Our work can be motivated by obligation, by hunger for the external rewards of accomplishment, or by strongly reinforced ideas about who we should be in this lifetime. But none of these motivations has the authentic energy required for mastery of a profession. So, all of these motivations lead slowly to a downward spiral that tends to crash, as it did with Brian, at midlife. Without the balm of real fulfillment there is a growing emptiness inside. Finally, it requires a heroic effort to simply go on with life in the face of this emptiness. The light in the eyes goes out.