I'm not sure why Roman thinks "little death" is an Italian concept.  
English literature through most of the 17th century is rife with it.

> It has to judged on a case by case basis.

Of course.

> It would ludicrous to take JD's
> "... down, down down fall, down, but arise I never shall!" as a sign of
> "erectyledisfunzione"  (antispam spelling).

But "Sorrow, Stay" does not mention death:

       Sorrow stay, lend true repentant teares,
       To a woefull wretched wight,
       Hence dispair with thy tormenting feares:
       O doe not my poor heart affright,
       Pitty, help now or neuer,
       Mark me not to endlesse paine,
       Alas I am condemned euer,
       No hope, no help there doth remain,
       But down, down, down, down I fall,
       Down and arise I never shall.

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