I think part of the trick is to yourself remember that increasing someone's self-esteem isn't actually the most helpful thing you can do for them - it would actually be more helpful to get them to see that they have some responsibility for how things have turned out and to encourage them to sort things out/seek forgiveness/change themselves.* I think it may be possible to do this with gentleness and without ruining rapport. And this approach also demonstrates a greater respect for them than pretending they are better than they are - and hopefully they will sense this.
You can do all this while 100% affirming their value as a person (even if you're not affirming their goodness). This is the sort of self-esteem that we are totally for.
What do you think? Is this workable in actual day-to-day practice?
* Of course even this is of limited usefulness, as we know that no-one will never really be able to sort things out or change themselves (though they may be forgiven by another). But it is still a step in the right direction - in acknowledging a) your sin and b) your inability to fix yourself and c) turning to God for forgiveness and change.
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