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The heterogeneity of depressions: A phenomenological viewpoint
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 vulnerabl...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Cambridge University Press
2023
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10134447/ https://www.ncbi.nlm.nih.gov/pubmed/37039441 http://dx.doi.org/10.1192/j.eurpsy.2023.21 |
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author | Stanghellini, Giovanni |
author_facet | Stanghellini, Giovanni |
author_sort | Stanghellini, Giovanni |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-10134447 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-101344472023-04-28 The heterogeneity of depressions: A phenomenological viewpoint Stanghellini, Giovanni Eur Psychiatry Viewpoint 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. Cambridge University Press 2023-04-11 /pmc/articles/PMC10134447/ /pubmed/37039441 http://dx.doi.org/10.1192/j.eurpsy.2023.21 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. |
spellingShingle | Viewpoint Stanghellini, Giovanni The heterogeneity of depressions: A phenomenological viewpoint |
title | The heterogeneity of depressions: A phenomenological viewpoint |
title_full | The heterogeneity of depressions: A phenomenological viewpoint |
title_fullStr | The heterogeneity of depressions: A phenomenological viewpoint |
title_full_unstemmed | The heterogeneity of depressions: A phenomenological viewpoint |
title_short | The heterogeneity of depressions: A phenomenological viewpoint |
title_sort | heterogeneity of depressions: a phenomenological viewpoint |
topic | Viewpoint |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10134447/ https://www.ncbi.nlm.nih.gov/pubmed/37039441 http://dx.doi.org/10.1192/j.eurpsy.2023.21 |
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