The diagnosis of Mary’s love sickness suggests that Mary felt underappreciated because Leonard and his family expected her to perform an enormous amount of work simply because she was a woman. Not only does it appear that she didn’t like the work asked of her, but she also struggled with the thanklessness of her chores—Leonard’s family acted as though men were entitled to avoid domestic work because they expected women to do it. While it doesn’t appear that Mary’s chores were lessened, Leonard’s family did start making an effort to welcome her and show their appreciation. After the ceremony, Mary felt comforted, which shows how participating in indigenous religious ceremonies helps her feel more in tune with her identity. In this case, the ceremony also prompted the Lakota who were excluding her to become more welcoming, which is another way in which the ceremony helped Mary’s sense of identity—her husband’s family stopped ostracizing her for her non-traditional upbringing.