- In a new series of papers (1) the BMJ will address the extremely important issue of living with a chronic disease. We know that a hign percentage of the population will suffer from one or more chronic health conditions and most from one or more symptoms of ill health at any given time (2,3). It is therefore important to teach the patient to cope with the present state of health and we believe that it is even more important to inspire and coach the patient to work on improving quality of life (QOL), subjective health and functional ability in general (4-17). We even believe that patient has the potential in some cases to cure themselves and improve QOL, even when the physician has given up (18-21), because one can grow as a person and heal basic existence (20). The fundamental difficulty seems to be the development of the patients consciousness towards a more positive, responsible and constructive attitude (20-23).