One additional suggestion that came out of the whole stages of relationship health meter idea tied back to formally ending a scene. In addition to ending a scene by consensus, John said he thought it would be neat to include a sort of postlude if anyone's Dreams suffered damage, be it from heeding the Call of Destiny, or temporary damage from endangering your Dreams. He said it should show the repricussions of the change, even if they happen off camera for the PC and he has no way of knowing about it.
In my mind's eye, I picture this as an opportunity for the player to take over in a limited GM capacity for a moment, and narrate what's happening to the NPC that's important to him. He controls that person's fate in a way, and gets him more involved in telling the story of his character through telling a side tale of someone important to his character. It's a marvelous idea, and one I intend to introduce straight away.