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About Depression (Not Mine)

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Submitted By ellacards
Words 8469
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(State of the art
Basic concepts of depression
Eugene S. Paykel, MD, FRCP, FRCPsych, FMedSci

Historical background

This paper reviews concepts of depression, including history and classification. The original broad concept of melancholia included all forms of quiet insanity. The term depression began to appear in the nineteenth century, as did the modern concept of affective disorders, with the core disturbance now viewed as one of mood. The 1980s saw the introduction of defined criteria into official diagnostic schemes. The modern separation into unipolar and bipolar disorder was introduced following empirical research by Angst and Perris in the 1960s. The partially overlapping distinctions between psychotic and neurotic depression, and between endogenous and reactive depression, started to generate debate in the 1920s, with considerable multivariate research in the 1960s. The symptom element in endogenous depression currently survives in melancholia or somatic syndrome. Life stress is common in various depressive pictures. Dysthymia, a valuable diagnosis, represents a form of what was regarded earlier as neurotic depression. Other subtypes are also discussed.
© 2008, LLS SAS

rior to the late 19th century, although detailed systems of classification abounded, the main problem for psychiatric nosology was the establishment of the broad major disorders. Melancholia was recognized as early as the time of Hippocrates, and continued through Galenic medicine and medieval times. The earlier connotation of the term was very wide, and included all forms of quiet insanity. It was linked with the humoral theory of causation, specifically, as the term indicates, with black bile. Most psychiatric terms have changed meaning over their history, and they are always partly dependent on language. Melancholia later became more clearly associated with the more modern idea

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