Serving Patients Quotes

Hide yourself in God, so when a man wants to find you he will have to go there first.

The country is in deep trouble. We've forgotten that a rich life consists fundamentally of serving others, trying to leave the world a little better than you found it. We need the courage to question the powers that be, the courage to be impatient with evil and patient with people, the courage to fight for social justice. In many instances we will be stepping out on nothing, and just hoping to land on something. But that's the struggle. To live is to wrestle with despair, yet never allow despair to have the last word.

love obsession often serves as a distraction, keeping the individual’s gaze from more painful thoughts.

I will love you with no regard to the actions of our enemies or the jealousies of actors. I will love you with no regard to the outrage of certain parents or the boredom of certain friends. I will love you no matter what is served in the world’s cafeterias or what game is played at each and every recess. I will love you no matter how many fire drills we are all forced to endure, and no matter what is drawn upon the blackboard in blurry, boring chalk. I will love you no matter how many mistakes I make when trying to reduce fractions, and no matter how difficult it is to memorize the periodic table. I will love you no matter what your locker combination was, or how you decided to spend your time during study hall. I will love you no matter how your soccer team performed in the tournament or how many stains I received on my cheerleading uniform. I will love you if I never see you again, and I will love you if I see you every Tuesday. I will love you if you cut your hair and I will love you if you cut the hair of others. I will love you if you abandon your baticeering, and I will love you if you if you retire from the theater to take up some other, less dangerous occupation. I will love you if you drop your raincoat on the floor instead of hanging it up and I will love you if you betray your father. I will love you even if you announce that the poetry of Edgar Guest is the best in the world and even if you announce that the work of Zilpha Keatley Snyder is unbearably tedious. I will love you if you abandon the theremin and take up the harmonica and I will love you if you donate your marmosets to the zoo and your tree frogs to M. I will love you as a starfish loves a coral reef and as a kudzu loves trees, even if the oceans turn to sawdust and the trees fall in the forest without anyone around to hear them. I will love you as the pesto loves the fettuccini and as the horseradish loves the miyagi, as the tempura loves the ikura and the pepperoni loves the pizza. I will love you as the manatee loves the head of lettuce and as the dark spot loves the leopard, as the leech loves the ankle of a wader and as a corpse loves the beak of the vulture. I will love you as the doctor loves his sickest patient and a lake loves its thirstiest swimmer. I will love you as the beard loves the chin, and the crumbs love the beard, and the damp napkin loves the crumbs, and the precious document loves the dampness in the napkin, and the squinting eye of the reader loves the smudged print of the document, and the tears of sadness love the squinting eye as it misreads what is written. I will love you as the iceberg loves the ship, and the passengers love the lifeboat, and the lifeboat loves the teeth of the sperm whale, and the sperm whale loves the flavor of naval uniforms. i will love you as a child loves to overhear the conversations of its parents, and the parents love the sound of their own arguing voices, and as the pen loves to write down the words these voices utter in a notebook for safekeeping. I will love you as a shingle loves falling off a house on a windy day and striking a grumpy person across the chin, and as an oven loves malfunctioning in the middle of roasting a turkey. I will love you as an airplane loves to fall from a clear blue sky and as an escalator loves to entangle expensive scarves in its mechanisms. I will love you as a wet paper towel loves to be crumpled into a ball and thrown at a bathroom ceiling and as an eraser loves to leave dust in the hairdos of people who talk too much. I will love you as a cufflink loves to drop from its shirt and explore the party for itself and as a pair of white gloves loves to slip delicately into the punchbowl. I will love you as the taxi loves the muddy splash of a puddle and as a library loves the patient tick of a clock.

The truth is that the more intimately you know someone, the more clearly you’ll see their flaws. That’s just the way it is. This is why marriages fail, why children are abandoned, why friendships don’t last. You might think you love someone until you see the way they act when they’re out of money or under pressure or hungry, for goodness’ sake. Love is something different. Love is choosing to serve someone and be with someone in spite of their filthy heart. Love is patient and kind, love is deliberate. Love is hard. Love is pain and sacrifice, it’s seeing the darkness in another person and defying the impulse to jump ship.

Those who too patiently serve as props sometimes underrate the possibilities of the vine.

The big system can be pretty overwhelming. We know that we can’t beat them by competing with them. What we can do is build small systems where we live and work that serve our needs as we define us and not as they ‘re defined for us. The big boys in their shining armor are up there on castle walls hurling their thunderbolts. We’re the ants patiently carrying sand a grain at a time from under the castle wall. We work from the bottom up. The knights up there don’t see the ants and don’t know what we’re doing. They’ll figure it out only when the wall begins to fall. It takes time and quiet persistence. Always remember this: They fight with money and we resist with time, and they’re going to run out of money before we run out of time

God is not in a hurry. He kept Abraham and Sarah waiting twenty-five years before Issac was born, and Issac and Rebekah waited twenty years for Esau and Jacob, Jacob had to wait fourteen years to get the bride he really wanted, and then he had to serve six more years to build up his flocks so he could be independent, a total of twenty years. Twenty-two years passed between Joseph's betrayal by his brothers and the brothers' reconciliation in Egypt. God is not in a hurry because all His works are done in love. "Love is patient, love is kind" (1 Cor.13:4). Let's be grateful that God takes His time.

Where in this wide world can a person find nobility without pride, friendship without envy or beauty without vanity? Here, where grace is laced with muscle and strength by gentleness confined. He serves without servility, he has fought without enmity. There is nothing so powerful, nothing less violent; there is nothing so quick, nothing more patient.

Narcissistic Supply You get discarded as supply for one of two reason: They find you too outspoken about their abuse. They prefer someone that will keep stroking their ego and remain their silent doormat. Or, they found new narcissistic supply. Either way, you can count on the fact that they planned your devaluation phase and smear campaign in advance, so they could get one more ego stroke with your reaction. Narcissists are angry, spiteful takers that don't have empathy, remorse or conscience. They are incapable of unconditional love. Love to them is giving only when it serves them. They gaslight their victims by minimizing the trauma they have caused by blaming others or stating you are too sensitive. They never feel responsible or will admit to what they did to you. They have disordered thinking that is concerned with their needs and ego. It is not uncommon for them to hack their targets, in order to gain information about them. They enjoy mind games and control. This is their dopamine high. The sooner you distance yourself the healthier you will become. Narcissism can't be cured or prayed away. It is a mental disorder that turns the victims of its abuse into mental patients because it causes so much psychological manipulation.

Never underestimate the power of kindness. It is very contagious. A person whose heart is saddened by the troubles of this world, the loss of a friend or family member, a hard days work, or the struggle of provision can experience joy through a simple act of kindness. Romans 12: 10-12, Be kindly affectionate to one another with brotherly love, in honor giving preference to one another, not lagging in diligence, fervent in spirit, serving the Lord, rejoicing in hope, patient in tribulation, continually steadfastly in prayer.

Laws are not science; they are normative ideology and are thus tightly tied to power. Biomedicine and public health, though also vulnerable to being deformed by ideology, serve different imperatives, ask different questions. They do not ask whether an event or a process violates an existing rule; they ask whether that event or process has ill effects on a patient or a population.

Release what no longer serves you.

One of the great paradoxes of life is that self-awareness breeds anxiety. Fusion eradicates anxiety in a radical fashion—by eliminating self-awareness. The person who has fallen in love, and entered a blissful state of merger, is not self-reflective because the questioning lonely I (and the attendant anxiety of isolation) dissolve into the we. Thus one sheds anxiety but loses oneself. This is precisely why therapists do not like to treat a patient who has fallen in love. Therapy and a state of love-merger are incompatible because therapeutic work requires a questioning self-awareness and an anxiety that will ultimately serve as guide to internal conflicts. Furthermore,

Such a number of nights,' said the girl, with a touch of woman's tenderness, which communicated something like sweetness of tone, even to her voice; 'such a number of nights as I've been patient with you, nursing and caring for you, as if you had been a child: and this the first that I've seen you like yourself; you wouldn't have served me as you did just now, if you'd thought of that, would you? Come, come; say you wouldn't.

After Father had served the chicken and mashed potatoes and peas and Mother had passed the hot rolls, Beezus decidedthe time had come to tell Aunt Beatrice about being Sacajawea. "Do you know what I did last week?" she began. "I want some jelly," said Ramona "You mean, 'Please pass the jelly,' "corrected Mother while Beezus waited patiently. 'No, what did you do last week?" asked Aunt Beatrice. "Well, last week I-" Beezus began again. " like purple jelly better then red jelly," said Ramona. ' Ramona , stop interrupting your sister," said Father. "Well, Ido like purple jelly better then red jelly," insisted Ramona."Never mind," said Mother. "Go no, Beezus." Last week-" said Beezus, looking at her aunt, who smiled as if she understood."Excuse me, Beezus," Mother cut in. "Ramona, we do not put jelly on our mashed potatoes." "I like jelly on my mashed potatoes."Ramona stirred potato and jelly aroud with her fork. "Ramona you heard what your mother said." Father looked stern. "If I can ut butter on my mashed potateos, why can't I put jelly? I put butter and jelly on toast," said Ramona. Father couldn't help laughing. "That's a hard question to answer." "But Mother-" Beezus began."I like jelly on my mashed potateos," interrupted Ramona, looking sulky.

Love is patient. Love is kind. It does not eny anyone or anything. Love never boasts and it's never proud. Love is not rude, it's not self serving, self absorbed or conceited. Love is no t easily provoked to anger. It doesn't hold grudges nor does it keep records of who was right and who was wrong. Love does not consult with evil instead it rejoices in the truth. Love always protects. Love always trust. Love always hopes. Love always perseveres. And love never fails.

..I don't count Jennifer among my mistakes. She had a severe infection and precious little reserve. Nevertheless, I think of her often. Those minutes of terror and confusion I felt standing powerless in her room served as a visceral reminder throughout my training... that the big picture isn't enough in medicine...

Lastly, these findings tell me that the answer to the question of whether, as a group, MDs are primarily patient-serving or self-serving is . . . yes. They are each, depending on their attentional focus at the time.

