Part One considers spirituality as a reflection of the process of change. A brief overview of the contemporary history of spiritual inquiry in the field of mental health is provided.

Part Two considers spirituality as a reflection of the process of meaning making.

Part Three considers spirituality in terms of different forms of journey, including a consideration of the traditional concept of pilgrimage. Part Four considers the potential for healing that lies within even the most terrifying forms of madness. The book then concludes with a suggestion of the power of "waiting" and the rewards obtained by the careful, compassionate practice of life.