When the fourth attack happens, she knows that it will pass. That it will last an hour and a half and then slowly it will pass, and that makes it more bearable. It is true, as someone has said, that when you are in pain, you are doing the work. Pay attention to your crisis, the book says. It is telling you that something is wrong. If you regard a crisis as an external disaster that has befallen you, it will simply intensify; she tries to view it as a message.