Coentro M J
Schweiz Arch Neurol Neurochir Psychiatr. 1980;127(1):105-15.
The author introduces his subject by giving a synthetic definition of the depressive states and of the psychoanalytical concept of a depressive personality; a brief reference is made on the subject of precipitating factors and the general psychodynamic consequences found in depressive states. Various clinical and dynamic aspects of depression are then observed, following specific personality structures and more so in borderline patients; the author shows how through a metapsychological approach, a differential diagnosis between melancholia and schizophrenic depression can be made. The author concludes that there is no continuity between the various depressive states; that is to say that if identical psychodynamic processes are in play, the semiological differences are the consequences of the underlying personality structure.
作者通过对抑郁状态和抑郁性人格的精神分析概念给出综合定义来引入主题；简要提及了促发因素以及在抑郁状态中发现的一般心理动力学后果。接着，按照特定的人格结构，尤其是边缘型患者，观察了抑郁症的各种临床和动力学方面；作者展示了如何通过元心理学方法对忧郁症和精神分裂症性抑郁症进行鉴别诊断。作者得出结论，各种抑郁状态之间不存在连续性；也就是说，如果相同的心理动力学过程在起作用，症状学上的差异是潜在人格结构的结果。
