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I don't think that people who risk their lives to help others do it for personal gratifaction, per se. In the case of firefighters and other emergency response personnel, it's my view that what they do is a trained and conditioned response. "Okay, here's the problem, these are our options to help them, this one looks like the best choice" then they do it. The gratification comes later after the job is accomplished.
Wasn't there a debate on one episode of Friends about altruisms between Joey and Phoebe?
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