This transformation of world view is a spiritual transformation, whether theistic or not. It enables the person to review their life and to recognise and regret any hurt they may have caused other people, and often to desire to make amends. It is this recognition that underlies the first of the recurring last messages of dying people: ‘I am sorry. Please forgive me.’ It also supports their desire to avoid causing any further hurt, and this translates into a deeper patience with others’ shortcomings.

