2. General symptoms
Trouble with concentration and
memory.
Feelings of guilt about
inconsequential events.
Insomnia or excessive sleepiness.
Feelings of hopelessness and
worthlessness.
Withdrawal from activities and
interests.
2
3. General symptoms
Decreased interactions with family
and friends.
Decreased work productivity.
Decreased relationship with
coworkers.
Changes in bowel habits.
Weight loss or gain.
Decreased libido (sexual drive).
Slowed speech and/or motor
activity.
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4. Endogenous Depression
Cluster Symptoms
A typical symptom cluster for endogenous
depression includes:
• Retardation of thought and motion (thinks
in "slow motion").
• Substantial weight loss due to very poor
appetite.
• Feeling that depression "crept upon him"
and "came out of the blue."
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5. Endogenous Depression
Cluster Symptoms(contd)
• Feeling that depression "crept upon
him" and "came out of the blue."
• Wakes very early in the morning and
can't get back to sleep.
• Feels worse in the morning and
improves as the day goes on.
• Does not react to the environment.
5
6. Endogenous Depression
Cluster Symptoms(contd)
• Wakes very early in the morning and
can't get back to sleep.
• Feels worse in the morning and
improves as the day goes on.
• Does not react to the environment.
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7. Exogenous Depression
Cluster Symptoms
A typical symptom cluster for
exogenous depression includes:
• Precipitating event.
• Trouble getting to sleep at night.
• Feeling fine in the morning and
getting worse as the day goes on.
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8. Exogenous Depression
Cluster Symptoms(contd)
• Weight loss of less than 10
pounds.
• Reaction to the environment--if
the person is with an "up" crowd,
he will seem to come out of his
depression for a while.
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10. INTRODUCTION
The unitary or single-disorder position usually is linked to
the work of Aubrey Lewis in England in the 1930s (Beck,
1967).
Lewis is described as
introducing the spectrum conception to the study of
depression, which holds that
the different presentations of depression, in terms of
scope and severity, are
merely varying surface manifestations of a continuous,
single, underlying
disorder.
11. The binary or two-disorder position can be traced to the
work of
Kraepelin (1921), who identified two distinct and
separate types of depression,
which he named manic-depressive illness, and
psychogenic depression.