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.

Staying with the feeling is key,” I declare. “Most people go straight to what is wrong with them rather than staying with the feeling.” David’s eyes fill with tears. I can see that he is following my logic. “I’d like to believe it,” he says quietly.

But, as important as it is to understand the sources and details of one’s 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.

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.

We are full of preconceptions about ourselves and are limited by them. The actuality of our being is not something we have an easy time making room for.