Flowers and Dr Jones's patient Mrs. This danger is easily remedied through open communication and by allowing clients to express their feelings without judgment. It also means, however, that the therapists will not discuss each other with the client; The client can learn more direct ways of communication and, when more than one therapist is involved, can learn how to ask for help, an important life skill. The reality for some therapists is that they cannot have an entire caseload of clients with DID because it feels too demanding. For some, this extends to trauma clients in general. For other therapists, this is not even an issue. Do not judge your abilities as a therapist according to the decisions you make regarding caseload. Some therapists are able to see ten clients a week, others see thirty. Some see all trauma clients, others like to see clients with a variety of issues. The more experienced you become as a therapist, the more you will be able to determine with whom you most enjoy working and with whom you are most effective. First, write down the feeling you had so you don't forget it, then learn all you can about your idea. As you gather information, you will have a better sense of whether the idea is a good one to pursue. Remember that your energy waves can connect with many other energy waves in the shared field. Not every idea or opportunity available to you from these connections will be helpful to you. You need to use your good thinking skills and your wise judgment. After you have researched and evaluated the opportunity, you will be clearer on whether it is a worthy one to pursue. If it seems to be, check in with your guidance again before proceeding. You will be building your confidence in hearing your inner GPS, and you will be getting further confirmation in making wise choices. Take it for a test run.

Get familiar with how your guidance system works by using it for small, easy things before using it for big, important things. Lawler in article 7) would tell different stories about their care than would Paul Samuels's. Most practitioners in my experience are neither Andy Spiers nor Paul Samuels. Rather, they fall somewhere in between on this continuum which has as one end overriding concern for the science of treating disease and as the other a central interest in the art of healing illness. Effective care requires both skills, but relative inattention to the latter is particularly problematic in the care of the chronically ill. Benjamin Winterhouse's and Helen McNaughton's disturbing experiences illustrate how the social transformation of American medicine has created bureaucratic and legal constraints that convert the role of healer into that of technician, functionary, even adversary. Samuels, Bender, McNaughton have persevered as healers in spite of these changes indicates that there are other, more personal reasons for Dr Winterhouse's predicament than sociopolitical and socioeconomic determinants. How does Beaseley Will's student idealism become transformed into Benjamin Winterhouse's corrosive cynicism? Can this process be prevented? Embarrassing as it is to say, as a medical educator I have come to suspect that something in the system of training health professionals contributes to this undesirable value change. Benjamin Winterhouse, when he was twenty-three, may very well have spoken like Beaseley Will, who in turn may yet come to see patients and doctors much as Dr Winterhouse sees them. If you pay attention to your inner preferences, you will be happier and will have more energy when you do focus on trauma work. Other helpful activities for therapists include attending consultation groups with other professionals and accessing supervision with someone specializing in dissociative disorders. Many therapists also seek out their own therapy to safeguard against the possibility of having their own issues contaminate the therapy with their clients. Individual therapy can help with managing stress and resolving personal issues unrelated to the DID work you do. It can also help you work through any compassion fatigue you might experience as a result of listening to stories of child abuse and other kinds of trauma day in and day out. In addition, each of us (friend, family member, or therapist) must create our own bag of destressing tricks to pull out on especially difficult days. What will you put in yours? Take a minute to brainstorm, remembering to include both solitary activities and time with family and friends. A sense of humor is a great asset in just about any situation.

