Canadian Psychiatric Association

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Editorial
Mood Disorders—New Definitions, New Treament Directions
Paul Grof
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In Review
"Cade's Disease" and Beyond: Misdiagnosis, Antidepressant Use, and a Proposed Definition for Bipolar Spectrum Disorder
S Nassir Ghaemi, James Y Ko, Frederick K Goodwin
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The Neurobiology of Bipolar Disorder: Focus on Signal Transduction Pathways and the Regulation of Gene Expression
Yarema Bezchlibnyk, L Trevor Young

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Original Research
Major Depression and Its Association With Long-Term Medical Conditions

Lisa M Gagnon, Scott B Patten

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Seasonal Affective Disorders: Relevance of Icelandic and Icelandic-Canadian Evidence to Etiologic Hypotheses
Jóhann Axelsson, Jón G Stefànsson, Andrés Magnússon, Helgi Sigvaldason, Mikael M Karlsson

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Canadian Psychiatric Inpatient Religious Commitment: An Association With Mental Health
Marilyn Baetz, David B Larson, Gene Marcoux, Rudy Bowen, Ron Griffin

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The Moderating Effects of Coping Strategies on Major Depression in the General Population
JianLi Wang, Scott B Patten

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Antidepressant Side Effects in Depression Patients Treated in A Naturalistic Setting: A Study of Bupropion, Moclobemide, Paroxetine, Sertraline, and Venlafaxine
JD Vanderkooy, Sidney H Kennedy, R Michael Bagby

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Treatment Delays for Involuntary Psychiatric Patients Associated With Reviews of Treatment Capacity
Michelle Kelly, Sandra Dunbar, John E Gray, Richard L O'Reilly

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Book Reviews
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Books Received

Letters to the Editor
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Letters to the Editor

DAD = DSM-IV 296.23

Dear Editor:

Psychiatry for the last 100 years has been working toward more precise definitions of illness, which will aid communication among mental health professionals and other interested parties. When used as part of a diagnostic term, words that have colloquial meaning, such as “depression,” create an obstacle—especially for the patient. Due to misunderstanding, patients with major depression are bombarded by family, friends, and colleagues with statements like “I have been depressed and pulled myself out of it—why can’t you?” The family and the community at large do not listen to and do not comprehend the qualifier. “Depression” has been avoided well in the terms “adjustment reaction” and “seasonal affective disorder” (SAD). No one views AIDS or attention deficit disorder (ADD) as relating to their own experience: they do not to berate the sufferers with these conditions to “snap out of it.”

To avoid the negative feedback patients with depression experience, I wish to propose the term “dysfunctional affective disorder” (DAD), equivalent to DSM-IV 296.23

It would, I think, more effectively achieve acceptance for patients with this condition, instead of criticism and rejection. Community-wide education about major depression has not as yet had significant effects.

AM McFarthing, MB, BS, DPM, MRCPsych
Sudbury, Ontario