Background: Major depression is such a prevalent illness worldwide that practically everyone has either direct or indirect experience of it. It is important, then, from both practical and theoretical points of view, to examine this particular experience and related conceptions.
Aim: Drawing on the theory of social representations, this research set out to examine the ways in which people define depression in terms of the symptoms they attribute to people they know personally and consider to suffer from depression.
Method: A group of adult participants (n = 117) were instructed to think of an individual whom they knew personally and considered to suffer from depression, to indicate the age and gender of the person, and to describe his/her symptoms.
Results: A great majority of the female participants thought of a female, while the male participants thought of male and female target persons quite evenly. The symptoms attributed to depression with fair unanimity included fatigue and decreased capacity to work, to concentrate, to make decisions and to take part in hobbies. The descriptions of the depressive person were quite unanimously distinguished from the signal symptoms attaching to schizophrenia. The descriptions varied according to the characteristics of the target individuals, and their gender and age in particular, rather than the characteristics of the participants.
Conclusion: People have perceptive personal experiences of depression, which are guided by socially shared interpretative frameworks.
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References
1.
ADDIS, M. & MAHALIK, J. (2003) Men, masculinity, and the context of help seeking . American Psychologist, 58, 5-14 .
2.
ANGERMEYER, M. & MATSCHINGER, H. (1999) Lay beliefs about mental disorders: a comparison between western and eastern parts of Germany . Social Psychiatry & Epidemiology, 34, 275-281 .
3.
ARO, A. , NYBERG, N. , ABSETZ, P. , HENRIKSSON, M. & LONNGVIST, J. (2001) Depressive symptoms in middle-aged women are more strongly associated with physical health and social support than socioeconomic factors . Nordic Journal of Psychiatry, 55, 191-198 .
4.
AZUMA, H. & KASHIWAGI, K. (1987) Descriptors for an intelligent person: a Japanese study . Japanese Psychological Research, 29, 17-26 .
5.
BECK, A. , STEER, R. & GARBIN, M. (1988) Psychometric properties of the Beck Depression Inventory. Twenty-five years of evaluation . Clinical Psychological Review, 8, 77-100 .
6.
BRODY, L. , MUDERRISOGLU, S. & NAKASH-EISIKOVITS, O. (2002) Emotions, defences and gender. In The Psychodynamics of Gender and Gender Role (eds R. Bornstein & J. Masling ). Washington, DC: American Psychological Association .
7.
CATTEL, R. (1966) The Scree test for the number of factors . Multivariate Behavioral Research, 1, 140-161 .
8.
CASSANO, P. & FAVA, M. (2002) Depression and public health: an overview . Journal of Psychosomatic Research, 53, 849-857 .
9.
CHAN, D. & JACKSON, D. (1979) Implicit theory of psychopathology . Multivariate Behavioral Research, 14, 3-19 .
10.
DE ROSA, A.S. (1987) The social representations of mental illness in children and adults. In Current Issues in Social Psychology (eds W. Doise & S. Moscovici ). Cambridge: Cambridge University Press .
11.
DEVEREUX, G. (1963) Primitive psychiatric diagnosis: a general theory of the diagnostic process. In Man's Image in Medicine and Anthropology (ed. I. Galdston ). New York: International Universities Press .
12.
DOISE, W. , CLEMENCE, A. & LORENZI-CIOLDI (1993) The Quantitative Analysis of Social Representations. New York: Harvester Wheatsheaf .
13.
FOSTER, J. (2001) Unification and differentiation: a study of the social representations of mental illness . Papers on Social Representations, 10, 3.1-3.18 .
14.
FURNHAM, A. & KUYKEN, W. (1991) Lay theories of depression . Journal of Social Behavior and Personality, 6, 329-342 .
15.
FURNHAM, A. & MALIK, R. (1994) Cross-cultural beliefs about ‘depression’ . International Journal of Social Psychiatry, 40, 106-123 .
16.
FURNHAM, A. , OTA, H. , TATSURO, H. & KOYASU, M. (2000) Beliefs about overcoming psychological problems among British and Japanese students . Journal of Social Psychology, 140, 63-74 .
17.
FURNHAM, A. , PEREIRA, E. & RAWLES, R. (2001) Lay theories of psychotherapy: perceptions of the efficacy of different ‘cures” for specific disorders . Psychology, Health & Medicine, 6, 77-84 .
18.
GILLIGAN, C. (1982) In a Different Voice. Psychological Theory and Women's Development. Cambridge, MA: Harvard University Press .
19.
HARDWICK, N. (1999) Hullun Lailla [I'm Still Here — An Unusual Suicide Note]. Helsinki: Otava .
20.
HERMANS, H. (2003) Clinical diagnosis as a multiplicity of self-positions: challenging social representations theory . Culture & Psychology, 9, 407-414 .
21.
JACOBS, D. (1999) Depression screening as an intervention against suicide . Journal of Clinical Psychiatry, 60, 42-45 .
22.
JODELET, D. (1991) Madness and Social Representations. Hemel Hempstead: Harvester Wheatsheaf .
23.
JOVCHELOVITCH, S. & GERVAIS, M-C. (1999) Social representations of health and illness: the case of Chinese community in England . Journal of Community and Applied Social Psychology, 9, 247-260 .
24.
