Toward an Interactional Description of Depression
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Depression is conceptualized here as a self-perpetuating interpersonal system. Depressive symptomatology is congruent with the developing interpersonal situation of the depressed person, and the symptoms have a mutually maintaining relationship with the response of the social environment. Essentially, the depressed person and others within his social space collude to create a system in which feedback cannot be received, and various efforts to change become system-maintaining (61 pgs).