Abstract
In 1979 Pastoral Psychology published my first autobiographical case study: the story of a near-fatal automobile accident, collateral damage of a high speed police chase in downtown Chicago. Providence was evident in my survival of that collision, as well as in the present case study: a massive heart attack during a psychotherapy session in 2001. By comparing these two crises, I find that I must call into focus a psychological propensity: if a near-fatal experience occurs from the “outside in” (e.g. automobile accident), guilt may well surface as the emotion of conflict; but if a near-fatal experience occurs from the “inside out” (e.g. heart attack), the emotion of conflict may emerge as shame. In the former the body is assaulted; in the latter it revolts.
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