Illness is always an interaction between [mind and body]. It can begin in the mind and affect the body, or it can begin in the body and affect the mind, both of which are served by the same bloodstream. Attempts to treat most mental diseases as though they were completely free of physical causes and attempts to treat most bodily diseases as though the mind were in no way involved must be considered archaic in the light of new evidence about the way the human body functions.

He had no longer free energy enough for spontaneous research and speculative thinking, but by the bedside of patients the direct external calls on his judgment and sympathies brought the added impulse needed to draw him out of himself. It was not simply that beneficent harness of routine which enables silly men to live respectably and unhappy men to live calmly - it was a perpetual claim on the immediate fresh application of thought, and on the consideration of another's need and trial. Many of us looking back through life would say that the kindest man we have ever known has been a medical man, or perhaps that surgeon whose fine tact, directed by deeply-informed perception, has come to us in our need with a more sublime beneficence than that of miracle-workers. Some of that twice-blessed mercy was always with Lydgate in his work at the Hospital or in private houses, serving better than any opiate to quiet and sustain him under anxieties and his sense of mental degeneracy.

There’s nothing easy about helping someone start the journey from life to death. “They also serve who only stand and wait,” the poet Milton said. It’s a line I often hear in my head at work, where standing and waiting can be the best service we offer.

I will love you with no regard to the actions of our enemies or the jealousies of actors. I will love you with no regard to the outrage of certain parents or the boredom of certain friends. I will love you no matter what is served in the world’s cafeterias or what game is played at each and every recess. I will love you no matter how many fire drills we are all forced to endure, and no matter what is drawn upon the blackboard in a blurring, boring chalk. I will love you no matter how many mistakes I make when trying to reduce fractions, and no matter how difficult it is to memorize the periodic table. I will love you no matter what your locker combination was, or how you decided to spend your time during study hall. I will love you no matter how your soccer team performed in the tournament or how many stains I received on my cheerleading uniform. I will love you if I never see you again, and I will love you if I see you every Tuesday. I will love you if you cut your hair and I will love you if you cut the hair of others. I will love you if you abandon your baticeering, and I will love you if you retire from the theater to take up some other, less dangerous occupation. I will love you if you drop your raincoat on the floor instead of hanging it up and I will love you if you betray your father. I will love you even if you announce that the poetry of Edgar Guest is the best in the world and even if you announce that the work of Zilpha Keatley Snyder is unbearably tedious. I will love you if you abandon the theremin and take up the harmonica and I will love you if you donate your marmosets to the zoo and your tree frogs to M. I will love you as the starfish loves a coral reef and as kudzu loves trees, even if the oceans turn to sawdust and the trees fall in the forest without anyone around to hear them. I will love you as the pesto loves the fetuccini and as the horseradish loves the miyagi, as the tempura loves the ikura and the pepperoni loves the pizza. I will love you as the manatee loves the head of lettuce and as the dark spot loves the leopard, as the leech loves the ankle of a wader and as a corpse loves the beak of the vulture. I will love you as the doctor loves his sickest patient and a lake loves its thirstiest swimmer. I will love you as the beard loves the chin, and the crumbs love the beard, and the damp napkin loves the crumbs, and the precious document loves the dampness in the napkin, and the squinting eye of the reader loves the smudged print of the document, and the tears of sadness love the squinting eye as it misreads what is written. I will love you as the iceberg loves the ship, and the passengers love the lifeboat, and the lifeboat loves the teeth of the sperm whale, and the sperm whale loves the flavor of naval uniforms. I will love you as a child loves to overhear the conversations of its parents, and the parents love the sound of their own arguing voices, and as the pen loves to write down the words these voices utter in a notebook for safekeeping. I will love you as a shingle loves falling off a house on a windy day and striking a grumpy person across the chin, and as an oven loves malfunctioning in the middle of roasting a turkey. I will love you as an airplane loves to fall from a clear blue sky and as an escalator loves to entangle expensive scarves in its mechanisms. I will love you as a wet paper towel loves to be crumpled into a ball and thrown at a bathroom ceiling and an eraser loves to leave dust in the hairdos of the people who talk too much. I will love you as a taxi loves the muddy splash of a puddle and as a library loves the patient tick of a clock. I will love you as a thief loves a gallery and as a crow loves a murder, as a cloud loves bats and as a range loves braes. I will love you as misfortune loves orphans, as fire loves innocence and as justice loves to sit and watch while everything goes wrong.

serves as prevention. Gives physical healing in the body. No matter what name is given to any problem; it will be solved, when the Blood of Jesus is brought in. If you keep pleading the Blood of Jesus, no matter how terrible an infirmity is, it will disappear by the power in the Blood of Jesus. If your life is pure and you lay your hands on any sickness, pleading the Blood of Jesus, it will vanish. You might wonder if it is really as simple as that but that is the Power in the Blood of Jesus. The Power in pleading the Blood of Jesus is yet to be understood by Man. Some people criticise those pleading the Blood of Jesus. It is because they have not passed through the valley, so they cannot know what it means. Someone who has never been tortured by a terminal disease cannot know what it means to be threatened by death, so he or she cannot understand why a cancer patient is praying fervently for healing, or why the person is jubilating after he or she has been miraculously healed. The preachers, who discourage people from praying fire prayers or pleading the Blood of Jesus, do so, because they have not experienced such things. The Blood of Jesus cannot dry up; neither can it lose its power. Therefore you can plead it a million times, if you want to. The more you plead the Blood of Jesus, the more the chance of totally submerging the disease, in the pool of the Blood

I regularly tell our seminary students that if I happen to visit the church in which one of them serves, I will not ask first, “Is this man a good preacher?” Rather, first of all I will ask the secretaries, office staff, janitors, and cleaners what it is like to work for this pastor. I will ask, “What kind of man is he? Is he a servant? Is he demanding and harsh, or his he patient, kind, and forbearing as a man in authority?” One of our graduates may preach great sermons, but if he is a pain to work for, then you know he will cause major problems in any congregation. Leaders in the church are required by Scripture to set an example in the areas of love, kindness, gentleness, patience, and forbearance before they are appointed to preach, teach, and rule. If we obediently require these attitudes and character traits of our leaders, what will our “new community” look like

THE RETURN OF THE REPRESSED: RELIVING DISSOCIATED EXPERIENCES The reexperiencing of previously dissociated traumatic events presents in a variety of complex ways. The central principle is that dissociated experiences often do not remain dormant. Freud's concept of the “repetition compulsion” is enormously helpful in understanding how dissociated events are later reexperienced. In his paper, "Beyond the Pleasure Principle," Freud (1920/ 1955) described how repressed (and dissociated) trauma and instinctual conflicts can become superimposed on current reality. He wrote: The patient cannot remember the whole of what is repressed in him, and what he cannot remember may be precisely the essential part of it. .. . He is obliged to repeat the repressed material as a contemporary experience instead of remembering it as something in the past. (p. 18) If one understands repression as the process in which overwhelming experiences are forgotten, distanced, and dissociated, Freud posited that these experiences are likely to recur in the mind and to be reexperienced. He theorized that this "compulsion to repeat" served a need to rework and achieve mastery over the experience and that it perhaps had an underlying biologic basis as well. The most perceptive tenet of Freud’s theory is that previously dissociated events are actually reexperienced as current reality rather than remembered as occurring in the past. Although Freud was discussing the trauma produced by intense intrapsychic conflict, clinical experience has shown that actual traumatic events that have been dissociated are often repeated and reexperienced.

A shift lasts twelve hours. Twelve hours of holding a few lives in my hands, trying to make order out of the chaos of bodies and disease, working within a health care system that sometimes forgets it exists to serve human beings rather than bureaucrats or businessmen. Amid the many uncertainties of the shift there is one thing I know for sure. Am I ready and up to the job? Yes. Today, and every day, for the sake of my patients I have no other option; the answer has to be, and always is, Yes.

We must truly listen to each other, respecting our essential brotherhood and the courage of those who try to speak, however they may differ from us in professional standing or religious belief or moral vision. We must speak and listen patiently, with good humor, with real expectation, and our dialogue can serve both truth and charity.

God to work things out instead of trying to manipulate others, force your agenda, and control the situation. You let go and let God work. You don’t have to always be “in charge.” The Bible says, “Surrender yourself to the Lord, and wait patiently for him.”13 Instead of trying harder, you trust more. You also know you’re surrendered when you don’t react to criticism and rush to defend yourself. Surrendered hearts show up best in relationships. You don’t edge others out, you don’t demand your rights, and you aren’t self-serving when you’re surrendered.

We start by establishing inner “islands of safety” within the body.22 This means helping patients identify parts of the body, postures, or movements where they can ground themselves whenever they feel stuck, terrified, or enraged. These parts usually lie outside the reach of the vagus nerve, which carries the messages of panic to the chest, abdomen, and throat, and they can serve as allies in integrating the trauma. I might ask a patient if her hands feel okay, and if she says yes, I’ll ask her to move them, exploring their lightness and warmth and flexibility.

Accordingly, identification, or the formation of composite figures, serves different purposes: first, to represent a feature both persons have in common; secondly, to represent a displaced common feature; but thirdly, to find expression for a common feature that is merely wished for. Since wishing it to be the case that two people have something in common is often the same as exchanging them, this relation too is expressed in the dream by identification. In the dream of Irma's injection, I wish to exchange this patient for another, that is, I wish that the other were my patient, as Irma is; the dream takes account of the wish in showing me a figure who is called Irma, but who is examined in a posture in which I have only had occasion to see the other.

Note to self: Try to extend positive feelings associated with Scratch-Off win into all areas of life. Be bigger presence at work. Race up ladder (joyfully, w/smile on face), get raise. Get in best shape of life, start dressing nicer. Learn guitar? Make point of noticing beauty of world? Why not educate self re. birds, flowers, trees, constellations, become true citizen of natural world, walk around neighborhood w/kids, patiently teaching kids names of birds, flowers, etc. etc.? Why not take kids to Europe? Kids have never been. Have never, in Alps, had hot chocolate in mountain café, served by kindly white-haired innkeeper, who finds them so sophisticated/friendly relative to usual snotty/rich American kids (who always ignore his pretty but crippled daughter w/braids) that he shows them secret hiking path to incredible glade, kids frolic in glade, sit with crippled pretty girl on grass, later say it was most beautiful day of their lives, keep in touch with crippled girl via email, we arrange surgery here for her, surgeon so touched he agrees to do surgery for free, she is on front page of our paper, we are on front page of their paper in Alps? Ha ha. Just happy.

