This term means the suffering from afflictions. The implications of "suffering" in Buddhism are very broad. Namely it refers to the physical and the mental pain experienced in specific events. It also refers to the suffering when joy fades, up to the suffering that all is impermanent and changing. On the whole one speaks of "three kinds of sufferings," namely "suffering qua suffering or duhkhaduhkhatā," "suffering of change, or viparināmaduhkhatā," and "suffering inherent in conditioning, or samskāraduhkhatā." The understanding of "suffering" is the starting point to practice the Buddhist doctrine: only when one recognizes that life is suffering can one be determined to try to understand and to analyze the causes of suffering. After that one may eliminate these causes through effective methods. As a consequence one may stay away from affliction and even from the reincarnation. These are the four truths: suffering, its cause, its extinction, and the path
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