Psychodynamics of Severe Depression
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In practice we find that many states of sadness leading to severe depression have a long course, either chronic or subchronic, liminal or subliminal. We also find that in many cases in which a specific occurrence was the obvious and major precipitating factor, a subliminal state of sadness resulting from previous contingencies preexisted. Thus it is important to study the longitudinal psychodynamic history of each patient.