It seemed necessary just then to touch base with the Lord. Shutting my eyes, I leaned into the horse. I prayed in words for a little while . . . and then language went away and I prayed in a soft high-pitched lament any human listener would’ve termed a whine. We serve a patient God. . . . Andreeson, who I’d despised, now appeared to my mind as he might’ve to a worried brother. Talk about an unwelcome change. There in the cold, curled against Mr. Ford’s sighing horse, I repented of hatred in general and especially that cultivated against the putrid fed. A pain started up, as of live coals inside, and like that I knew where he was. Knew, with certainty, why he hadn’t come back out of the blizzard. I began to weep. Not only for Andreeson—weeping seems to accompany repentance most times. No wonder. Could you reach deep in yourself to locate that organ containing delusions about your general size in the world—could you lay hold of this and dredge it from your chest and look it over in daylight—well, it’s no wonder people would rather not.

Anong kwento mo sa akin ngayon?" Myriad answers to a simple question, which, I discovered, had an unparalleled power to make my patients and their families feel important, especially when they had travelled for four hours and waited in queue for four more, enduring hunger, humidity, and the perspiration of their compatriots. By veering from the standard "Ano po ang masakit sa inyo?" I learned much more about the people I served and worked hard for.

In its basic form, nursing can be seen as a duty, but beyond the incessant operational activities that lay the foundation of our daily work, the profession is all about grace. Helping people is a noble calling. It is a privilege to serve my fellow human beings. Fifteen years has seen many ups and downs at the workplace, but I have enjoyed serving the many patients who come into my care, and have prayed for the souls of those who were on the brink of death.

He did not know how much time passed. He got up, ripped the canvas off the frame, threw it into a corner, and put on a new one. He mixed some paints, sat down, and began work. One starts with a hopeless struggle to follow nature, and everything goes wrong; one ends by calmly creating from one’s palette, and nature agrees with it and follows. On croit que j’imagine—ce n’est pas vrai—je me souviens. It was just as Pietersen had told him in Brussels; he had been too close to his models. He had not been able to get a perspective. He had been pouring himself into the mould of nature; now he poured nature into the mould of himself. He painted the whole thing in the colour of a good, dusty, unpeeled potato. There was the dirty, linen table cloth, the smoky wall, the lamp hanging down from the rough rafters, Stien serving her father with steamed potatoes, the mother pouring the black coffee, the brother lifting a cup to his lips, and on all their faces the calm, patient acceptance of the eternal order of things. The sun rose and a bit of light peered into the storeroom window. Vincent got up from his stool. He felt perfectly calm and peaceful. The twelve days’ excitement was gone. He looked at his work. It reeked of bacon, smoke, and potato steam. He smiled. He had painted his Angelus. He had captured that which does not pass in that which passes. The Brabant peasant would never die.

And well may God with the serving-folk Cast in His dreadful lot; Is not He too a servant, And is not He forgot? For was not God my gardener And silent like a slave; That opened oaks on the uplands Or thicket in graveyard gave? And was not God my armourer, All patient and unpaid, That sealed my skull as a helmet, And ribs for hauberk made? Did not a great grey servant Of all my sires and me, Build this pavilion of the pines, And herd the fowls and fill the vines, And labour and pass and leave no signs Save mercy and mystery? For God is a great servant, And rose before the day, From some primordial slumber torn; But all we living later born Sleep on, and rise after the morn, And the Lord has gone away. On things half sprung from sleeping, All sleeping suns have shone, They stretch stiff arms, the yawning trees, The beasts blink upon hands and knees, Man is awake and does and sees- But Heaven has done and gone. For who shall guess the good riddle Or speak of the Holiest, Save in faint figures and failing words, Who loves, yet laughs among the swords, Labours, and is at rest? But some see God like Guthrum, Crowned, with a great beard curled, But I see God like a good giant, That, laboring, lifts the world.

But only if I identify with my will can I be someone’s friend – or son, or father – in the true sense, because only then will my self-interest be served by remaining loyal, honest, patient, tolerant and supportive, and by maintaining my social relations.

His prescription to experience a deep sense of meaning, then, was remarkably pragmatic. He had three recommendations: 1. Have a project to work on, some reason to get out of bed in the morning and preferably something that serves other people. 2. Have a redemptive perspective on life’s challenges. That is, when something difficult happens, recognize the ways that difficulty also serves you. 3. Share your life with a person or people who love you unconditionally. Frankl called this treatment logotherapy, or a therapy of meaning. And surprisingly, it worked. He was put in charge of the mental-health division of the Viennese hospital system because they had lost far too many patients to suicide. When Frankl came aboard, he had more than thirty thousand suicidal patients under his care. The challenge was phenomenal. Frankl created community groups for the patients and taught counselors to identify projects the patients could contribute to, serious work the world needed that would give them a reason to get out of bed in the morning. Frankl also had the patients circle the difficult experiences they’d had and while allowing them to grieve, also asked them to list benefits that had come from their pain. The result of the program was transformational. Not one patient committed suicide on Frankl’s watch.

the universe as buzzing with invisible energy and aliveness, patiently growing a garden of cosmic scale. It suggests that we humans, as conscious life forms in this immensity, are very precious. We serve an important purpose for a universe growing conscious forms of life: Through us, the universe sees, knows, feels, and learns. We are learning how to live ever more consciously in a living universe. What matters most is not matter but what is invisible—the aliveness within ourselves, our relationships, and the world around us.

A faith-healer may or may not start out with fraud in mind. But to his amazement, his patients actually seem to be improving. Their emotions are genuine, their gratitude heart-felt. When the healer is criticized, such people rush to his defence. Several elderly attendees of the channelling at the Sydney Opera House were incensed after the Sixty Minutes expose: ‘Never mind what they say,’ they told Alvarez, ‘we believe in you`. These successes may be enough to convince many charlatans, no matter how cynical they were at the beginning, that they actually have mystical powers. Maybe they’re not successful every time. The powers come and go, they tell themselves. They have to cover the down time. If they must cheat a little now and then, it serves a higher purpose, they tell themselves. Their spiel is consumer-tested. It works.

Snapping shut his mobile, Dalgliesh reflected that murder, a unique crime for which no reparation is ever possible, imposes it own compulsions as well as it's conventions. He doubted whether Macklefield [the murder victim's Will attorney] would have interrupted his country weekend for a less sensational crime. As a young officer he, too, had been touched, if unwillingly and temporarily, by the power of murder to attract even while it appalled and repelled. He had watched how people involved as innocent bystanders, provided they were unburdened by grief or suspicion, were engrossed by homicide, drawn inexorably to the place where the crime had occurred in fascinated disbelief. The crowd and the media who served them had not yet congregated outside the wrought-iron gates of the Manor. But they would come, and he doubted whether Chandler-Powell's [owner of the Manor where the murder was committed] private security team would be able to do more than inconvenience them.

Thus, to serve one another through love, that is to instruct him that goeth astray, to comfort the afflicted, to raise up the weak, to help thy neighbour, to bear his infirmities, to endure troubles, labours, ingratitude in the Church, and in civil life to obey the magistrates, to give honour to parents, to be patient at home with a froward wife, and an unruly family; these and such like, are works which reason judgeth to be on no value. But, indeed, they are such works, that the whole world is not able to comprehend the excellency and worthiness thererof, for it doth not measure things by the word of God, yea, it knoweth not the value of any of the least good works, which are good works indeed.

Though diagnosis is unquestionably critical in treatment considerations for many severe conditions with a biological substrate (for example, schizophrenia, bipolar disorders, major affective disorders, temporal lobe epilepsy, drug toxicity, organic or brain disease from toxins, degenerative causes, or infectious agents), diagnosis is often counterproductive in the everyday psychotherapy of less severely impaired patients. Why? For one thing, psychotherapy consists of a gradual unfolding process wherein the therapist attempts to know the patient as fully as possible. A diagnosis limits vision; it diminishes ability to relate to the other as a person. Once we make a diagnosis, we tend to selectively inattend to aspects of the patient that do not fit into that particular diagnosis, and correspondingly overattend to subtle features that appear to confirm an initial diagnosis. What’s more, a diagnosis may act as a self-fulfilling prophecy. Relating to a patient as a “borderline” or a “hysteric” may serve to stimulate and perpetuate those very traits. Indeed, there is a long history of iatrogenic influence on the shape of clinical entities, including the current controversy about multiple-personality disorder and repressed memories of sexual abuse. And keep in mind, too, the low reliability of the DSM personality disorder category (the very patients often engaging in longer-term psychotherapy).

Be bigger presence at work. Race up ladder (joyfully, w/smile on face), get raise. Get in best shape of life, start dressing nicer. Learn guitar? Make point of noticing beauty of world? Why not educate self re. birds, flowers, trees, constellations, become true citizen of natural world, walk around neighborhood w/kids, patiently teaching kids names of birds, flowers, etc. etc.? Why not take kids to Europe? Kids have never been. Have never, in Alps, had hot chocolate in mountain café, served by kindly white- haired innkeeper, who finds them so sophisticated/friendly relative to usual snotty/rich American kids (who always ignore his pretty but crippled daughter w/braids) that he shows them secret hiking path to incredible glade, kids frolic in glade, sit with crippled pretty girl on grass, later say it was most beautiful day of their lives, keep in touch with crippled girl via email, we arrange surgery here for her, surgeon so touched he agrees to do surgery for free, she is on front page of our paper, we are on front page of their paper in Alps? Ha ha.

