I suggest that, for us, the sense of sickness has replaced the sense of sin, to which it was always near allied, and that while we are acutely aware of the difficulties surrounding notions of good and evil, we ignore, though they are manifest, the equally great difficulties surrounding notions of sickness and health, especially as these judgments are applied to behavior. Antebellum doctors described an illness typical of enslaved people sold away from their families, which anyone can recognize as rage and grief. By medicalizing their condition, the culutre was able to refuse the meaning of their suffering. I am afraid we also are forgetting that emotions signify, that they interpret the world to us and us to other people. Perhaps the reality we have made fills certain of us, and of our children, with rage and grief – the tedium and meagerness of it, the stain of fearfulness it leaves everywhere. It may be necessary to offer ourselves palliatives, but it is drastically wrong to offer or to accept a palliative as if it were a cure.
–Marilynne Robinson, "Facing Reality," in The Death of Adam
