Beyond Depression: A new approach to understanding and management

Paperback | August 9, 2009

byChristopher Dowrick

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Is there an epidemic of depression sweeping the world, or are we radically altering our interpretation of normal human experiences? Do we need a dose of medication or a renewed sense of meaning?In this second edition of Beyond Depression, Christopher Dowrick - an academic general practitioner - takes a critical insider's look at commonly held views about the diagnosis and management of depression. He argues that our belief in depression as a medical condition is based on commercial,professional, organisational and cultural factors which combine to sustain the popularity of depression as a concept, which is based more on our values than on science.Based on the best contemporary evidence available, this second edition includes new research findings on the management of mild and recurrent depression, the possibility of a genetic basis to depression, and extended arguments on the limitations of screening, and the placebo effects ofantidepressant medication. The author considers alternative ways of understanding the thoughts and feelings that we currently describe as depression, drawing on cross-cultural, religious, political and literary sources. He proposes a conceptual framework that provides a means of moving beyond depression as a medical conceptand as a personal problem. When applied to encounters between doctors and patients in primary care it leads us towards enabling narratives, with an emphasis on listening and understanding rather than diagnosis and prescription.Beyond Depression combines a comprehensive analysis of current scientific evidence with an impressive review of linguistic, literary and philosophical perspectives. Moving seamlessly between controlled trials and Camus, from prescribing to Proust, the book is informed throughout by a series ofsensitive case studies drawn from the author's personal experience.

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Is there an epidemic of depression sweeping the world, or are we radically altering our interpretation of normal human experiences? Do we need a dose of medication or a renewed sense of meaning?In this second edition of Beyond Depression, Christopher Dowrick - an academic general practitioner - takes a critical insider's look at common...

Christopher Dowrick is Professor of Primary Medical Care in the University of Liverpool, and a general practitioner with the Aintree Park Group Practice. He is a Senior Investigator with the National Institute for Health Research in England, and a Professorial Fellow with the University of Melbourne, Australia. He is editor of the int...

other books by Christopher Dowrick

Format:PaperbackDimensions:250 pagesPublished:August 9, 2009Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0199545294

ISBN - 13:9780199545292

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Table of Contents

1. Points of Departure2. Depression as a Medical Condition3. Disputed diagnoses4. Drivers to Diagnosis5. Broadening the Mind6. Coherence and engagement7. Encounters in Primary Care

Editorial Reviews

"Christopher Dowrick's thoughtful, sensitive and sometimes poetic book makes a good case for supposing that the present, perceived, epidemic of depression deprives from causes more closely related to the 'ecology' of our profession than the condition of our patients." --Journal of the Royal Society of Medicine, Vol 97 December 2004