pay inequality has increased, job security evaporated and pensions are increasingly precarious. Yet employees, seduced by a culture of approachable, friendly managers, told me they didn't need a union - they could always go and talk to their boss. At the same time, workers are encouraged to channel more of their lives through work - not just their time and energy during working hours, but their social life and their volunteering and fundraising. Work is taking on the roles once played by other institutions in our lives, and the potential for abuse is clear. A company designs ever more exacting performance targets, with the tantalising carrot of accolades and pay increases to manipulate ever more feverish commitment. The core workforce finds itself hooked into a self-reinforcing cycle of emotional dependency: the increasing demands of their jobs deprive them of the possibility of developing the relationships and interests which would enable them to break their dependency. The greater the dependency, the greater the fear of going cold turkey - through losing the job or even changing the lifestyle. 'Of all the institutions in society, why let one of the more precarious ones supply our social, spiritual and psychological needs? It doesn't make sense to put such a large portion of our lives into the unsteady hands of employers,' concludes Ciulla. Life is work, work is life for the willing slaves who hand over such large chunks of themselves to their employer in return for the paycheque. The price is heavy in the loss of privacy, the loss of autonomy over the innermost workings of one's emotions, and the compromising of authenticity. The logical conclusion, unless challenged, is capitalism at its most inhuman - the commodification of human beings.

His phone dinged again. “This crazy-ass voicemail. It’s all jacked—Wait, when did you call me?” “Please don’t listen to that,” I blurted. He grinned. “Okay, now I have to hear it. Was this last night? Were you drunk? Did you drunk-dial me?” he teased. But it was too late, he’d already lifted the phone. Bile rose in my throat and the room became a thousand degrees hotter. “Please. Don’t.” “Why? What’s wrong?” He grew quiet and listened. “I don’t hear anything. Wait. You didn’t mean to call, did you? Is that another guy?” I put my face in my hands. Cade was quiet as he listened. And I prayed for a giant black hole to open and swallow me. His phone made a soft thump as he tossed it onto the coffee table. The couch moved with him as he settled back. “You can uncover your face now.” His tone didn’t sound angry but I still couldn’t face him. His hands slid around my wrists and gently tugged, forcing me to lower them. I swallowed the lump in my throat, annoyed that I didn’t even have my own car to leave. “Was that your roommate?” he asked. I nodded, my face still tucked down. “And…her boyfriend?” “No, her best friend.” “So you told your roommate about me?” I could hear the smile in his voice and looked up. “I mean, I assume you don’t know a bunch of ‘therapy dog’ guys named Cade, but I could be wrong.” “You aren’t pissed about what you heard?” “All I heard were some friends teasing you…about me. They think you want me. Bad.” He grinned. “And what I said?” “Were you serious? Because to me you sounded annoyed, maybe even defensive. And considering you stayed home last night and are with me tonight, I don’t think you really planned a, how did you put it? ‘Weekend fuckfest.’ ” He bit back a smile. “You were never supposed to hear that.” I crossed my arms. “And I expected you to be upset, not tease me about it.” He grabbed my hand. “C’mon, I’m sorry. Did you want to have a weekend fuckfest? I don’t want to interfere with your plans.” He tugged my hand, urging me to look up. “Look, we can have one. I’m game. Don’t stop on account of me.” “Shut up.” His hand made its way to my arm and he slid me along the leather couch, and tucked me into him. “Quit being all grumpy. I’m RSVPing to your fuckfest. I mean, I’ve never had one, but it seems pretty self-explanatory.” “You’re an asshole.” And by that I really meant the most perfect fucking guy ever. Who hears something like that and plays it totally cool? “So, am I also supposed to bend you over a table or something? Because I think your roommate might have mentioned that as well.” I shoved him back while trying hard not to smile. “I hate you.” He laughed and scooped me into his lap. “If it makes you feel any better, my roommate knows I have the hots for you too.” I rolled my eyes

