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The Mortal Wound 9<br />

-<br />

Why, you may ask, take on this unpleasant, frightening<br />

subject? Why stare into <strong>the</strong> <strong>sun</strong>? Why not follow<br />

<strong>the</strong> advice of <strong>the</strong> venerable dean of American psychi<strong>at</strong>ry,<br />

Adolph Meyer, who, a century ago, cautioned psychi<strong>at</strong>rists,<br />

“Don’t scr<strong>at</strong>ch where it doesn’t itch”? Why<br />

grapple with <strong>the</strong> most terrible, <strong>the</strong> darkest and most<br />

unchangeable aspect of life? Indeed, in recent years, <strong>the</strong><br />

advent of managed care, brief <strong>the</strong>rapy, symptom control,<br />

and <strong>at</strong>tempts to alter thinking p<strong>at</strong>terns have only<br />

exacerb<strong>at</strong>ed this blinkered point of view.<br />

De<strong>at</strong>h, however, does itch. It itches all <strong>the</strong> time; it is<br />

always with us, scr<strong>at</strong>ching <strong>at</strong> some inner door, whirring<br />

softly, barely audibly, just under <strong>the</strong> membrane of consciousness.<br />

Hidden and disguised, leaking out in a variety<br />

of symptoms, it is <strong>the</strong> wellspring of many of our<br />

worries, stresses, and conflicts.<br />

I feel strongly—as a man who will himself die one<br />

day in <strong>the</strong> not-too-distant future and as a psychi<strong>at</strong>rist<br />

who has spent decades dealing with de<strong>at</strong>h anxiety—<br />

th<strong>at</strong> confronting de<strong>at</strong>h allows us, not to open some noisome<br />

Pandora’s box, but to reenter life in a richer, more<br />

compassion<strong>at</strong>e manner.<br />

So I offer this book optimistically. I believe th<strong>at</strong> it<br />

will help you stare de<strong>at</strong>h in <strong>the</strong> face and, in so doing,<br />

not only amelior<strong>at</strong>e terror but enrich your life.

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