This book describes the depressive in his or her natural
habitat, studies the everyday problems that cause one's depression,
and develops treatment approaches directed to the depressive's
real-world plight. It explores the borderland between the sacred
and the profane, the academic and the popular, the scientific but
impractical, and the practical but unscientific. It relies as much
on common sense, anecdote, and individual insight as it does on
case histories and psychological test protocol.
The book is divided into four sections: description, cause,
prevention, and treatment. The descriptive section presents the
mental-status abnormalities in depression, includes a differential
diagnosis of classic depressive symptoms, indicates when so-called
classic symptoms of another disorder are in fact depressive, lists
the physical complaints that are the product of depression,
discusses normal depression, and touches briefly on hypomania. The
section on cause recognizes that real troubles are common and
chemical troubles rare. It suggests that people do not get
depressed because they are under stress or they have suffered loss,
but, in simple language, because their boss has threatened to fire
them, their wife has threatened to leave, the cat has died, and
other similar real-life difficulties. It faces the problems that
therapists and patients alike find unpalatable, shameful, and
threatening--the things that cause patients to close their eyes or
speak in remote euphemisms. The sections on prevention and therapy
are not attached to any one school of thought. They are formulated
and expressed simply and humanistically, and offer common-sense
solutions to the depressives's everyday problems with themselves
and their world.
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