Book excerpt: Seattle mental health counselor Lustbader here compells attention to and sympathy for those who must rely on caregivers for their needs. Stories are related by patients themselves. From incapacitated men and women we learn of the humiliations caused by the loss of autonomy, of the frustrations at not being able to manage on one's own. Accounts from widely different sorts of patients and those who begrudgingly or willingly see to their care provide graphic lessons in sensitivity.