A symbolic tree: loneliness is the root; delusions are the leaves.
This particular case involving the suggested nursing intervention was very successful and rewarding.  It is very important, however, that therapists realize that these seven steps were acceptable in this particular case, but steps four-to-seven may be modified with each couple.  However, the first three steps are more than likely essential to any effective intervention dealing with loneliness.  Aso, the excerpts from this case happen to illustrate the highlights that were related to loneliness.  The therapists recognized that there were other issues and concerns that also needed to be dealt with and which were, but the need for intimacy seemed to have top priority.  Loneliness rooted in the symbolic tree cannot be dealt with by plucking the leaves; it must be dug out by the roots.  Psychotherapy needs nursing psychotherapists who will contribute to this digging.
D003702:Delusions / Q000209:etiology / Q000628:therapy*; D005260:Female; D006212:Hallucinations; D006801:Humans; D007398:Interpersonal Relations; D008132:Loneliness; D008297:Male; D008388:Marital Therapy; D008393:Marriage; D009723:Nurse-Patient Relations; D011568:Psychiatric Nursing; D012934:Social Isolation; D013561:Symbolism