His sense of reality has vanished.

Israel is the *Lord’s servant

v21 The *Lord speaks to the people in Israel: ‘Always remember that I shaped you as a nation to be my special servant. Therefore, Israel, I shall never forget you. v22 I have forgiven your evil deeds. They were like a mere cloud that blew away in the wind. And I have removed from my mind all those occasions when you did not obey my laws. Like the mist, they have disappeared. Return to me, because I have made your relationship with me right again.’

v23 Shout for joy, you heavens, because of what the *Lord has done. Shout, you earth, even in your deepest places. Sing loudly for joy, you mountains, however high you are. Sing with every tree in the forest. Sing, because the *Lord has rescued the families of Jacob. Yes, he has shown his *glory in Israel.

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