This piece raises some real questions that only a look inside a person can stimulate. It is very much to Mark's credit that he is able to describe his plight in a way that makes one wonder what it is that prevents him from changing. We are puzzled that he cannot change when the ingredients seem to be present to support change. Yet the will or desire or need to change just doesn't seem to be there, while the hurt his lifestyle provokes is severe enough to prompt suicide attempts. This is an enigma laid out is a terse four minutes. The solution would seem to require many times that.