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Unfortunately, the research that may unravel the interplay between depression and other diseases has barely begun. Even though there is a strong statistical link between depression and epilepsy, for example, we know very little about how to treat depression in epileptics. And as Charney has noted, it hasn't been proved, in a rigorous, scientific sense, that treating depression will reduce the excess risks of complication or death from a coexisting illness...

Author: /time Magazine | Title: Depression: The Power of Mood | 1/20/2003 | See Source »

...20th century, and only 50 years ago, it was a mainstay of mental-health care. But since then it has gone from a medical and cultural institution to the punch line of a mildly dirty joke told by psychiatry residents. The members of the American Psychoanalytic Association today treat fewer than 5,000 patients in the U.S. How did the treatment Freud called the "talking cure" fall from grace? And now that it has fallen, can it get up again...

Author: /time Magazine | Title: Talk Therapy: Can Freud Get His Job Back? | 1/20/2003 | See Source »

...year and has hardly any clinical outcome studies to back it up. Insurers would rather pay for a cognitive therapist--or for that matter, a psychopharmacologist, especially since the introduction of Prozac in 1987. Prozac and the other selective serotonin reuptake inhibitors are widely used to treat disorders like depression and anxiety, which were once the bread and butter of psychoanalysis. Of the 14 million patients treated for depression in the U.S. every year, around 80% take some form of antidepressant medication...

Author: /time Magazine | Title: Talk Therapy: Can Freud Get His Job Back? | 1/20/2003 | See Source »

Before scientists can figure out how to treat these conditions, they must first figure out what's behind them. Few researchers doubt that when disorders are so woven into temperament, some of what causes them is written into genes. A Norwegian study published in 2000 examined identical and fraternal twins and found that matched pairs--with their matched genetic blueprints--were more likely to share personality disorders than unmatched pairs. The borderline personality had an estimated 69% level of heritability. This confirms the observations of doctors in the field who notice higher rates of personality disorders among descendants...

Author: /time Magazine | Title: Masters of Denial | 1/20/2003 | See Source »

...this happens, more and more researchers are looking for new ways to treat the conditions--exploring both genetic and environmental roots, seeking both therapeutic and chemical cures. And well they might. "The social costs of personality disorders are huge," says Dr. John Gunderson, director of the Personality Disorders Service at McLean Hospital in Belmont, Mass. "These people are involved in so many of society's ills--divorce, child abuse, violence. The problem is tremendous...

Author: /time Magazine | Title: Masters of Denial | 1/20/2003 | See Source »

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