" 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 or 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 and that he avoids partly by his guilty self-accusation. The answer is not far to seek: the depressed person avoids the possibility of independence and more life precisely because there are what threaten him with destruction and death. He holds on to the people who have enslaved him in a network of crushing obligations, belittling interaction, precisely because these people are his shelter, his strength, his protection against the world. Like most everyone else the depressed person is a coward who will not stand alone on his own center, who cannot draw from within himself the necessary strength to face up to life. So he embeds himself in others; he is sheltered by the necessary and willingly accepts it. But now his tragedy is plain to see: his necessity has become trivial, and so his slavish, dependent, depersonalized life has lost its meaning. It is frightening to be in such a bind. One chooses slavery because it is safe and meaningful; then one loses the meaning of it, but fears to move out of it. One has literally died to life but must remain physically in this world. And thus the torture of depressive psychosis: to remain steeped in one's failure and yet to justify it, to continue to draw a sense of worthwhileness out of it. "
― Ernest Becker , The Denial of Death