Coming at this late Fred: been pinned down in a draining difference of opinion at work; should children in their autistic foxholes have their perspectives heard and respected, or should they be seen as getting it wrong when they disagree with those exercising authority over them. Your “who will hear or even believe or understand how it is useful, no one I know of for sure so far but me”, applies there. The perspicacious perspective they come to in their existential foxholes, so exquisitely tailored to meeting their own needs to survive and thrive, that its veracity simply passes unnoticed and un-noted through the membrane of interface with a contextualising collective. Your reference to prayer sees me thinking in terms of “faith”. I’m thinking of ontology and epistemology in one person. It strikes me that what provides individual integrity in the foxhole, is akin to the collective ontological/epistemological exercise being run within one person. Such that we have something akin to an absolutely self-reliant faith action at the centre of things. So there is an indeterminate constituency running perspective (sensing, feeing, thinking) a contextualising collective is in others instances deeming madness (and crucifying individuals thereby), who are not being drawn completely into the vortex of a collective’s reductive meaning-making. There is a constituency of guerrilla survivors in foxholes. I think Dr Cornwall’s linking of neuroscience and psychiatry and the effects of a psychiatry defining itself in term of neuroscience, then succeeds in placing the overall field of this in perspective; giving grasp of fundamentals thereby. Discourse becomes possible because succinct grasp of a phenomenon has been offered. One of the difficulties then is (and I think of my situation at work this week), that it is challenging to bring that comprehensive perspective into play (with colleagues) in realtime practice.. Part of that difficulty is that such potential discursive partners would themselves have to imaginatively cross the Rubicon of entertaining what is collectively deemed in and of the realm of madness (mad sensing, feeling, thinking, talking, theorising).