Aware, Awake, Alive by Elliott Dacher is an excellent guide to an emerging vision of human flourishing and integral health. Dacher’s perspective and his recommendations for specific practices are grounded in his 21 year career in internal medicine, as well as his 12-year-long intensive study of contemplative theories and methodologies in Asia. In Dacher’s previous book, Integral Health, he made a compelling case for new framework within which individuals and humanity might better understand how to realize our fullest potential for health and happiness. In Aware, Awake, Alive, Dacher not only expands upon his integral model, he also articulates a specific path by which we can reach our goals, offering his services as both mentor and guide.
One of the things I especially appreciate about the book is Dacher’s gentle, reassuring voice. His desire to share both his personal wisdom and the wisdom of the ages with us seems to come from a place of genuine care and concern for others, rather than from a sense that his opinions are particularly special or important. In fact, he doesn’t take credit at all for either the integral theoretical framework put forth or for the set of contemplative practices he introduces and describes. Although Dacher is indeed sharing with us a vision of optimal health and human flourishing based in ancient wisdom teachings, he does so in an especially accessible and compelling manner, framing his perspective in terms that make perfect sense in the context of modern healthcare. It’s clear that Dacher strongly believes that a stable sense of profound well-being — regardless of the presence or absence of physical disability or disease — is available to everyone, given the requisite level of commitment. As Dacher states:
As we lay the foundation for a life of human flourishing these are the two well-informed acts of faith we will take — a faith in the vision of human flourishing and a faith in the path that takes us there. [...] The experiment [...] is to test out this vision and roadmap and see for yourself if it will indeed unfold this future for you.
Dacher sums up the integral framework as follows:
The word “integral” means unitary or one. It refers to a far-reaching health and well-being that addresses all of the important aspects of our lives. There are four components of an integral health. They correspond to the four central aspects of our life. The first two are highly personal — our physical and mental well-being. The second two relate to our interaction with others — our interpersonal relationships and our relationship to the larger culture and planetary community. [...] A concern for each of these [interconnected] aspects of life is essential if we are to resist and recover from disease, optimize well-being and reach towards our full human potential.
Dacher’s perspective is distinct from both conventional and CAM (complimentary and alternative) approaches to health in that he focuses on precisely that which has been most ignored in modern healthcare — inner development. From Dacher’s point of view, the process of inner development:
…ultimately relies on a sophisticated series of methodologies whose aim is to understand the nature of the mind, release its habitual and dysfunctional patterns and enable the unfolding of the qualities of human flourishing.
Throughout the book, Dacher introduces us to and coaches us through a series of contemplative practices designed to facilitate a full flowering of inner development, including mindful breathing and loving-kindness meditations, both of which can be practiced as guided meditations using the audio recordings that come with the book (in CD format). Dacher also shows us how to take an inventory of the daily habits and behaviors that either support or undermine the process of inner development. He gives us suggestions on how to apply mindfulness practice to routines in our daily lives. He instructs us on the art of mindful listening, on how to turn afflictive emotions and other experiences of adversity into opportunities for growth, and how to transform our work lives so as to bring optimal health and healing to ourselves and those around us.
Dacher especially shines in his lucid examination of how our habitual tendencies to get entangled with the various aspects of automatic mental activity keep us from realizing the full promise of health and happiness in life. The main practices presented in Aware, Awake, Alive are designed specifically to help us break free of these tendencies that cloud our minds, so that we can at first glimpse and then over time establish stable contact with a depth of clear, peaceful awareness. It is this experience of our deepest, most authentic nature that, according to Dacher and many of the world’s wisdom traditions, forms the basis for a life of wellness and enduring happiness.
Reading this book has inspired me to work through my own integral health program (which includes several of the core practices Dacher describes) with renewed vigor and commitment. Dacher’s vision is powerful and compelling. The path he lays out is promising and time-tested. His voice is humble, trust-worthy, and compassionate. His work is brave, important, and a gift to us all.

The Buddhist magazine
I remember the first time I observed Larry Vaughan lead a group therapy session. We were both working at a psychiatric treatment center for adolescents, a place we affectionately referred to as the “Island of Misfit Toys.” As the new guy on staff, my role was to take care of as much paperwork and annoying administrative tasks as possible, so that Larry and the other seasoned pros could focus on what they do best — help these kids deal with their problems. Larry was going over a little assignment he had given the kids earlier in the week. They were asked to write the entire story of their lives in exactly 28 words. One at a time each kid would read their stories and, for the most part, they would stick to surface stuff, like where they were born and where they went to school. Larry crumpled up the first few of these and tossed them in the trash can next to him. Eventually the kids got the picture. Larry was looking for something deep, something from the heart. All but one of the remaining kids crumpled up their own stories and tossed them into the trash, realizing their half-hearted efforts weren’t going to cut it in this group. They were about ready to head back to their rooms to give the assignment another shot when a 12 year old girl — the youngest of the group and the only one not to toss her story — asked if she could share her 28 words. I don’t remember what the words were, but I do remember the lump in my throat and the tears welling in my eyes. Larry just nodded his head, and maybe cracked a smile. By the end of the evening I would hear many more 28 Word Life Stories that came straight from the heart, not a word wasted.
The notion that a typical mature, well-adjusted person in our culture is alienated from or out of touch with their bodies may seem, at first blush, curious if not absurd. Most of us yelp out in pain when we stub our toes, enjoy the pleasure of making love, notice when we’re hungry, and are saddened by tragedy. Obviously, to say that one is relatively disembodied does not mean one is an anesthetized “floating head” bumping into things all the time. The issue is far more subtle and compelling, having to do with the quality of our relationships to self, others, and environment, and how our experience of those relationships is shaped by the processes of development and socialization. Disembodiment simply refers to a diminished capacity to be sensually aware and the subsequent inability to respond to life’s continual challenges from the fullness of such a sensually grounded awareness.