Most people’s initial reaction to sad people is to try to cheer them up, to tell them not to look at things so grimly, to look at the bright side of life. This cheering-up reaction is often an expression of that person’s own needs and that person’s own inability to tolerate a long face over an extended period. A mourner should be allowed to experience his sorrow, and he will be grateful for those who can sit with him without telling him not to be sad.

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When we finally had a patient, he welcomed me with open arms. He invited me to sit down and it was obvious that he was eager to speak. I told him that I did not wish to hear him now but would return the next day with my students. I was not sensitive enough to appreciate his communications. It was so hard to get one patient, I had to share him with my students. Little did I realize then that when such a patient says “Please sit down now,” tomorrow may be too late. When we revisited him the next day, he was lying back in his pillow, too weak to speak. He made a meager attempt to lift his arm and whispered “Thank you for trying” — he died less than an hour later and kept to himself what he wanted to share with us and what we so desperately wanted to learn.

"Pasados unos meses observé que muchos médicos evitaban rutinariamente referirse a cualquier cosa que tuviera que ver con la muerte. A los enfermos moribundos se los trataba tan mal como a mis pacientes psiquiátricos del hospital estatal. Se los rechazaba y maltrataba. Nadie era sincero con ellos. Si un enfermo de cáncer preguntaba "¿Me voy a morir?", el médico le contestaba "¡Oh, no! no diga tonterías"."

¿Cómo saben estos gansos cuándo es el momento de volar hacia el sol? ¿Quién les anuncia las estaciones? ¿Cómo sabemos los seres humanos cuándo es el momento de hacer otra cosa? ¿Cómo sabemos cuándo ponernos en marcha? Seguro que a nosotros nos ocurre igual que a las aves migratorias; hay una voz interior, si estamos dispuestos a escucharla, que nos dice con toda certeza cuándo adentrarnos en lo desconocido.

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