Subhash I found your paper thorough, interesting, and informative regarding depression and the application of CBT to alleviate symptoms, and wanted to ask a question arising from the quest for stability mentioned.

You mention "As the age increases and stability in life in terms of educational achievements, security in jobs and financial matters is acquired and because of varied experiences individuals develop maturity their coping style and problems solving areas, and people are more ‘settled’ in most of the important life areas" (p. 82). You also mention that many of these depressed individuals in the study may be experiencing a displacement effect or syndrome, as they seek education in the city. Subhash, what do you think of the possibility this depression (loss of home) is not unlike attachment-related depression? Your wording strongly makes me feel that you saw this in your study – that loss of the familiar, that loss of “belonging” - helped lead to depression when stressors (nearing the completion of education, that urgency) overwhelmed many. Maybe they are wondering where they will go next? Where is “home” now?

Regional displacement seems to have an effect on folks; the concept of "home" may go much deeper than I had thought. Do you think “home” may be an attachment itself as in the hoarding disorder (we are engaged in a similar discussion at LinkedIn)? Perhaps these students feel this synchronous bond has been broken (as in Bowlby/Ainsworth) - that reciprocal place of comfort and security. Maybe this is akin to a failure to learn how to form “the home attachment”-- which might predict a narrative consciousness of "lostness" and inability to find a "home" in life ever again (same as attachment itself). A sort of “belonging anxiety?” There can be only “one home” just as there can be only “one primary attachment” – might this predict depression in adult emergence?

Thesis Efficacy of Cognitive Behavior Therapy in patients with Majo...

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