Widakowich Christian
Clínica St Jean, Universidad Católica de Lovaina, Bélgica.
Vertex. 2016 Jan;27(125):56-60.
The concept of Typus Melancholicus has been proposed by German psychiatrist Hubertus Tellenbach (1914-1994) in 1960 to describe the pre-morbid personality of endogenous or melancholic depression. Thisentity shows distinctive personalitytraits: the order attachment, strong moral conscience, intolerance ambiguity and hypernomia-heteronomy. Tellenbach uses atypological and phenomenological approach allows the descriptionof styles, ways of being and becoming ill, with a vulnerability to specific situations (moving, pregnancy, career change). Melancholy would settle after the meeting between the Typus Melancholicus with a particular vulnerable situation. This clearly calls into question the classical idea that sees Kraepelinienne endogenous depression as a diseasede termined by heredity and lack of stressors. We propose to describe Tellenbach's concept, and to summarize the more recent empirical researches that valid the Typus Melancholicus as a phenotype for Melancholia.
“抑郁型人格”的概念由德国精神病学家胡贝图斯·特伦巴赫(1914 - 1994)于1960年提出,用于描述内源性或抑郁性抑郁症的病前人格。这种人格具有独特的人格特质:秩序依恋、强烈的道德良知、不容忍模糊性以及过度自律 - 他律性。特伦巴赫采用的类型学和现象学方法能够描述患病的风格、存在方式和患病过程,且易受特定情况(搬家、怀孕、职业变动)影响。抑郁会在抑郁型人格与特定易损情境相遇后出现。这显然对将克雷佩林式内源性抑郁症视为由遗传决定且缺乏应激源的疾病这一经典观念提出了质疑。我们建议描述特伦巴赫的概念,并总结最近验证抑郁型人格作为抑郁症表型的实证研究。