Affiliation: | Temple University School of Medicine, Eastern Pennsylvania Psychiatric Institute, Henry Avenue, Philadelphia, PA 19129, U.S.A. |
Abstract: | Learned helplessness is at present widely accepted as a model for depression. Depression, however, is a symptom-complex that has many causes. Three general causal categories are distinguished—normal, neurotic and endogenous. Neurotic depressions comprise the main clinical category whose causation is primarily external. This paper shows that neurotic depression is evidently a function of conditioned anxiety response habits that finds a paradigm in experimental neuroses, not in learned helplessness. Both experimental and clinical neurotic depressions are overcome by deconditioning anxiety. In a sample of 25 cases treated by the deconditioning of anxiety, 22 recovered from their depressions; and the recoveries were found to have endured in the 19 of them who were followed up for at least 6 months. |