Depression of exhaustion. Kielholz on Neurotic Depression

Of great interest is the work of Kjelholz (1959), devoted to depressive states. Along with other types of depression, the author identifies neurotic, which he includes in psychogenic and considers it as a depressive state with neurosis. He also distinguishes “depression of exhaustion”, which is based on pathological depressive development resulting from prolonged emotional overstrain. “Depression of exhaustion” is a simple depressive pathological development that occurs as a result of years of emotional overstrain or with repeated repetitive aggravating personality affective irritations. Persons suffering from depression of exhaustion, characterized by introversion with a certain amount of ambition, vanity and a desire for completeness, completeness. More often, women fall ill (82% according to the observations of the author), aged 30 to 50 years. A history of affective and intellectual exorbitant workload lasting for years is noted. Kielholz (1959) believes that the fight against emotional stress and returning affective stimuli is carried out consciously, so depression is understandable and vital. In women, pathogenetic factors are love conflicts, family or marital stress, fatigue from homework, the problem of raising children and financial difficulties. Men often have professional conflicts associated with family and financial difficulties. 1 Depression of exhaustion is close to neurotic depression in the sense of Volkel (1959). The author identifies three stages or three phases in the development of depression of exhaustion: the first “neurasthenic” or “prodromal” is characterized by increased fatigue, impaired falling asleep, and affective excitability. It can last for years and goes into the “psychosomatic” phase, represented mainly by numerous disorders of autonomic regulation. It resembles the stage of “somatic complaints” that we distinguish, which is also represented mainly by vegetative disorders. The third phase is “actually depressive.” Her clinic is manifested by a fearful-depressive mood, a concentration of thoughts on the long-existing “blows of the outside world.” The long duration of a depressive state or “additional emotional pressure” can lead, in the author’s opinion, to “secondary vitalization”. A follow-up study after a number of years shows a generally favorable prognosis. In recent years, the term neurotic depression is often found in works on the effectiveness of therapy for depressive conditions. Most authors are inclined to believe that despite the relative ease and wear and tear of simpomania, completeness. More often, women fall ill (82% according to the observations of the author), aged 30 to 50 years. A history of affective and intellectual exorbitant workload lasting for years is noted. Kielholz (1959) believes that the fight against emotional stress and returning affective stimuli is carried out consciously, so depression is understandable and vital. In women, pathogenetic factors are love conflicts, family or marital stress, fatigue from homework, the problem of raising children and financial difficulties. Men often have professional conflicts associated with family and financial difficulties. 1 Depression of exhaustion is close to neurotic depression in the sense of Volkel (1959). The author identifies three stages or three phases in the development of depression of exhaustion: the first “neurasthenic” or “prodromal” is characterized by increased fatigue, impaired falling asleep, and affective excitability. It can last for years and goes into the “psychosomatic” phase, represented mainly by numerous disorders of autonomic regulation. It resembles the stage of “somatic complaints” that we distinguish, which is also represented mainly by vegetative disorders. The third phase is “actually depressive.” Her clinic appears fearfullydepressed mood, concentration of thoughts on the long-existing “blows of the outside world”. The long duration of a depressive state or “additional emotional pressure” can lead, in the author’s opinion, to “secondary vitalization”. A follow-up study after a number of years shows a generally favorable prognosis. In recent years, the term neurotic depression is often found in works on the effectiveness of therapy for depressive conditions. Most authors are inclined to believe that despite the relative ease and attrition of symptoms, the effectiveness of antidepressant therapy does not directly correlate with this … Everyone comes to an almost unanimous opinion that antidepressants, such as tofranil, marcelide and related drugs, are ineffective , tranquilizers and light stimulants give the best result.