Depression and demoralization: phenomenologic differences and research perspectives.

Autor: de Figueiredo JM; Department of Psychiatry, Yale University School of Medicine, New Haven, CT.
Jazyk: angličtina
Zdroj: Comprehensive psychiatry [Compr Psychiatry] 1993 Sep-Oct; Vol. 34 (5), pp. 308-11.
DOI: 10.1016/0010-440x(93)90016-w
Abstrakt: Demoralization may be viewed as a combination of distress and subjective incompetence. The main problem in demoralization is the sense of incompetence experienced by the demoralized individual; this sense of incompetence results from uncertainty as to the appropriate direction of action. By contrast, the major difficulty in endogenomorphic depression is a decreased magnitude of motivation even when the appropriate direction of action is known. This distinction is important not only because demoralization appears to be a major public health problem, but also because subjective incompetence appears to influence the course and worsen the prognosis of both nonpsychiatric and psychiatric disorders.
Databáze: MEDLINE