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. 2010 Jul;7(7):19–25.

Table 1.

Phenomenology of “bereavement” compared with major depression14,2730

BEREAVEMENT MAJOR DEPRESSION/MELANCHOLIA
Emotional connection with significant others preserved (“I-thou” state). Self-focused, depressed person feels outcast, alienated, alone.
A sense that grief is time-limited; life will eventually be better. Time stands still; depression feels limitless, never-ending; time itself is experienced as slowed or stopped.
Self esteem and personal potency generally well-preserved; guilt, if present, is focused on what was or was not done for the deceased. Person experiences self loathing, guilt, low self esteem, sense of personal impotence; guilt is focused on “sins,” or being a worthless, unforgiveable person.
Rarely suicidal; if thoughts of dying are present, they are focused on joining the deceased. Often suicidal; thoughts of dying focused on not being worthy of living.
Grief is mixed with positive feelings, such as pleasant memories of a lost loved one. Person lacks positive feelings or memories; may feel ambivalent, conflicted over loss.
Grieving person can be consoled (e.g., by friends, literature). Person often inconsolable; mood often autonomous, impervious to others.
Dysphoria often experienced in “waves;” circumscribed; often triggered by thoughts, memories of deceased person. Dysphoria described as diffuse, “always there” (pervasive); person rarely focused on specific person other than self.