Bandini Julia
a Department of Sociology , Brandeis University , Waltham , Massachusetts , USA.
Death Stud. 2015;39(6):347-52. doi: 10.1080/07481187.2014.951498. Epub 2015 Apr 23.
This article examines the recently published changes to eliminate the bereavement exclusion (BE) from the criteria for the diagnosis of major depression in the fifth edition of the Diagnostic and Statistical Manual (DSM-5). Numerous scholars and critics have expressed concerns by calling these changes a "medicalization" of grief. This article first considers the removal of the BE and then examines the macrolevel and microlevel consequences of this medicalization of grief, including overdiagnosis and overtreatment, a potential expanded market for pharmaceutical companies, and the loss of traditional and cultural methods of adapting to the loss of a loved one.
本文探讨了近期发布的对《精神疾病诊断与统计手册》（DSM-5）第五版中重度抑郁症诊断标准的修改，以消除丧亲排除条款（BE）。众多学者和批评者对这些修改表示担忧，称其为悲伤的“医学化”。本文首先考虑了BE的去除，然后审视了悲伤医学化在宏观和微观层面的后果，包括过度诊断和过度治疗、制药公司潜在的市场扩大，以及适应亲人离世的传统和文化方法的丧失。
