In this episode, B'Elanna Torres has a near-death experience that correlates to Klingon's religious beliefs about the afterlife and their version of hell. This is despite her rejection of the beliefs as superstition. After being revived, B'Elanna is very distraught and confides with Chakotay. Surprisingly, Chakotay doesn't offer his usual assistance to find a spirit guide as he did in the past but expresses skepticism and advises B'Elanna to see the symbolism. This rather surprising rebuff from Chakotay eventually pushes B'Elanna to request to be put in a state of near-death to help her mother, whom she was in this hellish afterlife. It strained credulity on multiple levels and was like watching the Twilight Zone.