Patients Pain Quotes

Perfer et obdura, dolor hic tibi proderit olim. (Be patient and tough; someday this pain will be useful to you.)

Happy is the man who has broken the chains which hurt the mind, and has given up worrying once and for all.” "Be patient and tough; one day this pain will be useful to you.

You know, one of the hardest things to admit is that we weren’t loved when we needed it most. It’s a terrible feeling, the pain of not being loved.

You say you felt a presence, but I only sensed an absence. A vague pain without a source. I was like a patient who cannot tell the doctor where it hurts, only that it does.

No pain that we suffer, no trial that we experience is wasted. It ministers to our education, to the development of such qualities as patience, faith, fortitude and humility. All that we suffer and all that we endure, especially when we endure it patiently, builds up our characters, purifies our hearts, expands our souls, and makes us more tender and charitable, more worthy to be called the children of God . . . and it is through sorrow and suffering, toil and tribulation, that we gain the education that we come here to acquire and which will make us more like our Father and Mother in heaven.

I could wait patiently, but I really wish you would: Drop everything now, meet me in the pourin' rain, Kiss me on the sidewalk, take away the pain; Cause I see sparks fly whenever you smile Hit me with those green eyes, baby, as the lights go down, Give me somethin' that'll haunt me when you're not around; Cause I see sparks fly whenever you . . . smile.

There’s so much pain everywhere, and we just close our eyes to it. The truth is we’re all scared. We’re terrified of each other.

Be patient and tough; someday this pain will be useful to you.

People who are hurting don't need Avoiders, Protectors, or Fixers. What we need are patient, loving witness. People to sit quietly and hold space for us. People to stand in helpful vigil to our pain.

He who has let go of hatred who treats all beings with kindness and compassion, who is always serene, unmoved by pain or pleasure, free of the "I" and "mine," self-controlled, firm and patient, his whole mind focused on me --- that is the man I love best.

Depression is a painfully slow, crashing death. Mania is the other extreme, a wild roller coaster run off its tracks, an eight ball of coke cut with speed. It's fun and it's frightening as hell. Some patients - bipolar type I - experience both extremes; other - bipolar type II - suffer depression almost exclusively. But the "mixed state," the mercurial churning of both high and low, is the most dangerous, the most deadly. Suicide too often results from the impulsive nature and physical speed of psychotic mania coupled with depression's paranoid self-loathing.

Books, purchasable at low cost, permit us to interrogate the past with high accuracy; to tap the wisdom of our species; to understand the point of view of others, and not just those in power; to contemplate--with the best teachers--the insights, painfully extracted from Nature, of the greatest minds that ever were, drawn from the entire planet and from all of our history. They allow people long dead to talk inside our heads. Books can accompany us everywhere. Books are patient where we are slow to understand, allow us to go over the hard parts as many times as we wish, and are never critical of our lapses. Books are key to understanding the world and participating in a democratic society.

Do not confuse "duty" with what other people expect of you; they are utterly different. Duty is a debt you owe to yourself to fulfill obligations you have assumed voluntarily. Paying that debt can entail anything from years of patient work to instant willingness to die. Difficult it may be, but the reward is self-respect. But there is no reward at all for doing what other people expect of you, and to do so is not merely difficult, but impossible. It is easier to deal with a footpad than it is with the leech who wants "just a few minutes of your time, please—this won't take long." Time is your total capital, and the minutes of your life are painfully few. If you allow yourself to fall into the vice of agreeing to such requests, they quickly snowball to the point where these parasites will use up 100 percent of your time—and squawk for more! So learn to say No—and to be rude about it when necessary. Otherwise you will not have time to carry out your duty, or to do your own work, and certainly no time for love and happiness. The termites will nibble away your life and leave none of it for you. (This rule does not mean that you must not do a favor for a friend, or even a stranger. But let the choice be yours. Don't do it because it is "expected" of you.)

Much of clinician burnout is due to spending time writing notes, placing orders, generating referrals, writing prior authorization letters, and creating patient communication. In other words, burnout is caused by physicians having to generate output! With the emergence of large language models that are used to train generative AI solutions, these use cases will be at the frontier of AI’s applications in healthcare.

Patiently educating a clueless white person about race is draining. It takes all your powers of persuasion. Because it’s more than a chat about race. It’s ontological. It’s like explaining to a person why you exist, or why you feel pain, or why your reality is distinct from their reality. Except it’s even trickier than that. Because the person has all of Western history, politics, literature, and mass culture on their side, proving that you don’t exist.

I wake with a jolt that sends a shock of pain through my ankle. Crying out, I look around me. Floral wallpaper. Am I at home? Who's that man in the chair by the door, reading .... "Twilight?" Leon blinks at me, putting the book down in his lap. 'You went from unconscious to judgemental very quickly there.

Want is for children. If this were want, I would be rid of you by now. I would have forgotten you centuries ago,” he says, a bitter loathing in his voice. “This is need. And need is painful but patient. Do you hear me, Adeline? I need you. As you need me. I love you, as you love me.

Perhaps love is a minor madness. And as with madness, it's unendurable alone. The one person who can relieve us is of course the sole person we cannot go to: the one we love. So instead we seek out allies, even among strangers and wives, fellow patients who, if they can't touch the edge of our particular sorrow, have felt something that cuts nearly as deep.

love obsession often serves as a distraction, keeping the individual’s gaze from more painful thoughts.

Love is more than simply being open to experiencing the anguish of another person's suffering. It is the willingness to live with the helpless knowing that we can do nothing to save the other from his pain. (23)

Few things a doctor does are more important than relieving pain. . . pain is soul destroying. No patient should have to endure intense pain unnecessarily. The quality of mercy is essential to the practice of medicine; here, of all places, it should not be strained.

Getting over it so soon? But the words are ambiguous. To say the patient is getting over it after an operation for appendicitis is one thing; after he’s had his leg off is quite another. After that operation either the wounded stump heals or the man dies. If it heals, the fierce, continuous pain will stop. Presently he’ll get back his strength and be able to stump about on his wooden leg. He has ‘got over it.’ But he will probably have recurrent pains in the stump all his life, and perhaps pretty bad ones; and he will always be a one-legged man. There will be hardly any moment when he forgets it. Bathing, dressing, sitting down and getting up again, even lying in bed, will all be different. His whole way of life will be changed. All sorts of pleasures and activities that he once took for granted will have to be simply written off. Duties too. At present I am learning to get about on crutches. Perhaps I shall presently be given a wooden leg. But I shall never be a biped again.

We are all damaged. We have all been hurt. We have all had to learn painful lessons. We are all recovering from some mistake, loss, betrayal, abuse, injustice or misfortune. All of life is a process of recovery that never ends. We each must find ways to accept and move through the pain and to pick ourselves back up. For each pang of grief, depression, doubt or despair there is an inverse toward renewal coming to you in time. Each tragedy is an announcement that some good will indeed come in time. Be patient with yourself.

I measure every Grief I meet With narrow, probing, Eyes; I wonder if It weighs like Mine, Or has an Easier size. I wonder if They bore it long, Or did it just begin? I could not tell the Date of Mine, It feels so old a pain. I wonder if it hurts to live, And if They have to try, And whether, could They choose between, It would not be, to die. I note that Some -- gone patient long -- At length, renew their smile. An imitation of a Light That has so little Oil. I wonder if when Years have piled, Some Thousands -- on the Harm Of early hurt -- if such a lapse Could give them any Balm; Or would they go on aching still Through Centuries above, Enlightened to a larger Pain By Contrast with the Love. The Grieved are many, I am told; The reason deeper lies, -- Death is but one and comes but once, And only nails the eyes. There's Grief of Want and Grief of Cold, -- A sort they call "Despair"; There's Banishment from native Eyes, In sight of Native Air. And though I may not guess the kind Correctly, yet to me A piercing Comfort it affords In passing Calvary, To note the fashions of the Cross, And how they're mostly worn, Still fascinated to presume That Some are like My Own.

