This book of essays reminds us that we can speak about anything. It breaks a near silence in the literature, a silence about the disruption that occurs when therapists become ill, are threatened by death or when they die. A great spirit of generosity pervades this book. Many of the contributors allow us a personal view of their struggles in coping with their illness and its impact on their practice and their patients. The strength and power of this volume is in the framing of challenging and searching questions. In her introduction, Ann-Louise S. Silver asks “… is an ego grappling with its own mortality