Recent Podcasts & Articles

I’ve been doing a few podcasts lately – which is always a fun chance to talk about some of the work I have been doing. I’ll include a few photos from the past year to remind us of the world within which we all live & work.

Yellow Warbler in crab apple tree, Seattle, WA

I spoke with Andrea Nakayama on her 15-Minute Matrix Podcast on “Mapping the Costs of Caring,” looking at burnout, compassion fatigue, moral injury, and soul loss in health care workers. Here is an excerpt speaking about the similarities of burnout and soul loss:

The soul is the thing that makes us alive and vital and engaged and connected around the world. When we lose that, we lose all those kinds of things that connect us to ourselves and to others…How do we bring the soul back? It would be what things make the soul happy, what kinds of things bring you joy? And so how can you build this into your life? I think the distinction is you could start with self-care to support the ego, in the sense of your personality, but I think of the healer, the role of the healers, to be honest with delving into what can be the breakdown of the ego, and then the rebuilding back as a healer.

Yellow-Rumped Warbler in crab apple tree, Seattle, WA

I had a very nice dialogue with Lewis Mehl-Madrona and Glenn Aparicio Parry on his Circle of Original Thinking Podcast, “Integrating Healing Traditions with Lewis Mehl-Madrona and David Kopacz.” Definitely check this out, such an honor to have a generous time to speak with Lewis & Glenn. Check out their great books as well!

The print edition of Parabola Magazine, Fall 2023 featured “This Vibrating Land,” an excerpt from an interview that I did with Glenn Aparicio Parry that we featured on The POV interview website.

I also had a book review “Lessons from A Field Guide to Getting Lost by Rebecca Solnit on CLOSLER as well as an essay “Building Cultures of Caring.” Here’s an excerpt:

Perhaps burnout is a symptom of a larger problem. Perhaps we’ve cut ourselves off from a root of support in our work, we have lost touch with a spiritual and humanistic dimension of who we are and that when one suffers, all suffer. We have lost touch with our interconnection, our non-duality. What did Mother Teresa, Mahatma Gandhi, and Martin Luther King Jr. draw upon when working with the immense suffering in the world? Gandhi spoke of satyagraha as “the Force which is born of Truth and Love,” and Dr. King, spoke of this as “soul force.” Perhaps we should consider developing some kind of non-dual medicine, some kind of practice of non-separation in our healing work.  

Whiskey Creek, Washington

A longer interview and dialogue was an invitation to speak on The Soul Space, entitled “Hero’s Journey & Resilience in the Face of Suffering,” (7/1/22).

Last, but not least – I had a chance to catch up with former Seattle VA Primary Care Mental Health Integration teammate Dr. Nicola De Paul on “Burnout, Moral Injury, and Radical Caring” on her Menders: Love & Leadership in Health Systems Podcast. Check out our dialogue as well Nicola’s discussions with other great thinkers working to bring Love & Leadership into Health Systems!

If you have some down time, please check out any of these articles and podcasts that may be of interest to you, as well as look up some of the other great interviews on these podcasts!

Pacific Coast, Washington State

Burnout: Soul Loss & Soul Recovery keynote lecture at Seattle University, Saturday 6/25/22

The 13th Annual Giving Voice to Experience Conference will be available via online Zoom as well as for in-person attendence on Saturday 6/25/22 at Seattle University .

I will be giving the keynote 1:20 – 2:40 PM (Pacific Time), “Burnout: Soul Loss & Soul Recovery in Mental Health.” I’ve been interested in exploring the significant overlap between the ancient condition of soul loss and the modern occupational syndrome of burnout. I will be discussing burnout and soul loss from a variety of perspectives. I will be presenting material from my next book, Caring for Self & Others: Tools for Transforming Burnout, Compassion Fatigue, and Soul Loss. I have signed a contract with Creative Courage Press for publication early 2023.

I was originally going to present 3/7/20, but this was just at the start of the pandemic and as many events at that time it was cancelled. I am so exicted to be able to finally present this talk and the concepts of burnout and soul loss have a much deeper and personal meaning to me, now, after recent years.

The conference is $20 for students and $60 for general public and professionals. 6 CEUs (Continuing Education Units) are available.

Here is a link to the Conference Schedule, the theme is “Maintaining a Soulful Approach to Psychological Research & Practice: Swimming Upstream in a Technological Society.”

