Levy Yeyati Elena
Doctora en Medicina de la Universidad de Buenos Aires. Profesora del Instituto Superior de Médico Especialista en Psiquiatría (APSA). Miembro de la Escuela de la Orientación Lacaniana (EOL). E-mail:
Vertex. 2022 Jun;33(156):51-55. doi: 10.53680/vertex.v33i156.179.
Grief is a normal response following the death of a beloved one. Prolonged grief disorder is defined when grief is intense and has persisted for an atypically long period of time; more than 6 months (ICD-11) or more than 12 months (DSM- 5TR). This article discusses the conceptual distance between this new disorder and that of classical descriptions, as considered in a distinct Section of the DSM-5. These differences suggest disagreements among different working groups for disorders. Freud's perspective on mourning and melancholia (mayor depression disorder) pertains also to a classical scope. The grief work is exemplified with an autobiographical case, that illustrates how borders between normal and pathological grief are blurred. Although a new disorder might assist an ever longer-lived population that becomes widow, the risk is the medicalization of grief.
悲伤是亲人离世后的正常反应。当悲伤情绪强烈且持续时间异常长久时,即被定义为持续性悲伤障碍;超过6个月(《国际疾病分类第11版》)或超过12个月(《精神疾病诊断与统计手册第5版修订版》)。本文探讨了这种新疾病与经典描述之间的概念差异,这在《精神疾病诊断与统计手册第5版》的一个单独章节中有相关考量。这些差异表明不同工作组在疾病问题上存在分歧。弗洛伊德关于哀悼与忧郁症(重度抑郁症)的观点也属于经典范畴。文中通过一个自传式案例阐述了悲伤过程,该案例说明了正常悲伤与病理性悲伤之间的界限是如何模糊的。尽管一种新疾病可能有助于应对日益增多的寡妇群体,但风险在于悲伤被医学化。