There appear to be many people who chose to go crazy (or become alcoholics, addicts, criminals, suicides) rather than have to bear the pain and ambiguity of a life situation that they have decided that they cannot stand. (98)

God uses chronic pain and weakness, along with other afflictions, as his chisel for sculpting our lives. Felt weakness deepens dependence on Christ for strength each day. The weaker we feel, the harder we lean. And the harder we lean, the stronger we grow spiritually, even while our bodies waste away. To live with your ‘thorn’ uncomplainingly — that is, sweet, patient, and free in heart to love and help others, even though every day you feel weak — is true sanctification. It is true healing for the spirit. It is a supreme victory of grace.

In this there is no measuring with time, a year doesn’t matter, and ten years are nothing. Being an artist means: not numbering and counting, but ripening like a tree, which doesn’t force its sap, and stands confidently in the storms of spring, not afraid that afterward summer may not come. It does come. But it comes only to those who are patient, who are there as if eternity lay before them, so unconcernedly silent and vast. I learn it every day of my life, learn it with pain I am grateful for: patience is everything!

The whole thing was the precise opposite of what I figured it would be: slow and patient and quiet and neither particularly painful nor particularly ecstatic

The erosion of an effective patient-physician relationship has no place when dealing with chronic pain. Worst of all, dismissing the patient's pain is as devastating as crushing a patient's hope.

I was crying for all of us. There’s so much pain everywhere, and we just close our eyes to it. The truth is we’re all scared. We’re terrified of each other.

A nation is born stoic, and dies epicurean. At its cradle (to repeat a thoughtful adage) religion stands, and philosophy accompanies it to the grave. In the beginning of all cultures a strong religious faith conceals and softens the nature of things, and gives men courage to bear pain and hardship patiently; at every step the gods are with them, and will not let them perish, until they do. Even then a firm faith will explain that it was the sins of the people that turned their gods to an avenging wrath; evil does not destroy faith, but strengthens it. If victory comes, if war is forgotten in security and peace, then wealth grows; the life of the body gives way, in the dominant classes, to the life of the senses and the mind; toil and suffering are replaced by pleasure and ease; science weakens faith even while thought and comfort weaken virility and fortitude. At last men begin to doubt the gods; they mourn the tragedy of knowledge, and seek refuge in every passing delight. Achilles is at the beginning, Epicurus at the end. After David comes Job, and after Job, Ecclesiastes.

In depression this faith in deliverance, in ultimate restoration, is absent. The pain is unrelenting, and what makes the condition intolerable is the foreknowledge that no remedy will come- not in a day, an hour, a month, or a minute. If there is mild relief, one knows that it is only temporary; more pain will follow. It is hopelessness even more than pain that crushes the soul. So the decision-making of daily life involves not, as in normal affairs, shifting from one annoying situation to another less annoying- or from discomfort to relative comfort, or from boredom to activity- but moving from pain to pain. One does not abandon, even briefly, one’s bed of nails, but is attached to it wherever one goes. And this results in a striking experience- one which I have called, borrowing military terminology, the situation of the walking wounded. For in virtually any other serious sickness, a patient who felt similar devistation would by lying flat in bed, possibly sedated and hooked up to the tubes and wires of life-support systems, but at the very least in a posture of repose and in an isolated setting. His invalidism would be necessary, unquestioned and honorably attained. However, the sufferer from depression has no such option and therefore finds himself, like a walking casualty of war, thrust into the most intolerable social and family situations. There he must, despite the anguish devouring his brain, present a face approximating the one that is associated with ordinary events and companionship. He must try to utter small talk, and be responsive to questions, and knowingly nod and frown and, God help him, even smile. But it is a fierce trial attempting to speak a few simple words.

Pain is nature’s way of telling us that something is wrong. Patiently, pain goes on telling us this, long after we’ve got the message.

Perfer et obdura; dolor hic tibi proderit olim....Be patient and strong; someday this pain will be useful to you.

True pain can only come gradually. It is exactly like tuberculosis in that the disease has already progressed to a critical stage before the patient becomes aware of its symptoms.

The truth is that the more intimately you know someone, the more clearly you’ll see their flaws. That’s just the way it is. This is why marriages fail, why children are abandoned, why friendships don’t last. You might think you love someone until you see the way they act when they’re out of money or under pressure or hungry, for goodness’ sake. Love is something different. Love is choosing to serve someone and be with someone in spite of their filthy heart. Love is patient and kind, love is deliberate. Love is hard. Love is pain and sacrifice, it’s seeing the darkness in another person and defying the impulse to jump ship.

Those who have the strength and the love to sit with a dying patient in the silence that goes beyond words will know that this moment is neither frightening nor painful, but a peaceful cessation of the functioning of the body. Watching a peaceful death of a human being reminds us of a falling star; one of a million lights in a vast sky that flares up for a brief moment

And so it is a truth universally acknowledged that a young woman in possession of vague symptoms like fatigue and pain will be in search of a doctor who believes she is actually sick.

You know, Theo, one of the hardest things to admit is that we weren’t loved when we needed it most. It’s a terrible feeling, the pain of not being loved.

So what is it in a human life that creates bravery, kindness, wisdom, and resilience? What if it's pain? What if it's the struggle?... The bravest people I know are those who've walked through the fire and come out on the other side. They are those who've overcome, not those who've had nothing to overcome. .. (P)eople who are hurting don't need Avoiders, Protectors, or Fixers. What we need are patient, loving witnesses. People to sit quietly and hold space for us. People to stand in helpless vigil to our pain.

No pain that we suffer, no trial that we experience is wasted. All that we suffer and all that we endure, especially when we endure it patiently, builds up our characters, purifies our hearts, expands our souls, and makes us more tender and charitable.

A woman that is patient has the ability to endure provocation, pain, annoyance etc, with much calm and strength.

Maxon, I hope you find someone you can't love without. I really do. And I hope you never have to know what it's like to have to try and live without them." Maxon's face was a shallow echo of my own pain. He looked absolutely brokenhearted for me. More than that, he looked angry. "I'm sorry, America. I don't..." His face shifted a little. "Is this a good time to pat your shoulder?" His uncertainty made me smile. "Yes. Now would be a great time." He seemed as skeptically as he'd been the other day, but instead of just patting my shoulder, he leaned in and tentatively wrapped his arms around me. "I only really ever hug my mother. Is this okay?" he asked. I laughed. "It's hard to get a hug wrong." After a minute, I spoke again. "I know what you mean, though. I don't really hug anyone besides my family." I felt so drained after the long day of dressing and the Report and dinner and talking. It was nice to have Maxon just hold me, sometimes even patting my hair. He wasn't as lost as he seemed. He patiently waited for my breathing to slow, and when it did, he pulled back to look at me. "America, I promise you I'll keep you here until the last possible moment. I understand that they want me to narrow the Elite down to three and then choose. But I swear to you, I'll make it to two and keep you here until then. I won't make you leave a moment before I have to. Or the moment you're ready. Whichever comes first." I nodded. "I know we just met, but I think you're wonderful. And it bothers me to see you hurt. If he were here, I'd...I'd..." Maxon shook with frustration, then sighed. "I'm so sorry, America." He pulled me back in, and I rested my head on his broad shoulder. I knew Maxon would keep his promises. So I settled into perhaps the last place I ever thought I'd find genuine comfort.

