I'm not sure how to rate this book... there were chapters that gave me new insight into the creative process and other parts that made me feel like I got stuck sitting next to the wrong person on the bus. I didn't particularly enjoy the autobiographical parts, particularly reading page after page about the author's dreams. Also, his brand of new-age spirituality was a bit much - in particular, the part about the Powwow at Stanford University, was impossible for me to read in one sitting because of all the eye-rolling I had to do. Then again, his peyote trips were kind of a hoot.
The parts where this book really shines is when the author gives practical, straightforward suggestions for bringing your unique perspective and passions to writing and relating to the reader on a personal level. In particular, I enjoyed the chapter "Higher Creativity and the Essential Wound" where the author discusses the poignancy of transformation, the often painful point where the writer outgrows one mold of how the world works and is forced to take a broader view. That chapter was a well-needed reminder for how to write with insight, perspective and feeling about subjects that matter most.
Throughout the book, the author makes terrific observations about the connection between the writer and the reader. For example, he suggests writing to one person directly, having a clear idea who you are writing to, and writing as if the entire book is an ongoing discourse between you and the other person. This is a great technique for keeping your writing voice consistent, personable and emotionally accessible to the reader.
It was worth wading through the author's self involved fixations about his dreams, and his sessions with his Freudian shrink about what his dreams meant, and his misgivings about his childhood and all the wu-wu stuff to get to the good parts. All things considered...three and a half stars.