Posted by River1924 on July 10, 2006, at 12:38:04
In reply to Re: Level 3 Results of STAR*D announced » linkadge, posted by SLS on July 10, 2006, at 5:21:26
To go back to a far earlier point, the phrase "treatment resistant depression" seems to imply some fault on the patient. I think, "treatment deficient depression" would be more accurate. Or "unresolved depression." For me, when I'm depressed, it is my depression. (Unlike an infection, which I would not call "my" infection..."; depression is subjective and intimate.) I know if I am completely logical, the phrase treatment resistant depression isn't supposed to be a judgement but when I was very depressed, I took it that way. I didn't feel depressed. I was depressed. Depression was me. I felt defective and the phrase "treatment resistant" only emphasized (to me) that I was at fault.
Plus, it takes a very empathetic and astute and self-aware doctor not take it personally if his patient doesn't respond to treatment. The doc may be unable to help and feel frustrated and it is very easy to just start pulling away emotionally from the patient. To me that is human nature and really can't be helped. But, when I am depressed, I pick that up and "assume" his frustration indicates that I am lazy, or unmotivated, etc etc...
Although almost ten years old, I think this book might be relevant to this discussion.
"I.D.: How Heredity and Experience Make You Who You Are (Hardcover)"
by Winifred Gallagher