The heterogeneity of depressions: A phenomenological viewpoint.

Depression limit-situation pre-morbid personality subtypes values

Journal

European psychiatry : the journal of the Association of European Psychiatrists
ISSN: 1778-3585
Titre abrégé: Eur Psychiatry
Pays: England
ID NLM: 9111820

Informations de publication

Date de publication:
11 04 2023
Historique:
medline: 26 4 2023
pubmed: 12 4 2023
entrez: 11 4 2023
Statut: epublish

Résumé

What is commonly referred to as "depression" indicates a heterogeneous complex disorder that includes distinct psychopathological forms. A more accurate classification can be achieved by assessing the individual experiences of depression and tracing back each of these forms to the specific vulnerable structure from which they emerge. Each of these vulnerable forms of existence can be characterized by focusing on their values. I identify four main prototypes. Homo melancholicus is impressive for their over-normality, extreme social adjustment, and conformism; their depressive decomposition is characterized by the experience of loss. The values of homo œconomicus are utility (every action must be directed toward production) and optimization (what costs more than it produces is a dead branch to be cut); their depressive decomposition is marked by insolvency. Homo dissipans' values are excess (feeling animated by an inexhaustible drive to "pour out" of oneself, especially outside the limits of composure and reasonableness) and expenditure (an ethical attitude that gives its approval to excess and to its metamorphic and destructive power); their depressive decomposition is epitomized by inner incoherence and emptiness. The style of homo nevroticus form of existence is subjugated by the condemnation to limitation and the diktat of prohibition; their depressive decomposition is characterized by frustration and demoralization.

Identifiants

pubmed: 37039441
doi: 10.1192/j.eurpsy.2023.21
pii: S0924933823000214
pmc: PMC10134447
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e32

Références

Psychopathology. 2023 Mar 8;:1-14
pubmed: 36889295
Curr Opin Psychiatry. 2009 Nov;22(6):559-64
pubmed: 19734787
Ann N Y Acad Sci. 1990;600:501-10
pubmed: 2252329
Brain Sci. 2022 Dec 21;13(1):
pubmed: 36671995
World Psychiatry. 2022 Jun;21(2):168-188
pubmed: 35524616
Psychopathology. 2023;56(3):173-182
pubmed: 35817002
Am J Med Genet. 2001 Jan 8;105(1):39-41
pubmed: 11424992

Auteurs

Giovanni Stanghellini (G)

Department of Health Sciences, University of Florence, Florence, Italy.
Centro de Estudios de Fenomenologia y Psiquiatria, Universidad 'Diego Portales', Santiago, Chile.

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Classifications MeSH