Depressions black and blue: changing the Zeitgeist

Gordon B Parker
Med J Aust 2003; 179 (7): . || doi: 10.5694/j.1326-5377.2003.tb05585.x
Published online: 6 October 2003

A new model of depression with meaningful subtypes will avoid simplistic treatments

When you hear the term “major depression”, you imagine a clinically meaningful entity. Think “pseudoentity”, know “paradigm failure”.1 If I took my tegument for dermatological inspection, a diagnosis of “major” or “minor” blotches would be uninformative. I would need more categorical information (eg, freckle, melanoma) to make rational treatment choices. However, non-specificity now rules in depression modelling and treatment.

  • Gordon B Parker

  • Black Dog Institute, Prince of Wales Hospital, Randwick, NSW.



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