In this passage of scripture Paul found himself "pressed out of measure" and despaired for a moment even of his life! Being "pressed out of measure" takes on a great spiritual meaning: Being overwhelmed, burdened, experiencing extreme pressure beyond normalcy, a hardship or challenge, exceedingly intense. Even though the situation seems extreme it can be a means to grow spiritually: This teaches us to rely on God's strength and to develop a deeper trust in our Savior!