Before every session, I take a moment to remember my humanity. There is no experience that this man has that I cannot share with him, no fear that I cannot understand, no suffering that I cannot care about, because I too am human. No matter how deep his wound, he does not need to be ashamed in front of me. I too am vulnerable. And because of this, I am enough. Whatever his story, he no longer needs to be alone with it. This is what will allow his healing to begin. (Carl Rogers)

A human life has seasons much as the earth has seasons, each time with its own particular beauty and power. And gift. By focusing on springtime and summer, we have turned the natural process of life into a process of loss rather than a process of celebration and appreciation. Life is neither linear nor is it stagnant. It is movement from mystery to mystery. Just as a year includes autumn and winter, life includes death, not as an opposite but as an integral part of the way life is made.

The denial of death is the most common way we all edit life. Despite the power of technology to reveal to us the nature of this world, death remains the ultimate unknown, impervious to the prodding finger of science. We might well ask if anything which cannot be addressed in scientific terms is really worthy of our attention. Yet most of the things that give life its depth, meaning, and value are impervious to science.

Wholeness is never lost, it is only forgotten. Integrity rarely means that we need to add something to ourselves: it is more an undoing than a doing, a freeing ourselves from beliefs we have about who we are and ways we have been persuaded to 'fix' ourselves to know who we genuinely are.

Often times of crisis are times of discovery, periods when we cannot maintain our old ways of doing things and enter into a steep learning curve. Sometimes it takes a crisis to initiate growth.

to live until she was big enough to undergo extensive open-heart surgery. She had been followed since birth in our Pediatric Cardiology Clinic at the New York Hospital, and many of the pediatricians knew her and her family. Despite her physical difficulties she took full possession of all the hearts around her, including mine. When the time for her surgery finally came, her parents were deeply anxious. These were early days for many cardiac surgery techniques, and the risks were considerable, but without surgery, she would not survive childhood. As the senior pediatric resident, I met with Immy’s parents before the surgery to do an intake interview and summarize Immy’s long story. They were committed and ready and very pale. As we spoke, they sat close together holding hands. Afterward I took them

Perhaps the most important thing we bring to another person is the silence in us, not the sort of silence that is filled with unspoken criticism or hard withdrawal. The sort of silence that is a place of refuge, of rest, of acceptance of someone as they are. We are all hungry for this other silence. It is hard to find. In its presence we can remember something beyond the moment, a strength on which to build a life. Silence is a place of great power and healing.

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Perhaps winning requires that we love the game unconditionally. Life provides all the pieces. When I accepted certain parts of life and denied and ignored the rest, I could only see my life a piece at a time - the happiness of a success or a time of celebration, or the ugliness and pain of a loss or a failure I was trying hard to put behind me out of sight. But like the dark pieces of the puzzle, these sadder events, painful as they are, have proven themselves a part of something larger.

I looked at the place on my finger again. This time it really was an empty space. And silent. It was big. For the first time I faced a loss with a sense of curiosity. What would come to fill up this space? Would I make another ring? Or would I find another ring in a secondhand shop, or even in another country? Perhaps someday someone I had not even met would give me a ring because he loved me. I was thirty-five and I had never trusted life before. I had never allowed any empty spaces. I had believed that empty spaces remained empty. Life had been about hanging on to what you had and medical training had only reinforced the avoidance of loss at all costs. Anything I had ever let go of had claw marks on it. Yet this empty space had become different. It held all the excitement and anticipation of a wrapped Christmas present.

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When we approve of people, we sit in judgment of them as surely as when we criticize them. ...To seek approval is to have no resting place, no sanctuary. Like all judgment, approval encourages a constant striving. It makes us uncertain of who we are and of our true value. This is as true of the approval we give ourselves as it is of the approval we offer others. Approval can't be trusted. It can be withdrawn at any time no matter what our track record has been. It is as nourishing of real growth as cotton candy. Yet many of us spend our lives pursuing it.

The power of the expert is very great and the way in which an expert sees you may easily become the way in which you see yourself.

We may need to take our labels and our experts far more lightly. Some years ago...[I heard of] a farmer who had done exceptionally well despite a dire prognosis. He had taken the same attitude toward his physician's prognosis that he took toward the words of the government soil experts who analyzed his fields. As they were educated men, he respected them and listened carefully as they showed him the findings of their tests and told him that the corn would not grow in this field. He valued their opinions. But, as he said, 'A lot of the time, the corn grows anyway.' What would it be like if more people allowed for the presence of the unknown, and accepted the words of experts in this same way?

Like a diagnosis, a label is an attempt to assert control and manage uncertainty. It may allow us the security and comfort of a mental closure and encourage us not to think about things again. But life never comes to a closure, life is process, even mystery. Life is known only by those who have found a way to be comfortable with change and the unknown. Given the nature of life, there may be no security, but only adventure.

Protecting ourselves from loss rather than grieving and healing our losses is one of the major causes of burnout. Very few of the professionals I have treated for burnout actually came in saying that they were burned out. I don't think most of them knew. The most common thing I've been told is, 'There's something wrong with me. I don't care anymore. Terrible things happen in front of me and I feel nothing.

"Wholeness lies beyond perfection. Perfection is only an idea. For most experts and many of the rest of us it has become a life goal...A perfectionist sees life as if it were one of those little pictures that used to appear in the newspapers over the caption "What's wrong with this picture?" If you looked at the picture carefully you would see that the table only had three legs or the house had no door. I remember the "Aha!" that these pictures evoked in me as a child. I wonder now why anyone would want to take such satisfaction in seeing what is missing, what is wrong, what is "broken." The pursuit of perfection has become a major addiction of our time. Fortunately, perfectionism is learned...which is why it's possible to recover."

with me to the children’s ward to examine Immy. She greeted us with her wonderful take-no-prisoners smile. She was holding a new teddy bear. Someone had put a white bandage across its chest. I examined Immy carefully. Her heart sounds bore no resemblance whatever to the organized sounds of a normal heart. Once again, I marveled at her endurance. As I helped her to dress, I noticed a Saint Christopher medal pinned to her tiny pink undershirt. “What is this?” I asked her parents. Hesitantly her mother told me that a family member had made a special trip to Rome to have the medal blessed and then dipped into the healing waters at Lourdes. “We feel that it will protect her,” she said simply. Her husband nodded. I was touched. Immy spent the next day or two undergoing tests, and I saw her several more times.