Sadness or Depression?

1. Front Matter

   Pages i-xi

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2. Introduction: Depression, One and Many

   • Jerome C. Wakefield, Steeves Demazeux

   Pages 1-15

3. The Current Status of the Diagnosis of Depression

   • David Goldberg

   Pages 17-27

4. The Continuum of Depressive States in the Population and the Differential Diagnosis Between “Normal” Sadness and Clinical Depression

   • Mario Maj

   Pages 29-38

5. Beyond Depression: Personal Equation from the Guilty to the Capable Individual

   • Alain Ehrenberg

   Pages 39-54

6. Depression as a Problem of Labor: Japanese Debates About Work, Stress, and a New Therapeutic Ethos

   • Junko Kitanaka

   Pages 55-67

7. Darwinian Blues: Evolutionary Psychiatry and Depression

   • Luc Faucher

   Pages 69-94

8. Is an Anatomy of Melancholia Possible? Brain Processes, Depression, and Mood Regulation

   • Denis Forest

   Pages 95-107

9. Loss, Bereavement, Mourning, and Melancholia: A Conceptual Sketch, in Defence of Some Psychoanalytic Views

   • Pierre-Henri Castel

   Pages 109-119

10. Suffering, Meaning and Hope: Shifting the Focus from Depression in Primary Care

    • Christopher Dowrick

    Pages 121-136

11. An Insider View on the Making of the First French National Information Campaign About Depression

    • Xavier Briffault

    Pages 137-156

12. Extrapolation from Animal Model of Depressive Disorders: What’s Lost in Translation?

    • Maël Lemoine

    Pages 157-172

13. Psychiatry’s Continuing Expansion of Depressive Disorder

    • Jerome C. Wakefield, Allan V. Horwitz

    Pages 173-203

14. Back Matter

    Pages 205-208

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The World Health Organization states that depression is the leading cause of disability worldwide, and predicts that by 2030 the epidemic of depression raging across the world will be the single biggest contributor to the overall burden of disease of all health conditions. Yet this gloomy picture masks a number of paradoxes concerning the diagnosis and cultural interpretation of depression that appear to challenge the claimed prevalence rates on which it is based. This book’s essays by some of the world’s leading researchers and scholars on depression explores these anomalies in detail from multidisciplinary and multicultural perspectives, and in doing so reshapes the debate on the nature of depression that is currently under way in the US and abroad. At the book’s core is the exploration from the multiple perspectives of a key dilemma: is the epidemic of depression real or is it just apparent? In particular, could it be the result of criteria laid down in the official American classification system of mental disorders, the DSM, interacting with cultural changes to reshape our view of melancholy, pathologizing what were formerly normal symptoms of grief or intense sadness? The debate over the DSM's conception of depression has an international relevance, with the WHO’s upcoming revisions to its International Classification of Diseases requiring coordination with the DSM. This collection of perspectives has an unprecedented international dimension, as scholars from Europe and around the world join US academics to explore a central and controversial element of contemporary psychiatric diagnosis - and one that has enormous practical implications for the future of mental health care and how we view our emotions. The book’s accessible essays will make it useful to scholars, practitioners, and students across a wide range of disciplines.

• American perspective on depression
• Depression epidemic
• Depressive disorder
• Difference Depression and Sadness
• Epidemiology of Depression
• International perspectives on Depression

“This edited collection from 13 different contributors provides a multidisciplinary, multicultural, and ‘encompassing perspective’ on sadness and depression. … They deepen our understanding of depression by providing thoughtful explanations within the framework of ideas such as resilience, personality types, biological predisposition, and neurochemistry. … the book is quite accessible and discerning, and I appreciated the editors’ desire to inform the debate by respecting contrasting opinions.” (Cameron J. Risma, Doody’s Book Reviews, April, 2016)

• Silver School of Social Work and Department of Psychiatry, New York University, New York, USA

  Jerome C. Wakefield

• Department of Philosophy, SPH Laboratory, Université Bordeaux Montaigne, Pessac, France

  Steeves Demazeux

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