Few perfectionists can tell the difference between love and approval. Perfectionism is so widespread in this culture that we actually have had to inv… - Rachel Naomi Remen

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."

For more than twenty years I have offered a very simple yet powerful ritual to people before their radiation, chemotherapy, or surgery. I suggest they meet together with some of their closest friends and family the day before their procedure. Before this meeting, I suggest they find an ordinary stone, a piece of the earth, big enough to fit in the palm of their hand, and bring it to the meeting with them. The ritual begins by having everyone sit in a circle. In any order they wish to speak, each person tells the story of a time when they too faced a crisis. People may talk about the death of important persons, the loss of jobs or of relationships, or even about their own illnesses. The person who is speaking holds the stone the patient has brought. When they finish telling their story of survival, they take a moment to reflect on the personal quality that they feel helped them come through that difficult time. People will say things such as, 'What brought me through was determination,' 'What brought me through was faith,' 'What brought me through was humor.' When they have named the quality of their strength, they speak directly to the person preparing for surgery or treatment, saying, 'I put determination into this stone for you,' or, 'I put faith into this stone for you.' After everyone has spoken the stone is given back to the patient, who takes it with them to the hospital, to keep nearby and hold in their hand when things get hard. In an environment which is highly technical and sterile, it connects them to the earth and to each other.