Here is the registration link.

Burnout: Soul Loss & Soul Recovery

I will be giving a keynote presentation at the 13th annual Giving Voice to Experience conference, whose theme is “Maintaining a Soulful Approach to Psychological Research and Practice: Swimming Upstream in a Technological Society.”

13th Annual Giving Voice to Experience Conference

“Maintaining a Soulful Approach to Psychological Research and Practice: Swimming Upstream in a Technological Society”

June 25, 2022, 8:30 am – 5:30pm, Seattle University 

Oberto Commons – Sinegal 200

My talk on “Burnout: Soul Loss & Soul Recovery” seems even more relevant now than it did when the conference was originally planned for March of 2020 – at that time the pandemic was just evolving and we didn’t know one day to the next whether we would be gathering or not. I was already, at that time, beginning to look at the similarities between burnout in health care and the ancient concept of soul loss. After all, what is it that stops burning in burnout? What is it that we lose when we feel we are just pushing ourselves through the motions at work? Where have our hearts gone? Where have our souls gone? Now, after two years of pandemic life and social distancing, as well as the larger social injustice issues and division in the USA and war and conflict in the world, it seems even more vital than ever that we re-connect to that which makes us fully human.

For a number of years, Seattle University used to host the Search for Meaning Book Fesitval that I attended regularly. It saddens me that SU is no longer running that program since 2017, but I am honored to speak there and be part of the tradition of inquiry into life’s meaning and greater purpose. Here is the abstract for the talk:

Keynote Information 

“Burnout: Soul Loss & Soul Recovery in Mental Health Care”

presented by David R. Kopacz, MD

Burnout and compassion fatigue are becoming the norm in healthcare after two years of a pandemic. The World Health Organization recognizes burnout as an “occupational phenomenon,” with feelings of energy depletion; increased mental distance from one’s job, negativism, and cynicism; and reduced professional efficacy. While many perspectives on burnout focus on prevention through stress management techniques, we can look at burnout as “soul loss” which can then become the beginning of a transformational healer’s journey. A transformational perspective shifts our focus to the care of the soul and on how to recover soul once it is lost – this is a valuable skill for us as healers to use in our own lives as well as in our therapeutic work with clients.

David Kopacz is a psychiatrist in Primary Care Mental Health at Seattle VA and a National Education Champion with the VA Office of Patient Centered Care & Cultural Transformation. He is an Assistant Professor at University of Washington and is certified through the American Boards of: Psychiatry & Neurology; Integrative & Holistic Medicine; and Integrative Medicine. David is a graduate of University of Illinois, undergraduate in Urbana-Champaign and medical school and psychiatric residency in Chicago. He has practiced in the US and New Zealand. His publications include: Re-humanizing Medicine: A Holistic Framework for Transforming Your Self, Your Practice, and the Culture of Medicine; Caring for Self & Others: Transforming Burnout, Compassion Fatigue, and Soul Loss (in press); and with Joseph Rael (Beautiful Painted Arrow) Walking the Medicine Wheel: Healing Trauma & PTSD; Becoming Medicine: Pathways of Initiation into a Living Spirituality; Becoming Who You Are: Beautiful Painted Arrow’s Life & Lessons for Children Ages 10-100.

Here is the link to the conference for registration and a flier for the conference. 6 CEUs are available for the one day conference. For further information about the conference, please contact Professor Steen Halling: shalling@seattleu.edu

Becoming Who You Are: Beautiful Painted Arrow’s Life & Lessons for Children ages 10-100

Our next book has released! Becoming Who You Are: Beautiful Painted Arrow’s Life & Lessons for Children ages 10-100 is 130 pages of Joseph’s lessons for the people of the Earth. The book has 43 art works by Joseph and 14 photographs. We decided on the “ages 10-100” because we’ve also thought about writing a book for younger children. Also, this is our first book for children and it was challenging to bridge Joseph’s ideas and create a story that kids of all ages could enjoy.

The book is available through:

Itasca Books

Barnes & Noble

Amazon

Here is the back cover of the book:

Joseph Rael (Beautiful Painted Arrow) was born on the Southern Ute Reservation in 1935 and grew up at Picuris Pueblo in New Mexico. Joseph’s life took him across the country and around the world. After a vision in 1983, he built a Sound Peace Chamber, and then worked on building over 60 chambers around the world — leading to recognition by the United Nations for his work for world peace. Through his friend and co-author, David Kopacz MD, Joseph shares his life and lessons for people, young and old, growing through the transition from childhood into adulthood.

