For a long time, individuals feel as if others do not truly care about their well-being or feelings. This sense of neglect can lead to feelings of loneliness and insignificance because it seems like genuine concern is lacking from those around them.

"For years one has to put up with the feeling that people do not care, really care, about one; then one day with growing alarm, one realizes that it is God who does not care; and not merely that he does not care, he does not care one way or the other," highlights a shift in perspective. It emphasizes the painful realization that divine concern may also be absent, intensifying feelings of despair.