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Part 1 Encountering suffering: why should suffering be studied?; what is the nature of suffering?; how can we hear and see suffering?; how is significance found in suffering? Part 2 Care of the sufferer: what is required of the clinician?; how can suffering for the wrong reasons be prevented?; how is erosion of trust a source of suffering?; how can the characteristics of individual suffering be elicited?; summary and conclusion. Afterword - human aspects of suffering.