Bertagna L
Encephale. 1981;7(4 Suppl):551-6.
There exist between depressions and organic disorders both structural and fortuitous relationships. Psychiatrists must know the former and non-psychiatrists must be suspicious of the latter. It is to be noticed that serious and mainly deadly diseases bring about the cure of current depressions and prevent, even in the case of patients showing a predisposition to them, the development of depressions that would still seem to be justified. Non-psychiatrists will often adopt, as regards depression, two opposite attitudes whose consequences may be serious: whether they unduly take the psychiatric approach to treat the organic ailments, or whether they ignore or deny the depressive fact and the therapeutic necessities. This communication will indicate precise cases when this double misunderstanding had had, or might have had tragic consequences.
抑郁症与器质性疾病之间存在着结构上的和偶然的关系。精神科医生必须了解前者，而非精神科医生则必须对后者保持怀疑。需要注意的是，严重的、主要是致命的疾病会使当前的抑郁症得到治愈，并且即使在有抑郁症倾向的患者中，也能预防本可能发生的抑郁症。非精神科医生在对待抑郁症时，常常会采取两种相反的态度，而这两种态度可能会带来严重后果：他们要么过度采用精神科的方法来治疗器质性疾病，要么忽视或否认抑郁这一事实以及治疗的必要性。本交流将指出在哪些确切情况下，这种双重误解已经或可能产生了悲剧性后果。
