Loneliness

Loneliness is a feeling in which people experience a strong sense of emptiness and solitude. Loneliness is often compared to feeling empty, unwanted, and unimportant. Someone who is lonely may find it hard to form strong interpersonal relationships.

One of the first recorded uses of the word "lonely" was in William Shakespeare's Coriolanus, "Though I go alone, like a lonely dragon..." Act IV Scene 1.[1]

Contents

Distinction from solitude

Jean Jacques Henner, Solitude

Loneliness is not the same as being alone. Many people have times when they are alone through circumstances or choice. Being alone can be experienced as positive, pleasurable, and emotionally refreshing if it is under the individual's control. Solitude is the state of being alone and secluded from other people, and often implies having made a conscious choice to be alone. Loneliness is unwanted solitude. Loneliness does not require being alone and is experienced even in crowded places. It can be described as the absence of identification, understanding or compassion. Loneliness can be described as a feeling of isolation from other individuals, regardless of whether one is physically isolated from others or not. It may also be described as a yearning for love or companionship, which is unfulfilled, but cannot seemingly be achieved, or may stem from the lack of love in one's life, and hence may lead to emotions such as rejection, despair and low self-esteem. Feelings of loneliness may be similar to feelings of the death or loss of a loved one.

In their growth as individuals, humans start a separation process at birth, which continues with growing independence towards adulthood. As such, feeling alone can be a healthy emotion and, indeed, choosing to be alone for a period of solitude can be enriching. To experience loneliness, however, can be to feel overwhelmed by an unbearable feeling of separateness at a profound level. This can manifest in feelings of abandonment, rejection, depression, insecurity, anxiety, hopelessness, unworthiness, meaninglessness, and resentment. If these feelings are prolonged they may become debilitating and prevent the affected individual from developing healthy relationships and lifestyles. If the individual is convinced he or she is unlovable, this will increase the experience of suffering and the likelihood of avoiding social contact. Low self-esteem will often trigger the social disconnection which can lead to loneliness.

In some people, temporary or prolonged loneliness can lead to notable artistic and creative expression, for example, as was the case with poet Emily Dickinson, and numerous musicians. This is not to imply that loneliness itself ensures this creativity; rather, it may have an influence on the subject matter of the artist.

Common causes

People can experience loneliness for many reasons and many life events are associated with it. The lack of friendship relations during childhood and adolescence, or the physical absence of meaningful people around a person are causes for loneliness, depression, and involuntary celibacy. At the same time, loneliness may be a symptom of another social or psychological problem, such as chronic depression.

Many people experience loneliness for the first time when they are left alone as an infant. It is also a very common, though normally temporary, consequence of divorce or the breakup or loss of any important long-term relationship. In these cases, it may stem both from the loss of a specific person and from the withdrawal from social circles caused by the event or the associated sadness.

Loss of a significant person in one's life will typically initiate a grief response; here, one might feel lonely, even in the company of others. Loneliness may also occur after the birth of a child, after marriage or any socially disruptive event, such as moving from one's home town to a university campus or moving into a brand new community or school. Loneliness can occur within marriages or similar close relationships where there is anger, resentment, or where the feeling of love cannot be given or received. It may represent a dysfunction of communication. Loneliness could be also caused in places with low population density where there is not many people for miles to interact with. Learning to cope with changes in life patterns is essential in overcoming loneliness.

A twin study found evidence that genetics account for approximately half of the measurable differences in loneliness among adults, which was similar to the heritability estimates found previously in children. These genes operate in a similar manner in males and females. The study found no common environmental contributions to adult loneliness.[2]

Loneliness can also be seen as a social phenomenon, capable of spreading like a disease.[3]

Typology

Common types

Loneliness can be summarized as falling into these categories:

It can occur even as a combination of more than one category.

Common symptoms

Loneliness can evoke feelings of social inadequacy. A lonely person may become convinced there is something wrong with him/herself, and that no one understands their situation. Such a person will lose confidence and will become reluctant to attempt to change or too scared to try new things for fear of further social rejection. In extreme cases, a person may feel a sense of emptiness, which may become a state of clinical depression.

