Wednesday, 1 September 2010

The exclusion of grief from depression as an example of acceptance

I think there's a 6 month exclusion criteria for grief so if a
bereaved person fits the cluster of symptoms for depression they're not
given antidepressants and told to cheer up. They may, perhaps, receive
specialist counselling but the diagnostic criteria itself current
excludes the period of sadness associated with the end of someone else's
life.

Society is willing to all people to grieve. It is normal. It is
acceptable. It is wrong to treat it as depression - but I'm not sure
why. There's a theory that some depression is a form of grief for the
loss of something. The loss may be internal and part of a change process
or it may be external (and could be an adjustment disorder).

Other cultures view the pathologisation of grief differently. In certain
Muslim cultures (from what I learned in the Religious Studies GCSE)
there is a cultural expectation - and a strong one - for the person to
wail and externalise their grief in manners that would be unacceptable
in Western cultures. They grieve intensely for a month and are supported
in it. But after a month that's it. Enough grief. Back to life. The
month is the period where the intensest feelings of grief are forced
out. Wailing for a dead loved one a month after their death is not
acceptable in this culture.

I'm not sure if they even use the Western psychiatric system in Islamic
countries so I don't know if they'd give a mourner antidepressants after
a month. I'm not sure if, in practice, doctors give antidepressants to
people who haven't stopped grieving six months later either.

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We It comes in part from an appreciation that no one can truly sign their own work. Everything is many influences coming together to the one moment where a work exists. The other is a begrudging acceptance that my work was never my own. There is another consciousness or non-corporeal entity that helps and harms me in everything I do. I am not I because of this force or entity. I am "we"