Severe Despair. They have lost faith that more can be done for them. After persistence or to please others, they may try various treatments, while at the same time assuring those around them that there is very little hope for relief.

• Negative State: Despair, hopelessness. Feels that "there is no longer any hope." Chronic illnesses.
• Positive Development: Hope. Hopeful repositioning in the face of difficult or unavoidable situations.