" Why would a person prefer the accusations of guilt, unworthiness, ineptitude - even dishonor and betrayal- to real possibility? This may not seem to be the choice, but it is: complete self effacement, surrender to the " others" , disavowal of any personal dignity and freedom-on the one hand; and freedom and independence, movement away from the others, extrication of oneself from the binding links of family and social duties-on the other hand. This is the choice that the depressed person actually faces. "