In the stillest hour of the night, as I lay half asleep, my seven selves sat together and thus conversed in whispers: First Self: Here, in this madman, I have dwelt all these years, with naught to do but renew his pain by day and recreate his sorrow by night. I can bear my fate no longer, and now I rebel. Second Self: Yours is a better lot than mine, brother, for it is given to me to be this madman's joyous self. I laugh his laughter and sing his happy hours, and with thrice winged feet I dance his brighter thoughts. It is I that would rebel against my weary existence. Third Self: And what of me, the love-ridden self, the flaming brand of wild passion and fantastic desires? It is I the love-sick self who would rebel against this madman. Fourth Self: I, amongst you all, am the most miserable, for naught was given me but odious hatred and destructive loathing. It is I, the tempest-like self, the one born in the black caves of Hell, who would protest against serving this madman. Fifth Self: Nay, it is I, the thinking self, the fanciful self, the self of hunger and thirst, the one doomed to wander without rest in search of unknown things and things not yet created; it is I, not you, who would rebel. Sixth Self: And I, the working self, the pitiful labourer, who, with patient hands, and longing eyes, fashion the days into images and give the formless elements new and eternal forms- it is I, the solitary one, who would rebel against this restless madman. Seventh Self: How strange that you all would rebel against this man, because each and every one of you has a preordained fate to fulfil. Ah! could I but be like one of you, a self with a determined lot! But I have none, I am the do-nothing self, the one who sits in the dumb, empty nowhere and nowhen, while you are busy re-creating life. Is it you or I, neighbours, who should rebel? When the seventh self thus spake the other six selves looked with pity upon him but said nothing more; and as the night grew deeper one after the other went to sleep enfolded with a new and happy submission. But the seventh self remained watching and gazing at nothingness, which is behind all things.

There is a parallel in this to arguments that we have heard in New York City in regard to health facilities that serve the rich and poor. There, too, we were told by doctors that the more exhaustive services provided to rich patients may not represent superior health care but a form of “overutilization”—again the theory of “diminishing returns.” But here again it is not argued that the rich should therefore be denied this luxury, if that is what it is, but only that it shouldn’t be extended to poor people. Affluent people, it has often been observed, seldom lack for arguments to deny to others the advantages that they enjoy. But it is going a step further for the Wall Street Journal to pretend that they are not advantages.

It’s no one’s fault really,” he continued. “A big city cannot afford to have its attention distracted from the important job of being a big city by such a tiny, unimportant item as your happiness or mine.” This came out of him easily, assuredly, and I was suddenly interested. On closer inspection there was something aesthetic and scholarly about him, something faintly professorial. He knew I was with him, listening, and his grey eyes were kind with offered friendliness. He continued: “Those tall buildings there are more than monuments to the industry, thought and effort which have made this a great city; they also occasionally serve as springboards to eternity for misfits who cannot cope with the city and their own loneliness in it.” He paused and said something about one of the ducks which was quite unintelligible to me. “A great city is a battlefield,” he continued. “You need to be a fighter to live in it, not exist, mark you, live. Anybody can exist, dragging his soul around behind him like a worn-out coat; but living is different. It can be hard, but it can also be fun; there’s so much going on all the time that’s new and exciting.” I could not, nor wished to, ignore his pleasant voice, but I was in no mood for his philosophising. “If you were a negro you’d find that even existing would provide more excitement than you’d care for.” He looked at me and suddenly laughed; a laugh abandoned and gay, a laugh rich and young and indescribably infectious. I laughed with him, although I failed to see anything funny in my remark. “I wondered how long it would be before you broke down and talked to me,” he said, when his amusement had quietened down. “Talking helps, you know; if you can talk with someone you’re not lonely any more, don’t you think?” As simple as that. Soon we were chatting away unreservedly, like old friends, and I had told him everything. “Teaching,” he said presently. “That’s the thing. Why not get a job as a teacher?” “That’s rather unlikely,” I replied. “I have had no training as a teacher.” “Oh, that’s not absolutely necessary. Your degrees would be considered in lieu of training, and I feel sure that with your experience and obvious ability you could do well.” “Look here, Sir, if these people would not let me near ordinary inanimate equipment about which I understand quite a bit, is it reasonable to expect them to entrust the education of their children to me?” “Why not? They need teachers desperately.” “It is said that they also need technicians desperately.” “Ah, but that’s different. I don’t suppose educational authorities can be bothered about the colour of people’s skins, and I do believe that in that respect the London County Council is rather outstanding. Anyway, there would be no need to mention it; let it wait until they see you at the interview.” “I’ve tried that method before. It didn’t work.” “Try it again, you’ve nothing to lose. I know for a fact that there are many vacancies for teachers in the East End of London.” “Why especially the East End of London?” “From all accounts it is rather a tough area, and most teachers prefer to seek jobs elsewhere.” “And you think it would be just right for a negro, I suppose.” The vicious bitterness was creeping back; the suspicion was not so easily forgotten. “Now, just a moment, young man.” He was wonderfully patient with me, much more so than I deserved. “Don’t ever underrate the people of the East End; from those very slums and alleyways are emerging many of the new breed of professional and scientific men and quite a few of our politicians. Be careful lest you be a worse snob than the rest of us. Was this the kind of spirit in which you sought the other jobs?

Let love be genuine. u Abhor what is evil; hold fast to what is good. 10 v Love one another with brotherly affection. w Outdo one another in showing honor. 11Do not be slothful in zeal, x be fervent in spirit, [7] y serve the Lord. 12 z Rejoice in hope, a be patient in tribulation, b be constant in prayer. 13 c Contribute to the needs of the saints and d seek to show hospitality.

you have done any piece of work incorrectly, the very first step toward getting it right is to undo the wrong, and begin again from that point. We have believed wrong about God and about ourselves. We have believed that God was angry with us and that we were sinners who ought to be afraid of Him. We have believed that sickness and poverty and other troubles are evil things put here by this same God to torture us in some way into serving Him and loving Him. We have believed that we have pleased God best when we became so absolutely subdued by our troubles as to be patiently submissive to them all, not even trying to rise out of them or to overcome them. All this is false, entirely false! And the first step toward freeing ourselves from our troubles is to get rid of our erroneous beliefs about God and about ourselves.

Many of us in healthcare entered the profession because we wanted to help, heal, and serve. At our core, we have compassion, empathy, and a drive to help people live their best lives. Recognizing and implementing actions to prevent patient and employee harm has the greatest potential effect on the quality of care delivered in our health care system, just as preventative care and wellness efforts slow or stop the progression of disease.

When I begin my work with patients, I remind them that everything starts with a shared commitment to reality. The goal of therapy is not to feel good—it is to live in reality, regardless of how it may feel. Over time, patients can modulate the way they feel, but they can never modify reality itself, as it exists independent of them. Attempting to redefine reality is delusional and serves only as a defense against emotional discomfort. For

When writing my Leg book, I drew heavily on the detailed journals I had kept as a patient in 1974. Oaxaca Journal, too, relied heavily on my handwritten notebooks. But for the most part, I rarely look at the journals I have kept for the greater part of a lifetime. The act of writing is itself enough; it serves to clarify my thoughts and feelings. The act of writing is an integral part of my mental life; ideas emerge, are shaped, in the act of writing.

Where in this wide world can man find nobility without pride, friendship without envy or beauty without vanity? Here, where grace is laced with muscle, and strength by gentleness confined. He serves without servility; he has fought without enmity. There is nothing so powerful, nothing less violent, there is nothing so quick, nothing more patient. England’s past has been borne on his back. All our history is his industry; we are his heirs, he our inheritance. The Horse!" ~ Ronald Duncan

The most unnecessary lesson however, in my memory as I realize it now, was a Sanskrit lyric, not in praise of God, but defining the perfect woman - it said the perfect woman must work like a slave, advise like a Mantri (Minister), look like Goddess Lakshmi, be patient like Mother Earth and courtesan-like in the bed chamber - this I had to recite on certain days of the week. After the lessons she released me and served food. (Book: Grandmother's Tale in Antaeus #70: Special Fiction Issue)

It is as though, at the culmination of the illness, the destructive powers were converted into healing forces. This is brought about by the fact that the archetypes come to independent life and serve as spiritual guides for the personality, thus supplanting the inadequate ego with its futile willing and striving. As the religious-minded person would say: guidance has come from God. With most of my patients I have to avoid this formulation, for it reminds them too much of what they have to reject.

We could scrub the floor for a tired friend, or dress a wound for a patient in a hospital, or lay the table and wash up for the family; but we shall not do it in martyr spirit or with that worse spirit of self-congratulation, of feeling that we are making ourselves more perfect, more unselfish, more positively kind. We shall do it just for one thing, that our hands make Christ's hands in our life, that our service may let Christ serve through us, that our patience may bring Christ's patience back to the world.

ultimately, most of us would choose a rich and meaningful life over an empty, happy one, if such a thing is even possible. “Misery serves a purpose,” says psychologist David Myers. He’s right. Misery alerts us to dangers. It’s what spurs our imagination. As Iceland proves, misery has its own tasty appeal. A headline on the BBC’s website caught my eye the other day. It read: “Dirt Exposure Boosts Happiness.” Researchers at Bristol University in Britain treated lung-cancer patients with “friendly” bacteria found in soil, otherwise known as dirt. The patients reported feeling happier and had an improved quality of life. The research, while far from conclusive, points to an essential truth: We thrive on messiness. “The good life . . . cannot be mere indulgence. It must contain a measure of grit and truth,” observed geographer Yi-Fu Tuan. Tuan is the great unheralded geographer of our time and a man whose writing has accompanied me throughout my journeys. He called one chapter of his autobiography “Salvation by Geography.” The title is tongue-in-cheek, but only slightly, for geography can be our salvation. We are shaped by our environment and, if you take this Taoist belief one step further, you might say we are our environment. Out there. In here. No difference. Viewed that way, life seems a lot less lonely. The word “utopia” has two meanings. It means both “good place” and “nowhere.” That’s the way it should be. The happiest places, I think, are the ones that reside just this side of paradise. The perfect person would be insufferable to live with; likewise, we wouldn’t want to live in the perfect place, either. “A lifetime of happiness! No man could bear it: It would be hell on Earth,” wrote George Bernard Shaw, in his play Man and Superman. Ruut Veenhoven, keeper of the database, got it right when he said: “Happiness requires livable conditions, but not paradise.” We humans are imminently adaptable. We survived an Ice Age. We can survive anything. We find happiness in a variety of places and, as the residents of frumpy Slough demonstrated, places can change. Any atlas of bliss must be etched in pencil. My passport is tucked into my desk drawer again. I am relearning the pleasures of home. The simple joys of waking up in the same bed each morning. The pleasant realization that familiarity breeds contentment and not only contempt. Every now and then, though, my travels resurface and in unexpected ways. My iPod crashed the other day. I lost my entire music collection, nearly two thousand songs. In the past, I would have gone through the roof with rage. This time, though, my anger dissipated like a summer thunderstorm and, to my surprise, I found the Thai words mai pen lai on my lips. Never mind. Let it go. I am more aware of the corrosive nature of envy and try my best to squelch it before it grows. I don’t take my failures quite so hard anymore. I see beauty in a dark winter sky. I can recognize a genuine smile from twenty yards. I have a newfound appreciation for fresh fruits and vegetables. Of all the places I visited, of all the people I met, one keeps coming back to me again and again: Karma Ura,

Good preachers...are effective teachers, good thinkers, with rhetorical skills, a good voice, a good memory, and the ability to recognize when to stop. They are diligent in their preparation, throwing heart and soul into their sermons, and they must be ready to take criticism. They should remember that they must patiently bear such criticism and dissatisfaction with their preaching. But above all, preachers must know that the Word of God has taken them captive and that God has called them to serve Him by proclaiming that Word.