SONIA: What can we do? We must live our lives. [A pause] Yes, we shall live, Uncle Vanya. We shall live through the long procession of days before us, and through the long evenings; we shall patiently bear the trials that fate imposes on us; we shall work for others without rest, both now and when we are old; and when our last hour comes we shall meet it humbly, and there, beyond the grave, we shall say that we have suffered and wept, that our life was bitter, and God will have pity on us. Ah, then dear, dear Uncle, we shall see that bright and beautiful life; we shall rejoice and look back upon our sorrow here; a tender smile—and—we shall rest. I have faith, Uncle, fervent, passionate faith. [SONIA kneels down before her uncle and lays her head on his hands. She speaks in a weary voice] We shall rest. [TELEGIN plays softly on the guitar] We shall rest. We shall hear the angels. We shall see heaven shining like a jewel. We shall see all evil and all our pain sink away in the great compassion that shall enfold the world. Our life will be as peaceful and tender and sweet as a caress. I have faith; I have faith. [She wipes away her tears] My poor, poor Uncle Vanya, you are crying! [Weeping] You have never known what happiness was, but wait, Uncle Vanya, wait! We shall rest. [She embraces him] We shall rest. [The WATCHMAN’S rattle is heard in the garden; TELEGIN plays softly; MME. VOITSKAYA writes something on the margin of her pamphlet; MARINA knits her stocking] We shall rest.

In the debate over opioid addiction, there’s one group we aren’t hearing from: chronic pain patients, many of whom need to use the drugs on a long-term basis.

We cannot count on God to arrange what happens in our lives in ways that will make us feel good.We can, however, count on God to patiently remove all the obstacles to our enjoyment of Him. He is committed to our joy, and we can depend on Him to give us enough of a taste of that joy and enough hope that the best is still ahead to keep us going in spite of how much pain continues to plague our hearts.

If the screams of all earth's living creatures were one scream of pain, surely it would shake the stars.

This is an ode to all of those that have never asked for one. A thank you in words to all of those that do not do what they do so well for the thanking. This is to the mothers. This is to the ones who match our first scream with their loudest scream; who harmonize in our shared pain and joy and terrified wonder when life begins. This is to the mothers. To the ones who stay up late and wake up early and always know the distance between their soft humming song and our tired ears. To the lips that find their way to our foreheads and know, somehow always know, if too much heat is living in our skin. To the hands that spread the jam on the bread and the mesmerizing patient removal of the crust we just cannot stomach. This is to the mothers. To the ones who shout the loudest and fight the hardest and sacrifice the most to keep the smiles glued to our faces and the magic spinning through our days. To the pride they have for us that cannot fit inside after all they have endured. To the leaking of it out their eyes and onto the backs of their hands, to the trails of makeup left behind as they smile through those tears and somehow always manage a laugh. This is to the patience and perseverance and unyielding promise that at any moment they would give up their lives to protect ours. This is to the mothers. To the single mom’s working four jobs to put the cheese in the mac and the apple back into the juice so their children, like birds in a nest, can find food in their mouths and pillows under their heads. To the dreams put on hold and the complete and total rearrangement of all priority. This is to the stay-at-home moms and those that find the energy to go to work every day; to the widows and the happily married. To the young mothers and those that deal with the unexpected announcement of a new arrival far later than they ever anticipated. This is to the mothers. This is to the sack lunches and sleepover parties, to the soccer games and oranges slices at halftime. This is to the hot chocolate after snowy walks and the arguing with the umpire at the little league game. To the frosting ofbirthday cakes and the candles that are always lit on time; to the Easter egg hunts, the slip-n-slides and the iced tea on summer days. This is to the ones that show us the way to finding our own way. To the cutting of the cord, quite literally the first time and even more painfully and metaphorically the second time around. To the mothers who become grandmothers and great-grandmothers and if time is gentle enough, live to see the children of their children have children of their own. To the love. My goodness to the love that never stops and comes from somewhere only mothers have seen and know the secret location of. To the love that grows stronger as their hands grow weaker and the spread of jam becomes slower and the Easter eggs get easier to find and sack lunches no longer need making. This is to the way the tears look falling from the smile lines around their eyes and the mascara that just might always be smeared with the remains of their pride for all they have created. This is to the mothers.

I had tried years earlier to kill myself, and nearly died in the attempt, but did not consider it either a selfish or a not-selfish thing to have done. It was simply the end of what I could bear, the last afternoon of having to imagine waking up the next morning only to start all over again with a thick mind and black imaginings. It was the final outcome of a bad disease, a disease it seemed to me I would never get the better of. No amount of love from or for other people0and there was a lot-could help. No advantage of a caring family and fabulous job was enough to overcome the pain and hopelessness I felt; no passionate or romantic love, however strong, could make a difference. Nothing alive and warm could make its way in through my carapace. I knew my life to be a shambles, and I believed-incontestably-that my family, friends, and patients would be better off without me. There wasn't much of me left anymore, anyway, and I thought my death would free up the wasted energies and well-meant efforts that were being wasted on my behalf.

After that month in Cairo she was muted, read constantly, kept more to herself, as if something had occurred or she realized suddenly that wondrous thing about the human being, it can change. She did not have to remain a socialite who had married an adventurer. She was discovering herself. It was painful to watch, because Clifton could not see it, her self-education.

That dead-eyed anhedonia is but a remora on the ventral flank of the true predator, the Great White Shark of pain. Authorities term this condition clinical depression or involutional depression or unipolar dysphoria. Instead of just an incapacity for feeling, a deadening of soul, the predator-grade depression Kate Gompert always feels as she Withdraws from secret marijuana is itself a feeling. It goes by many names — anguish, despair, torment, or q.v. Burton's melancholia or Yevtuschenko's more authoritative psychotic depression — but Kate Gompert, down in the trenches with the thing itself, knows it simply as It. It is a level of psychic pain wholly incompatible with human life as we know it. It is a sense of radical and thoroughgoing evil not just as a feature but as the essence of conscious existence. It is a sense of poisoning that pervades the self at the self's most elementary levels. It is a nausea of the cells and soul. It is an unnumb intuition in which the world is fully rich and animate and un-map-like and also thoroughly painful and malignant and antagonistic to the self, which depressed self It billows on and coagulates around and wraps in Its black folds and absorbs into Itself, so that an almost mystical unity is achieved with a world every constituent of which means painful harm to the self. Its emotional character, the feeling Gompert describes It as, is probably mostly indescribable except as a sort of double bind in which any/all of the alternatives we associate with human agency — sitting or standing, doing or resting, speaking or keeping silent, living or dying — are not just unpleasant but literally horrible. It is also lonely on a level that cannot be conveyed. There is no way Kate Gompert could ever even begin to make someone else understand what clinical depression feels like, not even another person who is herself clinically depressed, because a person in such a state is incapable of empathy with any other living thing. This anhedonic Inability To Identify is also an integral part of It. If a person in physical pain has a hard time attending to anything except that pain, a clinically depressed person cannot even perceive any other person or thing as independent of the universal pain that is digesting her cell by cell. Everything is part of the problem, and there is no solution. It is a hell for one. The authoritative term psychotic depression makes Kate Gompert feel especially lonely. Specifically the psychotic part. Think of it this way. Two people are screaming in pain. One of them is being tortured with electric current. The other is not. The screamer who's being tortured with electric current is not psychotic: her screams are circumstantially appropriate. The screaming person who's not being tortured, however, is psychotic, since the outside parties making the diagnoses can see no electrodes or measurable amperage. One of the least pleasant things about being psychotically depressed on a ward full of psychotically depressed patients is coming to see that none of them is really psychotic, that their screams are entirely appropriate to certain circumstances part of whose special charm is that they are undetectable by any outside party. Thus the loneliness: it's a closed circuit: the current is both applied and received from within.

