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Editorial
Mood DisordersNew
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
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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 obstacleespecially 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 itwhy cant 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
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