The quote from Jodi Picoult's book "Mercy" reflects on the intense emotional connections formed during pivotal moments in one's life. It suggests that the first person you truly loved holds a unique place in your heart, while the first person you were intimate with holds a profound impact on your very essence. These experiences shape who we are and how we relate to others.

Furthermore, the idea that both individuals could be the same person introduces a sense of complexity and peril. If love and intimate connection intertwine, it can lead to a deep vulnerability. The phrase "you were damned" implies that such a connection, while beautiful, can also result in emotional turmoil, highlighting the challenges that love and relationships can present.