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When a trout rising to a fly gets hooked and finds himself unable to swim about freely, he begins a fight which results in struggles and splashes and sometimes an escape....In the same way, the human being struggles…with the hooks that catch him.  Sometimes he masters his difficulties; sometimes they are too much for him.  His struggles are all that the world sees, and it usually misunderstands them.  It is hard for a free fish to under­stand what is happening to a hooked one. - Karl A. Menninger

Reader’s Digest, October 1978, page 162