The Loss of Sadness: How psychiatry transformed normal sorrow into depressive disorder

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9780195313048: The Loss of Sadness: How psychiatry transformed normal sorrow into depressive disorder

The Loss of Sadness argues that the increased prevalence of major depressive disorder is due not to a genuine rise in mental disease, but to the way that normal human sadness has been 'pathologised' since 1980. That year saw the publication of the landmark third edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-III), which has since become a dominant force behind our current understanding of mental illness overall. As concerns at least major depression, the authors argue that the DSM's definition of the condition is too broad and that as a result virtually all research and clinical approaches to the condition have been based on a flawed understanding about it. The social, political, and scientific implications of this are far-reaching - from the overselling of antidepressants to treat ordinary sadness, as Big Pharma exploits the DSM for its own purposes; to intrusive and expensive depression screening programs at all levels of society, as well-meaning but misguided initiatives translate the DSM into simple terms to catch any whiff of depressive pathology in our midst; and funded research into the 'epidemic' of depression, which advances the field very litttle and the public even less. Ultimately, the definition of depression that is in operation today has formed the basis for an entire system of social control (e.g. community-wide screening initiatives, intrusive public health policy) that benefits psychiatry, primary care providers, and the pharmaceutical and insurance industries by turning everyone else into a potential consumer of services, needed or not. The authors do recognise that depression is a devastating illness that affects some people. Their chief concern is with the use of this diagnosis as a catch-all for anyone who has experienced sadness for more than a few weeks at a time. The result is a pointed yet nuanced critique of modern psychiatry that will stir controversy of the sort that will reacquaint us with sadness as a primary human emotion and that could productively influence the way that depression the actual illness is characterised in the future.

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Recensione:

...one of the most important books in the field of psychiatry published in the last few years...a brilliant book with a significance well beyond its narrow but important subject. ( Spectator)

This wonderful book will alter professional thinking. ( Nursing Standards)

...an interesting and thought-provoking book that underscores the need to examine more fully each patient's psychological illness and the factors contributing to it...[a good book for] anyone interested in understanding depression more fully and the place normal sadness has in our society. ( Doody's Notes)

...[this book] could alter the official definition of depression, change the way we get mood-enhancing drugs, and clarify how effectively our culture delivers well-being. ( Reason Magazine)

Allan Horwitz and Jerome Wakefield's important book... is part of a gathering blowback against the pathologisation and medicalisation of the ordinary human condition of sadness after loss... what they do accomplish in critiquing psychiatric diagnosis of depression is important enough to make much of this book required reading for depression researchers and clinicians. ( The Lancet)

...a work of deep scholarship... ( Hugh Freeman, Times Literary Supplement)

Contenuti:

  • 1: The concept of depression
  • 2: The anatomy of normal sadness
  • 3: Sadness with and without cause: depression from ancient times through the nineteenth century
  • 4: Depression in the twentieth century
  • 5: Depression in the DSM-IV
  • 6: Importing pathology into the community
  • 7: The surveillance of sadness
  • 8: The DSM and biological research about depression
  • 9: The rise of antidepressant drug treatments
  • 10: The failure of the social sciences to distinguish sadness from depressive disorder
  • 11: Conclusion

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Horwitz, Allan V.; Wakefield, Jerome C.
ISBN 10: 0195313046 ISBN 13: 9780195313048
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Allan V. Horwitz; Jerome C. Wakefield
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Descrizione libro Oxford University Press, 2007. Hardcover. Condizione libro: New. book. Codice libro della libreria 0195313046

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Allan V. Horwitz, Jerome C. Wakefield, Robert L. Spitzer (Foreword)
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Descrizione libro Oxford University Press, USA, 2007. Hardcover. Condizione libro: New. 1. Codice libro della libreria DADAX0195313046

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Descrizione libro Oxford University Press. Hardcover. Condizione libro: New. Hardcover. 312 pages. Dimensions: 9.3in. x 6.2in. x 0.9in.Depression has become the single most commonly treated mental disorder, amid claims that one out of ten Americans suffer from this disorder every year and 25 succumb at some point in their lives. Warnings that depressive disorder is a leading cause of worldwide disability have been accompanied by a massive upsurge in the consumption of antidepressant medication, widespread screening for depression in clinics and schools, and a push to diagnose depression early, on the basis of just a few symptoms, in order to prevent more severe conditions from developing. In The Loss of Sadness, Allan V. Horwitz and Jerome C. Wakefield argue that, while depressive disorder certainly exists and can be a devastating condition warranting medical attention, the apparent epidemic in fact reflects the way the psychiatric profession has understood and reclassified normal human sadness as largely an abnormal experience. With the 1980 publication of the landmark third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III), mental health professionals began diagnosing depression based on symptoms--such as depressed mood, loss of appetite, and fatigue--that lasted for at least two weeks. This system is fundamentally flawed, the authors maintain, because it fails to take into account the context in which the symptoms occur. They stress the importance of distinguishing between abnormal reactions due to internal dysfunction and normal sadness brought on by external circumstances. Under the current DSM classification system, however, this distinction is impossible to make, so the expected emotional distress caused by upsetting events-for example, the loss of a job or the end of a relationship- could lead to a mistaken diagnosis of depressive disorder. Indeed, it is this very mistake that lies at the root of the presumed epidemic of major depression in our midst. In telling the story behind this phenomenon, the authors draw on the 2, 500-year history of writing about depression, including studies in both the medical and social sciences, to demonstrate why the DSMs diagnosis is so flawed. They also explore why it has achieved almost unshakable currency despite its limitations. Framed within an evolutionary account of human health and disease, The Loss of Sadness presents a fascinating dissection of depression as both a normal and disordered human emotion and a sweeping critique of current psychiatric diagnostic practices. The result is a potent challenge to the diagnostic revolution that began almost thirty years ago in psychiatry and a provocative analysis of one of the most significant mental health issues today. This item ships from multiple locations. Your book may arrive from Roseburg,OR, La Vergne,TN. Hardcover. Codice libro della libreria 9780195313048

