The conflict here feels like it's between two people with two different life experiences, but the form insinuates a kind of interior dialogue - a mind anticipating the soothing words and responses the speaker is sure will come, and must be rejected. In that way the person "on the outside" attempting mollification might not even be aware of this dialogue taking place!

The polysyllabic weight makes the dialogue feel unassailable, much as all compassion bounces off a pain the speaker feels is too strong to comment upon, except by those who have lived it.

I think this piece represents a strong, head-on tackling of the prompt, one of the best uses I've seen so far.