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“She had an awfully huge void to fill in your life all of a sudden, right from the beginning of her life. The nature of stress is not always the usual stuff that people think of. It's not the external stress of war or money loss or somebody dying, it is actually the internal stress of having to adjust oneself to somebody else. Cancer and ALS and MS and rheumatoid arthritis and all these other conditions, it seems to me, happen to people who have a poor sense of themselves as independent persons. On the emotional level, that is- they can be highly accomplished in the arts or intellectually- but on an emotional level they have a poorly differentiated sense of self. They live in reaction to others without ever really sensing who they themselves are.”

“Equally essential is a nourishing emotional connection, in particular the quality of attunement. Attunement, a process in which the parent is "tuned in" to the child's emotional needs, is a subtle process. It is deeply instinctive but easily subverted when the parent is stressed or distracted emotionally, financially or for any other reason. Attunement may also be absent if the parent never received it in his or her childhood. Strong attachment and love exist in many parent-child relationships but without attunement. Children in non-attuned relationships, may feel loved but on a deeper level do not experience themselves as being appreciated for who they really are. They learn to present only their "acceptable" side to the parent, repressing emotional responses the parent rejects and learning to reject themselves for even having such responses”