The rare twenty-somethings who accidentally respond to the true self-actualization imperative when it is just a pinprick sign up for a ride that either puts a dent in the universe or kills them, whether or not they are documenting their journeys on Medium. But by the time you hit your mid-thirties, the self-actualization imperative turns into an urgent and unavoidable concern, where continued neglect can be fatal. If current efforts to extend the average human lifespan to beyond a century succeed, I suspect failure-to-self-actualize will become the leading cause of death (or madness) in the
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