I enjoyed reading “Tina’s World,” as an aspiring clinician. I think the author takes on the perspective of imposter syndrome a little, which many new clinicians may also have. The story did not get bogged down into the details of clinical assessments but was very relatable. Bruce Perry struggles throughout, with the question of how to make Tina feel heard and safe. Perry pays close attention to what Nancy Boyd-Webb had defined as the “ecological transactional focus” (eg in part via her family, and her mother, Sarah), though the boundaries are a little gray sometimes. Tina, who had repeated complex trauma, is an example of a patient who requires more complicated treatment than what weekly sessions might offer to actually change behavior/associations.