Joseph says that when he was sent to the Santa Fe Indian boarding school, they were trying to make American kids out of Indian kids, in this book, Joseph tells us, “I am trying to make Indian kids out of American kids.” Joseph passes on his wisdom and artwork to the next generations who will inherit the many problems that we have created in breaking the medicine wheel. Joseph tells us, “Let’s not leave the next generations in so much mystery about the physical and spiritual worlds. Let’s educate them from the beginning about the way of the shaman.” We are already born with everything we need, we just need to make sure that as we grow up, we don’t forget who we are.

Here are the generous endorsements we’ve received for the book:

In Becoming Who You Are, David Kopacz & Beautiful Painted Arrow (Joseph Rael), a Tiwa elder, have presented a series of marvelous stories for teenagers and young adults about how to become a human being.  This is timely wisdom from Native America, and Joseph’s past, for an age in which the guidance is confusing and truth is optional. The stories help readers sort through the possibilities for who they will become, while learning about and valuing culture & diversity. They describe Joseph’s lessons learned from boarding school, World War II, Pueblo Ceremonies, life on the reservation, and the process of creating sound chambers on guidance from spirits. I heartily recommend it for readers of all ages. We all need the wisdom that David & Joseph offer us.

―LEWIS MEHL-MADRONA MD, PhD

Psychiatry Residency Training Director, Northern Light Eastern Maine Medical Center Executive Director, Coyote Institute Associate Professor of Family Medicine, University of New England Author, Coyote Medicine, Coyote Healing, Narrative Medicine, and Healing the Mind through the Power of Story

Becoming Who You Are is a remarkable narrative that does not fall into prescribed categories—sharing Native American insights in an engaging and charming manner, always speaking to never down to kids as the rightful heirs to our planet. Joseph Rael and David Kopacz are healers and carriers of timeless wisdom working tirelessly for the betterment of life. They convey the becoming of being in lucid text combining autobiography, literature, ecology, spirituality, travelogue, history, magic and wisdom illuminated with beautiful art. Grounded, with shining optimism, this book meanders purposefully like a pure river sourced from a perennial spring of wisdom and will surely motivate kids to fall in love with the earth and—their own selves. In our ravaged age, the book reminds us of interconnectedness and that all that we need is—here—sacred and reallisten!

―USHA AKELLA MSt
Co-founder of Matwaala: South Asian Diaspora Poets’ Collective, Poet and Author, “I Thought a Thought,” Ek An English Musical on the life of Shirdi Sai Baba, The Way of the Storm: An English Musical on the life of Meera Bai, I Will Not Bear You Sons, The Waiting, and A Face that Does Not Bear the Footprints of the World

This story of two very different men with common visions, may serve as a guide for all who seek to continually learn about themselves through the lenses of their own history and the cultures of those around us.

―SHUYUN DAVID LO MD

Psychiatrist, University of California Santa Cruz Student Health Center

Becoming Who You Are: Beautiful Painted Arrow’s Life and Lessons for Children by Joseph E. Rael (Beautiful Painted Arrow) and David Kopacz MD is a book that shows us there are other important ways to teach that can speak to us all.  Through storytelling, Beautiful Painted Arrow lays out many of life’s core values.  We learn that the Tiwa word for God is Wah-Mah-Chi, which is also everything, and is the core to the love of learning which is the secret to being human.  This lovely book is written for children, but the authors freely admit that it was written for those in the middle between the two worlds of childhood and adulthood, so it really applies to us all.

―BRADFORD FELKER MD

Psychiatrist, Seattle VA, Professor University of Washington, Captain United States Navy Reserve

As I read Becoming Who You Are, I envisioned myself sitting at the feet of an elder, asking him, “Tell me the story of your life―share your wisdom with me so that I may live it and one day share it with others.” Coming from years and years of Joseph’s sage wisdom and insights, this book is a beautiful invitation to not only learn, but also create your own story—through art, music, writing, reading—or however the spirit moves you.  

