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Emotions and crying: Embracing your full self through crying

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No part of this website, including the blog content may be copied, duplicated or reproduced in any manner without the author’s permission.

Any information, materials, and opinions on this blog do not constitute therapy or professional advice. If you need professional help, please contact a qualified mental health practitioner.

Emotions and crying: Embracing your full self through crying

Through my experience as a therapist and mental health practitioner l have observed that the societal attitudes towards crying are replicated in the therapy room. It is time that this problem is unpacked and addressed.

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Although social attitudes towards crying vary greatly depending on cultural, societal, and individual factors, in Western society crying is seen as a sign of weakness and/or vulnerability. We have been socially conditioned to believe that certain things are good and bad, and we shouldn’t question why they are good or bad. We cannot always make any critical analysis of certain views, as it means deviating from the conventional opinions which always feel unsafe.

This is the case with crying, where there seem to be some implicit rules that forbid us from expressing emotions, and not crying in front of others as it is viewed as shameful and embarrassing. There is a lot of stigma around crying which also varies according to age, gender, and social status. Men are taught that to be masculine you must “toughen up” and not show emotions. The notions that “big boys don’t cry”, or “man up”, and for women, “it’s not cute to cry” and “crying makes you look silly” are embedded in our psyches.

Crying is often viewed as childish, a sign of immaturity, and juvenile because it is associated with babies. Babies cry a lot; because they cannot use language to express themselves or communicate their needs. Crying is also a fundamental part of the baby’s attachment behaviour, necessary for their psychological development.

The crying elicits a response in the caregiver which facilitates being taken care of. We know that in normal development, as babies get older and learn to use language, they tend to cry less. However, crying remains a fundamental part of our human make-up, in response to certain feelings and emotions such as upset, sadness, and hurt, and as a way of expressing emotional pain. It is therefore perfectly normal and healthy for adults to cry as an emotional expression when one is hurt, sad, upset and emotionally distressed.

Sadly, there remains a misconception that crying is anti-social, yet it is prosocial, driven by our innate drives, and the human part of us that emotes and seeks comfort. Crying remains an attachment-driven behaviour; when we cry, we invite others to attend to us and soothe us which fundamentally meets our attachment needs. The same process that happens in babies when they cry, it also happens in adults, and this is a perfectly normal human reaction.


Crying and the therapy room

I have learnt through my experience as a therapist, through interacting with other therapists, as well as from reading literature, that both male and female clients find it incredibly difficult to cry, or tend to apologise for crying in the therapy room if they do.

Therapists often have to remind some of their clients that they are human, it’s normal to cry, and normalise crying. This reminder often brings down the barrier to crying and enables the client to permit themselves to cry and allow a full expression of emotions. Suppressing emotions could be the reason why that individual may have ended up in therapy after all. In his book The Myth of Normal, Gabor Mate makes the link between the psychological and physical, highlighting that unprocessed emotions can manifest as psychic or physical pain and repressed emotions undermine the immune system.

I use the term “emotional constipation” to capture what happens when we suppress emotions. In the same way as unprocessed food (meals) causes physical constipation and tummy aches, unprocessed emotions also cause psychological constipation, which compacts our minds and causes us pain. The only way to process emotions is by allowing oneself to lean into them, as painful as it is, which will free one’s psychic space up, and create room for other emotions. Crying is a form of processing, and clearing up that psychic space.

Tears are pregnant with emotions, and we know that a good sob feels like an outpour of emotions and release. There are words embedded in those tears that should have been said, we should respect tears as a manifestation of the unspoken words.  Bearing the pain, and witnessing those tears in the therapy room, is a powerful and transformative experience, which is key to healing.

I often remind my clients that if they expect to sweat when they go to the gym, they should not shy away from sweating in the room; crying is a form of emotional sweating, and there is nothing wrong with it. Saying this is neither reassurance nor patronising; it is creating a human connection, and humanising myself as someone who emotes and does cry myself when the occasion arises.

Therapists are humans who are deeply emotionally moved by their clients’ stories and sometimes tear up. There is nothing wrong with that, as long as it’s not a matter of the client looking after the therapist who is clearly overwhelmed and emotionally flooded. Therapists have done many years of therapy and some still go to therapy. They do cry in their own therapy, and that makes them human.


