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32 The Syndromes: The Burden The Burden afflicts, primarily, adults, though very occasionally it will present among children, which is especially urgent. The Burden is characterized as the sensation of having attached to one’s neck by a rope an extremely heavy load. Patients have described the load variously as: a sack of rocks; a bowling ball or two; a lifeless body; an anvil. Aside from persistent fiddling with one’s collar, the afflicted tend not to present any exterior manifestations of the Burden: no weight gain or change of posture. Therefore, in differentiating from depression or a compressed spine, the most effective diagnostic tool is the swimming pool, in which the afflicted will rapidly sink. gay pages-2.indd 32 10/18/10 11:20 AM ...

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