―MAGDALINE DeSOUSA
Author, The Forgotten Mourners: Sibling Survivors of Suicide, What’s Real, Mama?, What’s Brave, Mama?, and coming soon, What’s Wrong With My Family? Growing Up in an Alcoholic Home

The inspiring story and wise words of the elder, Beautiful Painted Arrow (Joseph Rael), speak to the heart of the child within all of us. His life’s journey and teachings give us hope for a better world, one where we live in peace and harmony with our fellow humans and the natural world.

—TWIN SISTERS, JANE LISTER REIS & MARGIE LISTER MUENZER co-authors of the children’s books, Si’ahl and the Council of Animals: A Story of Our Changing Climate for Children and Their Parents; Si’ahl & Friends Coloring and Activity Book; and Margie’s Nature’s Gifts: A Poetry Coloring Book.

Available through:

Itasca Books

Barnes & Noble

Amazon

Nature, Medical Humanities & Medical Activism

Jonathan McFarland, President of Doctor as Humanist, and I recently had the honor of presenting at the University of Washington Nature & Health conference on Thursday, October 14th, 2021. Our overall talk was Nature, Medical Humanities, and Medical Activism. Jonathan presented on Nature & Medical Humanities and I presented on Nature & Medical Activism. Here is the powerpoint from my talk.

Thanks so much to Josh Lawler, Star Berry, and the whole conference team from the University of Washington Nature & Health program. It all ran very smoothly and professionally and brought together great speakers from around the globe. There is a groundswell of interest in looking at the bi-directional effects of Nature & Health – we, at Doctor as Humanist, are planning a free, virtual symposium next month. Register for free for our Nature & Medicine: Restoring the Balance Between Earth & Health – we hope to see you next month!

How are you doing…really?

How are you doing…really? New post on CLOSLER: Bringing Us Closer to Osler

This is a reflection piece on the challenge of answering this simple question, asked so many times a day, “How are you doing?” While this is usually asked in passing, the true answer to this question is increasingly complex for health care workers as the pandemic wears on.

You can read the essay, here, and some past essays published on CLOSLER, here. The piece features a detail of my painting, “Planting the Seed of the Heart,” which was published in Walking the Medicine Wheel: Healing Trauma & PTSD.

Thanks again, CLOSLER, for all that you do for person-centered care & provider well-being!

Planting the Seed of the Heart, D. Kopacz (2016)

Haystack Rock & Cannon Beach, Oregon

Cannon Beach, looking South at Haystack Rock

We recently took a drive down the Oregon coast and I took a lot of photos of birds, sea, sky, and sand at Cannon Beach and Haystack Rock. A number of birds nest at Haystack Rock, including Tufted Puffins, Murres, Gulls, and Cormorants. I didn’t realize that we had puffins on the Pacific. I had tried to see them in Nova Scotia, without success. I had seen many at a relatively close distance in Iceland, but all the photos turned out slightly blurry, unfortunately. Here we got to where we could see the Tufted Puffins with our naked eye and then I zoomed in and took photos where they landed, somewhat blind. While you can definitely tell they are puffins, they are a bit blurry – so the challenge of getting a clear puffin photo continues! The more serious photographers had tripods and that would likely help. Here is a collage of a few blurry Tufted Puffin photos.

We also saw flocks of pelicans and I was able to get some better photos of these interesting birds. We also saw them diving and catching fish at times.

The beach was wide, the sand soft and good for walking barefoot. I can see why this beach is so popular and I didn’t expect the abundance of seabirds and other shore life. The light was amazing at times, one morning a continuous interplay of cloud and sunshine. I even saw a sun halo one day.

There was, of course, a lot of sealife in the tide pools, starfish and sea anemones.

All in all, a relaxing and invigorating trip! There is nothing like walking barefoot on the sand for hours each day!

What Does it Mean to Be Human? The Role of Psychiatrists in Philip K. Dick’s Life & Writing

This is the title of my presentation from May, 2012, at the Royal Australian New Zealand College of Psychiatrists annual meeting, held in Hobart, Tasmania, Australia. This is a timeless topic and applies as much as ever to us as we work to come out of this pandemic which has changed how we relate to others and how we relate to ourselves. The struggle to “stay human” in medicine is an ongoing practice and we can learn from the life & works of PKD.

Every Thought Leads to Infinity:

Perspectives on Personal Growth, Psychosis & Spirituality:

Carl G. Jung’s Red Book & Philip K. Dick’s Exegesis

I presented this paper at the International Society for Psychological and Social Approaches to Psychosis, New Zealand/Australia annual conference, August 2012 in Auckland, New Zealand. I thought I would share the slides from the talk.