Social status and personality

There is a perception that people of high status in society must remain stoic and not seen crying in public, as it is a sign of weakness and ineptitude. Although there is no direct message that crying is bad, modelling these defensive behaviours reinforces the notions that crying is anti-social, and a sign of weakness and perpetuates the negative attitudes towards crying. Many a time it is the parent, head of the family, or older sibling who is made to just carry on, no matter how much they are emotionally struggling and pretend everything is fine – “crying means l am weak, and l let everyone down”.

One’s personality and temperament is shaped by their unique experience growing up in their homes and the quality of care they received from their caregivers. Growing up in a home where crying is not permissible, or chastised, one internalises certain beliefs about crying and constructs “core beliefs” around crying. In adult life, this enforces the idea that crying is bad.

Core beliefs are conclusions about oneself based on life experiences. Core beliefs are fortified by rules for living which are standards in which self-worth can be measured, which supports the core belief. For example, one can have a core belief that “l am weak” and can build a rule for living that “l must not cry and remain stoic, otherwise l will be seen as weak”. These core beliefs are difficult to shake off or reframe particularly if they are supported by societal views, and modelled by people we look up to.


Crying and well-being

I am sure you can relate to the idea that “sometimes all l need is a good cry”. Crying can be cathartic, and lead to a release of emotions that cannot be accessed in any other way but a good sob!

The negative attitudes towards crying and full expression of emotions lead to suppressing emotions and hiding one’s true feelings. It also means we never learn to become emotionally literate as emotions are a big part of who we are which helps us understand what matters to us. They make life more meaningful and colourful, and crying is an expression of those emotions. Emotions make us want to act, and different emotions guide us towards different kinds of actions.

If you are watching a sad film or hearing a sad story, you are moved to tears – embrace it as it’s your emotions in action. The suppression of emotion is harmful as every emotion is valid. If emotions are suppressed, they will find a way to leak out – for example, unresolved grief/loss can manifest in depression, suppressed anger can manifest in depression or anger outbursts, and a traumatic event can lead to anxiety or PTSD symptoms.

In Gabor Mate’s book Myth of Normal, he highlights how unresolved trauma (suppressed emotions) can manifest in a physiological form, emphasising the need for emotional processing which may include crying. The same sentiment is echoed by Van de Kolk – The Body Keeps the Score – in his work on trauma addressing how trauma becomes embodied and translated into a psychological state.

By crying we are also able to soothe ourselves as crying releases oxytocin (love hormones and endorphins (natural painkillers), which support natural bonding. Bonding is a key element of our innate make-up as social beings. When we cry, we are likely to get attention from others who come forward to comfort and soothe us. This is a pro-survival skill which in many ways is linked to our desire to seek connection, comfort, and care from others. Crying can also make us feel calmer as one is likely to take in more deep breaths, balancing the oxygen-carbon dioxide ratio.


Dissociation

Dissociation is a state of emotional detachment from one’s thoughts and feelings which can lead to forgetting memories, periods in life, events, and experiences that would otherwise be readily accessible. Dissociation can happen on different levels – benign (zoning out) and more severe forms of dissociating which require professional treatment.

Dissociation develops as a defence mechanism against experiencing certain emotions which are deemed too painful or difficult at a young age, or in reaction to a traumatic event – for example, in the form of PTSD-related dissociation. When one dissociates, they do not experience any physical and emotional pain – they do not cry since they have no emotional reaction to the experience.

Dissociation is often a result of trauma – historic or acute. Trauma is not just what happened to you, for example, physical abuse, verbal abuse, sexual abuse, dictators, accidents, or loss, but also non-events such as the emotional deficit in not having an adult who is emotionally available to an infant who may be experiencing complex emotions.

Wilfred Bion (1962a) writes elegantly about the baby’s caregiver’s function of receiving the baby’s complex emotions, handling them, detoxifying them, making sense of them, and handing them back in a palatable form. Bion (1962a) termed this function containment, which is related to the baby projecting into the mother and the mother being affected and responding to these projections, a term called projective identification. Bion (1962b) emphasised the caregiver’s ability to turn the Beta elements (unprocessed and unmetabolised affective experiences) into Alpha elements which the infant can think about and make sense of.

