Causes of Sorrow or Pain
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Present evil is a cause of sorrow. Evil, which is the privation, and hence the absence, of good that should be present, is a negative thing. Yet the evil which causes pain or sorrow is sensed and understood as a positive thing; it is experienced as something present, not as something absent.
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Desire and love can be causes of pain inasmuch as these passions are thwarted in their longing for, or grasp of a good that is withheld or removed.
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The natural craving of a creature for the integrity of its being and nature is the cause of pain when the creature is wounded, diseased, hampered in action, or in any way made deficient.
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St. Augustine says that sorrow in the soul is caused by the will resisting a stronger power; that pain in the body is caused when the sentient body resists a stronger body. Hence resistance to an oppressing and conquering force is a cause of pain or sorrow.