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  • stu- dents began to understand more deeply than ever before how ingrained the desire is to dis- tance ourselves from illness and psychic distress

  • “evenly suspended attention”

  • because often the best, most meaningful clinical work is done when the therapist is in the emptiest, most receptive, most impressionable state

  • a willingness to be continually open to the emer- gence of the unexpected

  • If we know too much too soon, we stop listening to the unique essence of our clients’ lives

  • We all fall along a continuum of mental health and illness, and our place on that continuum is never static.

  • pathos meaning suffering,

  • suffering and disharmonies, with which we are able to cope with varying degrees of success at different points in our lives.

  • if the students do not feel in themselves some of what is being described, then they are keeping themselves too distant, too separate, too apart from the material,

  • process over time

  • he first assessment meeting can provide hope to clients

  • “together”

  • we meet clients where they are

  • developmental history, strengths and vulner- abilities, social and cultural forces, and biological factors come together

  • They may offer a tech- nique before understanding the conditions that gave rise to the need for that technique

  • first feeling authentically heard with an appreciation for the complexities—neurobiological, psychological, social—that inform the presenting issues

  • keep the work complicated, to avoid the simplification of the suffering at hand

  • hich ones “speak” more to the client’s struggles and which ones are “pulled forth”

  • biopsychosocial perspective

  • Anxiety symptoms can also be epigenetically transferred down through biological lines, f

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