The enduring patterns of interpersonal relations between young depress
ed women and their significant others create a theater for early inter
ventions. As noted by Hildegard Peplau, interpersonal relations includ
e patterns that are organized around appraisals from significant other
s, ultimately forming the internal sense of self-regard that is deeply
disrupted in depression. Pattern integrations, or the ''fit'' of the
woman and her significant others become maintained as a way of avoidin
g anxiety and negative appraisals. Complementary, mutual, alternating,
and antagonistic patterns have been identified by Peplau, and the rel
ationship to anxiety, the maintenance of self-worth, and the therapeut
ic use of these patterns by the nurse are explored. (C) 1996 by W.B. S
aunders Company