i wonder to what extent getting better for any patient actually depends on gaining insight.
we all have moments of realizing some new truth about ourselves, a discovery that feels,
in it's revelatory power, as if it should transform the way we go about our lives.
and then: it doesn't. instead we go right back to normal, armed with our new bit of knowledge.
isn't it possible, then, that insight as such is not the essence of the therapeutic process,
that it is not, ultimately, the point? after all, the one constant throughout more than a century
of psychiatric practice in all its various forms and ideologies has been the simple fact of
two people in a room.
maybe the relationship itself is the point.

casey schwartz,
In the Mind Fields.