| Abstract: | Explores depression as a narcissistic disturbance in which the self is unconsciously expected to accomplish grandiose expectations and is regarded as a failure when it does not. These omnipotent fantasies include the prevention of object loss and triumph over death. In the later years, difficulties in maintaining self-esteem can predispose a person to depression since aging unavoidably involves dwindling opportunities, failing health, and loss of loved ones. A psychotherapeutic approach is outlined, focusing on the treatment of depression as a search for the lost self in which the development of healthy narcissism is seen as activating arrested or inhibited ego functions. The development of a positive cathexis of the self is seen as a safeguard against the self-destruction implicit in deep depression. This psychotherapeutic approach is demonstrated in a clinical vignette of a suicidally depressed woman in her 60's. (18 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved) |