The history of the world? Just voices echoing in the dark; images that burn for a few centuries and then fade; stories, old stories that sometimes seem to overlap; strange links, impertinent connections. We lie here in our hospital bed of the present (what nice clean sheets we get nowadays) with a bubble of daily news drip-fed into our arm. We think we know who we are, though we don't quite know why we're here, or how long we shall be forced to stay. And while we fret and write in bandaged uncertainty - are we a voluntary patient? - we fabulate. We make up a story to cover the facts we don't know or can't accept; we keep a few true facts and spin a new story round them. Our panic and our pain are only eased by soothing fabulation; we call it history.

Bear patiently your exile and the dryness of your mind. The time will come when I will make you forget these painful moments and you will enjoy inward quietness. I will open the Bible for you and you will be thrilled by your new understanding of my truth.

Inner peace is accomplished by understanding and accepting the inevitable contradictions of life—the pain and pleasure, success and failure, joy and sorrow, births and deaths. Problems can teach us to be gracious, humble, and patient.

And that is why it is so important to be solitary and attentive when one is sad: because the seemingly uneventful and motionless moment when our future steps into us is so much closer to life than that other loud and accidental point of time when it happens to us as if from outside. The quieter we are, the more patient and open we are in our sadnesses, the more deeply and serenely the new presence can enter us, and the more we can make it our own...

When I tell a patient that I think I should do their operation under local anaesthetic they usually look a little shocked. In fact the brain cannot itself feel pain since pain is a phenomenon produced within the brain.

Still perfect,” he said. “Read to me.” “This isn’t really a poem to read aloud when you are sitting next to your sleeping mother. It has, like, sodomy and angel dust in it,” I said. “You just named two of my favorite pastimes,” he said. “Okay, read me something else then?” “Um,” I said. “I don’t have anything else?” “That’s too bad. I am so in the mood for poetry. Do you have anything memorized?” “‘Let us go then, you and I,’” I started nervously, “‘When the evening is spread out against the sky / Like a patient etherized upon a table.’” “Slower,” he said. I felt bashful, like I had when I’d first told him of An Imperial Affliction. “Um, okay. Okay. ‘Let us go, through certain half-deserted streets, / The muttering retreats / Of restless nights in one-night cheap hotels / And sawdust restaurants with oyster-shells: / Streets that follow like a tedious argument / Of insidious intent / To lead you to an overwhelming question . . . / Oh, do not ask, “What is it?” / Let us go and make our visit.’” “I’m in love with you,” he said quietly. “Augustus,” I said. “I am,” he said. He was staring at me, and I could see the corners of his eyes crinkling. “I’m in love with you, and I’m not in the business of denying myself the simple pleasure of saying true things. I’m in love with you, and I know that love is just a shout into the void, and that oblivion is inevitable, and that we’re all doomed and that there will come a day when all our labor has been returned to dust, and I know the sun will swallow the only earth we’ll ever have, and I am in love with you.” “Augustus,” I said again, not knowing what else to say. It felt like everything was rising up in me, like I was drowning in this weirdly painful joy, but I couldn’t say it back. I

My paintings are well-painted, not nimbly but patiently. My painting contains in it the message of pain. I think that at least a few people are interested in it. It's not revolutionary. Why keep wishing for it to be belligerent? I can't. Painting completed my life. I lost three children and a series of other things that would have fulfilled my horrible life. My painting took the place of all of this. I think work is the best.

Anyone who takes opioids on a regular basis will become dependent upon them, meaning they will have to taper off gradually to avoid withdrawal symptoms. But very few chronic pain patients exhibit the compulsive drug-seeking behaviors of someone who is addicted.

Look at us, Lazarus, and share our joy. Is there anything stronger than love?" And Lazarus looked. And for the rest of their life they kept on loving each other, but their passion grew gloomy and joyless, like those funeral cypresses whose roots feed on the decay of the graves and whose black summits in a still evening hour seek in vain to reach the sky. Thrown by the unknown forces of life into each other's embraces, they mingled tears with kisses, voluptuous pleasures with pain, and they felt themselves doubly slaves, obedient slaves to life, and patient servants of the silent Nothingness. Ever united, ever severed, they blazed like sparks and like sparks lost themselves in the boundless Dark.

Her body accepted my brutal seed and took it to swell within, just as the patient earth accepts a falling fruit into its tender soil to cradle and nourish it to grow. Came a time, just springtime last, our infant child pushed through the fragile barrier of her womb. Her legs branched out, just as the wood branches out from these eternal trees around us; but she was not hardy as they. My wife groaned with blood and ceased to breathe. Aye!, a scornful eve that bred the kind of pain only a god can withstand.

The people we love and those who raised us live inside us; we experience their emotional pain, we dream their memories, we know what was not explicitly conveyed to us, and these things shape our lives in ways that we don’t always understand.

Parts of you are phobic of anger and generally terrified and ashamed of angry dissociative parts. There is often tremendous conflict between anger-avoidant and anger-fixated parts of an individual. Thus, an internal and perpetual cycle of rage-shame-fear creates inner chaos and pain.

The hardcore drug addicts that I treat, are, without exception, people who have had extraordinarily difficult lives. The commonality is childhood abuse. These people all enter life under extremely adverse circumstances. Not only did they not get what they need for healthy development; they actually got negative circumstances of neglect. I don’t have a single female patient in the Downtown Eastside of Vancouver who wasn’t sexually abused, for example, as were many of the men, or abused, neglected and abandoned serially, over and over again. That’s what sets up the brain biology of addiction. In other words, the addiction is related both psychologically, in terms of emotional pain relief, and neurobiological development to early adversity.

I, the dreamer clinging yet to the dream as the patient clings to the last thin unbearable ecstatic instant of agony in order to sharpen the savor of the pain’s surcease, waking into the reality, the more than reality, not to the unchanged and unaltered old time but into a time altered to fit the dream which, conjunctive with the dreamer, becomes immolated and apotheosized

The very fact that they were naturally caring and loving would be the milestone that weighed them down. The formula is perfect. The nurse becomes willing to sacrifice herself in the patient. But the patient isn’t suffering from an external illness, he’s suffering from self-inflicted wounds. The nurse wants to prevent him from this pain. The patient wants her to feel the pain, too.

Then he saw that the normal was the rarest thing in the world. Everyone had some defect, of body or of mind: he thought of all the people he had known (the whole world was like a sick-house, and there was no rhyme or reason in it), he saw a long procession, deformed in body and warped in mind, some with illness of the flesh, weak hearts or weak lungs, and some with illness of the spirit, languor of will, or a craving for liquor. At this moment he could feel a holy compassion for them all. They were the helpless instruments of blind chance. He could pardon Griffiths for his treachery and Mildred for the pain she had caused him. They could not help themselves. The only reasonable thing was to accept the good of men and be patient with their faults. The words of the dying God crossed his memory: Forgive them, for they know not what they do.

The Stoics can teach you how to find a sense of purpose in life, how to face adversity, how to conquer anger within yourself, moderate your desires, experience healthy sources of joy, endure pain and illness patiently and with dignity, exhibit courage in the face of your anxieties, cope with loss, and perhaps even confront your own mortality while remaining as unperturbed as Socrates.

Your dress is thin, you have been dancing, you are heated." "Always preaching," retorted she; "always coddling and admonishing." The answer Dr. John would have given did not come; that his heart was hurt became evident in his eye; darkened, and saddened, and pained, he turned a little aside, but was patient.

Being an artist means, not reckoning and counting, but ripening like the tree which does not force its sap and stands confident in the storms of spring without the fear that after them may come no summer. It does come. But it comes only to the patient, who are there as though eternity lay before them, so unconcernedly still and wide. I learn it daily, learn it with pain to which I am grateful: patience is everything!

