nor well read. His philosophy focuses on the illusory, thought-created nature of reality, the three principles of "Mind", "Thought", and "Consciousness", the potential relief of human suffering that can come from a fundamental shift in personal awareness and understanding and the importance of a direct, experiential grasp of these matters, as opposed to a mere intellectual comprehension or analysis. Mr. Banks suggests that his philosophy is best understood not intellectually but by "listening for a positive feeling;" and a grasp of HR is said to come through a series of "insights," that is, shifts in experiential understanding. Teaching of health realization Health Realization ("HR"), like Sydney Banks's philosophy, is deliberately not taught as a set of "techniques" but as an experiential "understanding" that goes beyond a simple transfer of information. There are no steps, no uniformly appropriate internal attitudes, and no techniques within it. The "health of the helper" is considered crucial; that is, trainers or counselors ideally will "live in the understanding that allows them to enjoy life," and thereby continuously model their understanding of HR by staying calm and relaxed, not taking things personally, assuming the potential in others, displaying common sense, and listening respectfully to all. Facilitators ideally teach in the moment, from "what they know" (e.g. their own experience), trusting that they will find the right words to say and the right approach to use in the immediate situation to stimulate the students' understanding of the "Three Principles". Rapport with students and a positive mood in the session or class are more important than the specific content of the facilitator's presentation. Evaluations of health realization A 2007 peer-reviewed article evaluating the effectiveness of HR suggests that the results of residential substance abuse treatment structured around the teaching of HR are equivalent to those of treatment structured around 12-step programs. The authors note that "these results are consistent with the general findings in the substance abuse literature, which suggests that treatment generally yields benefits, irrespective of approach." A small peer-reviewed study in preparation for a planned larger study evaluated the teaching of HR/Innate Health via a one-and-a-half-day seminar, as a stress- and anxiety-reduction intervention for HIV-positive patients. All but one of the eight volunteer participants in the study showed improved scores on the Brief Symptom Inventory after the seminar, and those participants who scored in the "psychiatric outpatient" range at the beginning of the seminar all showed