Interactions of the vital with the physical and mental environment are indirect and are connected by consciousness. At the mental level, negative mental meaning may be attributed to external input occurring at:
a. the mental level through insulting words.
b. the vital feeling level, such as the sight of a something that provokes fear, or even a fantasy fear.
c. the physical level, with an injury that causes mental anguish, such as "Why do these things always happen to me?"
d. all of these