Roger, a psychoanalyst, sixty-two, was deeply involved in his psychoanalytic institute for his entire thirty year career as a psychiatrist/psychoanalyst. He served on committees, he taught candidates at the institute, he gave parties, he went to conferences, symposiums, presentations by local and out-of-town speakers. He enjoyed the camaraderie, the intellectual stimulation, the feeling of belonging, similar to the high school experience of “fitting in”. http://shirahvollmermd.wordpress.com/2010/03/10/belonging/. Regimes change, the leadership of the institute began to shift, such that his buddies were no longer in positions of power. As such, the new leaders tapped the shoulders of their friends, their cronies, to do the “work” of the institute. Roger began to feel marginalized and demoralized. His years of voluntary service began to fade away in his colleagues’ mind. He no longer felt he belonged. Understanding the issue is clear to Roger. The adage “it is not what you know, it is who you know” rings loudly for him these days. The emotional overlay of disappointment and abandonment also rings loudly for him. Roger wants to feel appreciated. He is searching for validation. His world has changed; Roger has to adapt. Grief, followed by rebuilding a professional community is his path. Good luck Roger.