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Salud colectiva

Print version ISSN 1669-2381On-line version ISSN 1851-8265


OBAID, Francisco Pizarro  and  ALBAGLI, Rodrigo De La Fabián. A critical analysis of debates on grief and depressive disorder in the age of the Diagnostic and Statistical Manual of Mental Disorders. Salud colect. [online]. 2019, vol.15, e2319. ISSN 1669-2381.

Since the incorporation of the major depressive disorder in the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) in 1980, and until its update in the DSM-IV-TR, the DSM classification system considered it necessary to include the criterion of “bereavement exclusion”, with the aim of differentiating normal sadness linked to a loss, from a mental disorder, such as the major depressive disorder. In its latest version (DSM-5), this exception was removed, giving rise to a controversy that continues to this day. The debate has set those who are in favor of maintaining this exclusion and extending it to other stressors against those who have intended to eradicate it. Our hypothesis is that these positions account for two qualitatively diverse clinical and epistemological matrices, linked to major transformations in health sciences and in psychiatry. We show that this debate involved a profound renewal of the meaning of psychiatric practice, a change in the function of diagnosis and in the way of conceiving the etiology of mental disorders, as well as a reformulation of the patient’s suffering status for the medical act.

Keywords : Mental Health; Major Depressive Disorder; Diagnostic and Statistical Manual of Mental Disorders.

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