David Foster Wallace, "The Depressed Person"
From DFW’s collection of short stories Brief Interviews with Hideous Men. Originally published in Harper’s magazine. Here’s an excerpt from near the end of the story:
The depressed person shared that the most frightening implication of this (i.e., of the fact that, even when she centered and looked deep within herself, she felt she could locate no real feelings for the therapist as an autonomously valid human being) appeared to be that all her agonized pain and despair since the therapist’s suicide had in fact been all and only for herself, i.e. for her loss, her abandonment, her grief, her trauma and pain and primal affective survival. And, the depressed person shared that she was taking the additional risk of revealing, even more frightening, that this shatteringly terrifying set of realizations, instead now of awakening in her any feelings of compassion, empathy, and other-directed grief for the therapist as a person, had — and here the depressed person waited patiently for an episode of retching in the especially available trusted friend to pass so that she could take the risk of sharing this with her — that these shatteringly frightening realizations had seemed, terrifyingly, merely to have brought up and created still more and further feelings in the depressed person about herself. At this point in the sharing, the depressed person took a time-out to solemnly swear to her long-distance, gravely ill, frequently retching but still caring and intimate friend that there was no toxic or pathetically manipulative self-excoriation here in what she (i.e., the depressed person) was reaching out and opening up and confessing, only profound and unprecedented fear: the depressed person was frightened for herself, for as it were “[her]self” — i.e. for her own capacity for basic human empathy and compassion and caring — she told the supportive friend with the neuroblastoma.