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Postpsychotic depression and the need for personal significance

Published Online:https://doi.org/10.1176/ajp.134.4.427

The author, who considers postpsychotic depression as a reaction to psychosis, illustrates some of the dynamics involved in the development and persistence of the state with letters from a patient. Among other dynamic and psychotherapeutic considerations, the need for self- realization and meaning in everyday life merits special emphasis in the treatment of those for whom escape from psychosis has meant not only deliverance from terror, but also a loss of grandeur and significance.

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