In modern society

Loneliness frequently occurs in heavily populated cities; in these cities many people feel utterly alone and cut off, even when surrounded by millions of other people. They experience a loss of identifiable community in an anonymous crowd. It is unclear whether loneliness is a condition aggravated by high population density itself, or simply part of the human condition brought on by this social setting. Certainly, loneliness occurs even in societies with much smaller populations, but the sheer number of people that one comes into contact with daily in a city, even if only briefly, may raise barriers to actually interacting more deeply with them and increase the feeling of being cut off and alone. Quantity of contact does not translate into quality of contact.[4]

Loneliness appears to have become particularly prevalent in modern times. At the beginning of the Twentieth Century families were typically larger and more stable, divorce was rarer, and relatively few people lived alone. In the United States, only 5% of households were single-person households in 1900; by 1998 it was over a quarter. 24 million Americans lived alone in 1995; by 2010, it is estimated that number will have increased to around 31 million.[5]

A 2006 study in the American Sociological Review found that Americans on average had only two close friends to confide in, down from an average of three in 1985. The percentage of people who noted having no such confidant rose from 10% to almost 25%; and an additional 19% said they had only a single confidant (often their spouse), raising the risk of serious loneliness if the relationship ended.[6]

Loneliness has also shown a strong connection to internet usage,[7] and many people suffering from loneliness tend to flock to internet sites in attempt to find help or mend their pain, as seen in phenomena such as the "I am lonely will anyone speak to me" thread.

As human condition

The existentialist school of thought views loneliness as the essence of being human. Each human being comes into the world alone, travels through life as a separate person, and ultimately dies alone. Coping with this, accepting it, and learning how to direct our own lives with some degree of grace and satisfaction is the human condition.[8] Some philosophers, such as Sartre, believe in an epistemic loneliness in which loneliness is a fundamental part of the human condition because of the paradox between the desire of man's consciousness to have meaning met with the isolation and nothingness of the universe. However, other existentialist thinkers argue the opposite. Human beings might be said to actively "engage" each other and the universe as they communicate and create, and loneliness is merely the feeling of being cut off from this process.

Effects

Chronic loneliness (as opposed to the normal loneliness everyone feels from time to time), is a serious, life-threatening condition. At least one study has empirically correlated it with an increased risk of cancer, especially for those who hide their loneliness from the outside world.[9] It is associated with increased risk of stroke and cardiovascular disease.[5] People who are socially isolated also report poor sleep quality and thus have diminished restorative processes.[10] Loneliness is also linked with depression, a risk factor for suicide.[11] Émile Durkheim also described loneliness, specifically the inability or unwillingness to live for others (i.e. for friendships or altruistic ideas), as the main reason for what he called "egoistic" suicide.[12] Loneliness can also be connected with having a schizoid character type in which case, frequently one sees the world differently, and experiences alienation from others, described as 'the self in exile', (Klein 1995).

Loneliness can play a part in alcoholism. In children, a lack of social connections is directly linked to several forms of antisocial and self-destructive behavior, most notably hostile and delinquent behavior. In both children and adults, loneliness often has a negative impact on learning and memory. Its effect on sleep patterns, as well as the above-mentioned other effects can have a devastating effect on the ability to function in everyday life.[11]

Some other effects may not be symptomatic for years. In 2005, results from the U.S. Framingham Heart Study demonstrated that lonely men had raised levels of IL-6, a blood chemical linked to heart disease. A 2006 study conducted by the Center for Cognitive and Social Neuroscience at the University of Chicago found loneliness can add 30 points to a blood pressure reading for adults over the age of 50. Another finding, from a survey conducted by John Cacioppo, a psychologist at the University of Chicago, is that doctors say they provide better medical care to patients who have a strong network of family and friends than they do to patients who are alone.

Cacioppo's 2008 book, Loneliness: Human Nature and the Need for Social Connection, states that loneliness is impairs cognition and willpower, alters DNA transcription in immune cells, and leads over time to high blood pressure.[13]

Enforced loneliness (solitary confinement) has been a punishment method throughout history.

Treatments and prevention

There are many different ways used to treat loneliness, social isolation or clinical depression. The first step that most doctors recommend to patients is therapy. Therapy is a common and effective way of treating loneliness and is often successful. Short term therapy, the most common form for lonely or depressed patients, typically occurs over a period of 10 to 20 weeks. During therapy, emphasis is put on understanding the cause of the problem; reversing the negative thoughts, feelings, and attitudes resulting from the problem; and exploring ways to help the patient feel connected. Some doctors also recommend group therapy as a means to connect with other sufferers and establish a support system.[14] Doctors also frequently prescribe anti-depressants to patients as a stand-alone treatment or in conjunction with therapy. It usually takes a few tries before a patient finds the correct anti-depressant medication. Some patients may also develop a resistance to a certain type of medication and need to switch periodically.[15]