PATTERNS OF THE “SHY” What else is common among people who identify themselves as “shy?” Below are the results of a survey that was administered to 150 of my program’s participants. The results of this informal survey reveal certain facts and attitudes common among the socially anxious. Let me point out that these are the subjective answers of the clients themselves—not the professional opinions of the therapists. The average length of time in the program for all who responded was eight months. The average age was twenty-eight. (Some of the answers are based on a scale of 1 to 5, 1 being the lowest.) -Most clients considered shyness to be a serious problem at some point in their lives. Almost everyone rated the seriousness of their problem at level 5, which makes sense, considering that all who responded were seeking help for their problem. -60 percent of the respondents said that “shyness” first became enough of a problem that it held them back from things they wanted during adolescence; 35 percent reported the problem began in childhood; and 5 percent said not until adulthood. This answer reveals when clients were first aware of social anxiety as an inhibiting force. -The respondents perceived the average degree of “sociability” of their parents was a 2.7, which translates to “fair”; 60 percent of the respondents reported that no other member of the family had a problem with “shyness”; and 40 percent said there was at least one other family member who had a problem with “shyness.” -50 percent were aware of rejection by their peers during childhood. -66 percent had physical symptoms of discomfort during social interaction that they believed were related to social anxiety. -55 percent reported that they had experienced panic attacks. -85 percent do not use any medication for anxiety; 15 percent do. -90 percent said they avoid opportunities to meet new people; 75 percent acknowledged that they often stay home because of social fears, rather than going out. -80 percent identified feelings of depression that they connected to social fears. -70 percent said they had difficulty with social skills. -75 percent felt that before they started the program it was impossible to control their social fears; 80 percent said they now believed it was possible to control their fears. -50 percent said they believed they might have a learning disability. -70 percent felt that they were “too dependent on their parents”; 75 percent felt their parents were overprotective; 50 percent reported that they would not have sought professional help if not for their parents’ urging. -10 percent of respondents were the only child in their families; 40 percent had one sibling; 30 percent had two siblings; 10 percent had three; and 10 percent had four or more. Experts can play many games with statistics. Of importance here are the general attitudes and patterns of a population of socially anxious individuals who were in a therapy program designed to combat their problem. Of primary significance is the high percentage of people who first thought that “shyness” was uncontrollable, but then later changed their minds, once they realized that anxiety is a habit that can be broken—without medication. Also significant is that 50 percent of the participants recognized that their parents were the catalyst for their seeking help. Consider these statistics and think about where you fit into them. Do you identify with this profile? Look back on it in the coming months and examine the ways in which your sociability changes. Give yourself credit for successful breakthroughs, and keep in mind that you are not alone!

THE VISION EXERCISE Create your future from your future, not your past. WERNER ERHARD Erhard Founder of EST training and the Landmark Forum The following exercise is designed to help you clarify your vision. Start by putting on some relaxing music and sitting quietly in a comfortable environment where you won’t be disturbed. Then, close your eyes and ask your subconscious mind to give you images of what your ideal life would look like if you could have it exactly the way you want it, in each of the following categories: 1. First, focus on the financial area of your life. What is your ideal annual income and monthly cash flow? How much money do you have in savings and investments? What is your total net worth? Next . . . what does your home look like? Where is it located? Does it have a view? What kind of yard and landscaping does it have? Is there a pool or a stable for horses? What does the furniture look like? Are there paintings hanging in the rooms? Walk through your perfect house, filling in all of the details. At this point, don’t worry about how you’ll get that house. Don’t sabotage yourself by saying, “I can’t live in Malibu because I don’t make enough money.” Once you give your mind’s eye the picture, your mind will solve the “not enough money” challenge. Next, visualize what kind of car you are driving and any other important possessions your finances have provided. 2. Next, visualize your ideal job or career. Where are you working? What are you doing? With whom are you working? What kind of clients or customers do you have? What is your compensation like? Is it your own business? 3. Then, focus on your free time, your recreation time. What are you doing with your family and friends in the free time you’ve created for yourself? What hobbies are you pursuing? What kinds of vacations do you take? What do you do for fun? 4. Next, what is your ideal vision of your body and your physical health? Are you free of all disease? Are you pain free? How long do you live? Are you open, relaxed, in an ecstatic state of bliss all day long? Are you full of vitality? Are you flexible as well as strong? Do you exercise, eat good food, and drink lots of water? How much do you weigh? 5. Then, move on to your ideal vision of your relationships with your family and friends. What is your relationship with your spouse and family like? Who are your friends? What do those friendships feel like? Are those relationships loving, supportive, empowering? What kinds of things do you do together? 6. What about the personal arena of your life? Do you see yourself going back to school, getting training, attending personal growth workshops, seeking therapy for a past hurt, or growing spiritually? Do you meditate or go on spiritual retreats with your church? Do you want to learn to play an instrument or write your autobiography? Do you want to run a marathon or take an art class? Do you want to travel to other countries? 7. Finally, focus on the community you’ve chosen to live in. What does it look like when it is operating perfectly? What kinds of community activities take place there? What charitable, philanthropic, or volunteer work? What do you do to help others and make a difference? How often do you participate in these activities? Who are you helping? You can write down your answers as you go, or you can do the whole exercise first and then open your eyes and write them down. In either case, make sure you capture everything in writing as soon as you complete the exercise. Every day, review the vision you have written down. This will keep your conscious and subconscious minds focused on your vision, and as you apply the other principles in this book, you will begin to manifest all the different aspects of your vision.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.

