For such a patient it would probably be a complete non sequitur to attempt to kill his self, by cutting his throat, since his self and his throat may be felt to bear only a tenuous and remote relationship to each other, sufficiently remote for what happens to the one to have little bearing on the other.
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So he was deserted. The whole world was clamouring: Kill yourself, kill yourself, for our sakes. But why should he kill himself for their sakes? Food was pleasant; the sun hot; and this killing oneself, how does one set about it, with a table knife, uglily, with floods of blood, - by sucking a gaspipe? He was too weak; he could scarcely raise his hand. Besides, now that he was quite alone, condemned, deserted, as those who are about to die are alone, there was a luxury in it, an isolation full of sublimity; a freedom which the attached can never know.
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The idea of killing himself was now more real to him than it had ever been, and he understood for the first time how it is that men can prefer extinction to the continuation of agonizing mental pain. He simply must somehow stop himself from suffering in this way. A guilt about Sophie roved sharply inside him and a cinematograph in his head re-enacted and re-enacted certain scenes. He must, he thought, now somehow switch himself off or else move on into some new and even more awful mode of being.
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