And one cried wee, wee, wee, all the way—" Jessica breaking down in a giggle as he reaches for the spot along her sweatered flank he knows she can't bear to be tickled in. She hunches, squirming, out of the way as he rolls past, bouncing off the back of the sofa but making a nice recovery, and by now she's ticklish all over, he can grab an ankle, elbow— But a rocket has suddenly struck. A terrific blast quite close beyond the village: the entire fabric of the air, the time, is changed—the casement window blown inward, rebounding with a wood squeak to slam again as all the house still shudders. Their hearts pound. Eardrums brushed taut by the overpressure ring in pain. The invisible train rushes away close over the rooftop.... They sit still as the painted dogs now, silent, oddly unable to touch. Death has come in the pantry door: stands watching them, iron and patient, with a look that says try to tickle me.

MY BETH. Sitting patient in the shadow Till the blessed light shall come, A serene and saintly presence Sanctifies our troubled home. Earthly joys and hopes and sorrows Break like ripples on the strand Of the deep and solemn river Where her willing feet now stand. O my sister, passing from me, Out of human care and strife, Leave me, as a gift, those virtues Which have beautified your life. Dear, bequeath me that great patience Which has power to sustain A cheerful, uncomplaining spirit In its prison-house of pain. Give me, for I need it sorely, Of that courage, wise and sweet, Which has made the path of duty Green beneath your willing feet. Give me that unselfish nature, That with charity divine Can pardon wrong for love's dear sake— Meek heart, forgive me mine! Thus our parting daily loseth Something of its bitter pain, And while learning this hard lesson, My great loss becomes my gain. For the touch of grief will render My wild nature more serene, Give to life new aspirations, A new trust in the unseen. Henceforth, safe across the river, I shall see for evermore A beloved, household spirit Waiting for me on the shore. Hope and faith, born of my sorrow, Guardian angels shall become, And the sister gone before me By their hands shall lead me home.

Somatic Symptoms: People with Complex PTSD often have medical unexplained physical symptoms such as abdominal pains, headaches, joint and muscle pain, stomach problems, and elimination problems. These people are sometimes most unfortunately mislabeled as hypochondriacs or as exaggerating their physical problems. But these problems are real, even though they may not be related to a specific physical diagnosis. Some dissociative parts are stuck in the past experiences that involved pain may intrude such that a person experiences unexplained pain or other physical symptoms. And more generally, chronic stress affects the body in all kinds of ways, just as it does the mind. In fact, the mind and body cannot be separated. Unfortunately, the connection between current physical symptoms and past traumatizing events is not always so clear to either the individual or the physician, at least for a while. At the same time we know that people who have suffered from serious medical, problems. It is therefore very important that you have physical problems checked out, to make sure you do not have a problem from which you need medical help.

There were nights when I left the sessions physically and emotionally drained after hearing the anguish pour out like blood from a gaping wound. Don’t let anyone ever tell you different – psychotherapy is one of the most taxing endeavors known to mankind; I’ve done all sorts of work, from picking carrots in the scorching sun to sitting on national committees in paneled board rooms, and there’s nothing that compares to confronting human misery hour after hour and bearing the responsibility for easing that misery using only one’s mind and mouth. At its best it’s tremendously uplifting as you watch the patient open up, breathe, let go of the pain. At its worst is like surfing in a cesspool struggling for balance while being slapped with wave after putrid wave.

Real faith, however, is required to endure this necessary but painful developmental process. As things unfold, sometimes in full view, let us be merciful with each other. We certainly do not criticize hospital patients amid intensive care for looking pale and preoccupied. Why then those recovering from surgery on their souls? No need for us to stare; those stitches will finally come out. And in this hospital, too, it is important for everyone to remember that the hospital chart is not the patient. Extending our mercy to someone need not wait upon our full understanding of their challenges! Empathy may not be appreciated or reciprocated, but empathy is never wasted.

Patience is the specific antidote to anger and hatred. It is an attitude of accepting both the harm caused by others and the pains and discomforts found in life instead of angrily retaliating against them. Only in the calm afforded by patient acceptance is one able to clearly discern the nature of the situation and proceed to deal with it realistically. Once the mind becomes distorted and disturbed with anger, any possibility of objectivity is lost. One consequently embarks upon a course of action grounded in misconception that inevitably leads to a heightening of the initial conflict rather than its resolution.

The psychoanalyst W. R. Bion came up with the term containment to describe a mother’s ability to manage her baby’s pain. Remember, babyhood is not a time of bliss; it’s one of terror. As babies we are trapped in a strange, alien world, unable to see properly, constantly surprised at our bodies, alarmed by hunger and wind and bowel movements, overwhelmed by our feelings. We are quite literally under attack. We need our mother to soothe our distress and make sense of our experience. As she does so, we slowly learn how to manage our physical and emotional states on our own. But our ability to contain ourselves directly depends on our mother’s ability to contain us—if she had never experienced containment by her own mother, how could she teach us what she did not know? Someone who has never learned to contain himself is plagued by anxious feelings for the rest of his life, feelings that Bion aptly titled nameless dread. Such a person endlessly seeks this unquenchable containment from external sources—he needs a drink or a joint to “take the edge off” this endless anxiety. Hence my addiction to marijuana.

Many years later when I began training as a plastic surgeon, I understood something that I had not that day in the kitchen arguing for Thalia to leave Tinos for the boarding school. I learned that the world didn't see the inside of you, that it didn't care a whit about the hopes and dreams, and sorrows, that lay masked by skin and bone. It was as simple, as absurd, and as cruel as that. My patients knew this. They saw that much of what they were, would be, or could be hinged on the symmetry of their bone structure, the space between their eyes, their chin length, the tip projection of their nose, whether they had an ideal nasofrontal angle or not. Beauty is an enormous unmerited gift given randomly, stupidly.

A refusal on the part of psychiatrists and therapists to validate the horrors of their patients' tortured past implies a refusal to take seriously the unconscious psychological mechanisms that individuals need to use to protect themselves from the unspeakable. Such a denial is, however, no longer ethical, for it is in the human capacity to dissociate that lies part of the secret of both childhood abuse and the horrors of the Nazi genocide, both forms of human violence so often carried out by 'respectable' men and women.

Cry Out in Your Weakness A dragon was pulling a bear into its terrible mouth. A courageous man went and rescued the bear. There are such helpers in the world, who rush to save anyone who cries out. Like Mercy itself, they run toward the screaming. And they can’t be bought off. If you were to ask one of those, “Why did you come so quickly?” He or she would say, “Because I heard your helplessness.” Where lowland is, that’s where water goes. All medicine wants is pain to cure. And don’t just ask for one mercy. Let them flood in. Let the sky open under your feet. Take the cotton out of your ears, the cotton of consolations, so you can hear the sphere-music. . . . Give your weakness to One Who Helps. Crying out loud and weeping are great resources. A nursing mother, all she does is wait to hear her child. Just a little beginning-whimper, and she’s there. God created the child, that is, your wanting, so that it might cry out, so that milk might come. Cry out! Don’t be stolid and silent with your pain. Lament! And let the milk of Loving flow into you. The hard rain and wind are ways the cloud has to take care of us. Be patient. Respond to every call that excites your spirit. Ignore those that make you fearful and sad, that degrade you back toward disease and death.

