Caring for others tends to be the first cut when we review our personal time budget. It does not necessarily fulfill the goals of my ambition; it will not pave the way for my success; it takes away from my own depleted emotional resources. It is an imposition in every way. To some of us, it is an inconvenience from which we unashamedly run. We have become experts in maintaining a grand scope of friendships and amateurs in genuine intimacy and care. Unwittingly, we have sacrificed everything on the altar of self-sufficiency—only to discover that we have sold our souls to isolation.

Century after century, the belief that an individual’s physical health was independent of his or her emotional health has so dominated medical thought that there has even been open contempt for anyone who would dare to claim that a person’s physical well-being is the sum of its internal and external influences.

An observant friend will recognize the signs of the rise of grief: eyes that easily well with tears, a smile that is difficult to sustain, a tendency to withdraw. And ultimately, perhaps we each need to create our own symbol of grieving — to wear our version of black, or maybe to color with black crayons for a while.