141. The reason no one is reformed in a state of mental illness is that mental illness deprives us of rationality and therefore of the freedom to act rationally. The mind is sick and not healthy, and while a healthy mind is rational, a sick one is not. The illnesses are things like depression, imagined or illusory guilt, various kinds of hallucinations, mental anguish brought on by misfortunes, and mental anxiety and pain brought on by physical disorders. These are sometimes thought of as temptations, but they are not. Real temptations focus on spiritual issues, and during them the mind is in possession of its skills. The states I am talking about focus on earthly issues, and during them the mind goes mad.