“This work is very hard work. People talk about vicarious trauma; my sense is that actually I have not had to deal with a lot of vicarious trauma, because I think maybe vicarious trauma is a function of working for an institution that does not believe in what you are doing. The trauma is not dealing with a very difficult patient because that is what we do for a living. The trauma is to work for an organization that humiliates you, puts you down, and doesn’t value the very