She speaks of her profound unhappiness to a psychiatrist. She says she hopes that all her suffering is her own fault. The psychiatrist is taken aback. He asks why. She has thought long and hard about this, she says, and has come to the following conclusion: if it’s her fault, she might be able to do something about it. If it’s God’s fault, however—if reality itself is flawed, hell-bent on ensuring her misery—then she is doomed.