In the book "Ender's Game" by Orson Scott Card, a significant moment occurs when a doctor tends to Ender's injuries while discussing the futility of his self-destructive behavior. Mazer emphasizes that Ender's attempts to cope through self-harm will not help him escape his school environment. This highlights the emotional and psychological struggles Ender faces in an intensely competitive setting.

This quote encapsulates the broader themes of sacrifice and survival within the narrative. It serves as a reminder that unhealthy coping mechanisms do not provide solutions to deeper issues and that transformation requires confronting one's challenges rather than inflicting harm upon oneself.