A therapist who has a good sense of humor not only helps himself but his clients as well. Ask your inner guidance for something that will not cause you difficulty however it turns out. For instance, you could imagine two routes to get to your destination and ask for guidance on which route is faster and easier. Or, if you are shopping for an item, you could ask your inner guide whether a specific store has it before making a trip to that store. After you receive a feeling that you think is your guidance, go check it out. Take the route your guidance suggested, or go to the store where your guidance told you to go. Was your guidance accurate? If not, keep practicing. Try different ways of testing whether you are accurately in touch with your inner GPS. As you continually practice and test it, you will eventually know which of your feelings are accurate guidance feelings and which are not. Over time, you will gain greater confidence in feeling the guidance the energy of the universe offers you. Yet Helen McNaughton avoids this self-defeating cynicism, in spite of powerful institutional pressures to the contrary, and fashions her criticisms into a personal quest for a professional setting more conducive to humane care; Lenore Light has reached a political position far removed from Benjamin Winterhouse's upper-middle-class alienation. Having been exposed to the social origins of human misery and having become aware of how inadequate care for the poor and powerless has contributed to the prevalence of preventable morbidity and mortality, this young black physician has been radicalized. Too narrow a focus on healing may blind the practitioner to the crucial public health component of care as effectively as exclusively financial interests or a nihilistic vision of the purpose of medicine. Lenore Light's experience should convince us that medicine is inseparable from society, that the doctor is rooted in particular social circumstances, which, as much as professional culture and personal values, mold her vision. What would it be like to visit these different healers for care? Expressions of personal convictions and professional values don't necessarily predict therapeutic behavior, though they indicate the kinds of concerns we should have about potential problems in care. We all want a Paul Samuels to be our physician in time of need; As the words of these physicians indicate, the societal forces in our health care and medical education system make it ever less likely we will turn out or maintain in practice a Paul Samuels.

Can we model what Paul Samuels, Hiram Bender, Helen McNaughton, and Gu Fangwen know and do so that we can teach it to others? Modeling humor is an effective way of teaching emotional management and self-nurturing. As your own survival technique, however, humor can manifest itself in various ways. Not only do you need a bag of destressing tricks, but you also need a treasure chest packed full of humor nuggets. The ability to laugh in the midst of stressful situations is a precious commodity. Flexibility is another important ingredient to have when dealing with stress. A relationship with someone who has DID can be somewhat unpredictable at times. Moods can change quite abruptly, and you can be left feeling confused and thrown off balance. For the therapist, flexibility can be practiced by going with the client wherever it is they need to go during the session, as long as safety limits are understood and respected. It means being willing to set plans aside to address something that needs more immediate attention. It also means exercising the ability to flow with unexpected changes in mood and behavior in the client rather than ending up in a power struggle. This guidance is always reliable. You can release your fear of not knowing exactly how things will unfold because you will know that you are tuned to the signals of guidance available to you. You can receive direction any time you want it. You can fulfill any desire that you have by sustaining your eager focus on it while also making wise choices in resonance with your inner guidance system. And being able to access this system, you're now able to transform your life, using all that you've learned to notice, feel, and do. Let's take a look at how to put it all together. TRANSFORM YOUR LIFE USING INTENTION AND INTUITION You have the power to bring everything you desire into your life. Now, with your understanding of how your energy works, I imagine you have been able to create wonderful new things in your life that fill you with happiness.

Perhaps you have brought a fulfilling job to yourself or created financial abundance. Can we do something about medical education and practice to keep practitioners from becoming Andy Spiers or James Blanchards (article 7)? Are Benjamin Winterhouse's attitude and Helen McNaughton's clinic detrimental to effective care? Can the health care delivery system be altered to protect against the negative effects on patients, families, practitioners of burn-out and cynicism and commoditization of care? Can Lenore Light's political commitment and Beaseley Will's idealism be harnessed to remake our medical system into one with less inequality and more humane care? In the final two articles, I turn to address these questions. Before closing this discussion, I want to emphasize that care of the chronically ill is difficult and burdensome for even the most attentive and gifted of healers. As Slaby and Glicksman write: We all want physicians to be sensitive, warm human beings. We also want them to be professional; We cannot expect them to be both to their fullest. If you are a friend or family member of a person with DID, flexibility might mean a willingness to deal with a child part that is feeling scared right before you walk into a social gathering. Or, it might mean going someplace alone because your partner is not feeling up to dealing with the situation. In terms of your own happiness, though, it is about cultivating flexibility as a state of heart and mind. Are you willing to create a life for yourself that is not defined by dissociation? If so, you will feel less controlled when those issues do emerge. Related to this discussion is an accepting and nonjudgmental stance regarding the relationship, something you will need to practice in all areas of your life to be effective. It is about living your life mindfully, with an awareness and attention to what is occurring in the present moment as opposed to a need to project and control what will happen in the future. This stance frees up both people in the relationship to feel as if they can be more genuine in the way they interact with each other. Also, if you live with someone who has DID, it is important that you have your own interests and friends.