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 … - Rachel Naomi Remen

pinecone in her hands move as if it had become her own living heart. Deeply shaken, she looked up for the first time and found an unmistakable Presence in the center of the labyrinth, waiting for her. For just the briefest moment she could see Him quite clearly. His heart was open, a place of refuge for all who suffer. It had been broken open by the suffering in the world in the same way hers had been. Suddenly she understood why others had come to her for refuge since her childhood. The suffering she was able to feel had made her trustworthy. She stumbled the last few steps into the center of the labyrinth, knelt down, and for the first time since she was a child, she wept. In a talk about compassion, a former teacher of mine once said that practice prepares the mind, but suffering prepares the heart. Perhaps the final step in the healing of all wounds is the discovery of the capacity for compassion, an intuitive knowing that no one is singled out in their suffering, that all living beings are vulnerable to loss, attachment, and limitation. It is only in the presence of compassion that we can show our wounds without diminishing our wholeness. The Dalai Lama has said that “compassion occurs only between equals.” For those who have compassion, woundedness is not a place of judgment but a place of genuine meeting.

"Human being" is more a verb than a noun. Each of us is unfinished, a work in progress. Perhaps it would be most accurate to add the word "yet" to all our assessments of ourselves and each other . . . If life is process, all judgments are provisional, we can't judge something until it is finished. No one has won or lost until the race is over . . .

In our instinctive attachments, our fear of change, and our wish for certainty and permanence, we may undercut the impermanence which is our greatest strength, our most fundamental identity. Without impermanence, there is no process. The nature of life is change. All hope is based on process . . .

It is taken me somewhat longer to recognize that a diagnosis is simply another form of judgment. Naming a disease has limited usefulness. It does not capture life or even reflect it accurately. Illness, on the other hand, is a process, like life is.

Much in the concept of diagnosis and cure is about fixing, and the narrow-bore focus on fixing people's problems can lead to denial of the power of their process. Years ago, I took full credit when people became well; their recovery was testimony to my skill and knowledge as a physician. I never recognized that without their biological, emotional, and spiritual process which could respond to my interventions, nothing could have changed at all. All the time I thought I was repairing, I was collaborating.

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.