The loss of gratification is such a pervasive process among depressives that many patients regard it as the central feature of their illness.
Loss of gratification in activities of daily living related to trying to live with a set of inflexible rules. When the reality of behavior falls short of standards the should and shouldn’t create self-blaming, shame and guilt.
It is related to his constant criticism of himself whenever he engages in professional, social or solitary activities.
The general loss of gratification is also reflected in a loss of interest in food and a decline in sexual drive.
92 percent of the severely depressed patients reported at least partial loss of satisfaction.
Loss of gratification appears to start with a few activities and as the depression progresses, spread to practically everything the patient does.
With severe depression, the symptoms are more extreme, and there may be a vegetative state as well, characterized by psychomotor retardation, sleeplessness and loss of appetite.
The initial loss of satisfaction from activities involving responsibility or obligation, such as those involved in the role of worker, stay at home spouse, or student, is often compensated for by increasing satisfaction from recreational activities.
Gratification reduction
