Sometimes it seems to me that in this absurdly random life there is some inherent justice in the outcome of personal relationships. In the long run, we get no more than we have been willing to give.

We all live in a tragicomic situation, a life that is in part absurd simply because it is not of our own making. We are born into a disordered world, into a family we did not choose, into circumstances we would have had somewhat improved, and we are even called by a name we did not select. (40)

All significant battles are fought within self.

The continuing struggle was once described in the following metaphor by a patient who had successfully completed a long course of psychotherapy: 'I came to therapy hoping to receive butter for the bread of life. Instead, at the end, I emerged with a pail of sour milk, a churn, and instructions on how to use them.' (138)

Each of us is ultimately alone.

The therapist can interpret, advise, provide the emotional acceptance and support that nurtures personal growth, and above all, he can listen. I do not mean that he can simply hear the other, but that he will listen actively and purposefully, responding with the instrument of his trade, that is, with the personal vulnerability of his own trembling self. This listening is that which will facilitate the patient's telling of his tale, the telling that can set him free. (5)

And so, it is not astonishing that, though the patient enters therapy insisting that he wants to change, more often than not, what he really wants is to remain the same and to get the therapist to make him feel better. (4)