Ways to train puppies or pet dogs efficiently? Individuals have to choose the qualified puppy shop in order to get large collection of puppy devices. Various categories of canines for sale in Miami and animal owners can make use of that chance to get high quality young puppies. Focus and concentration of the pet dogs can get enhanced when they train their puppies in a qualified training company. Consumer young puppies will certainly well-adjust with other one only when they get training from certified canine fitness instructor. Responsible and social characters will certainly get established when these puppies attend training in their young duration. If they desire to know dogs for sale in Miami, they have to refer a number of online puppy shops offered on the web. Though they get the puppies in miami from the best dogs for sale in Miami, they need to comprehend the feeding options. Medical therapy and feeding practices plays an essential role in growing puppies in a healthy manner. Getting puppies from online store is a better way for the user because they can avoid the confusing tasks. One can analyze the pros and cons of different kinds of puppies in a steady manner using the internet facility. People have to find the website that offer dogs and dog accessories at reasonable that will certainly convenience their consumer. Handling, socialization and training is essential for dogs in order to improve the capabilities of dogs. Puppies will get easily attached to the relative when it gets correct and efficient training. Number of effective suggestions and suggestions are offered on the web to grow the puppies or dogs without getting impacted from illness. One should get at least small history of the puppies from the stores to know the breeding capability of canines. Husky and poodle young puppies have vast understanding, and it will quickly comprehend the things by offering appropriate training.

In a study published in 2005 psychologist Steven A. Safren of Mass General and his colleagues showed that 12 training sessions, focused on adopting organizational strategies, combined with medication, was more effective for ADHD symptoms than medication alone in 31 adults with ADHD. In a followup study published in 2010 Safren found that 12 weeks of training in organizational techniques relieved the burden of ADHD in 79 adult patients more than relaxation therapy of the same duration did. Therapy can also curtail impulsive decision making. In our own clinical practices, we ask clients to pick “critical moments” in which they tend to stray from their intended course. Such a moment might be deciding to play one more video game instead of going to bed on time or hitting snooze on the alarm clock, until a person is so rushed that gym clothes are forgotten and the planned exercise never

But   that   took   time:   time   for   him   to   work   through   his   powerful   negative   feelings;   time   to   learn   new   ways   of   coping   with   frustration;  time  to  learn  how  to  play  with  his  peers;  time  to  learn  how  to  deal  with  his   parent’s  self-‐destructive  tendencies  as  they  affected  him;  and,  finally,  time  to  achieve  a   sense   of   self-‐esteem   and   autonomy,   rather   than   the   self-‐deprecating   attitude   and   bossy,  controlling  stance  he  had  brought  to  the  play  therapy  process.

Growth is a slow process and so is change in behaviour. The therapist must be patient with the process.

Play therapy is one of the most frequently used individual therapies for young children or older children who do not easily verbalize their feelings. Older children who are able to express themselves more typically participate in individual talk-based therapy. Play therapy is considered an individual therapy because it involves only the child and therapist, not the parent. Play therapy involves the use of dolls, drawings, sand play, or other manipulatives, which allow children to reveal their feelings through the play modality.

