Nature/Seasonal Change

Many moments in the memoir focus on Amy’s relationship with nature and the impact of seasonal change on her mood and understanding of the world around her. She derives a sense of tranquility, happiness, nostalgia, and comfort from her interactions with the natural landscape and the reminder of life’s cycles. When Brian’s diagnosis feels overwhelming, the presence of new growth or the certainty that it will come serves as a metaphor for new beginnings.

Before Brian is officially accepted by Dignitas, Amy thinks about alternative ways they could end his life and preempt his memory loss. In thinking about death, she automatically envisions winter because of the season’s barren characteristics and common connection to the idea of death and finality. She imagines what they would do if Brian decided he wanted to die by drowning. She recognizes her powerlessness throughout this metaphor...