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Well, the therapeutic relationship is one that is carefully constructed - synthesized, by both parties, and real life dramas are acted out in microcosm. It is much more than 'just' an act, but it *is* a drama that happens within a confined time and space.
Now the repercussions of that drama are far-reaching, but the drama itself is contained...
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'...
At poor peace I sing
To you strangers (though song
Is a burning and crested act,
The fire of birds in
The world's turning wood,
For my sawn, splay sounds,)
...'
Dylan Thomas, Author's Prologue
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