What these older physicians exhibited is termed clinical curiosity. They stroke to understand their patients in order to elucidate the underlying medical conditions. This thoroughness, patience, and dogged curiosity may have been ingrained in them because they trained at a time when they were no rapid CTs or MRIs. But even now, when these diagnostic tools are at their fingertips, these physicians maintain this approach to patients, one that serves to appreciate the dignity and uniqueness of each patient and his or her illness.

I asked a nurse for dental floss and was told that I am not allowed dental floss. Apparently dental floss can be used for several functions besides the maintenance of healthy gums. These apparently include self-harm. When instructed that I was not permitted dental floss because of “risks it raises associated with suicide” I envisioned a noose made entirely of floss. Realizing such a noose would require a dramatic amount of floss to effectively uphold any human person, I brought it to the attention of a nurse. “I don’t believe that even the most practiced engineers could fashion any functioning noose out of a single container of floss,” I say. “People use it to cut themselves,” she explained. “Oh,” I replied. I had just about come to terms with the no-floss rule until the hospital, in a flagrant display of disrespect for its patients, chose to serve us corn on the cob for lunch. “Are you aware that we are not allowed dental floss?” I yelled at the nurse bringing me the corn. I then threw the corn violently from my plate into the nearest wall.

Every tribulation that we accept patiently is good and profitable; but if we do not accept it patiently, it drives us away from God and serves no useful purpose. When this happens, there is only one cure-humility. The humble man censures and blames himself and no one else when he suffers affliction. Consequently, he patiently awaits for God to release him, and when this happens he rejoices and gratefully endures whatever comes; and through his experience of these things he gains spiritual knowledge. Recognizing his own ignorance and weakness, he seeks diligently for the Physician and, seeking, he finds Him, as Christ himself has said (cf. Matt. 7:8). Having found God, he longs for Him; and the more he longs, the more God longs for him. Then, purifying himself as much as he can, he struggles to make room in himself for the Beloved for whom he longs. And the Beloved for whom he longs, finding room for Himself in this man, takes up His abode there, as the Gerontikon says. Dwelling there. He protects His home, and fills it with light. And the person thus filled with light knows and, knowing, he is known, as St John of Damaskos says.

So if asthmatics eat fewer fruits and vegetables, does their lung function decline? Researchers out of Australia tried removing fruits and vegetables from asthma patients’ diets to see what would happen. Within two weeks, asthma symptoms grew significantly worse. Interestingly, the low-fruit, low-vegetable diet used in the study—a restriction to no more than one serving of fruit and two servings of vegetables per day—is typical of Western diets. In other words, the diet they used experimentally to impair people’s lung function and worsen their asthma was effectively the standard American diet.55

You know you’re surrendered to God when you rely on God to work things out instead of trying to manipulate others, force your agenda, and control the situation. You let go and let God work. You don’t have to always be “in charge.” The Bible says, “Surrender yourself to the Lord, and wait patiently for him.”13 Instead of trying harder, you trust more. You also know you’re surrendered when you don’t react to criticism and rush to defend yourself. Surrendered hearts show up best in relationships. You don’t edge others out, you don’t demand your rights, and you aren’t self-serving when you’re surrendered.

When the Russian delegate this summer indicated the Soviet Union's interest in sending medical equipment, Dr Shigeto went right away to see the delegate and settle the matter tactfully. He is careful to steer clear of the superficial swirl of political maneuvering, but never misses any opportunity to improve the capability of the A-bomb Hospital or to enhance concretely the welfare of the patients. In that sense, he sometimes refers to himself as a 'dirty handkerchief.' That is, he serves to filter political purposes out of relief efforts so that the effect on patients is purely and concretely humane.

Crack 4 eggs into a bowl and season them with salt and a few drops of lemon juice, whisking thoroughly to break them up. Gently melt a little butter in a saucepan over the lowest possible heat and pour in the eggs. Continue to stir with a whisk or a fork, while adding 4 or more tablespoons of butter in thumb-size pieces, letting each be absorbed before you add the next. Never stop stirring, and be patient. It’ll take several minutes for the eggs to start to come together. When they do, pull them from the stove in anticipation of the cooking that will continue due to residual heat. Serve with—what else?—buttered toast.

The Wish to be Generous" ALL that I serve will die, all my delights, the flesh kindled from my flesh, garden and field, the silent lilies standing in the woods, the woods, the hill, the whole earth, all will burn in man's evil, or dwindle in its own age. Let the world bring on me the sleep of darkness without stars, so I may know my little light taken from me into the seed of the beginning and the end, so I may bow to mystery, and take my stand on the earth like a tree in a field, passing without haste or regret toward what will be, my life a patient willing descent into the grass. —Wendell Berry, New Collected Poems (Counterpoint, 2012)

One of the great paradoxes of life is that self-awareness breeds anxiety. Fusion eradicates anxiety in a radical fashion—by eliminating self-awareness. The person who has fallen in love, and entered a blissful state of merger, is not self-reflective because the questioning lonely I (and the attendant anxiety of isolation) dissolve into the we. Thus one sheds anxiety but loses oneself. This is precisely why therapists do not like to treat a patient who has fallen in love. Therapy and a state of love-merger are incompatible because therapeutic work requires a questioning self-awareness and an anxiety that will ultimately serve as guide to internal conflicts.

Five days later, I'm on the same journey, edging down the turnpike with the scrim of sunset lowering in the west, passing through Florida City, strip malls and car dealerships, melting into swampland and fishing tackle shops, past Manatee Bay onto the Overseas Highway. It's drifter territory, where people go to forget and to be forgotten. I've come to think of this land as a second home. The prison motel; the familiar faces though few of us have exchanged names. Each of us serving our sentence, waiting, waiting, because prison has made us more patient than we ever knew we could be, until we get the call that it's time; the end of the sentence, or just the end.

If you will cling to Nature, to the simple in Nature, to the little things that hardly anyone sees, and that can so unexpectedly become big and beyond measuring; if you have this love of inconsiderable things and seek quite simply, as one who serves, to win the confidence of what seems poor: then everything will become easier, more coherent and somehow more conciliatory for you, not in your intellect, perhaps, which lags marveling behind, but in your inmost consciousness, waking and cog- nizance. You are so young, so before all beginning, and I want to beg you, as much as I can, dear sir, to be patient toward all that is unsolved in your heart and to try to love the questions themselves like locked rooms and like books that are written in a very foreign tongue. Do not now seek the answers, which cannot be given you because you would not be able to live them. And the point is, to live everything. Live the questions now. Perhaps you will then gradually, without noticing it, live along some distant day into the answer. Perhaps you do carry within yourself the possibility of shaping and forming as a particularly happy and pure way of living; train yourself to it--but take whatever comes with great trust, and if only it comes out of your own will, out of some need of your inmost being, take it upon yourself and hate nothing.

There are schools of thought and political movements that seek to purge human culture of imperialism, leaving behind what they claim is a pure, authentic civilisation, untainted by sin. These ideologies are at best naive; at worst they serve as disingenuous window-dressing for crude nationalism and bigotry. Perhaps you could make a case that some of the myriad cultures that emerged at the dawn of recorded history were pure, untouched by sin and unadulterated by other societies. But no culture since that dawn can reasonably make that claim, certainly no culture that exists now on earth. All human cultures are at least in part the legacy of empires and imperial civilisations, and no academic or political surgery can cut out the imperial legacies without killing the patient.

In the present state of the world, not only are many people destitute but the majority of those who are not being haunted by a perfectly reasonable fear that they may become so at any moment. Wage-earners have the constant danger of unemployment; salaried employees know that their firm may go bankrupt or find it necessary to cut down its staff; businessmen, even those who are reputed to be very rich, know that the loss of all their money is by no means improbable. Professional men have a very hard struggle. After making great sacrifices for the education of their sons and daughters, they find that there are not the openings that there used to be for those who have the kinds of skills that their children have acquired. If they are lawyers, they find that people can no longer afford to go to law, although serious injustices remain unremedied; if they are doctors, they find that their formerly lucrative hypochondriac patients can no longer afford to be ill, while many genuine sufferers have to forgo much-needed medical treatment. One finds men and women of university education serving behind the counters in shops, which may save them from destitution, but only at the expense of those who would formerly have been so employed. In all classes, from the lowest to almost the highest, economic fear governs men’s thoughts by day and their dreams at night, making their work nerve-wracking and their leisure unrefreshing. This ever-present terror is, I think, the main cause of the mood of madness which has swept over great parts of the civilized world.

