"I wouldn't have been sent back to help you," Tristan continued. "I wouldn't have been made an angel if it weren't important that you live, Ivy. I want you to be mine" -Ivy could hear the pain in his voice- "but you're not." "I am!" she cried out loud. "We're on different sides of a river," he said, "and it's a river that neither of us can cross. You were meant for somebody else."

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Men have cried out to me in sincere and despairing appeal: 'Doctor, I cannot go on like this! I have everything to live for! I must stop, but I cannot! You must help me!'...One feels that something more than human power is needed to produce the essential psychic change. Though the aggregate of recoveries resulting from psychiatric effort is considerable, we physicians must admit we have made little impression upon the problem as a whole. Many types do not respond to the ordinary psychological approach.

— William Duncan Silkworth