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Psycology » Psychiatry and psychotherapy » Neurosis: Part I » Classification of small depression

Some of the less severe forms of depressive disorders have symptoms that meet the criteria of neurosis. They have an organic substrate occur, apparently as a result of impact stress on a person predisposed not include such elements (often called psychotic), such as hallucinations and delusions. Moreover, in many of them has pronounced symptoms of anxiety, and in some still other neurotic symptoms. So sometimes small depressive disorders are classified as depressive neurosis and neurotic depression. Arguments for and against the use of these terms are discussed later (see p. 168) in the chapter on affective disorders.
Before concluding its consideration of small depressive disorders, it is necessary to note two things. The first of them noticed Mapother (1926) and Lewis (1956), who believed that anxiety disorders can not be clearly distinguished from depressive disorders. Currently the majority of psychiatrists considered opinion that such a distinction can be made among the more severe forms of the disease, occurring in psychiatric practice. However, for light and transient disturbances observed in general practice, to make this distinction is not easy. The second point has to do with the question of whether to preserve over time a clear picture of conditions initially manifests as undoubted anxiety disorders or depressive disorders. Available on this account information is incomplete, however, suggests that there are clear anxiety disorders rarely go into depressive disorder (Schapira et al. 1972), even if they are often punctuated by brief for (continuing for several weeks or months) episodes of depressive symptoms (Clancy et al. 1978). Comparable information on the long-term course of depressive disorders small, which could have been diagnosed as neurotic depression, no, but clinical experience indicates that they also occur on their inherent stereotype.


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