Author raises the questions that anybody who has chosen therapy or is considering to do so asks themselves: what is the benefit? Is it social support if organizing your day and getting ready to go somewhere, is it having someone to listen to your thoughts, is it to try to manage the symptoms, is it uncover the source? With so many approaches within the psychological school of thought the outcome and therefore the process might be considerably different depending on who you reach out to.
The book describes everyday mechanics of interactions as well as differences in perception of those interactions. Like water on a waterwheel those become the driving force moving the characters along. Just like water, there are splashes that subside just as quickly as they start and, while capturing our attention by the loudness if the event, dont change the bigger picture.