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34 <strong>staring</strong> <strong>at</strong> <strong>the</strong> <strong>sun</strong><br />

mode, you turn toward such evanescent distractions as<br />

physical appearance, style, possessions, or prestige. In <strong>the</strong><br />

ontological mode, by contrast, you are not only more<br />

aware of existence and mortality and life’s o<strong>the</strong>r immutable<br />

characteristics but also more anxious and more<br />

primed to make significant changes. You are prompted to<br />

grapple with your fundamental human responsibility<br />

to construct an au<strong>the</strong>ntic life of engagement, connectivity,<br />

meaning, and self-fulfillment.<br />

Many reports of dram<strong>at</strong>ic and lasting changes c<strong>at</strong>alyzed<br />

by a confront<strong>at</strong>ion with de<strong>at</strong>h support this view.<br />

While working intensively over a ten-year period with<br />

p<strong>at</strong>ients facing de<strong>at</strong>h from cancer, I found th<strong>at</strong> many of<br />

<strong>the</strong>m, r<strong>at</strong>her than succumb to numbing despair, were<br />

positively and dram<strong>at</strong>ically transformed. They rearranged<br />

<strong>the</strong>ir life priorities by trivializing life’s trivia.<br />

They assumed <strong>the</strong> power to choose not to do <strong>the</strong> things<br />

th<strong>at</strong> <strong>the</strong>y really did not wish to do. They communic<strong>at</strong>ed<br />

more deeply with those <strong>the</strong>y loved, and appreci<strong>at</strong>ed<br />

more keenly <strong>the</strong> elemental facts of life—<strong>the</strong><br />

changing seasons, <strong>the</strong> beauty of n<strong>at</strong>ure, <strong>the</strong> last Christmas<br />

or New Year.<br />

Many reported a diminishment of <strong>the</strong>ir fears of<br />

o<strong>the</strong>r people, a gre<strong>at</strong>er willingness to take risks, and less<br />

concern about rejection. One of my p<strong>at</strong>ients commented<br />

drolly th<strong>at</strong> “cancer cures psychoneuroses”; ano<strong>the</strong>r said<br />

to me, “Wh<strong>at</strong> a pity I had to wait till now, till my body<br />

was riddled with cancer, to learn how to live!”

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