The philosopher Ian Hacking uses the term âlooping effectâ to describe the way that people get caught in self-fulfilling stories about illness. A new diagnosis can change âthe space of possibilities for personhood,â he writes. âWe make ourselves in our own scientific image of the kinds of people it is possible to be.â In an essay about the children diagnosed with resignation syndrome in Sweden, Hacking refers to Pascalâs wager: to avoid the possibility of eternal Hell, we should behave as if God is real even though we lack proof of his existence. Over time, we may internalize the faith weâd been simulating; our belief will become sincere. Hacking proposes that for some illnesses a similar process is at work. We find a way to express our distress through imitation, until, eventually, we âhave âlearnedâ orâbetterââacquiredâ a new psychic state.â