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.