2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
We all know what depression looks like, many of us even experienced it: enduring sadness, a feeling of lack of energy, no joy in ordinary things, it is impossible to concentrate on something, there is no desire to communicate not only with friends, but also with loved ones, as well as with friends, complete or partial lack of sleep, appetite, or, on the contrary, overeating. What is considered depression is a sharply lowered mood background, a pessimistic outlook on the future, a breakdown and general lethargy (apathy).
Depression, while similar to grief, is not. Even Freud noticed an important difference: in the ordinary experience of grief, the external world is perceived as having lost something important, and in depression, the state of being lost and overwhelmed is an internal state. People who experience grief do not become depressed, even if they are deeply saddened after bereavement. At one time, one of the most famous psychoanalysts Greenson believed that: analysts who themselves did not suffer from serious depression have difficulty in working as healers.
In fact, feelings of injustice inflict suffering on depressed people who experience pervasive and lasting sadness. Such people most often use introjection as a psychological defense. When working with depressed patients, one can almost personally hear the talking internalized object. When the client says something like, "It must be because I am selfish," the therapist may respond, "Who said that?" and hear: “My mother” (or father, grandmother, grandfather, senior sibling, or someone else who is an internalized critic). If we talk about introjection, then the type that characterizes depressed people is the unconscious internalization of the most hated qualities of old love objects. Their positive traits are remembered with gratitude, and the negative ones are experienced as part of himself and he always turns against the person himself. In order to feel whole, depressed people need to absorb it into their own “I” when experiencing incompleteness, even if negative qualities are absorbed. Turning the aggression on yourself can help reduce anxiety.
Often, depressed people also use idealization as a defense. They perceive those around them exclusively as wonderful people, then they experience humiliation from comparison, then they again look for objects for idealization for compensation. And this cycle is endless.
The most important thing in the therapy of depressed people is an atmosphere of acceptance, respect, understanding and patience. To be sensitive to development, if a person has never entered into rivalry and begins to compete with the therapist, you should pay attention to this and investigate in detail, and not perceive it as resistance. It is worth encouraging the debunking of their myths, the halo of idealization around the therapist. Such patients need to gradually leave the position "from below", acquire adequate self-esteem and adequately perceive those around them with all their flaws.
If you need help and support to cope with depression, I am ready to help you.
Mikhail Ozhirinsky - psychoanalyst, group analyst.
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