Psalm 38 is a lament, a psalm of confession and plea for deliverance. In verse 11, the psalmist is describing the isolation and abandonment he feels as a result of his suffering, which he refers to as a "plague." Let's break down the meaning:

"My lovers and my friends stand aloof from my plague": This suggests that even those closest to him, his romantic partners and companions, are distancing themselves because of his illness or affliction. The word "aloof" emphasizes a sense of detachment and separation. They are keeping their distance to avoid catching the "plague" (whatever form it takes, whether physical, emotional, or spiritual).

"My kinsmen stand far away": Even his relatives, who would normally be expected to offer support in times of trouble, are staying away. The phrase "far away" reinforces the idea of a deliberate and significant separation.

In essence, this verse paints a picture of profound isolation. The psalmist is not only suffering from his "plague" but is also experiencing the pain of being abandoned by those he loves and trusts. This abandonment compounds his suffering, leaving him feeling alone and vulnerable.

Interpretations and Context

It is important to remember that Psalms can be interpreted on multiple levels:

Literal: The psalmist may be experiencing a physical illness, a social stigma, or a combination of both that is causing people to avoid him.
Figurative: The "plague" could represent a deep spiritual or emotional crisis. People might be avoiding the psalmist because of his despair, his sin, or his difficult circumstances. Perhaps they are afraid of being dragged down or contaminated by his problems.
Prophetic: Some see the Psalms as foreshadowing the experiences of Christ, who was ultimately abandoned by his disciples during his suffering.

In summary, Psalm 38:11 depicts the psalmist's profound loneliness and abandonment during a time of great suffering. It highlights the pain of being rejected and isolated by those who should be closest to him.