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“Therapy often must work both ends against the middle. Sometimes therapy helps monomanic individuals soften their focus. Sometimes it helps dispersed individuals pull themselves together. Often it does both together” (p. 83). These variations on the theme of possible psychotherapy outcomes described in Toxic Nourishment, Eigen's most recent contribution, exemplify his basic openness to experience. This stance, in my reading, derives from an unrelenting and fearlessly uncompromising pursuit of ungrund, or groundless ground. Ungrund, a concept that derives from mystical traditions, refers to a centerless center