One study showed that omega-3s were equivalent in effect to Prozac in treating depression, and the combination was more effective than either one alone.64 In a related study, administration of omega-3s to patients with recurrent self-harm (e.g., cutting, picking, scratching, burning—the ultimate expression of anxiety) showed a reduction in suicidality, depression, and daily stress.65 A recent trial gave omega-3s along with minerals to eleven-year-old kids with conduct disorder or oppositional defiant disorder (the ones who routinely find themselves in the principal’s office), and within three months their aggression was reduced, and way better than talk therapy.66 Lastly, omega-3 consumption can help ward off depression in children67 and adults,68 and can serve as an adjunct to SSRIs in its treatment.69

When we consider the major role intimidation plays in this ideology, which was still at the peak of its popularity at the turn of the century, it is not surprising that Sigmund Freud had to conceal his surprising discovery of adults' sexual abuse of their children, a discovery he was led to by the testimony of his patients. He disguised his insight with the aid of a theory that nullified this inadmissible knowledge. Children of his day were not allowed, under the severest of threats, to be aware of what adults were doing to them. and if Freud had persisted in his seduction theory, he not only would have had his introjected parents to fear but would no doubt have been discredited, and probably ostracized, by middle-class society. In order to protect himself, he had to devise a theory that would preserve appearances by attributing all “evil”, guilt and wrongdoing to the child's fantasies. in which the parents served only as the objects of projection. We can understand why this theory omitted the fact that it is the parents who not only project their sexual and aggressive fantasies onto the child but also are able to act out these fantasies because they wield the power. It is probably thanks to this omission that many professionals in the psychiatric field, themselves the products of "poisonous pedagogy" have been able to accept the Freudian theory of drives, because it did not force them to question their idealized image of their parents. With the aid of Freud's drive and structural theories, they have been able to continue obeying the commandment they internalized in early childhood: "Thou shalt not be aware of what your parents are doing to you.

I serve him a portion of chocolate, pear and pepper tart with a glass of chilled rosé. I watch him eat, and think that, in the end, he didn't lie: he is eating in my restaurant. Except it's not supper time, so he did lie. I look at him and think he's feeding off me because I put all of myself into that first tart, that inaugural dessert. I kneaded gently, melted patiently, saved the juice as I sliced, then incorporated it into the pastry, with the Masai-black chocolate, my brown pastry in my hands, rolling it out and shaping it, rolling it out and shaping it, the pepper over the pears because I believe- in the kitchen as in other areas- in the mysterious power of alliteration. The peppercorns are dark on the outside and pale yellow on the inside, not crushed or ground. Sliced. My pepper-mill is a grater, creating tiny slices of spice.

The Apple Orchard Come let us watch the sun go down and walk in twilight through the orchard's green. Does it not seem as if we had for long collected, saved and harbored within us old memories? To find releases and seek new hopes, remembering half-forgotten joys, mingled with darkness coming from within, as we randomly voice our thoughts aloud wandering beneath these harvest-laden trees reminiscent of Durer woodcuts, branches which, bent under the fully ripened fruit, wait patiently, trying to outlast, to serve another season's hundred days of toil, straining, uncomplaining, by not breaking but succeeding, even though the burden should at times seem almost past endurance. Not to falter! Not to be found wanting! Thus must it be, when willingly you strive throughout a long and uncomplaining life, committed to one goal: to give yourself! And silently to grow and to bear fruit.

Here, where an immense country lies about me, over which the winds pass coming from the seas, here I feel that no human being anywhere can answer for you those questions and feelings that deep within them have a life of their own; for even the best err in words when they are meant to mean most delicate and almost inexpressible things. But I believe nevertheless that you will not have to remain without a solution if you will hold to objects that are similar to those from which my eyes now draw refreshment. If you will cling to Nature, to the simple in Nature, to the little things that hardly anyone sees, and that can so unexpectedly become big and beyond measuring; if you have this love of inconsiderable things and seek quite simply, as one who serves, to win the confidence of what seems poor: then everything will become easier, more coherent and somehow more conciliatory for you, not in your intellect, perhaps, which lags marveling behind, but in your inmost consciousness, waking and cognizance. You are so young, so before all beginning, and I want to beg you, as much as I can, dear sir, to be patient toward all that is unsolved in your heart and to try to love the questions themselves like locked rooms and like books that are written in a very foreign tongue. Do not now seek the answers, which cannot be given you because you would not be able to live them. And the point is, to live everything. Live the questions now. Perhaps you will then gradually, without noticing it, live along some distant day into the answer. Perhaps you do carry within yourself the possibility of shaping and forming as a particularly happy and pure way of living; train yourself to it—but take whatever comes with great trust, and if only it comes out of your own will, out of some need of your inmost being, take it upon yourself and hate nothing.

Body dysmorphic disorder wedges itself between the sufferer’s desperation to connect and the fear that they might be rejected while attempting to do so. This serves the purpose of preventing rejection; if one is constantly dismissing oneself it becomes much more difficult to be rejected by another human being. For many highly sensitive body dysmorphic disorder patients, rejection is experienced as the ultimate proof that something must be inherently defective about them. For this to be the case is often interpreted as absolute confirmation that they can never be loved. Taking the risk of possible rejection might mean experiencing these dire consequences, and to most, the benefits do not out-weigh the consequences. Thus body dysmorphic disorder exists in the space of the relational ambivalence, completely changing the focus from fears of intimacy and fundamental feelings of inadequacy to excessive attention towards perceptible physical features.

Whatever proponents of false memory syndrome may claim and however persuasively they tell their stories and anecdotes, dissociative amnesia typically involves fragmented recall of trauma and is rather a retrieval inhibition than a forgetting (Spiegel et al., 2011). It may also involve complete loss of recall for sexual and physical abuse but most commonly, dissociative amnesia is partial, variable, and coexists with memories of trauma (Dalenberg et al., 2014). Studies addressing the accuracy of recovered abuse memories show that these memories are no less accurate than continuous memories for abuse (Scheflin & Brown, 1996). Memory is reconsolidated each time it is accessed and therefore potentially distorted (Bridge & Paller, 2012). Evidently, this does not disprove the possibility that some clinicians are too suggestive, one way or another, pushing their patients to adopt views that serve to confirm the therapist’s own perspective and beliefs.

Although I have afflicted you, . . . I will afflict you no more. (Nahum 1:12) There is a limit to our affliction. God sends it and then removes it. Do you complain, saying, “When will this end?” May we quietly wait and patiently endure the will of the Lord till He comes. Our Father takes away the rod when His purpose in using it is fully accomplished. If the affliction is sent to test us so that our words would glorify God, it will only end once He has caused us to testify to His praise and honor. In fact, we would not want the difficulty to depart until God has removed from us all the honor we can yield to Him. Today things may become “completely calm” (Matt. 8:26). Who knows how soon these raging waves will give way to a sea of glass with seagulls sitting on the gentle swells? After a long ordeal, the threshing tool is on its hook, and the wheat has been gathered into the barn. Before much time has passed, we may be just as happy as we are sorrowful now. It is not difficult for the Lord to turn night into day. He who sends the clouds can just as easily clear the skies. Let us be encouraged—things are better down the road. Let us sing God’s praises in anticipation of things to come. Charles H. Spurgeon “The Lord of the harvest” (Luke 10:2) is not always threshing us. His trials are only for a season, and the showers soon pass. “Weeping may remain for a night, but rejoicing comes in the morning” (Ps. 30:5). “Our light and momentary troubles are achieving for us an eternal glory that far outweighs them all” (2 Cor. 4:17). Trials do serve their purpose. Even the fact that we face a trial proves there is something very precious to our Lord in us, or else He would not spend so much time and energy on us. Christ would not test us if He did not see the precious metal of faith mingled with the rocky core of our nature, and it is to refine us into purity and beauty that He forces us through the fiery ordeal. Be patient, O sufferer! The result of the Refiner’s fire will more than compensate for our trials, once we see the “eternal glory that far outweighs them all.” Just to hear His commendation, “Well done” (Matt. 25:21); to be honored before the holy angels; to be glorified in Christ, so that I may reflect His glory back to Him—ah! that will be more than enough reward for all my trials. from Tried by Fire Just as the weights of a grandfather clock, or the stabilizers in a ship, are necessary for them to work properly, so are troubles to the soul. The sweetest perfumes are obtained only through tremendous pressure, the fairest flowers grow on the most isolated and snowy peaks, the most beautiful gems are those that have suffered the longest at the jeweler’s wheel, and the most magnificent statues have endured the most blows from the chisel. All of these, however, are subject to God’s law. Nothing happens that has not been appointed with consummate care and foresight. from Daily Devotional Commentary

And now here I was in McDonald's again for the first time since my earlier fracas. I vowed to behave myself, but McDonald's is just too much for me. I ordered a chicken sandwich and a Diet Coke. 'Do you want fries with that?' the young man serving me asked. I hesitated for a moment, and in a pained but patient tone said: 'No. That's why I didn't ask for fries, you see.' 'We're just told to ask like,' he said. 'When I want fries, generally I say something like, "I would like some fries, too, please." That's the system I use.' 'We're just told to ask like,' he repeated. 'Do you need to know the other things I don't want? It is quite a long list. In fact, it is everything you serve except for the two things I asked for.' 'We're just told to ask like,' he repeated yet again, but in a darker voice, and deposited my two items on a tray and urged me, without the least hint of sincerity, to have a nice day. I realized that I probably wasn't quite ready for McDonald's yet.

Sometimes Frankl’s ideas are inspirational, as when he explains how dying patients and quadriplegics come to terms with their fate. Others are aspirational, as when he asserts that a person finds meaning by “striving and struggling for a worthwhile goal, a freely chosen task.” He shows how existential frustration provoked and motivated an unhappy diplomat to seek a new, more satisfying career. Frankl also uses moral exhortation, however, to call attention to “the gap between what one is and what one should become” and the idea that “man is responsible and must actualize the potential meaning of his life.” He sees freedom and responsibility as two sides of the same coin. When he spoke to American audiences, Frankl was fond of saying, “I recommend that the Statue of Liberty on the East Coast be supplemented by a Statue of Responsibility on the West Coast.” To achieve personal meaning, he says, one must transcend subjective pleasures by doing something that “points, and is directed, to something, or someone, other than oneself … by giving himself to a cause to serve or another person to love.

