"This second volume of Andrew''s papers comes a year after the first (The Ways of the Soul) and is just as insightful, wise and compassionate. The foreword by Anne Baring highlights the contemporary catastrophic loss of soul and sense of the sacred, which both she and Andrew feel is at the root of today''s epidemic of mental health challenges in a materialistic and consumerist society - one that has no room for this dimension of life and which leaves us feeling alienated and disconnected. Surveys now show that one in six of UK adults are experiencing a common mental health problem in any given week, so Andrew asks the question: ''could it be that modernity, with its incessant materialistic and secular pursuits, is estranging people from their spiritual core and the innate values of truth, beauty and goodness?'' In my view, the answer is indeed yes, which makes this such an important volume in terms of spiritual care. A flow chart on p. 49 gives an overview of current mainstream psychiatry, dominated as it is by biological and pharmaceutical treatments with an emergence of mindfulness and CBT into the mix. A third strand Andrew highlights is analytical psychology derived from Jung, who had a personal encounter with, and understanding of, the spiritual and the sacred and whose work is reflected in transpersonal therapies, including many featured here such as spirit release, past life memories and soul-centred psychotherapy. If the ego has an important role during the first half of life, the soul sets the agenda for the second. Jung himself observed that all his patients in the second half of life were seeking a spiritual outlook (as Andrew remarks in one paper, ''while the ego seeks to be loved, the soul''s desire is to love'').

This search is underpinned by a quest for healing and wholeness, which Andrew addresses in a number of these essays. Nor does he lose sight of the human condition, asking how much of our suffering is intrinsic and how much self-created. We come to appreciate this in some of the many case histories recounted. This is expressed beautifully at the end of an essay on recovery and well-being: ''As the soul does not pass judgement, our patients will not feel judged. Because the soul is compassionate, our patients will be helped to forgive themselves and others. And, because the soul knows only love, our patients are helped to heal.'' (p. 121) Pioneers like Andrew require moral courage in order to take a stand against the prevailing materialistic outlook.

This is apparent in what he has to say about healing, past life memories and spirit release. These last two areas imply survival and reincarnation, neither of which is possible within a mainstream view. Andrew''s own account of his past life memories makes fascinating reading, including the perceived experience of leaving the body at the moment of death - something that research into NDEs have shown to be pretty much universal. For the practicing clinician, what matters more than the literal truth or otherwise of the episode is the therapeutic insight gained. If the vocation of doctors is under stress, so is the health system as a whole. Andrew presents an interesting analysis of the NHS in terms of Maslow''s hierarchy of needs, showing how at every level - physiological, safety, love/belonging, esteem and self-actualisation - these needs are unmet, with a corresponding demoralisation within the system and general undermining of trust. He also observes that, ''from an archetypal perspective, Western medicine is a triumph of the analytical masculine mind'' has thereby created a corresponding imbalance, as the cultural work of Iain McGilchrist highlights. It remains to be seen whether the higher proportion of women medical students coming into the system creates a radical shift or whether these women will feel coerced into adopting their own masculine aspect.

Andrew is deeply concerned by what he calls ''techno-pathology'', mediated by screens and video games as well as the hazards of social media. Prescriptions of Ritalin for ADHD increased from 325,000 in 2011 to nearly 1 million in 2015. The statistics he quotes are alarming as children grow up in a world of things rather than people, undermining the development of their social skills in the process. Andrew also identifies a breakdown of trust in terms of disinformation, citing the cover-up of geo-engineering projects in climate manipulation as an example. Many mainstream sources would ascribe this to conspiracy theory, and I can identify with Andrew when he writes that he finds himself caught between the conflicting perspectives of healthy scepticism and those who claim to speak truth to power. For me, the take-home message of the book as a whole is the importance of widening the scientific and medical view to embrace the soul and spirituality, both as a reality and as a significant factor in therapeutic interventions. Andrew''s life work has been devoted to this cause as the contents of this inspiring book amply demonstrate. It will hopefully encourage other psychiatrists and physicians to follow in his footsteps and take up the torch.

" David Lorimer, Director of the Scientific and Medical Network, Editor of Paradigm Explorer, Author of A Quest for Wisdom "This book is a collection of 17 papers and talks given by Andrew between 2006 and 2017, several of them at conferences organised by the Spirituality and Psychiatry group. It is a welcome sequel to "Ways of the Soul" which included papers from the previous decade. Both collections draw richly on Andrew''s experience of working clinically as a psychiatrist and psychotherapist, as well as his understanding of psychoanalytic and Jungian psychology, quantum physics, anthropology and comparative religion. Each paper is complete in itself and although many of them were originally addressed to clinical audiences, they are refreshingly jargon-free and so are accessible to anyone interested in the subject matter. The overall focus of the book is the question of what it means to be human and the challenges we all face both on a personal and collective level. Indeed, one of the chapters is the transcript of a dialogue addressing this very question. Andrew brings a broad bio-psycho-social-spiritual perspective to his reflections on being human. He sees our bodies as providing a vehicle and opportunity for an evolving partnership between the ego and the soul.

The ego helps individuals to grow and survive in the physical world. The soul co-habits with the ego for the purpose of gaining experience and so must share in the ego''s experience of pain. The soul is seen as the particular manifestation of the all-encompassing Spirit (which may be called "God" or "Supreme Consciousness") in an individual form. Both ego and soul need each other and when working in partnership can become the perfect instrument for creating heaven on earth. However, the ego''s innate tendency to separate and divide and see the world through its own lens, means that it is often unaware of and disconnected from the soul. At an individual level, Andrew sees the disconnection between ego and soul as a key factor in mental health problems. At a collective level this disconnection has led to a profound sense of alienation and has led to untold destruction of our fellow human beings and Nature. Helping individuals and groups to re-establish a healthy connection between ego and soul has been Andrew''s life work.

The more clinically orientated chapters describe ways of helping others listen to and converse with their soul. With the help of remarkable anecdotes and case stories, Andrew provides glimpses both of his own journey and those of the patients he has supported. He offers examples of ways in which a clinician can invite the patient to go deeper, such as using a question like: "What would your heart say if it could speak?" He also devotes significant passages to the importance of forgiveness, which is ultimately seen as a quality of the soul which balances the ego''s tendency to retaliation. From this perspective, forgiveness does not need to be forced or pushed. Helping someone connect with their soul brings forth the quality of forgiveness naturally. The chapters examining our collective human situation give a particular emphasis on how, over the last 300 years, especially in so-called Western culture, humanity has become increasingly enthralled by scientism. This is an ideology which particularly appeals to the ego with its explanatory and technological power. Whilst science has brought extraordinary benefits to humanity, scientism has led to a narrow materialistic worldview with little room or respect for spiritual perspectives.

Consequently, many in today''s world have a deep prejudice towards matters of the soul. Inevitably, modern mental health care has been shaped by a similar prejudice. Andrew draws on some of the findings of quantum physics and transpersonal psychology to address this narrow worldview and to show that it is no longer in step with modern scientific and psychological research. Fittingly, the final chapter of the book is entitled: "Prejudice - can we live without it?" The chapter and book ends with Andrew''s answer to his own question which is "yes, we must, if there is to be a future for humanity." My overall response to this book is one of warmth and hope. Having worked in the same field, I was struck by the courage in Andrew''s professional work in exploring ways to help people connect with their soul which would have been frowned upon by some colleagues - a pathway to healing that not many psychiatrists have trodden. It is worth remembering that the origin of the word "courage" is from the French word for heart "coeur" and this book does indeed have plenty of heart. This heart-centredness is blended with clarity of thought which many readers will.