ABSTRACT
According to Misselbrook, the fact is that patients bring with them a culture, values and explanations of their own realities which it is important to respect if any self-responsibility and any better outcomes are to emerge, with greater public awareness and benefits from educated self-understanding. The requirement is to find ways to build self-care, self-ownership and self-responsibility, and to continue to invest in effective education at an early age. However, Government offers much market mimicry instead of self-responsibility, patient empowerment and provider competition. This chapter emphasises hearing the fullest experience of the patient, insofar as we can experience anything of the interior life of another. Hearing the unsaid, pausing for the spaces between the words, the space between things. Being aware of the silent anxieties, nurturing the expression of tensions, respecting the patient's world, empowering the individual to act upon their insights.
