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Situational and Neurotic-Reactive Depression
Richard M. Glass, MD
Arch Gen Psychiatry. 1985;42(11):1126-1127.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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One of the critical tasks facing the clinical research "consumer" is the appropriate translation of the meaning of research results (usually based on averages or proportions from groups of patients) for the clinical encounter with an individual patient. As in literature, things sometimes get lost or distorted in the translation. Two articles in this issue of the ARCHIVES present research findings on the classification of depressive illnesses and provide a good illustration of this challenge for clinical readers.
Winokur1 reports that a family history of alcoholism is a validating factor for a diagnosis of "neurotic-reactive" depression, a type of unipolar depression for which he proposes specific diagnostic criteria largely based on a history of a stormy life-style and preexisting personality problems. Hirschfeld et al2 report that a group of patients with "situational" major depression, defined by the presence of an apparent precipitant for the illness episode,3 showed
. . . [Full Text PDF of this Article]
Author Affiliations
From the Department of Psychiatry, University of Chicago.
Footnotes
Accepted for publication July 19, 1985.
Reprint requests to Department of Psychiatry, University of Chicago, Box 411, 5841 S Maryland Ave, Chicago, IL 60637 (Dr Glass).
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