Author:
Rayapoullé Alexis,de Chassey Marine,Benoit Laelia,Hassler Christine,Falissard Bruno
Abstract
AbstractAfter decades of controversy, the concept of childhood depression now seems to be part of standard medical knowledge. Yet the form and content of this nosological entity, like many psychiatric diseases, is continuously shaped by the scientific, clinical, and political communities involved in child psychiatry. In this qualitative study, we explored how the concept of childhood depression is constructed in early twenty-first century child psychiatry. We conducted a series of 18 interviews with practising child psychiatrists, international experts in the field, and interpreted them with thematic analysis informed by discourse analysis. We identified five overarching discourse themes across interviews, relating to the definition of depression, the diagnostic process, the causes of this condition, the therapeutic strategy, and the scientific role of child psychiatry. Most participants agreed that childhood depression was a mental disorder where irritability prevailed, heavily influenced by psychosocial factors, and for which psychotherapy was the ideal treatment. However, subtle points of dissent also surfaced: whether depression is primarily a mood state or psychological suffering, whether categories or dimensions are more suitable to make the diagnosis, and whether there is a genetic predisposition were some of the most controversial topics. Theoretical considerations regarding childhood depression may have significant scientific, moral, and socio-political implications beyond child psychiatry and should be addressed appropriately.
Publisher
Springer Science and Business Media LLC
Subject
Psychiatry and Mental health,Developmental and Educational Psychology,General Medicine,Pediatrics, Perinatology and Child Health
Reference46 articles.
1. World Health Organization (2023) Depressive disorder (depression). https://www.who.int/news-room/fact-sheets/detail/depression. Accessed 22 Mar 2023
2. James W (1995) Pragmatism. Dover Publications, New York
3. Fleck L, Trenn TJ, Merton RK, et al (2008) Genesis and development of a scientific fact, Repr. 11. Aufl. Univ. of Chicago Press, Chicago [u.a]
4. Horwitz AV, Wakefield JC (2007) The Loss of Sadness: How Psychiatry Transformed Normal Sorrow Into Depressive Disorder, 1. paperback issue. Oxford Univ. Press, Oxford
5. American Psychiatric Association (1952) Diagnostic and Statistical Manual of Mental Disorders, DSM-1. American Psychiatric Association Publishing