9Let love be genuine. Abhor what is evil; hold fast to what is good. 10Love one another with brotherly affection. Outdo one another in showing honor. 11Do not be slothful in zeal, be fervent in spirit, [7] serve the Lord. 12Rejoice in hope, be patient in tribulation, be constant in prayer. 13Contribute to the needs of the saints and seek to show hospitality. 14Bless those who persecute you; bless and do not curse them. 15Rejoice with those who rejoice, weep with those who weep. 16Live in harmony with one another. Do not be haughty, but associate with the lowly. [8] Never be wise in your own sight. 17Repay no one evil for evil, but give thought to do what is honorable in the sight of all. 18If possible, so far as it depends on you, live peaceably with all. 19Beloved, never avenge yourselves, but leave it [9] to the wrath of God, for it is written, “Vengeance is mine, I will repay, says the Lord.” 20To the contrary, “if your enemy is hungry, feed him; if he is thirsty, give him something to drink; for by so doing you will heap burning coals on his head.” 21Do not be overcome by evil, but overcome evil with good.

Will those insights be tested,or simply used to justify the status quo and reinforce prejudices? When I consider the sloppy and self-serving ways that companies use data, I'm often reminded of phrenology, a pseudoscience that was briefly the rage in the nineteenth century. Phrenologists would run their fingers over the patient's skull, probing for bumps and indentations. Each one, they thought, was linked to personality traits that existed in twenty-seven regions of the brain. Usually the conclusion of the phrenologist jibed with the observations he made. If the patient was morbidly anxious or suffering from alcoholism, the skull probe would usually find bumps and dips that correlated with that observation - which, in turn, bolstered faith in the science of phrenology. Phrenology was a model that relied on pseudoscientific nonsense to make authoritative pronouncements, and for decades it went untested. Big Data can fall into the same trap. Models like the ones that red-lighted Kyle Behm and black-balled foreign medical students and St. George's can lock people out, even when the "science" inside them is little more than a bundle of untested assumptions.

Will those insights be tested, or simply used to justify the status quo and reinforce prejudices? When I consider the sloppy and self-serving ways that companies use data, I'm often reminded of phrenology, a pseudoscience that was briefly the rage in the nineteenth century. Phrenologists would run their fingers over the patient's skull, probing for bumps and indentations. Each one, they thought, was linked to personality traits that existed in twenty-seven regions of the brain. Usually the conclusion of the phrenologist jibed with the observations he made. If the patient was morbidly anxious or suffering from alcoholism, the skull probe would usually find bumps and dips that correlated with that observation - which, in turn, bolstered faith in the science of phrenology. Phrenology was a model that relied on pseudoscientific nonsense to make authoritative pronouncements, and for decades it went untested. Big Data can fall into the same trap. Models like the ones that red-lighted Kyle Behm and black-balled foreign medical students and St. George's can lock people out, even when the "science" inside them is little more than a bundle of untested assumptions.

Let love be genuine.  u Abhor what is evil; hold fast to what is good. 10 v Love one another with brotherly affection.  w Outdo one another in showing honor. 11Do not be slothful in zeal,  x be fervent in spirit, [7]  y serve the Lord. 12 z Rejoice in hope,  a be patient in tribulation,  b be constant in prayer. 13 c Contribute to the needs of the saints and  d seek to show hospitality. 14 e Bless those who persecute you; bless and do not curse them. 15 f Rejoice with those who rejoice, weep with those who weep. 16 g Live in harmony with one another.  h Do not be haughty, but associate with the lowly. [8]  i Never be wise in your own sight. 17 j Repay no one evil for evil, but  k give thought to do what is honorable in the sight of all. 18If possible, so far as it depends on you,  l live peaceably with all. 19Beloved,  m never avenge yourselves, but leave it [9] to the wrath of God, for it is written,  n “Vengeance is mine, I will repay, says the Lord.” 20To the contrary,  o “if your enemy is hungry, feed him; if he is thirsty, give him something to drink; for by so doing you will heap burning coals on his head.” 21Do not be overcome by evil, but overcome evil with good.

As many speakers noted, this tool wasn’t particularly well suited for assessing outcomes of a psychiatric drug. How could a study of a neuroleptic possibly be “double-blind”? The psychiatrist would quickly see who was on the drug and who was not, and any patient given Thorazine would know he was on a medication as well. Then there was the problem of diagnosis: How would a researcher know if the patients randomized into a trial really had “schizophrenia”? The diagnostic boundaries of mental disorders were forever changing. Equally problematic, what defined a “good outcome”? Psychiatrists and hospital staff might want to see drug-induced behavioral changes that made the patient “more socially acceptable” but weren’t to the “ultimate benefit of the patient,” said one conference speaker.11 And how could outcomes be measured? In a study of a drug for a known disease, mortality rates or laboratory results could serve as objective measures of whether a treatment worked. For instance, to test whether a drug for tuberculosis was effective, an X-ray of the lung could show whether the bacillus that caused the disease was gone. What would be the measurable endpoint in a trial of a drug for schizophrenia? The problem, said NIMH physician Edward Evarts at the conference, was that “the goals of therapy in schizophrenia, short of getting the patient ‘well,’ have not been clearly defined.

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?

What a wallop of rich, full-bodied flavor! Tangy spiciness is flooding in my mouth! This ain't no sweet tea cake! Ankimo?! It's filled with ankimo monkfish liver!" "Yep! You've got it in one. This here is a special little dish I made... I dub it THE ANKIMONAKA GUTS SANDWICH!" "Wait a minute. There were no rice wafer shells or batter in the ingredient trucks! How could you make a monaka sandwich?!" "Easy enough to make your own with a little cornstarch and shiratama rice flour. Squeeze some batter between two muffin molds- like these- bake them, and voilà! You have your own instant rice wafers. It's a pretty delicate operation, though, so you've gotta be patient and careful. As for the filling, I started out by trimming and deveining some monkfish liver, then I salted it to remove its fishiness. Next, I whipped up a broth of bonito stock seasoned with soy sauce, sake and sugar and then simmered the liver. I pressed it through a strainer until it was a nice, smooth paste and mixed in my handmade Shichimi red pepper blend. After that, all that was left was to stuff the rice wafer shells with it and serve!" Light, crispy wafers and thick, sticky monkfish-liver paste! Those two and the mountain yam he mixed in with them make for marvelously contrasting textures! And their flavors! The sharp spiciness spreads its addicting tingle through my entire mouth! He struck the perfect balance between the savory umami of the bonito stock and the salty soy sauce too... Which makes the tangy spiciness of his red pepper blend stand out all the more!

Treating Abuse Today (Tat), 3(4), pp. 26-33 Freyd: I see what you're saying but people in psychology don't have a uniform agreement on this issue of the depth of -- I guess the term that was used at the conference was -- "robust repression." TAT: Well, Pamela, there's a whole lot of evidence that people dissociate traumatic things. What's interesting to me is how the concept of "dissociation" is side-stepped in favor of "repression." I don't think it's as much about repression as it is about traumatic amnesia and dissociation. That has been documented in a variety of trauma survivors. Army psychiatrists in the Second World War, for instance, documented that following battles, many soldiers had amnesia for the battles. Often, the memories wouldn't break through until much later when they were in psychotherapy. Freyd: But I think I mentioned Dr. Loren Pankratz. He is a psychologist who was studying veterans for post-traumatic stress in a Veterans Administration Hospital in Portland. They found some people who were admitted to Veteran's hospitals for postrraumatic stress in Vietnam who didn't serve in Vietnam. They found at least one patient who was being treated who wasn't even a veteran. Without external validation, we just can't know -- TAT: -- Well, we have external validation in some of our cases. Freyd: In this field you're going to find people who have all levels of belief, understanding, experience with the area of repression. As I said before it's not an area in which there's any kind of uniform agreement in the field. The full notion of repression has a meaning within a psychoanalytic framework and it's got a meaning to people in everyday use and everyday language. What there is evidence for is that any kind of memory is reconstructed and reinterpreted. It has not been shown to be anything else. Memories are reconstructed and reinterpreted from fragments. Some memories are true and some memories are confabulated and some are downright false. TAT: It is certainly possible for in offender to dissociate a memory. It's possible that some of the people who call you could have done or witnessed some of the things they've been accused of -- maybe in an alcoholic black-out or in a dissociative state -- and truly not remember. I think that's very possible. Freyd: I would say that virtually anything is possible. But when the stories include murdering babies and breeding babies and some of the rather bizarre things that come up, it's mighty puzzling. TAT: I've treated adults with dissociative disorders who were both victimized and victimizers. I've seen previously repressed memories of my clients' earlier sexual offenses coming back to them in therapy. You guys seem to be saying, be skeptical if the person claims to have forgotten previously, especially if it is about something horrible. Should we be equally skeptical if someone says "I'm remembering that I perpetrated and I didn't remember before. It's been repressed for years and now it's surfacing because of therapy." I ask you, should we have the same degree of skepticism for this type of delayed-memory that you have for the other kind? Freyd: Does that happen? TAT: Oh, yes. A lot.

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.

