Cyrill of Alexandria
For those who refuse to turn away from their own rebelliousness towards God and show no intent to please Him, but rather choose to indulge in the evil that captivates them, there exists an imposition of consequences. What type of consequences? Specifically, they ultimately become subject to what would have been better for them to pursue willingly, yet they find themselves drawn to it as if compelled by necessity and driven by fear. Just as grievous physical injuries, when resistant to healing through medicine, can lead to treatments such as surgical removal or cauterization as advised by skilled physicians, so too does the human soul, which possesses a strong tendency to stray from goodness, face punishments when it disregards words of guidance.
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Caught in the snares of penalties, it is compelled to change. This aligns with what Jeremiah states: "By sickness and pestilence thou shalt punish Jerusalem" (Jeremiah 6:8). Similarly, the psalmist David expresses a related sentiment concerning those who are inclined to sin: "With rod and bridle thou shalt grip their jaws, they that come not near thee." Just as animal trainers use bridles to tame stubborn beasts, God likewise interacts with individuals ensnared in sin, for their own benefit.