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Drawing on a broad range of theoretical perspectives and illustrated by a wealth of case studies and first-hand experiences, the book brings a sharp focus to the ways in which therapeutic relationships can draw individuals out of the constant oscillation between light and dark. It provides an insightful and thoughtful discussion not just about despair itself, but about how to be with despair: about how practitioners can help clients turn towards the experiences of emotional pain, and stand with them in the face of it.