Un análisis crítico de los debates acerca del duelo y el trastorno depresivo en la era del Manual Diagnóstico y Estadístico de los Trastornos Mentales

Bibliographic Data

ID15530802
AuthorsFrancisco Pizarro (0000-0002-8344-4971, Diego Portales University, corresponding author), Rodrigo De La Fabian (0000-0003-2374-6289, Diego Portales University)
Year2019
Volume15
Pagese2319-e2319
Publication date2019-10-24
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueSalud Colectiva (JOURNAL)
Journal identifiersISSN: 1669-2381 • E-ISSN: 1851-8265
PublisherInstituto de Salud Colectiva, Universidad Nacional de Lanús (PUBLISHER • AR)
DOI10.18294/sc.2019.2319
PMID32022133
OpenAlexW2981659305
LanguageES
References cited35

Since the incorporation of the major depressive disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) in 1980, and until its update in the DSM-IV-TR, the DSM classification system considered it necessary to include the criterion of "bereavement exclusion", with the aim of differentiating normal sadness linked to a loss, from a mental disorder, such as the major depressive disorder. In its latest version (DSM-5), this exception was removed, giving rise to a controversy that continues to this day. The debate has set those who are in favor of maintaining this exclusion and extending it to other stressors against those who have intended to eradicate it. Our hypothesis is that these positions account for two qualitatively diverse clinical and epistemological matrices, linked to major transformations in health sciences and in psychiatry. We show that this debate involved a profound renewal of the meaning of psychiatric practice, a change in the function of diagnosis and in the way of conceiving the etiology of mental disorders, as well as a reformulation of the patient's suffering status for the medical act

Cognition · Major depressive disorder · Mental health · Psychiatry · Psychotherapist · Sadness · Clinical Psychology · Mental Health and Psychiatry · Psychological Treatments and Disorders · Psychology · Psychosomatic Disorders and Their Treatments

Tools

Open DOIOpen Access