Mourning and Melancholia revisited: A new approach to Intractable Depression

Mourning and Melancholia revisited: A new approach to Intractable Depression

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My aim, in this brief talk, is to suggest that a major form of intractable depression may be approached by using the fundamental ideas in Freud’s seminal essay or a different way may lead to considerable benefit in a group of patients at risk for a permanent kind of disablement, or partial disablement.

“…Psychotherapy as a public issue. We are considering the role of psychotherapy in fulfilling significant community needs. A case can be made for the view that our most important task may be dealing with intractable depression.

The World Health Organisation has predicted that depression is likely, in a few years time, to impose a greater burden than any other illness upon the world community. This is so despite the enormous amount of money spent on anti-depressant medication. Since this medication has a demonstrable effect the problem must lie in the burden imposed by those depressive illnesses which are resistant to medicationRusssell Meares 2006

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