Table 2.

Correlation of examples of first-person narrative statements of major depression disorder and the self-pattern.

Self-pattern processes	First-person narratives – the excerpts below are from Fusar-Poli et al. (2023); they cohere well with the earlier table (Daly and Gallagher, 2019) drawing on the PTS.
Bodily Processes	“I am tired in the morning and tired at night and tired all day and never, never feel fresh.” “I had sleep problems … I had poor appetite. I was constipated …. I also had back pain and sexual problems.” “I do everything automatically, the signals from my body are shut down, I do not listen, I become like a machine, just doing what needs to be done.”
Pre-reflective experiential	“There was no real connection. You feel like you are talking and doing everything you should, but you are not really there. It’s like you are removed from yourself ….” “All I seemed to be able to do was exist in the moment with no drive or purpose, no reason for being.”
Affective	“I had a fear of change, fear of dying, fear of failure, fear of success, fear of being alone, which paralyzed me for years and years.” “I get angry. I just hate noise. It disturbs and destroys me, and I find myself arguing with others.” “A loss of feeling, a numbness, had infected all my human relations. I did not care about love, my work, family, friends …. or physical/ emotional intimacy …. I was losing myself, and that scared me.”
Behavioral/ action	“At first you can still kind of function in the world – but then …. you start living in your own mind.” “I never know whether I’m gonna be able to do what I planned that day until I get up that morning …. Like I never have any control of my life.” “I could not move; even picking up a cup required a serious attempt.”
Social/ intersubjective	“I am afraid of having relations with others, but I was not like this before.” “Part of what people say is upsetting, so I stay away from them.” “I miss the interdependence in marriage and at work; when you lose that, everything falls apart.”
Cognitive/ psychological	“It’s like a funky fogginess …. I cannot think, I cannot concentrate. My words end up not even coming out the way that they should.” “Just hundreds of thoughts whirling around in my head, with not function or order. It’s complete chaos.” “I was losing …. any sense of who I was.”
Reflective	“Every decision was segmented into a thousand tiny decisions. It came with a loss of being fully engaged in the world around you.” “The thoughts just come …. Sometimes I do not want to think but the thoughts just come. I try to stop them, but I cannot.” “I’m trying to change the subject, but my brain is telling me to worry about this, worry about that, and the next thing, I could not concentrate on anything else except what was in my head.”
Ecological	“I felt like in an artificial world that I did not recognize.” “I feel completely cut off from the rest of humanity, the rest of the world, the rest of existence.”
Normative	“I felt like my life was changed upside-down … I had become still and then driven down. I felt like nothing was important.” “I feel like what people talk about is trivial and irrelevant.” “Anyway, I felt that I must die … Everything would be over if I died. There would be no memory, painful memory, and no more real-world pressure. I felt that death could solve any problem.” “Public stigma is internalized into the self-stigma … that we are lazy, worthless.”