منابع مشابه
Bereavement, complicated grief, and DSM, part 1: depression.
The Case of Mr A Mr A is a 73-year-old man whose wife of 50 years died 5 weeks previously. He has no appetite, has lost 8 lb in the past month, consistently awakens at 4 am, “can’t think straight,” and no longer takes any pleasure in customary activities. He denies feelings of guilt or worthlessness. Although he denies suicidal intent, he confides that he wishes to join his dearly departed wife...
متن کاملGrief and Major Depression—Controversy Over Changes in DSM-5 Diagnostic Criteria.
In May 2013, the American Psychiatric Association released the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).1 One of the more controversial revisions in the DSM-5 is the elimination of the bereavement exclusion criterion for major depressive disorder (MDD), suggesting to some that grief is not a normal process. Within the DSM-IV, text revision,2 persons who...
متن کاملComplicated grief and related bereavement issues for DSM-5.
Bereavement is a severe stressor that typically incites painful and debilitating symptoms of acute grief that commonly progresses to restoration of a satisfactory, if changed, life. Normally, grief does not need clinical intervention. However, sometimes acute grief can gain a foothold and become a chronic debilitating condition called complicated grief. Moreover, the stress caused by bereavemen...
متن کاملA call to the field: complicated grief in the DSM-5.
While complicated grief has been addressed in part through some recommendations for modifications in the upcoming fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), there remain reasons for substantial concern about its scope therein and within clinical practice. The authors issue a call to the field, reiterating that complicated grief is complicated and cannot ...
متن کاملMixed features of depression: why DSM-5 is wrong (and so was DSM-IV).
The DSM system has never acknowledged a central position for mixed states; thus, mixed depressions have been almost completely neglected for decades. Now, DSM-5 is proposing diagnostic criteria for depression with mixed features that will lead to more misdiagnosis and inadequate treatment of this syndrome. Different criteria, based on empirically stronger evidence than exists for the DSM-5 crit...
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ژورنال
عنوان ژورنال: New England Journal of Medicine
سال: 2012
ISSN: 0028-4793,1533-4406
DOI: 10.1056/nejmp1201794