When the patient comes into the consulting room the analyst needs to be sensitive to the totality of that person; it should, for example, be possible to see a flush on the face as a physical manifestation of the blood system, as well as being able to hear the words which that person utters as a part of the operation of the vocal musculature – not particularly emphasizing the activity of the voluntary muscles, nor yet particularly the sounds which are created by the vocal cords and the vocal apparatus, but rather the total thing. As Donne wrote in The Second Anniversary: