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The genius of Tulku Urgyen was that he could point out the nature of mind with precision and matter-of-factness of teaching a person how to thread a needle and could get an ordinary meditator like me to recognize that consciousness is intrinsically free of self ... I came to Tulku Urgyen yearning for the experience of self-transcendence, and in a few minutes he showed me I had no self to transcend ... Tulku Urgyen simply handed me the ability to cut through the illusion of the self directly, even in ordinary states of consciousness.  This instruction was, without question, the most important thing I have ever been explicitly taught by another human being.  It has given me a way to escape the usual tides of psychological suffering - fear, anger, shame - in an instant.

- Sam Harris

James aspires to practise ‘good medicine’. He believes this means providing expert therapy in a warm-hearted, perceptive, human way.  For almost any health problem, there are a bewildering variety of treatments that claim to be useful. Finding one’s way through this maze requires a huge amount of knowledge that needs constant updating. James has a personal database of over 26,000 research articles. On average he spends about three hours weekly scanning thirty or so key journals in his fields of interest. So much new research is being published all the time. GP's and hospital doctors rarely have the time to read very much of this important work. Complementary therapists may be unaware it's available. Once the therapies that have the best chance of helping you have been selected, James will either carry out the treatments himself or refer you to an expert in the relevant field.

It’s great to have therapy that’s highly appropriate and delivered with significant skill. If however treatment is all head and little heart, the results may well not be nearly as helpful as they otherwise could be. James believes that knowledge evolves, but the heart of medicine remains constant in the care and sensitivity with which it is practised.