Too much joy, I swear, is lost in our desperation to keep it.

The mention of Kuan Yin was spontaneous; I did not know whether Jack was familiar with her, and, when he was not, I needed to explain her to him. This took some time and threatened to overwhelm the session, taking him away from his feelings and into his intellect. But I wanted to turn around Jack’s long-standing sentiments of never having been enough. If he could imagine himself, even for a moment, as the healer, I hoped this would begin to offset his unquestioning identity as someone who needed to be healed. His slightly off-balance reaction to our interchange suggested some degree of success. Instability is sometimes a sign of new possibilities.

Buddhist thought has been helpful for me with this because the Buddha’s first noble truth—that life is tinged with a sense of pervasive unsatisfactoriness (or suffering)—takes it as a given that there is always some way that we feel unseen, unknown, or unrecognized.

Psychoanalysis has explored many of the most obvious parental failings that contribute to such feelings but, in trying to find the source, or the cause, of personal uncertainty, it has encouraged people to overly blame their families of origin rather than taking on the responsibility of reaching out to establish whatever kinds of connections are actually possible in life.

In some way, this is what I want to convey to April. We all wish we could just eliminate the dysfunctional parts of us. In pushing against what we do not like in ourselves, we get more knotted up. The shame, discomfort, embarrassment, and pain just reinforce the hold the whole thing has over us, and, in the process, we over-identify with an aspect of ourselves that does not need to define us so completely. Seeing this overidentification clearly is what I think of as insight.

Winnicott, and here the parallels to the Buddha are difficult to ignore, believed that “being” precedes “doing,” and that its recovery is the route back to our original nature. He felt that “being” is everyone’s birthright, but that it is something of a lost art, that compliance often robs people of it, that creativity depends on it, and that therapy can serve as a means of rediscovering it if a therapist is sensitive to the need and does not let their male element, in the form of intrusive interpretations, however erudite they may be, interfere. The Buddha, to my mind, thought along the same lines. He said that our original nature is obscured by our cravings and our frustrations, that the ego that emerges in healthy emotional development, while necessary for some things, also blocks us from our underlying and inherent freedom. “Be here now,” my old friend Ram Dass used to proclaim, making it sound as if it were the easiest thing in the world.