Standing, balanced precariously on the narrow top of a drainpipe, you had to give a good leap up to grab hold of the narrow ledge, and then swing your whole body up and over. It took some guts, and a cool head for heights. Get it wrong and the fall was a long one, onto concrete. In an attempt to make it harder, the school security officers had put barbed wire all around the lip of the roof to ensure such climbs were “impossible.” (This was probably installed after Ran Fiennes’s escapades onto the dome all those years earlier.) But in actual fact the barbed wire served to help me as a climber. It gave me something else to hold on to. Once on the roof, then came the crux of the climb. Locating the base of the lightning conductor was the easy bit, the tough bit was then committing to it. It held my weight; and it was a great sense of achievement clambering into the lead-lined small bell tower, silhouetted under the moonlight, and carving the initials BG alongside the RF of Ran Fiennes. Small moments like that gave me an identity. I wasn’t just yet another schoolboy, I was fully alive, fully me, using my skills to the max. And in those moments I realized I simply loved adventure. I guess I was discovering that what I was good at was a little off-the-wall, but at the same time recognizing a feeling in the pit of my stomach that said: Way to go, Bear, way to go. My accomplice never made it past the barbed wire, but waited patiently for me at the bottom. He said it had been a thoroughly sickening experience to watch, which in my mind made it even more fun. On the return journey, we safely crossed one college house garden and had silently traversed half of the next one. We were squatting behind a bush in the middle of this housemaster’s lawn, waiting to do the final leg across. The tutor’s light was on, with him burning the midnight oil marking papers probably, when he decided it was time to let his dog out for a pee. The dog smelled us instantly, went bananas, and the tutor started running toward the commotion. Decision time. “Run,” I whispered, and we broke cover together and legged it toward the far side of the garden. Unfortunately, the tutor in question also happened to be the school cross-country instructor, so he was no slouch. He gave chase at once, sprinting after us across the fifty-meter dash. A ten-foot wall was the final obstacle and both of us, powered by adrenaline, leapt up it in one bound. The tutor was a runner but not a climber, and we narrowly avoided his grip and sprinted off into the night. Up a final drainpipe, back into my open bedroom window, and it was mission accomplished. I couldn’t stop smiling all through the next day.

I am speaking of the evenings when the sun sets early, of the fathers under the streetlamps in the back streets returning home carrying plastic bags. Of the old Bosphorus ferries moored to deserted stations in the middle of winter, where sleepy sailors scrub the decks, pail in hand and one eye on the black-and-white television in the distance; of the old booksellers who lurch from one ϧnancial crisis to the next and then wait shivering all day for a customer to appear; of the barbers who complain that men don’t shave as much after an economic crisis; of the children who play ball between the cars on cobblestoned streets; of the covered women who stand at remote bus stops clutching plastic shopping bags and speak to no one as they wait for the bus that never arrives; of the empty boathouses of the old Bosphorus villas; of the teahouses packed to the rafters with unemployed men; of the patient pimps striding up and down the city’s greatest square on summer evenings in search of one last drunken tourist; of the broken seesaws in empty parks; of ship horns booming through the fog; of the wooden buildings whose every board creaked even when they were pashas’ mansions, all the more now that they have become municipal headquarters; of the women peeking through their curtains as they wait for husbands who never manage to come home in the evening; of the old men selling thin religious treatises, prayer beads, and pilgrimage oils in the courtyards of mosques; of the tens of thousands of identical apartment house entrances, their facades discolored by dirt, rust, soot, and dust; of the crowds rushing to catch ferries on winter evenings; of the city walls, ruins since the end of the Byzantine Empire; of the markets that empty in the evenings; of the dervish lodges, the tekkes, that have crumbled; of the seagulls perched on rusty barges caked with moss and mussels, unϩinching under the pelting rain; of the tiny ribbons of smoke rising from the single chimney of a hundred-yearold mansion on the coldest day of the year; of the crowds of men ϧshing from the sides of the Galata Bridge; of the cold reading rooms of libraries; of the street photographers; of the smell of exhaled breath in the movie theaters, once glittering aϱairs with gilded ceilings, now porn cinemas frequented by shamefaced men; of the avenues where you never see a woman alone after sunset; of the crowds gathering around the doors of the state-controlled brothels on one of those hot blustery days when the wind is coming from the south; of the young girls who queue at the doors of establishments selling cut-rate meat; of the holy messages spelled out in lights between the minarets of mosques on holidays that are missing letters where the bulbs have burned out; of the walls covered with frayed and blackened posters; of the tired old dolmuşes, ϧfties Chevrolets that would be museum pieces in any western city but serve here as shared taxis, huϫng and puϫng up the city’s narrow alleys and dirty thoroughfares; of the buses packed with passengers; of the mosques whose lead plates and rain gutters are forever being stolen; of the city cemeteries, which seem like gateways to a second world, and of their cypress trees; of the dim lights that you see of an evening on the boats crossing from Kadıköy to Karaköy; of the little children in the streets who try to sell the same packet of tissues to every passerby; of the clock towers no one ever notices; of the history books in which children read about the victories of the Ottoman Empire and of the beatings these same children receive at home; of the days when everyone has to stay home so the electoral roll can be compiled or the census can be taken; of the days when a sudden curfew is announced to facilitate the search for terrorists and everyone sits at home fearfully awaiting “the oϫcials”; CONTINUED IN SECOND PART OF THE QUOTE

Who will have their strength renewed? “Those who wait upon the Lord”. Waiting could signify passivity: being still. Waiting could also indicate action: serving. Waiting — either kind — can be nearly impossible while we are being run by our emotions. In learning to balance your emotions with wisdom, learning to wait upon the Lord in both senses of the word, you will find that your strength is renewed every day in every situation. On the other hand, operating out of emotions can be exhausting. In your Christian walk, the ability to discern seasons is vital. There are times in your life where immediate action is not only unnecessary, it can be damaging. There are situations in which your best course of action is to “be still and know that He is God” (Psalm 46:10). Allowing Him to speak to you in the midst of your storm, finding your peace in Christ when your life seems upside down may be exactly what is needed. There are times when patience is the order of the day, and waiting on the Lord to move or instruct you in the way you are to move is exactly what is needed. Sometimes the most difficult course to take is to wait and allow the Lord to direct your heart “into the love of God and the patience of Christ” (2 Thessalonians3:5). However difficult it may be, practicing waiting will serve you well. “Waiting” can also signify an action. A waitress will wait on you in your favorite restaurant. You may wait on, or serve, your family. In being able to discern the seasons of waiting passively, we must also be able to discern the seasons of waiting actively. Even in times when you might feel unsure of the next step, there are continually ways for you to serve the Lord: prayer, study, service to others being a few examples. In times when everything is going along smoothly, waiting actively on the Lord is always in order. Paul encourages young Timothy to “be diligent to show yourself approved” (2 Timothy 2:15). In learning to wait actively on the Lord, it is good advice for us as well. Applying ourselves to faithful service to the Lord (active waiting) will sustain us through times when the waiting requires patience and stillness. In our Christian walk, both kinds of “waiting” are needed: an active waiting on or serving the Lord, and likewise a passive waiting for the Lord to move on your behalf. As everything in our relationship with the Lord is a partnership or covenant, this waiting is a “two way street”. As we serve the Lord, He is moved to action on our behalf. Psalm 37:3-7 speaks to both kinds of waiting (parentheses mine): “Trust in the LORD (passive), and do good (active); Dwell in the land (passive), and feed on His faithfulness (active). Delight yourself also in the LORD, And He shall give you the desires of your heart. Commit your way to the LORD (active), Trust also in Him (passive), And He shall bring it to pass (the Lord’s action). He shall bring forth your righteousness as the light, And your justice as the noonday (the Lord’s action). Rest in the LORD (passive), and wait patiently for Him (passive)”. Tremendous and amazing results can come from this kind of waiting. Of course, the Lord in His generous and kind manner will send you opportunities to practice if you want to learn to wait! In His providence, those opportunities are already provided — it is for you to take advantage of them. Will you? Unfortunately, patience is not one of Ahasuerus’ virtues. He is motivated by his emotions, and seems to rush right into whatever comes into his mind without much forethought. Let’s return to Persia, and find out what Ahasuerus is rushing into today. After these things, when the wrath of King Ahasuerus subsided, he remembered... Esther 2:1 “After these things”…. By the beginning of chapter two, four years have passed since King Ahasuerus dethroned Queen Vashti. God was working through this Persian chronicler as he wrote this history

Many years ago I was trained in Ayurveda, a system of traditional medicine that dates back to the ancient Vedic period in India. The word Ayurveda is derived from the Sanskrit ayus, meaning “life,” and veda, meaning “science” or “knowledge.” While I have never considered myself to be a true practitioner of Ayurvedic medicine, nonetheless the pulse diagnosis training has served my patients very well, often providing diagnostic clues when none was otherwise apparent. And Susan’s pulse

While vegetables should be consumed ad libitum, fruit should be consumed in limited quantities. Sure, fruit contains healthy components, such as flavonoids, vitamin C, and fiber. But fruit, especially herbicided, fertilized, cross-bred, gassed, and hybridized fruit, has become too rich in sugar. Year-round access to high-sugar fruits can overexpose you to sugars, sufficient to amplify diabetic tendencies. I tell patients that small servings, such as eight to ten blueberries, two strawberries, a few wedges of apple or orange, are fine; more than that starts to provoke blood sugar excessively.

It was a popular and trendy neighborhood, but there was something bland about the bars and restaurants we visited. San Diego was nice - nice weather, nice beaches, and nice people - but it wasn't great. The diversity and texture I'd come to appreciate on the East Coast seemed to have been smoothed away by the surf and sand in sunny SoCal. I missed the tiny Ecuadorian restaurant a block from our Baltimor row home that served the best fried plantains, and our tiny local pub where we knew all the bartenders and they knew what we liked to drink. I missed houses built from bricks, and when summer changed into fall, most surprisingly, rain.

It would be easy to make this purely about local authority budgets, but the privatisation of social care has cloaked the profession in a profit-making penumbra which at times seems to trump the welfare of those the sector is supposed to serve. For many of the companies that vie with each other for business, elderly people are first and foremost pound symbols on a balance sheet. The corporate jargon which permeates the sector reflects this avaricious raison d'être. Elderly people are 'clients', 'customers', and 'service users'. 'Patients' are a separate category of people for whom the NHS has to send a ambulance in emergencies.

Capitalism has relied on markets so long as they has served its purpose. As in the past, big capital has not been squeamish in training big guns on innocent people when they appear as obstacles against its designs. As in the past, the propaganda of the civilizing mission was in full drive even as cluster bombs tore apart the bodies of the intended beneficiaries of that civilizing process or as two-thousand- or nine-thousand-pound bombs buried patients of a whole hospital under the debris.

We are a 100% locally-owned (non-corporate) dental office, committed to providing the most comprehensive, quality care to our patients. We live here, and treat our patients as long-time friends. Specializing in general dentistry, we go the extra mile to ensure your comfort and access to the highest quality of dental care. From cleanings and whitenings to clear braces & cosmetic dentistry, we take pride in serving the 04 community & all of our Austin neighbors.