In learning to meditate, albeit from some of the best teachers I could find, I came to appreciate that once I understood the basics, I had to teach myself how to do it. I had to take what I had learned, in terms of the formal techniques, and then make it real from the inside. Only then could I begin to appreciate what meditation could and could not accomplish.

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.

With the recent popularity of mindfulness and the proliferation of apps and blogs and podcasts about it, people like Fred tend to look to it as a kind of mental gymnastics, good for one’s health and beneficial if practiced on a regular basis. This is not necessarily mistaken, but it can make meditation feel like just another thing one is doing wrong. While some of my patients have been able to prioritize the regular sitting practice of mindfulness, many others, in the midst of busy work and family life, cannot.

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.

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.