At first glance, these four approaches seem to be at odds with one another. The self-transcendent cultures call sufferers to think differently, the moralistic cultures to live differently, the fatalistic cultures to embrace one’s destiny nobly, and the dualistic cultures to put one’s hope in the future. But they are also much alike. First, each one tells its members that suffering should not be a surprise—that it is a necessary part of the warp and woof of human existence. Second, sufferers are told that suffering can help them rise up and move toward the main purpose of life, whether it is
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