The Pragmatic Classification of Depression

Blinder, Martin

doi:10.1176/ajp.123.3.259

Cited by 18 publications

(4 citation statements)

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“…(Kahn, 1955, p. 395)The modern taxonomy adopted by the American Psychiatric Association is a direct descendant of the old Kraepelinian classification of mental disorders as definite disease entities. (Blinder, 1966, p. 259)The definition of terms in the new nomenclature are largely descriptive. … In addition to the classical descriptive material, however, the revised nomenclature includes in its definitions a certain amount of psychodynamic theory as to the nature and origin of the conditions described.…”

Section: Dsm-i Was Not a Psychoanalytic Classificationmentioning

confidence: 99%

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Re-evaluating DSM-I

Cooper

Blashfield

2015

Psychol. Med.

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The DSM-I is currently viewed as a psychoanalytic classification, and therefore unimportant. There are four reasons to challenge the belief that DSM-I was a psychoanalytic system. First, psychoanalysts were a minority on the committee that created DSM-I. Second, psychoanalysts of the time did not use DSM-I. Third, DSM-I was as infused with Kraepelinian concepts as it was with psychoanalytic concepts. Fourth, contemporary writers who commented on DSM-I did not perceive it as psychoanalytic. The first edition of the DSM arose from a blending of concepts from the Statistical Manual for the Use of Hospitals of Mental Diseases, the military psychiatric classifications developed during World War II, and the International Classification of Diseases (6th edition). As a consensual, clinically oriented classification, DSM-I was popular, leading to 20 printings and international recognition. From the perspective inherent in this paper, the continuities between classifications from the first half of the 20th century and the systems developed in the second half (e.g. DSM-III to DSM-5) become more visible.

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Section: Dsm-i Was Not a Psychoanalytic Classificationmentioning

confidence: 99%

“…The modern taxonomy adopted by the American Psychiatric Association is a direct descendant of the old Kraepelinian classification of mental disorders as definite disease entities. (Blinder, 1966, p. 259)…”

Section: Dsm-i Was Not a Psychoanalytic Classificationmentioning

confidence: 99%

Re-evaluating DSM-I

Cooper

Blashfield

2015

Psychol. Med.

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“…At a time of life when physical decline and the presence of disease are increasingly observed, the interpretation of somatic symptoms may be confusing. Blinder (51) offers several clinical criteria for distinguishing depression preceding physical illness from other types of depression. The primary affective disturbance shows labile mood, and is often of gradual onset with no apparent precipitant.…”

Section: On Making a Clinical Diagnosis Of Depression In The Elderlymentioning

confidence: 99%

Depression in the Elderly. II. Possible Drug Etiologies; Differential Diagnostic Criteria*

Salzman

Shader

1978

J American Geriatrics Society

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Drugs for the treatment of various medical or psychiatric disorders may sometimes cause or exacerbate depression in the elderly. Drug interactions due to polypharmacy (a common method of prescribing for aged patients) may also play a role the genesis of depression. The roles of specific drugs and of drug interactions are reviewed. Criteria for the diagnosis of depression in the elderly, as well as differential diagnostic guidelines, are presented and constructive suggestions offered.

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“…But at bottom the dispute (which could as readily have been about 'anxiety' as about 'depression') turned on discrepant notions regarding the principles and method of psychiatric classification, as well as on assumptions about a necessary association between causes, clinical picture, pathology, course ('natural history'), and response to treatment. In the present decade American writers (Friedman, Cowitz, Cohen, and Granick, 1963;Blinder, 1966;Rosenthal and Gudeman, 1967;Mendels, 1968) have joined in the fray, which has become a lively field of Anglo-American interest, mostly using statistical methods, as in Kcndcirs recent monograph (1968).…”

Section: A Semantic Disputementioning

confidence: 99%