Alternative approaches to treating depression are suggested by many doctors. These treatments may include exercise, dieting, hypnosis, electro-shock therapy, acupuncture, herbs, and many others. Many patients find that participating in these activities fully or partially alleviate symptoms related to depression.[16] Another treatment for both loneliness and depression is pet therapy, or animal-assisted therapy, as it is more formally known. Some studies and surveys, as well as anecdotal evidence provided by volunteer and community organizations, indicate that the presence of animal companions—dogs, cats, and even rabbits or guinea pigs—can ease feelings of depression and loneliness among some sufferers. According to the Centers for Disease Control and Prevention, there are a number of health benefits associated with pet ownership. In addition to easing feelings of loneliness (because of the increased opportunities for socializing with other pet owners, beyond the companionship the animal provides), having a pet is associated with lowered blood pressure and decreased levels of cholesterol and triglycerides.[17]

Nostalgia has also been found to have a restorative effect, counteracting loneliness by increasing perceived social support.[18]

A 1989 study found that the social aspect of religion had a significant negative relationship to loneliness among elderly people; the effect was more consistent than the effect of social relationships with family and friends, and the subjective concept of religiosity had no significant effect on loneliness.[19]

See also

References

  1. Shakespeare, William (2008). Coriolanus p. 129. Google Books. ISBN 9780559437052. http://books.google.com/?id=kVoqJPKpf0AC&pg=PA129. 
  2. Boomsma, D. I., Willemse, G., Dolan, C. V., Hawkley, L. C., & Cacioppo, J. T. (2005). Genetic and environmental contributions to loneliness in adults: The Netherlands Twin Register Study. Behavior Genetics. pdf
  3. Park, Alice (2009-12-01). "Time.com". Time.com. http://www.time.com/time/health/article/0,8599,1943748,00.html#ixzz0YZghiRRl. Retrieved 2010-04-02. 
  4. Lonely Nation: Americans Try to Connect in a Country Where Isolation Is Common. Associated Press. 2006-08-06. http://sunsite.utk.edu/FINS/loversofdemocracy/LonelyNation-2.htm. Retrieved 2009-05-03 
  5. 5.0 5.1 "Loneliness and Isolation: Modern Health Risks". The Pfizer Journal IV (4). 2000. Archived from the original on 2006-01-28. http://web.archive.org/web/20060128104835/http://www.thepfizerjournal.com/default.asp?a=article&j=tpj15&t=Loneliness%20and%20Isolation%3A%20Modern%20Health%20Risks 
  6. McPherson, Miller; Smith-Lovin, Lynn; Brashears, Matthew E (2006). "Social Isolation in America: Changes in Core Discussion Networks over Two Decades" (PDF). American Sociological Review 71 (3): 353–375. doi:10.1177/000312240607100301. http://www.asanet.org/galleries/default-file/June06ASRFeature.pdf Inentaconnect.com
  7. http://escholarship.bc.edu/dissertations/AAI9923427/
  8. An Existential View of Loneliness - Carter, Michele; excerpt from Abiding Loneliness: An Existential Perspective, Park Ridge Center, September 2000
  9. Fighting cancerous feelings; warning: scientists haven't determined that repressed emotions are hazardous to your health - yet - Smith, Eleanor; Psychology Today, May 1988
  10. Loneliness and pathways to disease (pdf) - Hawkley, Louise C. & Cacioppo, John T.; Institute for Mind and Biology, University of Chicago, Thursday 18 July 2002
  11. 11.0 11.1 The Dangers of Loneliness - Marano, Hara Estroff; Psychology Today Thursday 21 August 2003
  12. Social Depression, Loneliness, and Depression (from the Online Social Networks website)
  13. Cacioppo, John; Patrick, William, Loneliness: Human Nature and the Need for Social Connection, New York : W.W. Norton & Co., 2008. ISBN 978-0-393-06170-3. Science of Loneliness.com
  14. "Psychotherapy". Depression.com. http://www.depression.com/psychotherapy.html. Retrieved 2008-03-29. 
  15. "The Truth About Antidepressants". WebMD. http://www.webmd.com/depression/features/truth-about-antidepressants?page=2. Retrieved 2008-03-30. 
  16. "Alternative treatments for depression". WebMD. http://www.webmd.com/depression/alternative-therapies-depression?page=2. Retrieved 2008-03-30. 
  17. Health Benefits of Pets (from the Centers for Disease Control and Prevention. Retrieved 2007-11-14.
  18. Xinyue Zhou, Constantine Sedikides, Tim Wildschut, Ding-Guo Gao, "Counteracting Loneliness: On the Restorative Function of Nostalgia", Psychological Science, Vol. 19, No. 10, pp. 1023 - 1029, Nov. 4, 2008.
  19. "Doyle Paul Johnson, Larry C. Mullins, "Religiosity and Loneliness Among the Elderly ", ''Journal of Applied Gerontology'', Vol. 8, No. 1, 110-131 (1989)". Jag.sagepub.com. doi:10.1177/073346488900800109. http://jag.sagepub.com/cgi/content/abstract/8/1/110. Retrieved 2010-04-02. 

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