I made no effort to chart the progress of any particular patient but focused instead on my own feelings of having contributed something of value in whatever encounter I chose to record. In the course of this chronicle, therefore, many patients are introduced but make only a single appearance, while only a few reoccur. Rarely are any issues resolved or settled, but there are nonetheless often hints of movement, of growth, and of opening.
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For it is only by observing the ego dispassionately, over and over and over again, that its nature can be significantly revealed. Without direct experience of how limiting its small-mindedness can be, there is no motivation to grow beyond it.
I challenged myself over the course of a single year to write down, as accurately as I could recall, the details of at least one session every week (or every other week) when something interesting caught my eye, when I had the sense that the Buddhist element was in play. Sometimes this influence was overt: people might ask me about meditation technique, or I might spontaneously bring something I had learned from Buddhism into the conversation. And sometimes it was only a feeling: I might find myself reaching beyond traditional analysis to help someone grasp an alternative perspective on whatever issue was troubling them.
But, as important as it is to understand the sources and details of oneβs pain, understanding is rarely enough. My patients come to therapy wanting the burden of their accumulated experience lifted. Yes, they want to make sense of their lives, but that is not usually their fundamental or exclusive aim. First and foremost, they are trying to get over their accumulated trauma in order to feel less fearful, isolated, forlorn, helpless, alone, anxious, or depressed. They might not be able to say it so clearly, but they are reaching for things
beyond thought, trying to make contact with essential capacities that have been sacrificed in their efforts to adapt, adjust, comply, cope, or conform.
As is evident in my write-ups, I do not model this sensibility by resting calmly in a meditative state while my patients free-associate. I engage actively. But I am very quiet inside when I am working; all of my concentration, all of my attention, goes to the person I am with. And I want to know everything, from the television shows they are watching to the food they are eating to their most dreadful thoughts and reflections. I believe in the power of awareness to heal. I want my patients to see how and when and where their egos, or superegos, are getting the
best of them, because I know that if and when they can see this clearly, something in them will release. And their best chance of seeing it comes when my mind is quiet. Somehow, my inner silence resonates in them and feeds their awareness. Each person is like a koan I cannot solve with my rational mind.
We cannot erase our histories no matter how hard we try, but in learning to face them with kindness, as so many of my patients have been able to do, we enter the stream that flows gently, if not always merrily, toward inner peace.