The point is that, when dealing with people who's sense-of-self is pathologically affected, I suggest you steer away from the "victim" concept, because it is ideologically loaded. Whether depressive or not, people often want to think that they can "choose to not be a victim", which can be a very destructive idea for some. It's much more healthy to think in terms of "patient", because most people don't think that one can "choose to not be a patient".