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Descrizione libro Oxford University Press, 2017. Hardcover. Condizione libro: New. This item is printed on demand. Codice libro della libreria P110195313046

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Descrizione libro OUP USA, 2007. HRD. Condizione libro: New. New Book. Delivered from our US warehouse in 10 to 14 business days. THIS BOOK IS PRINTED ON DEMAND. Established seller since 2000. Codice libro della libreria I1-9780195313048

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Descrizione libro Oxford University Press Inc, United States, 2007. Hardback. Condizione libro: New. 2., A1/4berarb.. 236 x 157 mm. Language: English . Brand New Book ***** Print on Demand *****. The Loss of Sadness argues that the increased prevalence of major depressive disorder is due not to a genuine rise in mental disease, but to the way that normal human sadness has been pathologised since 1980. That year saw the publication of the landmark third edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-III), which has since become a dominant force behind our current understanding of mental illness overall. As concerns at least major depression, the authors argue that the DSM s definition of the condition is too broad and that as a result virtually all research and clinical approaches to the condition have been based on a flawed understanding about it. The social, political, and scientific implications of this are far-reaching - from the overselling of antidepressants to treat ordinary sadness, as Big Pharma exploits the DSM for its own purposes; to intrusive and expensive depression screening programs at all levels of society, as well-meaning but misguided initiatives translate the DSM into simple terms to catch any whiff of depressive pathology in our midst; and funded research into the epidemic of depression, which advances the field very litttle and the public even less. Ultimately, the definition of depression that is in operation today has formed the basis for an entire system of social control (e.g. community-wide screening initiatives, intrusive public health policy) that benefits psychiatry, primary care providers, and the pharmaceutical and insurance industries by turning everyone else into a potential consumer of services, needed or not. The authors do recognise that depression is a devastating illness that affects some people. Their chief concern is with the use of this diagnosis as a catch-all for anyone who has experienced sadness for more than a few weeks at a time. The result is a pointed yet nuanced critique of modern psychiatry that will stir controversy of the sort that will reacquaint us with sadness as a primary human emotion and that could productively influence the way that depression the actual illness is characterised in the future. Codice libro della libreria APC9780195313048

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Allan V. Horwitz, Jerome C. Wakefield
Editore: Oxford University Press Inc, United States (2007)
ISBN 10: 0195313046 ISBN 13: 9780195313048
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Descrizione libro Oxford University Press Inc, United States, 2007. Hardback. Condizione libro: New. 2., A1/4berarb.. 236 x 157 mm. Language: English . Brand New Book ***** Print on Demand *****.The Loss of Sadness argues that the increased prevalence of major depressive disorder is due not to a genuine rise in mental disease, but to the way that normal human sadness has been pathologised since 1980. That year saw the publication of the landmark third edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-III), which has since become a dominant force behind our current understanding of mental illness overall. As concerns at least major depression, the authors argue that the DSM s definition of the condition is too broad and that as a result virtually all research and clinical approaches to the condition have been based on a flawed understanding about it. The social, political, and scientific implications of this are far-reaching - from the overselling of antidepressants to treat ordinary sadness, as Big Pharma exploits the DSM for its own purposes; to intrusive and expensive depression screening programs at all levels of society, as well-meaning but misguided initiatives translate the DSM into simple terms to catch any whiff of depressive pathology in our midst; and funded research into the epidemic of depression, which advances the field very litttle and the public even less. Ultimately, the definition of depression that is in operation today has formed the basis for an entire system of social control (e.g. community-wide screening initiatives, intrusive public health policy) that benefits psychiatry, primary care providers, and the pharmaceutical and insurance industries by turning everyone else into a potential consumer of services, needed or not. The authors do recognise that depression is a devastating illness that affects some people. Their chief concern is with the use of this diagnosis as a catch-all for anyone who has experienced sadness for more than a few weeks at a time. The result is a pointed yet nuanced critique of modern psychiatry that will stir controversy of the sort that will reacquaint us with sadness as a primary human emotion and that could productively influence the way that depression the actual illness is characterised in the future. Codice libro della libreria APC9780195313048

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