The Social Origins of Depression and the Role of Meaning
The Social Origins of Depression and the Role of Meaning
This chapter discusses the role of social factors in ill health, with a particular focus on depression. Major life events increase the risk of most depressive disorders. In a longitudinal study carried out in the early 1980s of 400 mothers in Islington, 1 in 10 developed a depressive disorder within a year, and most of those had a severely threatening life event not long before. This chapter also summarises the three forms of meaning relevant for the aetiology of depression. First, the role-based meanings of severe events relate to traditional anthropological and sociological concerns. Second, the evolutionary-derived meanings show that the experience of humiliation following a severe event is critical in the development of depression. Finally, the memory-linked emotional schemas influence a person's vulnerability to events.
Keywords: ill health, depression, depressive disorders, role-based meanings, evolutionary-derived meanings, memory-linked emotional schemas
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