Nice hammer,” Harlow said from behind me. “Hey,” I said, glancing around casually to see if Winnie was with her. “Nice shiner.” “You should see the other chick,” she muttered. “Can we talk?” Setting down my hammer, I followed her away from the other guys. Harlow seemed tense and I worried something was wrong with Winnie. “This is awkward and I feel weird coming here like this,” she said, pushing her blonde hair behind her ears. “Are you dating anyone?” My breath caught. A fear rose up in my chest at the thought of Harlow wanting to date me. What would that mean for me and Winnie? The look in Harlow’s eyes calmed my terror. I might as well have been a brick wall based on the lack of attraction she showed. “No.” “Some girl was hugging you outside a restaurant. Wasn’t that a date?” Frowning, I scratched at my jaw where I forgot to shave that morning. “That was a girl from high school. She might have been into me, but we went out as friends. I’m not dating anyone.” “Winnie saw you with that girl and she got really upset. I know she’s not ready to have a boyfriend, but she wants you. Do you want her?” Playing it cool might be the stud move, but I didn’t want to be a player. I wanted Winnie. Besides, for the second time in twenty four hours, someone close to Winnie wanted to play matchmaker. “Yes.” Harlow nodded. “She’s messed up. You know that, right?” “I know she’s fragile, yeah.” “Winnie has a lot of phobias. Not stupid shit for attention, but real chronic problems that won’t go away because you’re hot. She’s been in therapy for years and gotten stronger, but she’ll never be okay.” “I understand.” Harlow bit her lip then nodded again. “Do you want to take her out to dinner tomorrow?” “Yes.” Harlow smiled. “You better be chattier than that on the date or else no one will say anything. Winnie likely won’t say anything all night, but that doesn’t mean she doesn’t want to. She just takes a long time to warm up to people.” I wasn’t sure what Harlow saw on my face, but she grinned. “She really wants to warm up to you, Dylan. Don’t fuck it up, okay?” “I’ll do my best.” When Harlow narrowed her eyes, I was pretty sure she might hit me. “I appreciate the way you tried to save us that day. You showed balls and I respect that. With that said, you better be taking this seriously, understand?” Leaning closer, I stared right into those suspicious eyes. “No one makes me feel like Winnie. If she needs to take it slow, we’ll go slow. If she wants to rush into it, we’ll rush. If she needs me to stand on my fucking head and sing the National Anthem, I’ll do it. So yes, I’m taking this very seriously,” I said, running a hand where short dark stubble took the place of my mohawk. “I told Winnie I would wait and I meant it. What you think is me being passive is just patience.” “Okay,” Harlow said softly. “You know when I came to Ellsberg, I was pretty messed up. My family was dead and I was in this new place with strangers. Winnie took care of me. She became my sister and best friend. I love her like she’s blood. Nothing personal, but if you hurt her, I’ll have to kill you.” “Fair enough,” I said, grinning. “Smile all you want, buddy, but I’ve got moves.” Harlow faked a punch, but I didn’t flinch. My mind was already focused on tomorrow. I hadn’t talked to Winnie since the day Nick’s dad showed up. I hadn’t seen her close up in weeks. I needed to be close to her even if she couldn’t do more than hide behind her hair all night.

I also discovered that other forms of side-to-side movement besides the eyes could be effective. Therapists could also use taps alternating from hand to hand or tones played from one ear to the other.

As negotiations seemed to be grinding to a halt, we were all feeling frustrated. Steve looked around at John, Judi, and the others. He could see that everybody had gotten a bit stretched on all our various projects. He decided we needed a break. He didn’t lead us into the bush this time. Instead, Steve said a magic word. “Samoa.” “Sea snakes?” I asked. “Surfing,” he said. He planned a ten-day shoot for a surfing documentary. Steve loved surfing almost as much as he loved wildlife. The pounding his body had taken playing rugby, wrestling crocs, and doing heavy construction at the zoo had left him with problem knees and a bad shoulder. He felt his time tackling some of the biggest surf might be nearing an end. In Samoa, Steve didn’t spend just a few hours out in the waves. He would be out there twelve to fourteen hours a day. I didn’t surf, but I was awestruck at Steve’s ability to stare down the face of a wave that was as high as a building. He had endurance beyond any surfer I had ever seen. Steve had a support boat nearby, so he could swim over, get hydrated, or grab a protein bar. But that was it. He didn’t stop for lunch. He would eat breakfast, surf all day, and then eat a big dinner. I knew this was the best therapy for him. Surfing at Boulders was downright dangerous, but Steve reveled in the challenge. He surfed with Wes, his best mate in the world. I sat on a rocky point with my eye glued to the camera so I wouldn’t miss a single wave. While Bindi gathered shells and played on the beach under her nanny’s watchful eye, I admired Steve with his long arms and broad shoulders, powerfully paddling onto wave after wave. Not even the Pacific Ocean with its most powerful sets could slow him down. He caught the most amazing barrels I have ever seen, and carved up the waves with such ferocity that I didn’t want the camera to miss a single moment. On the beach in Samoa, while Bindi helped her dad wax his board, I caught a glimpse of joy in eyes that had been so sad.