Dr. Bone Specialist came in, made me stand up and hobble across the room, checked my reflexes, and then made me lie down on the table. He bent my right knee this way and that, up and down, all the way out to the side and in. Then he did the same with my left leg. He ordered X rays then started to leave the room. I panicked. I MUST GET DRUGS. "What can I take for the pain?" I asked him before he got out the door. "You can take some over the counter ibuprofen," he suggested. "But I wouldn't take more than nine a day." I choked. Nine a day? I'd been popping forty. Nine a day? Like hell. I couldn't even go to the bathroom on my own, I hadn't slept in three weeks, and my normally sunny cheery disposition had turned into that of a very rabid dog. If I didn't get good drugs and get them now, it was straight to Shooter's World and then Walgreens pharmacy for me. "I don't think you understand," I explained. "I can't go to work. I have spent the last four days with my mother who is addicted to QVC, watching jewelry shows, doll shows and make-up shows. I almost ordered a beef-jerky maker! Give me something, or I'm going to use your calf muscles to make the first batch!" Without further ado, he hastily scribbled out a prescription for some codeine and was gone. I was happy. My mother, however, had lost the ability to speak.

People who need regulation often leave therapy sessions feeling calmer, stronger, safer, more able to handle the world. Often they don't know why. Nothing obviously helpful happened - telling a stranger about your pain sounds nothing like a certain recipe for relief. And the feeling inevitably dwindles, sometimes within minutes, taking the warmth and security with it. But the longer a patient depends, the more his stability swells, expanding infinitesimally with ever session as length is added to a woven cloth with each pass of the shuttle, each contraction of the loom. And after he weaves enough of it, the day comes when the patient will unfurl his independence like a pair of spread wings. Free at last, he catches a wind and rides into other lands. (172)

I also very well remember that on another occasion the father dean said: ‘In order that at responsible age a man may be a real man and not a parasite, his education must without fail be based on the following ten principles. ‘From early childhood there should be instilled in the child: Belief in receiving punishment for disobedience. Hope of receiving reward only for merit. Love of God—but indiference to the saints. Remorse of conscience for the ill-treatment of animals. Fear of grieving parents and teachers. Fearlessness towards devils, snakes and mice. Joy in being content merely with what one has. Sorrow at the loss of the goodwill of others. Patient endurance of pain and hunger. The striving early to earn one’s bread.

Especially when we are afraid, angry, or confused, we may be tempted to give away bits of our freedom—or, less painfully, somebody else’s freedom—in the quest for direction and order. Bill Clinton observed that when people are uncertain, they’d rather have leaders who are strong and wrong than right and weak. Throughout history, demagogues have often outperformed democrats in generating popular fervor, and it is almost always because they are perceived to be more decisive and sure in their judgments. In times of relative tranquility, we feel we can afford to be patient. We understand that policy questions are complicated and merit careful thought. We want our leaders to consult experts, gather as much information as possible, test assumptions, and give us a chance to voice our opinions on the available options. We see long-term planning as necessary and deliberation as a virtue, but when we decide that action is urgently needed, our tolerance for delay disappears. In those moments, many of us no longer want to be asked, “What do you think?” We want to be told where to march. That is when Fascism gets its start: other options don’t seem enough.

This love meditation is adapted from the Visuddhimagga by Buddhaghosa, a 5th century C.E. systematization of the Buddha's teaching. We begin by practicing the love meditation on ourselves ("May I"). Until we are able to love and take care of ourselves, we cannot be much help to others. After that, we practice them on others ("May he/she/they") - first on someone we like, then on someone neutral to us, and finally on someone who makes us suffer. May I be peaceful, happy, and light in body and spirit. May I be safe and free from injury. May I be free from anger, afflictions, fear and anxiety. May I learn to look at myself with the eyes of of understanding and love. May I be able to recognize and touch the seeds of joy and happiness in myself. May I learn to identify and see the sources of anger, craving, and delusion in myself. May I know how to nourish the seeds of joy in myself every day. May I be able to live fresh, solid, and free. May I be free from attachment and aversion, but not indifferent. Love is not just the intention to love, but the capacity to reduce suffering, and offer peace and happiness. The practice of love increases our forbearance, our capacity to be patient and embrace difficulties and pain. Forbearance does mean that we try to suppress pain.

Bodily delight is a sensory experience, not any different from pure looking or the pure feeling with which a beautiful fruit fills the tongue; it is a great, an infinite learning that is given to us, a knowledge of the world, the fullness and the splendor of all knowledge...the individual...can remember that all beauty in animals and plants is a silent, enduring form of love and yearning, and he can see the animal, as he sees plants, patiently and willingly uniting and multiplying and growing, not out of physical pleasure, not out of physical pain, but bowing to necessities that are greater than pleasure and pain, and more powerful than will and withstanding. If only human beings could more humbly receive this mystery---which the world is filled with...

It was Freud's ambition to discover the cause of hysteria, the archetypal female neurosis of his time. In his early investigations, he gained the trust and confidence of many women, who revealed their troubles to him.Time after time, Freud's patients, women from prosperous, conventional families, unburdened painful memories of childhood sexual encounters with men they had trusted: family friends, relatives, and fathers. Freud initially believed his patients and recognized the significance of their confessions. In 1896, with the publication of two works, The Aetiology of Hysteria and Studies on Hysteria, he announced that he had solved the mystery of the female neurosis. At the origin of every case of hysteria, Freud asserted, was a childhood sexual trauma. But Freud was never comfortable with this discovery, because of what it implied about the behavior of respectable family men. If his patients' reports were true, incest was not a rare abuse, confined to the poor and the mentally defective, but was endemic to the patriarchal family. Recognizing the implicit challenge to patriarchal values, Freud refused to identify fathers publicly as sexual aggressors. Though in his private correspondence he cited "seduction by the father" as the "essential point" in hysteria, he was never able to bring himself to make this statement in public. Scrupulously honest and courageous in other respects, Freud falsified his incest cases. In The Aetiology of Hysteria, Freud implausibly identified governessss, nurses, maids, and children of both sexes as the offenders. In Studies in Hysteria, he managed to name an uncle as the seducer in two cases. Many years later, Freud acknowledged that the "uncles" who had molested Rosaslia and Katharina were in fact their fathers. Though he had shown little reluctance to shock prudish sensibilities in other matters, Freud claimed that "discretion" had led him to suppress this essential information. Even though Freud had gone to such lengths to avoid publicly inculpating fathers, he remained so distressed by his seduction theory that within a year he repudiated it entirely. He concluded that his patients' numerous reports of sexual abuse were untrue. This conclusion was based not on any new evidence from patients, but rather on Freud's own growing unwillingness to believe that licentious behavior on the part of fathers could be so widespread. His correspondence of the period revealed that he was particularly troubled by awareness of his own incestuous wishes toward his daughter, and by suspicions of his father, who had died recently. p9-10

Pavlov was fascinated with the “ideas of the opposite”. Call it a cluster of cells, somewhere on the cortex of the brain. Helping to disintiguish pleasure from pain, light from dark, dominance from submission….but when somehow – starve them, traumatize, castrate them send them over into one of the transmarginal phases, past borders of their waking selves, past equivalent and paradoxical phases – you weaken this idea of the opposite, and here all at once is the paranoid patient, who would be master, yet now feels himself a slave…..who would be loved, but suffers his world’s indifference, and “I think”, Pavlov writing to Janet, “it is precisely the ultraparadoxical phase which is the base of the weakening of the idea of the opposite in our patients. Our madmen, , our paranoid, maniac, schizoid, morally imbecilic. Spectro shakes his head. “You are putting response before stimulus. Not at all. Think about it. He is out there, he can feel them coming, days in advance, but it is a reflex. A reflex to something that is in the air right now, something were too coarsely put together to sense, but Slothrop can.

