20051204.00 So far as suicide is concerned, I haven't the literary reference in my mind to identify the source of the wisdom, it may have been Socrates, that all of life may be, and perhaps should be understood as a process of dying. Certainly the biologist will tell you that certain bodily functions begin to decay as soon as they reach their zenith, and some seem to reach their zenith at birth or soon thereafter. My (ophthalmologist's) example is the ability of the lens of the human eye to focus at near, which is maximal in infancy or early childhood, and diminishes thereafter year by year until at age 65 it has entirely disappeared. Suicide then might be understood as an acceleration or anticipation (Vorausnahme) of a natural process. We survive by taking protective and preventive measures against death. We buckle our seat belts. We take aspirin to inhibit platelet adhesion. We observe the speed limit on the highways. We have annual colonoscopies. We chlorinate our drinking water. We boil food that might be contaminated with clostridia. We avoid rabid skunks. The list could go on an on. Arguably neglecting any such preventive or protective measures, might lead to a death that might have been prevented, if one had cared to do so, a death that might accordingly be considered suicidal. Indeed, reckless behavior in any sphere of activity must be recognized potentially to have its roots in the wish to die. From this perspective, suicide appears as an integral part of life. With respect to suicide as a form of death, I am reminded of Rilkes account in Malte Laurids Brigge of ones own death, "der eigene Tod". One needs to die ones own death just as one needs to live ones own life. It is interesting that however obvious the implications, Rilke did not, so far as I know, interpret suicide as the expression of that need. With respect to the report about the woman who did not hug her children, one can only conclude that she did not do so, because she was unable to. One stops blaming her, one starts to feel sorry for her, as soon as one disabuses oneself of the erroneous notion that she acted by choice, that she had it in her power to hug her children and decided not to do so. The life and death of her family look entirely different if one acknowledges the possibility that she was unable to hug her children, as might have been the case, for example, if she had had a birth injury to the brachial plexus, if she had developed amyotrophic lateral sclerosis, or multiple sclerosis, for example. In all those circumstances one would accept her inability to hug her children as "fate", and one would stop blaming her. It is significant that if she had been unable to hug her children in the context of a mental disorder such as schizophrenia or depression, some people would exonerate her, while some would persist in blaming her, arguing that she could have hugged them if she had really wanted to. Those are the people who think that mental illness is just a form of naughtiness. If she couldn't hug her children, she couldn't hug her husband either, - for it is the same arms with which she would have hugged her children that she would have hugged her husband. Husbands are, after all, grown up children who need to be hugged. Some husbands who are not hugged commit suicide. * * * * *

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