There are reasons we become ill or dispirited. It's what Oriwia was referring to. There's always a cause. Sometimes we bring sickness or punishment upon ourselves through carelessness, distraction, transgression, or failing to dedicate the day or the task. Weak moments may invite wrong forces.
Sometimes sickness is caused by a vengeful person such as Oriwia describes. I have seen those affected by the spite of others become ill, go mad, become lame, turn black, drop dead, die slowly. I have seen their children born with ailments and deformities. (Chapter 25 p198)
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I am not a mechanism, an assembly of various sections. And it is not because the mechanism is working wrongly, that I am ill. I am ill because of wounds to the soul, to the deep emotional self and the wounds to the soul take a long, long time, only time can help and patience, and a certain difficult repentance long, difficult repentance, realization of life’s mistake, and the freeing oneself from the endless repetition of the mistake which mankind at large has chosen to sanctify.
When a man is ill it is not necessarily because he wants to be ill subconsciously. It is not necessarily because he is receiving some hidden psychological benefit, or because the illness fulfills some need. He is ill often - always in fact - because of a distortion that is occurring within the self, and materialized in physical form.
Unhappiness makes people vulnerable, incessant suffering unjust. Just as in the relations between a creditor and a debtor there is always an element of the disagreeable that can never be overcome, for the very reason that the one is irrevocably committed to the role of giver and the other to that of receiver, so in a sick person a latent feeling of resentment at every obvious sign of consideration is always ready to burst forth.
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"I am a sick man... I am a spiteful man. I am an unpleasant man. I think my liver is diseased. However, I don't know beans about my disease, and I am not sure what is bothering me. I don't treat it and never have, though I respect medicine and doctors. Besides, I am extremely superstitious, let's say sufficiently so to respect medicine. (I am educated enough not to be superstitious, but I am.) No, I refuse to treat it out of spite. You probably will not understand that. Well, but I understand it. Of course I can't explain to you just whom I am annoying in this case by my spite. I am perfectly well aware that I cannot "get even" with the doctors by not consulting them. I know better than anyone that I thereby injure only myself and no one else. But still, if I don't treat it, its is out of spite. My liver is bad, well then — let it get even worse!"
The world was sick, and the ills from which it was suffering were mainly due to the perversion of man, his inability to live at peace with himself. The microbe was no longer the main enemy; science was sufficiently advanced to be able to cope with it admirably. If it were not for such barriers as superstition, ignorance, religious intolerance, misery and poverty.
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