fear of being forgotten and depersonalized...these go hand in hand with each other especially denoted by Saturn in Pisces. You lack a sense of true grounding from the past. Pisces carries a strong inner need to belong in very close connections with others; otherwise they feel disconnected and disoriented and adrift in a sea of their own perceptions. Saturn is not so subtle in this sign; it shows what is lacking in life in terms of emotional needs. On the level of the psyche you are disturbed by past childhood memories, and this keeps you disoriented in the material world. The 4th house depicts the past, which is carried forth into the future, even in adulthood, on a subconscious level. It is that which is within that you need to address, in order to regain your sense of worthiness and power in the outer world. Hints: Pluto to Sun/Mars...significant power issues relating to the father; exposure to anger, or possible violence when young; your own sense of confidence and worthiness were diminished significantly by something in the past and this something needs to be recognized and released from your consciousness. Was the father a strict disciplinarian who kept you under control in certain ways?
We look further to the affliction of Jupiter from the 4th house; square Venus and the Moon...this brings in the influence of the mother as well, as being extremely significant to your development in ways that affected your sense of confidence and self-esteem. You were born under the waxing phase of the Moon, and this often results in a consciousness that is full of trepidation, or wonder, about moving into the future. This represents she who is being initiated, and that comes with a lot of fears and uncertainty as well. Jupiter is supposed to bring comfort and benefit, but as an afflictor it brings exaggeration and excess, with things not being kept in proportion. Your mother's influence, as well as your experience of love was somehow distorted by this as well.