This book provides a comprehensive review of melancholia as a severe disorder of mood, associated with suicide, psychosis, and catatonia. The syndrome is defined with a clear diagnosis, prognosis, and range of management strategies. It challenges accepted doctrines and describes melancholia as a treatable and preventable mental illness.
It has long been accepted that depressive disorders comprise a biologically-based type, the so-called 'endogenous' or 'melancholic' depression, and a residual set of depressive conditions resulting from social factors. The difficulty has been in distinguishing the melancholic type of depression on the basis of clinical features. This book describes the development of a behavioral sign-based approach, the CORE system, and demonstrates its superiority to previous symptom-based diagnostic systems for depression. The authors suggest that the psychomotor signs elicited may indicate the likely pathogenesis of melancholic depression, involving the basal ganglia and connections to the frontal cortex. This is therefore a challenging new account of the classification and neurobiology of depression, that is certain to interest all clinicians involved in the evaluation or treatment of such patients. The CORE measure itself is incorporated as an appendix.
Depression is an experience known to millions. But arguments rage on aspects of its definition and its impact on societies present and past: do drugs work, or are they merely placebos? Is the depression we have today merely a construct of the pharmaceutical industry? Is depression under- or over-diagnosed? Should we be paying for expensive 'talking cure' treatments like psychoanalysis or Cognitive Behavioural Therapy? Here, Clark Lawlor argues that understanding the history of depression is important to understanding its present conflicted status and definition. While it is true that our modern understanding of the word 'depression' was formed in the late nineteenth and early twentieth centuries, the condition was originally known as melancholia, and characterised by core symptoms of chronic causeless sadness and fear. Beginning in the Classical period, and moving on to the present, Lawlor shows both continuities and discontinuities in the understanding of what we now call depression, and in the way it has been represented in literature and art. Different cultures defined and constructed melancholy and depression in ways sometimes so different as to be almost unrecognisable. Even the present is still a dynamic history, in the sense that the 'new' form of depression, defined in the 1980s and treated by drugs like Prozac, is under attack by many theories that reject the biomedical model and demand a more humanistic idea of depression - one that perhaps returns us to a form of melancholy.
A thoughtful, nuanced portrait of Abraham Lincoln that finds his legendary political strengths rooted in his most personal struggles. Giving shape to the deep depression that pervaded Lincoln's adult life, Joshua Wolf Shenk's Lincoln's Melancholy reveals how this illness influenced both the president's character and his leadership. Lincoln forged a hard path toward mental health from the time he was a young man. Shenk draws from historical record, interviews with Lincoln scholars, and contemporary research on depression to understand the nature of his unhappiness. In the process, he discovers that the President's coping strategies--among them, a rich sense of humor and a tendency toward quiet reflection--ultimately helped him to lead the nation through its greatest turmoil.
The New Black is Darian Leader's compassionate and illuminating exploration of melancholy What happens when we lose someone we love? A death, a separation or the break-up of a relationship are some of the hardest times we have to live through. We may fall into a nightmare of depression, lose the will to live and see no hope for the future. What matters at this crucial point is whether or not we are able to mourn. In this important and groundbreaking book, acclaimed psychoanalyst and writer Darian Leader urges us to look beyond the catch-all concept of depression to explore the deeper, unconscious ways in which we respond to the experience of loss. In so doing, we can loosen the grip it may have upon our lives. 'His orthodox, psychoanalytical approach, produces an unpredictable, occasionally brilliant book. The New Black is a mixture of Freudian text, clinical assessments and Leader's own brand of gentle wisdom'Herald 'Compelling and important . . . an engrossing and wise book'Hanif Kureishi 'There are many self-help books on the market . . . The New Black is a book that might actually help'Independent Darian Leader is a psychoanalyst practising in London and a member of the Centre for Freudian Analysis and Research and of the College of Psychoanalysts - UK. He is the author of The New Black, Strictly Bipolar, Why do women write more letters than they post?, Promises lovers make when it gets late, Freud's Footnotes and Stealing the Mona Lisa, and co-author, with David Corfield, of Why Do People Get Ill? He is Honorary Visiting Professor in the School of Human and Life Sciences, Roehampton University.
This study addresses melancholia, examining the phenomenon in the context of art, literature, philosophy and the history of religion and culture, as well as psychoanalysis. It describes the depressive as one who perceives the sense of self as a crucial pursuit which is almost unobtainable.
An impressive study that prompts the reader toward philosophical reflection on the hermeneutics of melancholy in its relation to maturing theological understanding and cultivation of a profound self-consciousness. Melancholy has been interpreted as a deadly sin or demonic temptation to non-being, yet its history of interpretation reveals a progressive coming to terms with the dark mood that ultimately unveils it as the self's own ground and a trace of the abysmal nature of God. The book advances two provocative claims: that far from being a contingent condition, melancholy has been progressively acknowledged as constitutive of subjectivity as such, a trace of divine otherness and pathos, and that the effort to transcend melancholy-like Perseus vanquishing Medusa-is a necessary labor of maturing self-consciousness. Reductive attempts to eliminate it, besides being dangerously utopian, risk overcoming the labor of the soul that makes us human. This study sets forth a rigorous scholarly argument that spans several disciplines, including philosophy, theology, psychology, and literary studies.
In Racial Melancholia, Racial Dissociation critic David L. Eng and psychotherapist Shinhee Han draw on case histories from the mid-1990s to the present to explore the social and psychic predicaments of Asian American young adults from Generation X to Generation Y. Combining critical race theory with several strands of psychoanalytic thought, they develop the concepts of racial melancholia and racial dissociation to investigate changing processes of loss associated with immigration, displacement, diaspora, and assimilation. These case studies of first- and second-generation Asian Americans deal with a range of difficulties, from depression, suicide, and the politics of coming out to broader issues of the model minority stereotype, transnational adoption, parachute children, colorblind discourses in the United States, and the rise of Asia under globalization. Throughout, Eng and Han link psychoanalysis to larger structural and historical phenomena, illuminating how the study of psychic processes of individuals can inform investigations of race, sexuality, and immigration while creating a more sustained conversation about the social lives of Asian Americans and Asians in the diaspora.