Melancholia and depression cont …

In the first paragraph of his paper on depression, Freud expresses his doubts about grouping aspects of depression in a unity, pointing also out that his observations ‘suggest somatic rather than psychogenic affections’ (p. 243). He starts his formulations by putting forward that both depression and mourning involve a gloomy mood with similar symptoms, however what is lost when one mourns appears clearer, as Freud argues: ‘mourning is regularly the reaction to a loss of a loved person, or to a loss of some abstraction…such as one’s country, liberty, an ideal, and so on’ (p. 243). While both involve a dejected mood with a loss of interest in living and loving and an inhibition of activity, what seem to distinguish melancholia from mourning according to Freud (1917), is one’s ‘disturbance of self-regard’ with senses of loss of self-value and respect which expresses itself in shameless self-rejection and self-hostility.

Following the above and reading through Freud’s paper, what has become evident are the overall elusive and complex processes involved in depression, especially in comparison to the process of mourning in which what feels lost is more in the light of consciousness. Freud seem to be open to the confusion and vagueness involved in depression, as he expresses his uncertainty whether melancholia was a single and well-defined entity. It is interesting that his uncertainty over what depression might be, corresponds in a way to the confusing, uncertain and vague thoughts and feelings of authors who have experienced depression themselves (Klein[1], 1935; Solomon, 2001; Wolpert, 1999).

The Ego and the Other

Freud elaborates on psychogenic aspects of depression with openings to internal object relationships. His suggestions appear in line with contemporary theories, such as ‘endogenous depression’ (in McKenzie, 2000), which imply a depressive individual core. From an interpersonal viewpoint, McCranie (1971: 313-4) argues that melancholia may ‘arise from a depressive core to his [the patient’s] personality, but at the same time, the confusing response from the environment serves to validate these feelings’. Loss of such validation would mean potentially depressive loses of one’s ego or self as well as loss of the social “games” one is part of. (Szasz, 1961). In light of this, Becker suggests that ‘objects and games are inseparably joined’ with self and society constituting a single phenomenon. ‘People “create” objects by acting according to social rules… [t]hey “create” themselves as they create objects.’ (Becker, 1985: 369). This also highlights links and overlaps between mourning and depression.

Nowdays, face-face therapy and online skype counselling are ways for people to access support for experiences of depression.

 

[1] Melanie Klein, apart from the other two authors quoted here, did not write about her depression directly that year. The information is taken from Smith (1999), who puts forward that Klein wrote about depression during a period of being depressed following the death of her son Hans in an accident, which was suspected suicidal.

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online psychotherapy

 

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