Caring for Self & Others – before, during (and after) a Pandemic

As we enter into a new phase of the pandemic, I worry about myself and my colleagues in health care – how will we come out of this? How will health care change? When will we feel like we have recovered from the constant changes and worries about our personal and collective health?

I’ve been working for a while on a workbook adaptation of Re-humanizing Medicine. I’ve been seeing if I can get this published or figure out a way to get it out to the larger world as a resource for caring for ourselves & others. I’m not sure exactly what form this will take, but in the meantime, I thought it might be worth revisiting some of the concepts and topics of Re-humanizing Medicine: A Holistic Framework for Transforming Yourself, Your Practice, and the Culture of Medicine that I published in 2014.

I’d like to give a few quotes from the book and put them out into the world as a small offering to address the suffering, burnout, compassion fatigue, soul loss, and moral injury of health care colleagues. The experience of dehumanization is all to prevalent in contemporary medicine and the need for re-humanization is just as needed as ever! Here is the introduction to the book:

Introduction

Only connect! … Live in fragments no longer.

E.M. Forster1

The great error of our day in the treatment of the human body is that physicians first separate the soul from the body.

Plato2

Dehumanization in Contemporary Medicine

This book takes on the task of re-humanizing medicine. We start by recognizing that there is a problem with how medicine is currently practiced: it dehumanizes staff and clients, creating dissatisfaction, suffering, poor performance and medical errors. Dehumanization is an iatrogenic effect of the dominant paradigms in contemporary medicine – the economic/business model and the reductionist and materialistic approach of biomedicine. In the day-to-day practice of medicine, doctors are expected to see more patients in less time and to efficiently reduce people to symptoms, diagnostic codes, prescriptions, procedures and billing codes. This leaves little time or space for people – physician or patient.

Future doctors are attracted to medicine for idealistic and humanitarian reasons, but through training they often lose this idealism.3,4 How can we preserve idealism and humanitarianism in medicine? Practicing physicians have high rates of burnout and job dissatisfaction. How can we reinvigorate the practice of medicine and make it sustainable?

A Counter-Curriculum of Re-Humanization

In medical school, I realized that I had to engage in a parallel education process in addition to the standard scientific curriculum. We could even call this a ‘counter-curriculum’, focusing on re-humanization. At times I found teachers, mentors, and fellow students who practiced this counter-curriculum, but often I had to seek it out on my own in order to balance my education. This book is about that counter-curriculum of re-humanization. Science and evidence-based interventions are one paradigm of medicine, but as human beings working with human beings, we must have a human framework as well as a scientific one.

As a medical student, the first research project I worked on was with Deb Klamen and Linda Grossman at the University of Illinois at Chicago. Our study examined symptoms of Posttraumatic Stress Disorder (PTSD) in relation to medical training and found that 13% of trainees in the study reported sufficient symptoms (relating to their internship year) to potentially qualify for a PTSD diagnosis.5 The findings provide evidence supporting the need to change postgraduate medical education to reduce stress and to enhance the well-being of trainees. I went on to work with Linda and Deb on three other papers that examined medical students’ beliefs and their attitudes toward the controversial issues of homosexuality, abortion, and AIDS.6,7,8 These papers examined how medical student beliefs can shape attitudes that adversely impact medical care. The studies also allude to the fact that people are not purely rational beings, and beliefs, fears and stigma can undermine scientific reasoning or professional ethics. Even my student research experience was concerned with the counter-curriculum of exposing dehumanization and seeking re-humanization.

To re-humanize medicine, the people who work in medicine must be well-rounded, well-developed human beings, as well as safe and effective technicians. A great deal of time, energy, and money is spent in making sure that physicians are good technicians, but are they good human beings? Being a good technician (objective, detached, unaffected by emotion, protocol-driven) can actually interfere with being a good human being. Clinicians should not stop being technicians or scientists, but they have a responsibility to attend to their own humanity, as well as that of the client. The counter-curriculum provides a holistic framework for being a human being, for working with human beings, and for creating systems that deliver care by human beings to human beings.

A Holistic Framework for Medicine

A holistic framework is founded on multiple interacting and mutually influencing sub-systems. Scientific medicine and the objective, observable body make up just one dimension of human health. Sometimes the physical dimension is primary, for instance in physical trauma and surgery. Sometimes other human dimensions are more important. Emotion, mind, love, self-expression, intuition, spirituality, context and time all play a role in health and illness.

