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I've always been interested in the imaginary of deep, trance-like states of hopelss depression which involve worms, ever since my brother, who suffers from manic depression, described me some of his nightmares when he isn't able to cope by himself at night. From the little I can associate with them because of a lack of more in depth knowledge, they seem to signify both a state of death and one of forced re-birth, all in their nightmarish physicality.
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