But in all seriousness it was unfortunate that the actress Nancy Marchand who played Livia Soprano died. She played her last role to perfection. So, I hope that she wouldn't have minded the reference.
When it comes to panic attacks sometimes it's not triggered by the direct source of anxiety but something that reminds you of it. It's like an echo of your sub-conscious that triggers an attack.
When someone dies that you are close to you don't always know how to act. You don't know how to respond to other's sympathetic words and actions. If you are the person providing these words of sympathy you don't always know what to say.
At one point Tony saw through everyone's "bullshit" as he called it. The only person who seemed truly upset over Livia's death was his Uncle Junior.
Sometimes when someone dies it brings up memories that you might have suppressed. (Artie remembered when Livia told him about Tony having his old restaurant burned down.)
Livia's "best friend" remembered her as someone that would always let her know when someone was in the hospital or died. She thought that was admirable. But, we all know that is Livia sharing her joylessness. The motivations of people is not always clear unless you know them intimately.
Throughout this episode you see Tony watching an old James Cagney movie, The Public Enemy. James Cagney plays a mobster with a loving mother. Certainly NOT the life Tony Soprano had. Which brings me to the last point of wisdom of this movie. Watching movies can be therapeutic. During the scene where James Cagney's character was coming home his mother was shown as being happy preparing his room but meanwhile he is being delivered as a corpse to the front door. That made Tony cry. Who hasn't watched a movie and had a moment where you could relate or wish you could relate?
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