Most remarkable, perhaps, is the creativity contributors exercise in treating clients whose life experiences make it difficult for them to consider or "use" a human relationship. For six years Aronson used telephone interviews to maintain therapeutic contact with a repeatedly hospitalized, severely anorexic, often autistic young woman until the woman could tolerate a face-to-face relationship and begin addressing overwhelming feelings of hopelessness and despair. Another contributor, Graziano, approached the "trust-fragmentation-mistrust cycle" that characterizes "catastrophically traumatized" sexual abuse survivors by modifying the frame of treatment. She extended therapeutic sessions to two hours, read the patient's writings aloud during sessions, sat next to the patient at moments of terror, and, when asked, held the patient's hand. She "linked affects with words," bore witness to the reality of unspeakable events, and helped the client "move from isolation inside the events toward a fuller life in the external world." In the finest tradition of clinical social work practice, Aronson, Graziano, and others "started where their patients were" and creatively modified accepted treatment procedures to address the most pressing developmental needs.