A holistic framework is a paradigm for understanding and interacting with human beings. It is a human systems approach and a way of being in the world. Holistic medicine is a philosophy, or a paradigm for understanding what it is to be human, to suffer, to be ill, to be healthy; what it is to change, grow and live. It helps us understand how disconnection can lead to suffering and how connection can lead to healing. Holistic medicine is not defined by using an herb instead of a medication, or by any specific technique or intervention. Being a good technician (whether biomedical or ‘natural’) is part of being a good physician, but being a good physician is more than just being a good technician.

It is hard work to maintain a complex identity that includes being a technician and a human being, but that is what being a medical professional involves: balancing different roles for the purpose of alleviating suffering and treating disease. Re-humanization reconnects the art and science of medicine, the heart and the mind. A holistic framework encourages integration.

When you start to connect in a different way, you change the health care delivery system in which you work. What starts as personal dissatisfaction can become personal transformation, which changes systems. Institutions will always drift toward promoting their own interests over human interests. It is the responsibility of health professionals to ensure that they stay human, help their clients stay human, and ensure that health care delivery systems promote humanization rather than dehumanization.

Intended Audience and Purpose of the Book

I wrote this book for people who are looking for different ways of thinking about and practicing medicine. Dehumanization in medicine occurs throughout the world, particularly as business models replace humanitarian models of care. Many of the examples in the book are specific to the United States or New Zealand, drawing on my experience of practicing medicine in various settings in both countries; but whether dehumanization results from the profit motive of an insurance company (as in the US) or the bureaucratic processes of a national health system (as in New Zealand), the effect is the same. Re-humanizing medicine is a universal need.

This book is written specifically for clinicians, doctors, and physicians,9 who face daily humanitarian10 challenges in their roles, but is of interest to any health care professional or administrator. There are many fields where the application of a trained technique interferes with human connection, so teachers, trainers, educators and business people will find it relevant too. Of course, so will anyone interested in being a whole human being!

Since holistic medicine is a philosophy and a mode of being, I do not list diagnoses and alternative treatments. There are already a number of excellent books that review various complementary, alternative, and integrative medical techniques. The foundation of a holistic medical practice is you, not the services and techniques that you offer. Therefore, this is a book for people who are willing to change at a personal level in order to be better doctors and clinicians.

Contemporary medicine and holistic medicine are not inherently in conflict. My hope is that by defining holistic medicine as a paradigm, rather than as a specific technique, its benefits can be integrated with those of contemporary medicine. My primary argument is that the human elements of medicine need to be valued so that technical interventions occur within a human context.

Holistic Medicine, Re-humanization and the Quality Revolution in Health Care – A Convergence?

There is a worldwide trend in health care that, interestingly, overlaps with the philosophy of holistic medicine. This trend is a focus on quality, efficacy and safety, stimulated by the continual increase in the cost of health care. Experts are calling for a ‘revolution in health care delivery,’11 and ‘system-wide change.’12

Many of the suggestions involve cost-cutting and standardization of treatment. The ‘Quality Revolution’ also raises issues related to re-humanization, such as putting the patient at the center of treatment, making decisions collaboratively, and establishing a ‘continuous healing relationship.’13 These are the strengths of a holistic framework – not only is it patient-centered, but it includes the concept of healing in addition to treatment, and it often encourages low-cost, low-risk lifestyle changes and preventative medicine. It may be that it is time for a Compassion Revolution and a Quality Revolution to join forces in order to make medicine more affordable, safe and effective, as well as more compassionate, caring and human.

Structure of the Book

The book is divided into five major parts. The first discusses the underlying paradigms of the biomedical and economic models of contemporary medicine and how these models have side effects of dehumanization. This critique does not mean that there is no benefit in the contemporary paradigm; rather it is an examination of the strengths and weaknesses of the underlying paradigms of the current system. The second part describes the paradigm of holistic medicine as a way of understanding the whole person. The third part is a ‘self-help’ section that outlines how you, as a clinician, can develop a more holistic and deeper sense of your own humanity. The fourth part is a ‘how-to’ component that describes how to create a holistic practice in any setting and how to re-humanize your practice. The last part describes the benefits of a holistic paradigm for re-humanizing the culture of medicine.