Social Determinants of Diagnostic Labels in Depression  

Oleh:

McPherson, Susan ; Armstrong, David

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 1 (Jan. 2006), page 50-58.
Topik: depression; depression; history of medicine; diagnostic labels; DSM; community care

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.1 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

The role of diagnostic labels in medicine is usually that of labelling an ilness as a means of communication. Control over labeling processes in medicine is ordinarily imposed via medical schools, textbooks, education or by diagnostic manuals. Diagnostic labels often change following new discoveries in underlying pathology such as consumption being relables as TB or cancer. Sub types of broad diagnostic labels also often emerge from such discoveries e.g. lung cancer or throat cancer. In mental health, underlying pathology is the subject of ongoing debate spanning ideas including the brain as a faulty organ, faulty genetics and environmental problems. With controversy over pathology comes controversy over labels and the idea that labels may be used not just for communication, but as devices of social and professional control, arising out os a social process. This study explores the codification of the diagnostic label depression which emerged its social determinants and context. Medline is used as a data source for profesional label usage. A range of depression sub type labels in professional use was identified. This exercise revealed many official and unofficial terms in professional use. Citation rate plots by year were then geenrated for these depression sub type labels. The rise and fall of different labels are examined in relation to social de4teminants and context, including publication of diagnostic manuals DSM and ICS, power shifts in psychitatry, the discovery of psychiatric drugs and the shift from inpatient of community care. Exploring the changing use of official and unofficial labels over time in this way provides a novel historiacal perspective on the concept of depression in the late twentieth century.

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