title: Postpsychotic depression and the need for personal significance.
abstract: 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.
mesh_terms: D000328:Adult; D003863:Depression / Q000209:etiology*; D006801:Humans; D008297:Male; D011618:Psychotic Disorders / Q000150:complications*; D012075:Remission, Spontaneous; D012563:Schizophrenia, Paranoid / Q000150:complications; D012565:Schizophrenic Psychology; D012649:Self Concept; D012803:Sick Role