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Query: UMLS:C0085632 (apathy)
 4,089 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This paper discusses the definition of apathy, reviews its differential diagnosis, and proposes a classification for the conditions that may produce it. Apathy is defined as diminished motivation not attributable to diminished level of consciousness, cognitive impairment, or emotional distress. In its differential diagnosis, abulia, akinesia and akinetic mutism, depression, dementia, delirium, despair, and demoralization must be ruled out. Classification of apathy is organized in terms of its adaptive and functional consequences, its relationship to personality or to sociocultural or environmental events, and its association with psychiatric, neurological, and medical disorders. An approach to assessment and treatment is proposed.
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PMID:Differential diagnosis and classification of apathy. 240 72

Concepts suggested by autonomous ego theory and a phenomenological approach to emotions make it possible to think again about depression and its treatment in order better to explain clinical observations.Depression appears to be a secondary emotion, not primary, made up of the following ingredients: 1) one or more primary emotions-anxiety, anger, guilt, and grief particularly, as well as self-pity, loneliness, alienation, apathy, and despair-precipitated in 2) an ego inadequate in channeling emotions constructively, 3) the associated phenomenological tendencies inherent within the emotions, and 4) the sense of helplessness that ensues. Thus the treatment required would consist of a systematic, somewhat detached, cognitive approach to the problems the emotions are indicating, and what should be done to resolve them. These problems include those precipitated by the workings of the emotions as things-in-themselves. The treatment is oriented toward enhancing the patient's understanding of the disorder and his coping ability to the end that the patient is not weakened even as he is relieved.
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PMID:Ego psychology of depression with implications for treatment. 2442 Apr 54