He had failed. He had failed in every possible way with every possible choice he had ever made. Jack was still crazy. He was alone. And he was in a prison of his own design. The embarrassment and regret were choking him from the inside out, and all of a sudden he was screaming. It started small, but it bubbled bigger every minute. Rising black and ugly through the veins in his feet, up and up, bursting his cells and filling his lungs, encasing itself around his bones and finally spilling from his eyes, tacky like tar. It tumbled from his mouth in a howl of rage so deep it shook his teeth. The hairs rose on the back of his neck. It was a shout of pain so pure and hot, he could have sworn it was burning out his eyes. And then, like a living nightmare, his howl roused the other patients to noisemaking. Like a battle cry. It soared above the symphony of their screams of confusion and fear, the banging on the doors and the weeping. Soared above all. A phoenix that burned and fell to ash before it could set alight the room at the very end of the hall where the dreammaker lived, imprisoned by his visions. Unanchored and unnoticed in the dark.

Why should you want to exclude from your life all unsettling, all pain, all depression of spirit, when you don’t know what work it is these states are performing within you? Why do you want to persecute yourself with the question of where it all comes from and where it is leading? You well know you are in a period of transition and want nothing more than to be transformed. If there is something ailing in the way you go about things, then remember that sickness is the means by which an organism rids itself of something foreign to it. All one has to do is help it to be ill, to have its whole illness and let it break out, for that is how it mends itself. There is so much, my dear Mr Kappus, going on in you now. You must be patient as an invalid and trusting as a convalescent, for you are perhaps both. And more than that: you are also the doctor responsible for looking after himself. But with all illnesses there are many days when the doctor can do nothing but wait. And inasfar as you are your own doctor, “this above all is what you must do now.

Why say 'the world is complicated' and stop there? I say the world is complicated but not incomprehensible. Only you have to look at it steadily. Isn't it true a person's shoulder hurts sometimes because they've got a disorder in their stomach? And then what does a stupid doctor do? Order massages for the shoulder. What does a wise doctor do? He takes time to think about it, watches the patient carefully, gives him some medicine for his stomach, and the pain in his shoulder goes away. Better yet, he explains to his patients what they have to do to keep their stomach from getting out of order. One day his patient's going to get old and die, just like himself, just like us, and one day, incredible as it may seem, the Empire's going to die, and how foolish people are who whine about it, and whine about how complicated the world is. A seamstress's room is complicated too, but even at night, with the lights out, she can reach out in the darkness and find the yellow thread, the needles, the pincushion. We couldn't, because we don't know the order things are in, in the seamstress's room. And we can't see the order the world is in. But all the same it's there, right under our eyes.

God is all right—why should we mind standing in the dark for a minute outside his window? Of course we miss the inness, but there is a bliss of its own in waiting. What if the rain be falling, and the wind blowing; what if we stand alone, or, more painful still, have some dear one beside us, sharing our outness; what even if the window be not shining, because of the curtains of good inscrutable drawn across it; let us think to ourselves, or say to our friend, ‘God is; Jesus is not dead; nothing can be going wrong, however it may look so to hearts unfinished in childness.’ Let us say to the Lord, ‘Jesus, art thou loving the Father in there? Then we out here will do his will, patiently waiting till he open the door. We shall not mind the wind or the rain much. Perhaps thou art saying to the Father, ‘Thy little ones need some wind and rain: their buds are hard; the flowers do not come out. I cannot get them made blessed without a little more winter-weather.’ Then perhaps the Father will say, ‘Comfort them, my son Jesus, with the memory of thy patience when thou wast missing me. Comfort them that thou wast sure of me when everything about thee seemed so unlike me, so unlike the place thou hadst left.

Our world is in turmoil. It is aging toward senility. It is very ill. Long ago it was born with brilliant prospects. It was baptized by water, and its sins were washed away. It was never baptized by fire, for that is still to come. It has had shorter periods of good health, but longer ones of ailing. Most of the time there have been pains and aches in some parts of its anatomy, but now that it is growing old, complications have set in, and all the ailments seem to be everywhere. The world has been ‘cliniced,’ and the complex diseases have been catalogued. The physicians have had summit consultations, and temporary salve has been rubbed on afflicted parts, but it has only postponed the fatal day and never cured it. It seems that while remedies have been applied, staph infection has set in, and the patient’s suffering intensified. His mind is wandering. It cannot remember its previous illnesses nor the cure which was applied. The political physicians through the ages have rejected suggested remedies as unprofessional since they came from lowly prophets. Man being what he is with tendencies such as he has, results can be prognosticated with some degree of accuracy.

A KING WHO PLACED MIRRORS IN HIS PALACE There lived a king; his comeliness was such The world could not acclaim his charm too much. The world's wealth seemed a portion of his grace; It was a miracle to view his face. If he had rivals,then I know of none; The earth resounded with this paragon. When riding through his streets he did not fail To hide his features with a scarlet veil. Whoever scanned the veil would lose his head; Whoever spoke his name was left for dead, The tongue ripped from his mouth; whoever thrilled With passion for this king was quickly killed. A thousand for his love expired each day, And those who saw his face, in blank dismay Would rave and grieve and mourn their lives away- To die for love of that bewitching sight Was worth a hundred lives without his light. None could survive his absence patiently, None could endure this king's proximity- How strange it was that man could neither brook The presence nor the absence of his look! Since few could bear his sight, they were content To hear the king in sober argument, But while they listened they endure such pain As made them long to see their king again. The king commanded mirrors to be placed About the palace walls, and when he faced Their polished surfaces his image shone With mitigated splendour to the throne. If you would glimpse the beauty we revere Look in your heart-its image will appear. Make of your heart a looking-glass and see Reflected there the Friend's nobility; Your sovereign's glory will illuminate The palace where he reigns in proper state. Search for this king within your heart; His soul Reveals itself in atoms of the Whole. The multitude of forms that masquerade Throughout the world spring from the Simorgh's shade. If you catch sight of His magnificence It is His shadow that beguiles your glance; The Simorgh's shadow and Himself are one; Seek them together, twinned in unison. But you are lost in vague uncertainty... Pass beyond shadows to Reality. How can you reach the Simorgh's splendid court? First find its gateway, and the sun, long-sought, Erupts through clouds; when victory is won, Your sight knows nothing but the blinding sun.

The Dialectical Dilemma for the Patient The borderline individual is faced with an apparently irreconcilable dilemma. On the one hand, she has tremendous difficulties with self-regulation of affect and subsequent behavioral competence. She frequently but somewhat unpredictably needs a great deal of assistance, often feels helpless and hopeless, and is afraid of being left alone to fend for herself in a world where she has failed over and over again. Without the ability to predict and control her own well-being, she depends on her social environment to regulate her affect and behavior. On the other hand, she experiences intense shame at behaving dependently in a society that cannot tolerate dependency, and has learned to inhibit expressions of negative affect and helplessness whenever the affect is within controllable limits. Indeed, when in a positive mood, she may be exceptionally competent across a variety of situations. However, in the positive mood state she has difficulty predicting her own behavioral capabilities in a different mood, and thus communicates to others an ability to cope beyond her capabilities. Thus, the borderline individual, even though at times desperate for help, has great difficulty asking for help appropriately or communicating her needs. The inability to integrate or synthesize the notions of helplessness and competence, of noncontrol and control, and of needing and not needing help can lead to further emotional distress and dysfunctional behaviors. Believing that she is competent to “succeed,” the person may experience intense guilt about her presumed lack of motivation when she falls short of objectives. At other times, she experiences extreme anger at others for their lack of understanding and unrealistic expectations. Both the intense guilt and the intense anger can lead to dysfunctional behaviors, including suicide and parasuicide, aimed at reducing the painful emotional states. For the apparently competent person, suicidal behavior is sometimes the only means of communicating to others that she really can’t cope and needs help; that is, suicidal behavior is a cry for help. The behavior may also function as a means to get others to alter their unrealistic expectations—to “prove” to the world that she really cannot do what is expected.