I like watching from inside, as if locked away and stealing the distinct pleasure of a high school marching band drum section’s pure perfection. How stoically they play in the exhaust of a fire engine’s wake.

The modified Mozart used by Tomatis, Paul, iLs, and others over time in an individualized therapy must be distinguished from claims made in the media in the 1990s that mothers could raise the IQ of their children by having them briefly listen to unfiltered Mozart. This claim was based on a study not of mothers and babies but of college students who listened to Mozart ten minutes a day and improved IQ scores on spatial reasoning tests—an effect that lasted only ten to fifteen minutes! Hype aside, different studies by Gottfried Schlaug, Christo Pantev, Laurel Trainor, Sylvain Moreno, and Glenn Schellenberg have shown that sustained music training, such as learning to play an instrument, can lead to brain change, enhance verbal and math skills, and even modestly increase IQ.]

I’m going to guess that in our seventeen years together, Joe and I have eaten an average of at least one meal out a week—plus at least one or two weeks a year when we are on vacation and we get to enjoy twenty-one restaurant meals. Using this rough calculation, I have heard my husband utter that exact line approximately one thousand four hundred times. If I didn’t madly love the man, or I had years of bitter resentment born of unmet needs and unheard desires festering in me, I can see where this might make me want to stick something sharp into his eye socket and twist it around a few dozen times for good measure. But I do and I don’t, respectively, so his attempted joke is actually endearing. It’s one of his things that I’d miss tragically if it went away. It would be that “Yeah, I hated it” line—not his dashing good looks or prowess with power tools or skills on the basketball court or anything else the rest of the world can plainly see—that I’d get most choked up on if I were delivering his eulogy today. There was a breakthrough, pivotal scene in the epically good movie Good Will Hunting, where Robin Williams plays a therapist reminiscing about his dead wife with his patient (Matt Damon). “She used to fart in her sleep,” Williams tells the clueless Damon character during an otherwise unproductive therapy session. “One night it was so loud it woke the dog up . . . She’s been dead two years, and that’s the shit I remember . . . little things like that, those are the things I miss the most. Those little idiosyncrasies that only I knew about; that’s what made her my wife. People call these things imperfections, but they’re not. No, that’s the good stuff.” That.

I am not all knowing. Therefore, I will not even attempt to be. I need to be loved. Therefore, I will be open to loving children. I want to be more accepting of the child in me. Therefore, I will with wonder and awe allow children to illuminate my world.

In some families, pets appeared to play a small, yet significant role in a child’s adjustment to his new family. Three families reported that family pets provided a wonderful opportunity for their newly adopted toddlers to play and be affectionate. In fact, some parents said that their children were more affectionate with the family pets than they were with family members for some time. One of my favorite family photographs captured a heartwarming kiss Gustavo planted on the lips of our 125-pound Malamute a few months after arriving home. That kiss was one of Gustavo’s first spontaneous displays of affection. I can understand why so many different therapy programs have recognized the benefit of the role animals can play in reaching people who are depressed, stressed, withdrawn, and angry. Some children seem to feel safer expressing affection toward an animal than they do toward an adult.

