2024 Author: Harry Day | [email protected]. Last modified: 2023-12-17 15:43
Beginning Loneliness vs Depression. Francine.
A special case of passivity is when the client feels so lonely and unhappy, dependent and suffering that he remains indifferent to everything that happens. While depression and melancholy are usually also observed, it is the estrangement from other people that is the main cause of the suffering of these clients.
It is often difficult to distinguish between the manifestations of loneliness and manifestations of depression in the same client, or to decide whether the mood disorder is biologically determined or situationally explainable. It is possible that scientists will someday be able to detect the genetic or biochemical factors of loneliness and depression (assuming that these are two different conditions).
The qualitative difference between loneliness and depression is that its main cause is a lack of communication or dissatisfaction with their social interactions. This experience is a kind of hunger for human communication, and its intensity is such that a person literally dies from a lack of love.
Unfortunately, similar (described in the previous note) "accidents" are not uncommon, but one should not forget about those unfortunate, suffering people who only seem to be alive, but in fact go through life in deep loneliness. Loneliness is currently the most common psychological problem, although you will not find it mentioned in any textbook.
Clients like Francine are difficult to treat. Medication is usually ineffective because, strictly speaking, these clients suffer less from depression than from loneliness and social isolation. The client's feelings of despair and hopelessness are often reflected in the therapist's mood. Markowitz describes psychosomatic symptoms (in particular, feeling of heaviness and abdominal pain) experienced by a therapist who is forced to work with a client suffering from severe depression and loneliness: “By definition, depression undermines the hope that underlies the client's motivation to work in psychotherapy. and clients with depression are notorious for undermining a clinician's confidence in themselves.”
Personally, when I work with persistent in their loneliness, passive people, not those who suffer from endogenous depression, but who have chosen a certain Lifestyle style for themselves and cling to it no matter what, I feel a huge relief that I am not in their place. I am literally enraged by their defeatist moods, I do not understand how you can give up when there are many ways out of the situation!
As for recommendations for working with passive, lonely clients, they can be found in a large number in the literature. Thus, it is proposed to train the client to use his loneliness creatively; increase his desire for change by offering stricter social exclusion; reduce dependence on a partner; look at your problems differently; take advantage of your loneliness to start a close relationship; take a more active life position.
When working with passive, lonely clients, the following strategies can be effective:
1. Encourage the willingness to take risks by building relationships with others and honestly analyzing their problems.
2. Recommend less often watching TV, listening to the radio, and instead attending various recreational activities and face to face with previously avoided problems.
3. Lead the client to recognize the importance of free time - a prerequisite for creativity and self-expression.
4. Teach the client to perceive their loneliness as a conscious solitude.
five. Encourage the client to take advantage of forced loneliness to honestly admit their need for close relationships with others.
Generally the therapist's efforts are primarily aimed at helping clients see meaning in their suffering, as well as providing them with support in getting out of social isolation … Therapeutic interaction naturally becomes a testing ground for new types of behavior. What Francine needed most was for her therapist to see her not only as a patient, a client, a depressed woman, or a source of information for keeping records (as she confessed to me the day before her death), but a living person, a person. She only wanted a little sympathy and understanding.
Jeffrey A. Kottler. The compleat therapist. Compassionate therapy: Working with difficult clients. San Francisco: Jossey-Bass. 1991
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