By Michael Rosenbluth, Sidney H. Kennedy, R. Michael Bagby
Melancholy and character: Conceptual and medical demanding situations deals an interesting new examine the place we're in knowing the connection among character dimensions, issues, and temper affliction. it's either a cogent replace of conceptual versions and a basically written, useful advisor to the demanding situations confronted each day by way of clinicians as they deal with sufferers with melancholy and bipolar disease. Laying the basis for next chapters, the editors emphasize the worth of not just strong pharmacotherapy augmented by means of psychosocial interventions (with a spotlight at the resources instead of the liabilities of a patient's temperament), but additionally of an in depth overview of the place we're this present day. An introductory evaluate presents important ancient standpoint at the evolution of character from "humors" to physique structure and temperament. In 10 informative chapters, 22 members talk about -The neurobiological dimensions of character, targeting affect-related features as they overview the facts for serotonin and norepinephrine disturbance in keeping with problem paradigms, and the variety of types to appreciate the interrelationship among character and melancholy. -The justification for depressive character in either express phrases, i.e., including to the diagnostic armamentarium of DSM-V, and dimensional phrases, targeting the 5 issue version to supply a hyperlink among numerous aspects of neuroticism and depressive character sickness. -The effect of character on numerous facets of remedy, filling in a spot within the pharmacotherapy literature by means of saying that character pathology can have an effect on the patient's skill to hunt, be engaged in, or be compliant with remedy. -Key overview and remedy concerns, recommending a multimodal phased remedy procedure that consists of exact pharmacotherapy and built-in person psychotherapy. -The position of character illness within the evaluate and therapy of continual melancholy, with a concise, useful evaluate of drugs and psychotherapy concerns in regards to the position of Axis II issues, and the advanced courting among bipolar affliction and character components. -The complexity taken with adolescent melancholy with character sickness, delivering a conceptual framework for figuring out what elements of character give a contribution to vulnerability for melancholy in kids, and melancholy in later existence, together with really suitable matters comparable to the position of actual disorder and natural components at the medical presentation of character and affective affliction priceless examining for clinicians and researchers alike, melancholy and character: Conceptual and scientific demanding situations bargains interesting views at the old antecedents, neurobiological dimensions, and conceptual versions in regards to the dating among character and melancholy.
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Extra info for Depression And Personality: Conceptual And Clinical Challenges
Translated and edited by Strachey J. London, Hogarth Press, 1964, pp 1–182 Gall FJ: On the Organ of the Moral Qualities and Intellectual Faculties in the Plurality of the Cerebral Organs. Boston, MA, Marsh, Copen, & Lyon, 1835 Gosling FG: Before Freud. Urbana, IL, University of Illinois Press, 1987 Hooton EA: Crime and the Man. Cambridge, MA, Harvard University Press, 1939 Kagan J: Galen’s Prophecy. New York, Basic Books, 1994 Kagan J: Childhood predictors of states of anxiety. Dialogues in Clinical Neuroscience 4:287–292, 2002 Kagan J, Snidman N: The Long Shadow of Temperament.
On the basis mainly of its pattern of responsiveness to TCAs and SSRIs (for a review, see Kocsis 2003), dysthymia appears to have a similar neurobiological profile to major depression in terms of noradrenergic and serotonergic dysfunction. Pharmacologic challenge with the 5-HT agonists m-chlorophenylpiperazine (m-CPP) and ipsapirone in subjects with major depression or dysthymia produced similar effects on neuroendocrine responsiveness, implicating a 5-HT receptor-mediated effect in both conditions (Riedel et al.
The balance among these “four humors,” which was always monitored by diet and climate, created a set of distinct personality types. Galen called four of these types sanguine, melancholic, phlegmatic, and choleric (Siegel 1968). The ancient Chinese, by contrast, assumed a balance among types of energy rather than bodily humors. Because energy was always changing, a person’s moods and behaviors could not be permanent; therefore, the Chinese were less interested than the Greeks in positing personality types (Yosida 1973).