The absence of an emotionally attuned caregiver leaves the infant unable to process complex emotions, which can lead to dissociation as a way of dealing with what is for the infant viewed as life-threatening. People who experience some form of disturbances in this parental function are likely to dissociate or struggle with availing themselves to their emotions. They are likely not to cry as they are not emotionally affected.


Crying as a normal human experience

Crying is indeed a natural and healthy expression of emotion. It is not simply a reflexive tear production, but an emotional tear production. Crying can be seen as a way to release stress, sadness, or frustration, and is often considered a normal response to certain life events or situations.

If we are more accepting that crying is not a sign of weakness, but simply being human, we are likely to experience secondary physical and mental health problems related to suppressing emotions. When we embrace crying, we can even encourage others to express their emotions through tears and be vulnerable with us without fear of judgement. People tend to feel more comfortable crying openly when they know their feelings are validated and they will not be judged for it.

As a society, we must eradicate the stigma attached to crying, particularly for men, who may be expected to display emotional stoicism and not show any signs of weakness. I believe this is why both addictions and suicide are high in men in comparison to women. Women should also be allowed to express their anger, and cry despite it being viewed as “not being ladylike” and crying seen as “silly”. Embracing these emotions and fully expressing them through crying is healthy.

Overall, it is important that we create an environment where people feel comfortable expressing their emotions authentically without shame, and fear of judgement. In the therapy room a big part of our work as therapists is enabling clients to develop an emotional vocabulary, to help them better understand their emotions, and to allow a full expression of emotions.

When we can be vulnerable with each other, we can process emotions that we otherwise suppress, leading to depression, anxiety, problem anger, and other physical health problems. This also translates to people not carrying so much emotional baggage and utilise therapy as their only way to learn about their emotions and process.


Benefits of crying

1. Stress relief

Crying can help to alleviate emotional and psychological stress. It provides an outlet for releasing built-up tension and pent-up emotions, which helps in reducing anxiety and promoting relaxation and overall well-being.

2. Emotional catharsis

Crying serves as a form of emotional release. It allows individuals to express and process their feelings, enabling them to gain a sense of relief and clarity. It can help in dealing with grief, hurt, sadness, anger, frustration, or any intense emotions.

3. Mood enhancement

Crying triggers the release of endorphins and other feel-good hormones in the brain, which can improve mood and provide a sense of soothing and comfort. Crying helps individuals feel better and experience a sense of emotional release and renewal. Oxytocin and endorphins released in crying are natural feel-good hormones which promote physical and mental well-being.

4. Social connection

Crying can foster social bonding, empathy and connection with others. When others witness someone crying, it often evokes compassion and support, leading to a sense of connection and understanding. This can strengthen relationships, provide emotional support and foster connections.

5. Physical benefits

Tears help to lubricate and cleanse the eyes, preventing dryness and irritation. Crying can also stimulate the parasympathetic nervous system, which helps to regulate heart rate and promote relaxation. Deep breathing in crying helps regulate the body and bring it back into a homeostatic state.


How to tune into your human self

1. When you are emotionally affected by something, reflect on how you are feeling. Gently lean into those feelings and cry if you feel like it. Distancing yourself emotionally or dismissing any emotionally impactful experiences will only make it harder for you to tune into your emotions and cry. This also means not fully emotionally processing the meaning of the event.

2. Learn the habit of confiding in someone you trust. We tend to find it easier to cry if we feel safe, not shamed or judged. If there is something you are finding difficult to deal with, call a friend you trust, or arrange to meet and confide in them. If there is a compulsion to cry, embrace it.

3. In your therapy – if you have found it difficult to cry, explore this with your therapist. Understanding the reasons behind our behaviours is key to remedying them. Also, allow yourself to be human in the therapy room and embrace what unfolds.

4. It is important to note that excessive or prolonged crying without relief may indicate an underlying issue, such as depression or chronic stress. If crying becomes overwhelming or interferes with daily functioning, see an accredited therapist or mental health practitioner as it could be a sign of deeper issues that need addressing.


References 

  • Bion, W. R. (1962a) Learning from experience. London: Karnac.
  • Bion W.R. (1962b). The psycho-analytic study of thinking. Int J Psycho-Anal 43: 306–10.

The views expressed in this article are those of the author. All articles published on Counselling Directory are reviewed by our editorial team.

