Pedraza suggested that the therapist in this case be in touch with his own freakishness and then stay in tune with the patient’s way of speaking, echoing it if possible. The idea is to enter into whatever complex has gotten hold of the patient through his style of language, his rhetoric.

A therapist never acts or speaks without art. You can never be completely natural, which is to say, unconscious. You are an artist of the psyche. You don’t set the tone, you let your client do that, because in that tone may be a way deeper into the problem and therefore out of it.

You remember that you’re not an ordinary person in this relationship. You are the therapist or a friend in a good position to help. It won’t hurt the relationship to wonder about her sincerity or honesty. As a therapist, you can expect a client to be dishonest. That’s material. It’s part of the complex you’re helping with. If your client is perfect, what is there to talk about? Therapy does not require full honesty. It would be better to hear the story with all its protective shields and misdirections than a tale cleaned up for therapeutic use. As a therapist you cannot be naïve. You have to expect shadow, expect to be manipulated. It’s all right. This is a basic human effort to risk telling a story by getting to the real facts slowly, one at a time. You can’t do it perfectly or purely. Only a moralistic therapist would expect unalloyed truth. A soulful therapist does not ask for purity but only a valiant effort to be present.

Therapy does not have to take the form of conversation. It may involve painting a house, building good transportation, inviting fresh and useful businesses to a region. In the little New England town where I live there is a small group of businesspeople who are concerned about the future of the region and do everything they can to provide attractive buildings and a good economy for all. They work hard to keep the international chain stores at a distance from the town center, so that they don’t quash local initiatives. They bury cables and raise money for improvements. They keep up the beautiful old buildings and demand strict codes for new ones. They are the town’s therapists, and they take their calling seriously. I talk to these people, who have skills that I lack. I encourage them and try to give them some philosophical underpinning for their good work. I’m their therapist.

From the first moment, I’m aware that therapy is a space separate from ordinary conversation. I listen more acutely than usual. I’m tuned in to levels of communication. I listen for the appearance and sound of the soul rather than the intended communication of my client. I hear overtones and reverberations. It’s not like listening at ordinary times in life. It’s not just focused listening, it’s listening for past voices and spirits and angels, to speak metaphorically.