Two Clinical Traits in Melancolic Depressions
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2018, Vol 19, Issue 4
Abstract
In patients with melancholic depression two characteristic clinical features are observed: first, that of a certain lability to identify with the other in their interpersonal relationships; second, the tendency to let go, abandon their friendship and relationship. From childhood to adulthood, we observe in these patients the tendency to interact in a mirror when they are talking with another person. This occurs in the vocal space (of the voice) and shows their lack of being well anchored in their identity and in their own structure; as if with each interlocutor that they considered superior, they could not avoid the immediate impulse to duplicate, sometimes their accent and their gestures; others, their fears and their desires.The other feature is that of abandoning, letting go of their relationships as if they were unable to sustain and cope with the tensions generated by the processes of maturation and growth of the people who build a bond. Since childhood, the depressive person is inclined to establish relationships with a strong affective and / or adhesive attachment, causing rejection by those who are the object of attachment, under the motivation of feeling this approach as an eroticized, possessive or homosexual relationship or, at least, to that type of disqualifying judgments. In reality, the melancholic depressed child has a bad approach to his peers because he can’t manage the social codes of psychic distance, of character to set limits and of fun with tolerance; therefore, he/she tends to isolate himself. Moreover, his complacent docility exposes him to being used, humiliated and even exploited; when not, manipulated, dazzled or subdued by someone who takes advantage of their need for affection and social recognition. As a result, a paranoid mechanism of mistrust is triggered unconsciously, which, in adult life, can acquire the dimensions of a self-destructive drive. Therefore, the tendency to abandon is a mixture of compulsion to repeat the traumatic suffered; from the anguish of abandonment (abandon before being abandoned) and; of the defense mechanism to avoid being annulled / alienated by the other. When analyzing the origin of these traits in patients with melancholic depression, there are various forms of abandonment / rejection occurred in early childhood, because for various reasons the parents fail to provide adequate emotional support to the newborn.
Authors and Affiliations
Fernando Arce Hochkofler
Keywords
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- EP ID EP622568
- DOI 10.26717/BJSTR.2019.19.003351
- Views 162
- Downloads 0
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