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Coping with loneliness in the 21st Century

COPYRIGHT CITY SANCTUARY THERAPY

No part of this website, including the blog content may be copied, duplicated or reproduced in any manner without the author’s permission.

Any information, materials, and opinions on this blog do not constitute therapy or professional advice. If you need professional help, please contact a qualified mental health practitioner.

Coping with loneliness in the 21st Century

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So why do these technological and digital advancements matter so much? Aren’t we supposed to be celebrating, and feel even more connected; why then has loneliness become pervasive? The significance in letter writing, other non-digital connections and face to face interaction lies in the idea of being kept in mind; the intention and thoughtfulness behind the letter writing makes it profoundly special. So does the intention carve out time, leave everything behind, and visit someone.

What’s unique and particularly special is the effort to sit and write- putting one’s thoughts into written words, seal the letter in an envelope, stamp, and post it. Carving out time to visit someone or meet someone shows how much one cares and appreciates that person, in comparison to digital messaging from a distance. So how face to face interactions or letter writing any different to the instant text messaging, or interacting via Facebook, Instagram, or other digital interactions. These different channels of engaging are not the same, and they can never be the same.

Real connections are not digital. Digital connections can never replace real human connections in real time. 


Real connections and digital connections

We experienced a paradigm shift in the past few years; we now live in a digital era, pivoted by the Covid 19 pandemic, which propelled us into the digital world. There is no way back from the digital world, we must embrace what the use of technology brings- the good and the bad. We cannot however ignore the fact that despite these advancements, loneliness remains a societal issue that needs attention. While the digital world has enhanced our ability to connect en mase, it has also deduced the true and rich human connection we make through face-to-face interactions, or other non-digital contact, such as letters and face to face interactions.


What is loneliness?

Loneliness is a complex and distressing emotional state that arises when a person feels emotionally disconnected, or isolated from others. The irony is that one can have many people around them but still feels emotionally disconnected from them. Loneliness is a subjective feeling and an internal experience of being alone, even when surrounded by other people.

Loneliness can be characterized by feelings of sadness, emptiness, and a lack of social connection or meaningful relationships-hallmarks of depression and anxiety. Loneliness is not solely determined by the number of social interactions a person has, but rather the quality and depth of those interactions. In the case of people who have thousands and millions of followers of social media, it does not translate to them not feeling lonely, or having deeper connections.

Loneliness has a negative impact on mental, physical health, and ones self esteem as well as overall sense of self. Chronic loneliness can lead to increased risk of depression, anxiety, and other health problems. The risk is even higher when one feels lonely while going through challenging life situations.

The difference between loneliness and being alone

In his work with children, Psychiatrist and Psychanalyst Donald Winnicott (1958) exposited the difference of being alone and loneliness. He emphasised on the healthy state developed in the capacity to be alone, in which he indicated to be a sign of emotional maturity. I see this as expanding one’s window of tolerance, where one can subjectively bear a range of emotions without relying on external world for distraction, or to gain reassurance.

Being alone means one feels content in their own presence, without the need for stimulation or distraction from the external world, for example in having may friends in the digital world and not having any close relationships and connections. This means there are many people who are not alone, and surrounded by people, but feel very lonely- not alone externally, but feel very lonely internally. Having many digital friends can become a defence against feeling lonely, however it does not mitigate the internal loneliness. On the other hand, one cannot have any digital friends, and have a few friends who they have deep connections and meaningful relationships with.

As highlighted above, loneliness refers to a state of feeling emotionally disconnected or isolated from others, even when surrounded by people. It is a subjective feeling of being alone, regardless of physical proximity to others. Loneliness can be a result of lacking meaningful relationships, social support, or a sense of belonging. This can be a real issue if one is othered due to their gender, sexuality, race, class and other social factors. It can also be very present when one emigrates to a new country or moves to a new place where they are a minority and don’t feel that they belong.

On the other hand, being alone simply means being in a state of solitude or not being in the presence of others. Being alone can be a choice or preference, and it does not necessarily imply feelings of loneliness. Many people enjoy spending time alone and find it rejuvenating or peaceful, while others feel lonely due to lack of connections.

In short, loneliness is an emotional state characterized by a sense of isolation and disconnection, while being alone refers to the physical and state of not being with others. One can feel lonely even when surrounded by people, and conversely, one can be alone but not feel lonely.