JUSSIM, L. (1986) Self-fulfilling prophecies: a theoretical and integrative review . Psychological Review, 93, 429-445 .
25.
KENDLER, K. , THORNTON, L. & PRESCOTT, C. (2001) Gender differences in the rates of exposure to stressful life events and sensitivity to their depressogenic effects . American Journal of Psychiatry, 158, 587-593 .
26.
KESSLER, R. , DUPONT, R. , BERGLUND P. & WITTCHEN, H. (1999) Impairment in pure and comorbid generalized anxiety disorder and major depression at 12 months in two national surveys . American Journal of Psychiatry, 156, 1915-1923 .
27.
LAUBER, C. , NORDT, C. , FALCATO, L. & ROESSLER, W. (2001) Lay recommendations on how to treat mental disorders . Social Psychiatry & Psychiatric Epidemiology, 36, 553-556 .
28.
LINDEMAN, S. , HÄMÄLÄINEN, J. , ISOMETSÄ, E. , KAPRIO J. , POIKOLAINEN, K. , HEIKKINEN, K. & ARO, H. (2000) The 12-month prevalence and risk factors for major depressive episode in Finland: representative sample of 5993 adults . Acta Psychiatrica Scandinavica, 102, 178-184 .
29.
LINK, B. & PHELAN, J. (1999) Public conceptions of mental illness: labels, causes, dangerousness, and social distance . American Journal of Public Health, 89, 1328-1333 .
30.
MACIEJEWSKI, P. , PRIGERSON, H. & MAZURE, C. (2001) Sex differences in event-related risk for major depression . Psychological Medicine, 31, 593-604 .
31.
MANSTEAD, A. (1992) Gender differences in emotion. In Handbook of Individual Differences (eds A. Gale & M. Eysenck ). New York: Wiley .
32.
MARKARD, M. (1984) Einstellung — Kritik eines sozial-psychologischen Grundkonzepts. Frankfurt: Campus Verlag.
33.
MOSCOVICI, S. (1981) On social representations. In Social Cognition (ed. J. Forgas ). London: Academic Press .
34.
MURRAY, C. & LOPEZ, A. (1997) Global mortality, disability, and the contribution of risk factors: global burden of disease study . Lancet, 17, 1436-1442 .
35.
NEISSER, U. (1979) The concept of intelligence. In Human Intelligence (eds R. Sternberg & K. Detterman ). Norwood, NJ: Ablex .
36.
PAYKEL, E. , TYLEE, A. , WRIGHT, A. & PRIEST, R. (1997) The Defeat Depression Campaign: psychiatry in the public arena . American Journal of Psychiatry, 154 (6, Suppl.), 59-65 .
37.
PICCANELLI, M. & WILKINSON, G. (2000) Gender differences in depression . British Journal of Psychiatry, 177, 480-492 .
38.
POTE, H. & ORRELL, M. (1996) Cross cultural perceptions of mental health problems . European Psychiatry, 11 (Supplement 4), 355-355 .
39.
PRIEST, R. & VIZE, C. (1996) Lay people's attitudes to treatment of depression: results of opinion poll for Defeat Depression . British Medical Journal, 313, 858-860 .
40.
RIPPERE, V. (1980) Predicting consensus about propositions concerning depression and antidepressive behaviour . Behaviour Research and Therapy, 18, 259-264 .
41.
RIPPERE, V. (1981) How depressing: another cognitive dimension of commonsense knowledge . Behaviour Research and Therapy, 19, 169-181 .
42.
RÄTY, H. (1990) A world without mental illness: concepts of mental health and mental illness among a student group . Social Behaviour, 5, 315-326 .
43.
SEMIN, G. (1990) Everyday assumptions, language and personality. In Everyday Understanding (eds G. Semin & K. Gergen ). London: Sage .
44.
SHULMAN, A. & ADAMS, B. (2002) A comparison of Russian and British attitudes towards mental health problems in the community . International Journal of Social Psychiatry, 48, 266-278 .
45.
STEER, R. , BALL, R.RAINERI, W. & BECK, A. (1999) Dimensions of the Beck Depression Inventory II in clinically depressed outpatients . Journal of Clinical Psychology, 55, 117-128 .
46.
SUGARMAN, L. (1986) Life-span Development: Concepts, Theories, and Interventions. London: Routledge .
47.
WAGNER, W. , DUVEEN, G. , VERMA, J. & THEMEL, M. (2000) ‘I have some faith at the same time I don't believe’ — cognitive polyphasia and cultural change in India . Journal of Community & Applied Social Psychology, 10, 301-314 .
48.
WALTERS, V. (1993) Stress, anxiety and depression: women's accounts of their health problems . Social Science & Medicine, 36, 393-402 .
49.
YOUNG, M. , SCHEFTNER, W. & FAWCETT, J. (1990) Gender differences in the clinical features of unipolar major depressive disorder . Journal of Nervous and Mental Disease, 178, 200-2003 .
50.
YOKOPENIC, P. , CLARK, V. & ANESHELSEL, C. (1983) Depression, problem recognition, and professional consultation . Journal of Nervous & Mental Disease, 171, 15-23 .
51.
ZANI, B. (1993) Social representations of mental illness: lay and professional perspectives. In Empirical Approaches to Social Representations (eds G. Breakwell & D. Cantor ). Oxford: Clarendon Press .