The child's heart beat: but she was growing in the wrong place inside her extraordinary mother, south of safe...she and her mother were rushed to the hospital, where her mother was operated on by a brisk cheerful diminutive surgeon who told me after the surgery that my wife had been perhaps an hour from death from the pressure of the child growing outside the womb, the mother from the child growing, and the child from growing awry; and so my wife did not die, but our mysterious child did...Not uncommon, an ectopic pregnancy, said the surgeon...Sometimes, continued the surgeon, sometimes people who lose children before they are born continue to imagine the child who has died, and talk about her or him, it's such an utterly human thing to do, it helps deal with the pain, it's healthy within reason, and yes, people say to their other children that they actually do, in a sense, have a sister or brother, or did have a sister or brother, and she or he is elsewhere, has gone ahead, whatever the language of your belief or faith tradition. You could do that. People do that, yes. I have patients who do that, yes... One summer morning, as I wandered by a river, I remembered an Irish word I learned long ago, and now whenever I think of the daughter I have to wait to meet, I find that word in my mouth: dunnog, little dark one, the shyest and quietest and tiniest of sparrows, the one you never see but sometimes you sense, a flash in the corner of your eye, a sweet sharp note already fading by the time it catches your ear.

Had I been less firmly resolved upon settling down definitively to work, I should perhaps have made an effort to begin at once. But since my resolution was explicit, since within twenty-four hours, in the empty frame of the following day where everything was so well-arranged because I myself was not yet in it, my good intention would be realized without difficulty, it was better not to start on an evening when I felt ill-prepared. The following days were not, alas, to prove more propitious. But I was reasonable. It would have been puerile, on the part of one who had waited now for years, not to put up with a postponement of two or three days. Confident that by the day after tomorrow I should have written several pages, I said not a word more to my parents of my decision; I preferred to remain patient and then to bring to a convinced and comforted grandmother a sample of work that was already under way. Unfortunately the next day was not that vast, extraneous expanse of time to which I had feverishly looked forward. When it drew to a close, my laziness and my painful struggle to overcome certain internal obstacles had simply lasted twenty-four hours longer. And at the end of several days, my plans not having matured, I had no longer the same hope that they would be realized at once, and hence no longer the heart to subordinate everything else to their realization: I began once again to keep late hours...

Halt glared at his friend as the whistling continued. 'I had hoped that your new sense of responsibly would put an end to that painful shrieking noise you make between your lips' he said. Crowley smiled. It was a beautiful day and he was feeling at peace with the world. And that meant he was more than ready to tease Halt 'It's a jaunty song' 'What's jaunty about it?' Halt asked, grim faced. Crowley made an uncertain gesture as he sought for an answer to that question. 'I suppose it's the subject matter' he said eventually. 'It's a very cheerful song. Would you like me to sing it for you?' 'N-' Halt began but he was too late, as Crowley began to sing. He had a pleasant tenor voice, in fact, and his rendering of the song was quite good. But to Halt it was as attractive as a rusty barn door squeaking. 'A blacksmith from Palladio, he met a lovely lady-o' 'Whoa! Whoa!' Halt said 'He met a lovely lady-o?' Halt repeated sarcastically 'What in the name of all that's holy is a lady-o?' 'It's a lady' Crowley told him patiently. 'Then why not sing 'he met a lovely lady'?' Halt wanted to know. Crowley frowned as if the answer was blatantly obvious. "Because he's from Palladio, as the song says. It's a city on the continent, in the southern part of Toscana.' 'And people there have lady-o's, instead of ladies?' Asked Halt 'No. They have ladies, like everyone else. But 'lady' doesn't rhyme with Palladio, does it? I could hardly sing, 'A blacksmith from Palladio, he met his lovely lady', could I?' 'It would make more sense if you did' Halt insisted 'But it wouldn't rhyme' Crowley told him. 'Would that be so bad?' 'Yes! A song has to rhyme or it isn't a proper song. It has to be lady-o. It's called poetic license.' 'It's poetic license to make up a word that doesn't exist and which, by the way, sound extremely silly?' Halt asked. Crowley shook his head 'No. It's poetic license to make sure that the two lines rhyme with each other' Halt thought for a few seconds, his eyes knitted close together. Then inspiration struck him. 'Well then couldn't you sing 'A blacksmith from Palladio, he met a lovely lady, so...'?' 'So what?' Crowley challenged Halt made and uncertain gesture with his hands as he sought more inspiration. Then he replied. 'He met a lovely lady, so...he asked her for her hand and gave her a leg of lamb.' 'A leg of lamb? Why would she want a leg of lamb?' Crowley demanded Halt shrugged 'Maybe she was hungry

My thoughts shift to my friends. I'd been so angry with them for grabbing my pain from me in the wake of the News. But maybe my friends were loving me the best way they knew how, just like I was trying to love Amma. We think our job as humans is to avoid pain, our job as parents is to protect our children from pain, and our job as friends is to fix each other's pain. Maybe that's why we all feel like failures so often--because we all have the wrong job description for love. What my friends didn't know about me and I didn't know about Amma is that people who are hurting don't need Avoiders, Protectors, or Fixers. What we need are patient, loving witnesses. People to sit quietly and hold space for us. People to stand in helpless vigil to our pain. There on the floor, I promise myself that I'll be that kind of mother, that kind of friend. I'll show up and stand humble in the face of a loved one's pain. I'll admit I'm as empty-handed, dumbstruck, and out of ideas as she is. I won't try to make sense of things or require more than she can offer. I won't let my discomfort with her pain keep me from witnessing it for her. I'l never try to grab or fix her pain, because I know that for as long as it takes, he pain will also be her comfort. It will be all she has left. Grief is love's souvenir. It's our proof that we once loved. Grief is the receipt we wave in the air that says to the world: Look! Love was once mine. I loved well. Here is my proof that I paid the price. So I'll just show up and sit quietly and practice not being God with her. I'm so sorry, I'll say. Thank you for trusting me enough to invite me close. I see your pain and it's real. I'm so sorry.

In the first chapter, for example, when Job first gets all the bad news about the deaths of his children and the loss of his estate, we are told that “Job got up and tore his robe” and then he “fell to the ground” (Job 1:20), but then the author adds, “In all this Job sinned not” (Job 1:22). Here is a man already behaving in a way that many pious Christians would consider at least unseemly or showing a lack of faith. He rips his clothes, falls to the ground, cries out. He does not show any stoical patience. But the biblical text says, “In all this Job sinned not.” By the middle of the book, Job is cursing the day he is born and comes very close to charging God with injustice in his angry questions. And yet God’s final verdict on Job is surprisingly positive. At the end of the book, God turns to Eliphaz, the first of Job’s friends, and says: “I am angry with you and your two friends, because you have not spoken the truth about me, as my servant Job has. So now take seven bulls and seven rams and go to my servant Job and sacrifice a burnt offering for yourselves. My servant Job will pray for you, and I will accept his prayer and not deal with you according to your folly. You have not spoken the truth about me, as my servant Job has.” So Eliphaz the Temanite, Bildad the Shuhite and Zophar the Naamathite did what the Lord told them; and the Lord accepted Job’s prayer (Job 42:7–9). Job’s grief was expressed with powerful emotion and soaring rhetoric. He did not “make nice” with God, praying politely. He was brutally honest about his feelings. And while God did—as we will see later—forcefully call Job to acknowledge his unfathomable wisdom and majesty, nevertheless God ultimately vindicated him. A Bruised Reed He Will Not Break It is not right, therefore, for us to simply say to a person in grief and sorrow that they need to pull themselves together. We should be more gentle and patient with them. And that means we should also be gentle and patient with ourselves. We should not assume that if we are trusting in God we won’t weep, or feel anger, or feel hopeless.