When a couple turns domestic, for the first while having to talk about the need for aluminum eaves troughing and other matters only gets in the way of the relationship. Then, magically, these negotiations take the place of the relationship.

At a certain point, the soul exits from a cherished photograph, because we have come to the end of our loving projection into that moment.

Why are we, the most medicalized of societies, a culture in pain?

When a mother comes home with her new baby, she will find her abstractions are all concrete now. 'Freedom' now means being able to take a shower. 'Mobility' means being able to reach the glass of water on the dresser while not breaking the baby's suction on the breast. 'Flexibility' means being able to push the Record function on the VCR without dropping the baby.

Housework hassles go on, are never resolved, and will probably extend into the afterlife ('Why am I the one who takes the clouds to the dry cleaners?').

Given the ... multidisciplinary philosophy, I was surprised by the absence of alternative pain approaches - the whole spectrum of cranial-sacral massage, healing-touch therapy, and other hands-on skills that are a lifeline to many people with chronic pain. Alternative therapie are hard to evaluate, but that's no reason not to explore them.

If Jeff Mogil and Ron Melzack are right about genetics and pain, fifty years from now, generic Tylenol tablets will seem as quaint to us as a bottle of sarsaparilla tonic. Instead, we'll take our genotype ID bracely to the local genopharmacologist to order some bespoke pharmaceuticals. Or we may rise at four A.M. to meditate on the part of our nature that is painful and feel better for it. Along with social insurance, we'll carry geno-cards that list our predispositions: photosensitivity, osteoporosis, and poor response to codeine.