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Books > Medicine > Other branches of medicine > Clinical psychology
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How Everyone Became Depressed - The Rise and Fall of the Nervous Breakdown (Hardcover)
Loot Price: R1,247
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How Everyone Became Depressed - The Rise and Fall of the Nervous Breakdown (Hardcover)
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This book argues that psychiatry's love affair with the diagnosis
of depression has become a death grip. Depression is a real
illness, especially in its melancholic form. But most patients who
get the diagnosis of 'depression' are also anxious, fatigued,
unable to sleep, have all kinds of physical symptoms, and tend to
obsess about the whole thing. They do not have a disorder of
'mood'. It is a travesty to call them all 'depressed.' How did this
happen? How did everyone become depressed? A well-known historian,
the author describes how in the 19th century patients with those
symptoms were considered 'nervous,' and when they lost control it
was a 'nervous breakdown.' Then psychiatry turned its back on the
whole concept of nerves, and - first under the influence of Freud's
psychoanalysis and then the influence of the pharmaceutical
industry - the diagnosis of depression took center stage. The
result has been a scientific disaster, leading to the misdiagnosis
and inappropriate treatment (with antidepressants) of millions of
patients. Urging that the diagnosis of depression be re-thought,
the book turns a dramatic page in the understanding of psychiatric
symptoms that are as common as the common cold. The book makes an
immediate contribution to the debate about DSM5, which is due to be
released very soon, in terms of discussing the diagnosis of
depression. The author controversially proposes replacing the
diagnosis of 'major depression' with 'melancholia' and
'nonmelancholia'; he argues that depression and anxiety usually
occur together and are really the same disease; and he says that
patients with so-called mood disorders really have a disorder of
the entire body. The author's ability to make use of the enormous
well of psychiatry's past history in several languages make this a
unique book that contributes to the important discussions today of
diagnosis and treatment.
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