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Clinicians have a debt to pay to our patients that includes speaking in language as experience near as possible to their subjective reality. In this discussion I endeavor to spell-out the internal transitional space in which dissociatively endowed ways of being interact with each other and find ways to interact with the world in the service of survival and toleration of overwhelming intense affects and memories of severe adversity. While agreeing with the big stuff written by Shalgi and Levy, the important small stuff that makes a big difference is highlighted as a way to support the efforts of forward-thinking clinicians like Shalgi and Levy.