Loneliness: A silent pandemic 

In my role as a therapist, one of the key complaints l hear in my practice is people who are experiencing profound loneliness, which often develops into depression and anxiety, or perpetuates it. The Office of National Statistics (ONS) reports that one in six adults suffer from moderate to severe depression; these numbers have risen since the pandemic which isolated many people from their loved ones and support networks due to the lockdowns.

Although we are out of the pandemic, we are still haunted by the effects of it which lingers today-poor mental health is one of them. Psychiatrists, GPs, and other prescribers are not keen on enquiring about the social context behind anxiety and depression, yet loneliness is often a big factor in anxiety and depression presentations. Their focus is on symptomology-a medical approach based on assessing whether one meets the diagnostic criteria for depression or anxiety, which often co-exist. If one does, they will be prescribed antidepressants or anti anxiety medication. The NHS England reports that in England alone, a staggering 8.6 million people was prescribed antidepressants between 2022-23.

Taking a psychosocial approach to depression and anxiety, a key precipitant of depression and anxiety is loneliness and stress. Stress is often exacerbated by poor or lack of support. Loneliness happens when one lives a life where there is no emotional connection with others- a combination of stress and loneliness is a catalyst for anxiety and depression.

From my experience as a therapist, loneliness affects everyone; however, it is appears to be more prevalent in people who are not in relationships (single/divorced/widowed), older adults, introverts, people who live away from their primary home, and notoriously so in people who have extremely busy lives that seem to be full lives, but not making time for themselves or others. The later are likely to have many friends, yet they feel lonely. Some people in this category have thousands (even millions) of followers and friends on social media, yet they feel lonely. So why this contradiction? Digital connections are not real connections, the digital world is an illusory realm where relationships s are defined by liking each other’s pictures and statuses, not really knowing each other deeply.

Loneliness is behind the surge in alcoholism, and problematic narcotic use. People who feel lonely are more likely to develop alcohol dependency or habitual substance misuse as a way of coping with loneliness. From an attachment perspective, (Bowlby, 1969) this could be viewed as one having a disorganised/insecure attachment with something they can control, to compensate for the healthy/secure attachment they could have with humans. If one is able to develop a secure attachment with others, and not feel lonely, they are likely not to rely on alcohol or illicit substances.

Alcohol does lead to poor mental health, and can worsen symptoms of anxiety and depression as well as cause insomnia. Poor physical health related to alcohol includes the more severe related alcohol related diseases such as liver cirrhosis or Korsakoff Syndrome (dementia). Alcohol and drug misuse is also linked to higher incidences of domestic violence, risk behaviuors such as drink driving, and suicide.


Benefits of digital platforms

While the online and digital interactions have their disadvantages which feeds into loneliness, they also have some positives. Online connections can be beneficial in widening the reach of people in different parts of the world, and easy interactions through the platform instead of letters, emails, phone calls or face to face. This can be of huge significance to people who may have emigrated to parts of the world where they are disconnected from friends or getting people of a common purpose together for example University or class alumnis.

The online platforms can also enhance one’s self-esteem, especially for people who experience social anxiety, and find face-to-face interactions challenging. The distance in online platform can allow some people to express themselves more fully, something they may not be able to do in the real world.

Humans as social beings

We are social beings at the core, and bonding in real time is key. We seek social connections and thrive by being in the company of others. Human contact releases oxytocin, an anti-stress and “love” hormone- that’s why we are drawn to smiling at a stranger across the room, or hugging our friends when we meet. We have an innate desire for connection through touch and social interaction.

Solitude goes against our human nature. That’s why the NICE guidelines for depression emphasises on behavioural activation, which is fundamentally engaging in positive social activities, that enhances one’s mood and activates emotional states. Isolation and lack of social stimulation is viewed as contributing factors to depression and anxiety. Social interactions and engaging in social activities releases dopamine which is a “feel good” hormone, essential for our physical and mental health.

