Let me begin by bringing you two vignettes from another galaxy, far, far away…that is, from my psychiatric training following my graduation from medical school. They contain the two most important lessons I learned during those four years. Vignette the First: I was happily reading my ‘process notes’ that detail who said what to whom during the course of a psychotherapy session to my first supervisor. Initially he seemed pleased and amused alternately with my ‘he said/I said.’