"To survive something we first need to know what it is we are surviving" highlights the importance of understanding the nature of our struggles before we can endure them. Recognizing the true essence of a challenge allows us to face it with clarity and purpose. Without awareness, survival becomes uncertain and aimless, emphasizing the need for self-awareness and comprehension in overcoming hardships.

This quote from Miriam Toews' "All My Puny Sorrows" underscores the significance of knowledge about our difficulties. By understanding what we confront, we can better equip ourselves emotionally and mentally. It serves as a reminder that survival isn't just about endurance but also about awareness and insight into the challenges we face in life.