Our ancestors thrived by living in communities and connections was a therapeutic part of their survival as groups of people who didn’t have sophisticated mental and physical health care systems. They took care of each other and made sure if one is sick, they go back into the cave and get looked after by the elders who told them stories and nursed them to health. However, the world we live in right is very individualistic -each man for himself, and God for us all. This is harmful and a big source of loneliness as individualism leads to people believing that they cannot rely on others but themselves. We have been socially conditioned to believe that asking for help is a sign of weakness; hence why many people feel even lonelier and experience stress through dealing with challenging situations alone.


Factors behind loneliness in the 21st Century

Technology and social media

While technology has made it easier to connect with others, it has also led to increased feelings of loneliness. Many people spend excessive amounts of time on social media, which can create a sense of isolation as they compare their lives to others and feel left out.

Changing social structures

The traditional family structure has evolved, with more people living alone or away from their families. This can lead to increased feelings of isolation and loneliness, especially for older adults who may have limited social connections.

Urbanization and mobility

With the rise of urbanization and increased mobility, people often move away from their hometowns and leave behind established social networks. It can be challenging to build new relationships in unfamiliar environments, leading to feelings of loneliness.

Busy and demanding lifestyles

Modern life is often fast-paced and demanding, leaving little time for socializing and building meaningful connections. Work pressures, long commutes, and constant busyness can contribute to a lack of social interaction, leading to loneliness.

Mental health issues

Loneliness can also be a symptom or result of underlying mental health issues such as depression, anxiety, or social anxiety disorder. These conditions can make it difficult for individuals to engage in social activities and form connections.

Ageing population

As the population ages, older adults may face increased loneliness due to factors such as retirement, loss of friends or loved ones, and limited mobility. Age-related health issues can also contribute to social isolation.


How to cope with loneliness 

It is important to note that loneliness is a complex issue with multiple causes, and the specific reasons may vary from person to person. Addressing loneliness requires a multi-faceted approach that includes improving social connections, fostering community, and promoting mental well-being.

  1. Build and maintain strong relationships. Invest time and effort in building and nurturing close relationships with family, friends, and loved ones. Regularly communicate and spend quality time with them.
  2. Join social groups or clubs. Participate in activities or join clubs that align with your values, interests or hobbies. This can help you meet like-minded individuals and create new friendships and connections.
  3. Volunteer or get involved in your community. Engaging in community service or volunteering not only gives you a sense of purpose but also presents opportunities to meet new people and make connections. Try new things- explore local charities, organisations and clubs.
  4. Adopt a pet. Having a pet can provide companionship and alleviate feelings of loneliness. Pets can offer unconditional love and be a source of comfort and support. Pets can also give us a sense of purpose- being able to look after and nurture a an animal can be rewarding and help create meaning.
  5. Engage in hobbies or activities you enjoy. Pursue activities that you genuinely enjoy, such as painting, playing an instrument, gardening, or reading. This not only helps you spend quality time but may also connect you with others who share similar interests.
  6. Stay active and exercise regularly. Regular physical activity can boost your mood and overall well-being. Consider joining a gym, taking fitness classes, or participating in sports activities, where you can interact with others and potentially make new friends.
  7. Practice self-care. Take care of your physical and mental well-being by practicing self-care activities. This can include getting enough sleep, eating a balanced diet, practicing relaxation techniques, and engaging in activities that promote self-reflection and personal growth.
  8. Use technology minimally to connect and make time for face-to-face interactions. Utilize social media platforms, online communities, and video calling apps to stay connected with friends and family, especially if distance is a barrier. Make time to meet friends and families face to face instead of relying on social medial or text messages.
  9. Embrace solitude. Expand your window of tolerance and capacity to be alone: While it’s important to avoid chronic loneliness, it’s equally important to learn how to be comfortable with solitude. Without doing so, we might end up in the wrong company to avoid being alone. Engage in activities that you enjoy alone, such as reading, taking nature walks, or practicing mindfulness, can help you appreciate and enjoy your own company.
  10. Seek professional help if needed. If you are struggling with chronic loneliness, suffer from social anxiety or feel isolated, seek support from an accredited therapist. Therapists can provide guidance and strategies to cope with loneliness, improve social connections and address any underlying reasons why one may be feeling lonely in the company of others.

References

Bowlby, J. (1969) Attachment and Loss: Volume 1. Basic Books. New York,

Winnicott, D.W. (1958) The Capacity to be alone. International Journal of Psychoanalysis, 39: 416-420

Image Credit to Elijah Hiett-Unsplash