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Prospering for Depression: Why Do Scientists Ignore Good Results?



[The Conversation is an independent and not-for-profit source for news, analysis and commentary by academic experts.]

Jonathan Rottenberg, University of South Florida and Todd Kashdan, George Mason University

(THE CONVERSATION) In the wake of suicides By Kate Spade and Anthony Bourdain, we as a nation are newly sobered by depression for public health. Depression is a general mood regarded by the World Health Organization as a major cause of disability worldwide, ahead of well-known contenders such as cancer, heart disease and diabetes. If you read the news today, you will find that depression leads to self-harm and suicidal thoughts, drug overdoses, school shootings and clashes with the police. Can this darkest of all human weaknesses ever lead the way to something better?

What do clinicians know about redemption and personal growth after depression? How often does it happen? What causes it?

In an upcoming article that appears with our students in perspectives of psychological science, we drew a shocking conclusion: Experts have virtually nothing to say on this subject.

The consensus opinion in psychology, psychiatry and public health goes something like this: "Depression is a chronic and recurrent disease, with each depressive episode increasing the risk of future episodes," as Dr. Ruth says. David Solomon and colleagues from the National Institute of Mental Health formulated in 2000. Or as Saba Moussavi and colleagues from the World Health Organization wrote in the Lancet: "Without treatment, depression tends to be chronic, recurring, and associated with increasing disability over time." So you can summarize the thoughts of the world leading thinkers in a single sentence: Depression is a recurrent and chronic condition, even in the treatment is difficult to grasp.

In other words, the sci The pertinent literature makes it clear that once you've had depression, it's likely to knock you down and waste your good years (ironically, making pessimistic predictions could worsen people's depression). You will be hampered at work, your relationships will suffer and your happiness and purpose for life will be hampered.

Yes, depression can be a lifelong problem. However, as we delve deeper into the epidemiological findings, we also saw signs of better outcomes ̵

1; an aspect we found is rarely studied. In rare longitudinal studies that modeled the entire population, 40 to 60 percent of people who suffered from depression never experienced a recurrence, even if questioned years or even decades later.

Also Encouragingly, Of 2,528 Canadians In the past, at least one major depression was diagnosed, 39 percent now report a positive mental health, defined as no mental health problems last year, and a sense of life satisfaction almost daily for the last Month.

These glimmers suggest that a significant percentage of those who have depression can shake off and live on. This means that one lives better than the average person without depression, experiencing frequent positive emotions, good relationships, autonomy in thought and action, and meaningful goals. From Demi Lovato to Duane "The Rock" Johnson to Robert Downey Jr., we already have spectacular testimonials of thriving minds. The task for researchers is now to track these encouraging signs through systematic data collection on how people succeed after depression.

A key step for scientists will be to use clear definitions of well-being or welfare. collected in national population samples. For example, our newly proposed standard for thriving on depression includes nine different aspects of well-being, requiring that a person is free not only of the major symptoms of depression but also a well-being profile that exceeds 75 percent of non-depressive adults.

For some, depression is a bridge to something better, not an inevitable death sentence. For some, complete healing may simply take the passage of time. Others can achieve it through formal treatment. Still others may discover a new life content or a daily routine that works for them. Some people can thrive after being depressed for the first time; Others can only get there after several depressions.

The most exciting thing about illuminating different ways to thrive is that some can help the 300 million people who struggle with depression worldwide. The need to improve depression intervention is crucial because topical medications and psychotherapies, although the majority of patients help, often provide only partial relief of the symptoms; and sadly, most people who struggle with mood problems are still not treating.

The neglect of clinical scientists for depression thrives because survey data show that patients with depression seek more than the simple absence of stress and disorder. They want to love and be loved, engage in the present moment, bring joy and meaning, and do something that matters – something that makes the pain and setbacks of daily life worthwhile. Is not that the point of intervention to help people release their potential despite a mental disorder?

We have discovered that psychology and psychiatry have a blind spot for good results. This blind spot is bigger than the depression. It includes suicidal gestures, addictions, anxiety and eating disorders. It covers most major mental health problems. In all these cases, we even found the most basic estimates of how many people fully recover and thrive in their lives.

We believe that therapists and doctors should do more until this blind spot is filled in easily. People with treatment problems are routinely told that their condition has a bad prognosis. Unless we know how widespread flowering is, such statements are false, even offensive. They do not serve the patient well.

People need to see other people as they are, which is often different from our intuition, expert opinions, and the inner monologue that torments us when we experience the depths of depression or emotional distress. Not only is our new perspective on the potential for depression better suited to existing science, it is also more hopeful.

This article was originally published on The Conversation. Read the original article here: http://theconversation.com/threading-after-depression-why-are-scientists-ignoring-good-outcomes-98288.


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