We waited what seemed like forever in the emergency room, but I was eventually admitted. The news was not good. X-rays showed a break; plus, I’d torn all three ligaments. It couldn’t have been any worse. The doctor said I would be in a cast for at least three months, and after that I would need physical therapy to get my strength back. He wanted to do surgery, but Dad always says, “The last thing you ever want ‘em to do is cut on you,” so we turned down the surgery. The doctor warned me that I might not be able to walk right again, but I decided to take my chances and try to heal on my own. I was discharged with painkillers, crutches, and a cast and hobbled to the car. As I rested over the next few days, reality began to set in. If I couldn’t jump or run or maybe not even walk, I wouldn’t be able to practice basketball. If I couldn’t practice, I wasn’t going to be able to play on the team my junior or senior years. If I couldn’t play basketball, I wasn’t going to get scouted by colleges, and I wasn’t going to earn a scholarship. My basketball career was over. Maybe it had all been a pipe dream, but it had been on my heart for so many years. In a split second, my life changed completely. My basketball dreams were crushed. I no longer had anything to work for. No more practices, scrimmages, or games. No more drills at home or three-point-shot marathons until dark. My freak accident not only destroyed my ankle, it destroyed my identity and everything for which I lived and breathed. I was going to have to reinvent myself. And that’s when everything started to go bad.

See, there’s this little relationship we have with the drug lords—the legal drug lords. If we play cool with them, they play cool with us. And sometimes we get some nice toys.

One necklace wasn't enough retail therapy to keep this melancholy at bay.

I’d barely closed the door behind me and tossed my keys into the little dish by the door when my phone rang. Not my cell phone, which was silent in my bag, but the old-school landline attached to the wall in the kitchen. It didn’t have caller ID, but I knew who it was. There was only one person in my life who had the number. “Hey, Mom.” “Hi, honey, I heard your car. Did you have dinner? We just finished eating, but I can fix you a plate.” “No. No, I’m fine. I ate when I was out.” I slid my little leather backpack off my shoulders, the buttery blue leather bag I’d bought just as Faire had ended—I hadn’t been kidding about the retail therapy—and dropped it onto my kitchen table. “I’m kind of tired; it’s been a long day. I think I’ll watch a little TV and turn in.” See? Semi-independence. Mom didn’t call every night, but often enough to remind me that in some ways—in most ways—I still lived at home. I loved my parents, but it was getting old. Hell, I was getting old. I was almost twenty-seven, for God’s sake. That feeling of getting older without really being allowed to grow up lingered, and that feeling combined with the sight of Emily’s engagement ring. I’m gonna miss her. Now that stray thought made sense. Getting married, becoming a wife. And what was I doing? Going out to Jackson’s every Friday night and posting the same selfies on Instagram. I needed to get a life. I needed another glass of wine.

He’s trying to determine what’s known as my attachment style. Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in people’s adult relationships too, influencing the kinds of partners they pick (stable or less stable), how they behave during the course of a relationship (needy, distant, or volatile), and how their relationships tend to end (wistfully, amiably, or with a huge explosion). The good news is that maladaptive attachment styles can be modified in adulthood—this, in fact, is a lot of the work of therapy.

We are cradlers of secrets. Every day patients grace us with their secrets, often never before shared. Receiving such secrets is a privilege given to very few. The secrets provide a backstage view of the human condition without social frills, role playing, bravado, or stage posturing. Sometimes the secrets scorch me and I go home and hold my wife and count my blessings. Other secrets pulsate within me and arouse my own fugitive, long-forgotten memories and impulses. Still others sadden me as I witness how an entire life can be needlessly consumed by shame and the inability to forgive oneself. Those who are cradlers of secrets are granted a clarifying lens through which to view the world—a view with less distortion, denial, and illusion, a view of the way things really are. (Consider, in this regard, the titles of books written by Allen Wheelis, an eminent psychoanalyst: The Way Things Are, The Scheme of Things, The Illusionless Man.) When I turn to others with the knowledge that we are all (therapist and patient alike) burdened with painful secrets—guilt for acts committed, shame for actions not taken, yearnings to be loved and cherished, deep vulnerabilities, insecurities, and fears—I draw closer to them. Being a cradler of secrets has, as the years have passed, made me gentler and more accepting. When I encounter individuals inflated with vanity or self-importance, or distracted by any of a myriad of consuming passions, I intuit the pain of their underlying secrets and feel not judgment but compassion and, above all, connectedness. When I was first exposed, at a Buddhist retreat, to the formal meditation of loving-kindness, I felt myself much at home. I believe that many therapists, more than is generally thought, are familiar with the realm of loving-kindness.