Depression is defined in diagnostic literature as a mood disorder characterized by depressed mood, loss of interest or pleasure in activities, significant changes in weight, insomnia or hypersomnia, psychomotor agitation or retardation, fatigue or loss of energy, feelings of worthlessness or excessive guilt, difficulty concentrating, and suicidal ideation and/or attempts. Research suggests a link between depressed mood and monoamine depletion, elevated cortisol, and inflammation, but existing laboratory evidence is inconclusive. Current treatments for depression include selective serotonin reuptake inhibitors (SSRIs), cognitive behavioral therapy (CBT), and lifestyle changes; however, more severe forms of the disorder can require other medication, sometimes in combination with electroconvulsive therapy (ECT). Disagreement persists over how to define and classify depression, in part due to its ambivalent relationship to melancholia, which has existed as a medical concept in different forms since antiquity. Melancholia was reconfigured in 19th-century medicine from traditional melancholy madness into a modern mood disorder. In the early 20th century, melancholia gradually fell out of use as a diagnostic term with the introduction of manic-depressive insanity and unipolar depression. Following the publication of DSM-III in 1980 and the introduction of SSRIs a few years later, major depressive disorder became ubiquitous. Consumption of antidepressants have continued to rise year after year, and the World Health Organization notes depression as the leading cause of disability worldwide. At present, internationally recognized systems of classification favor a single category for depressive illness (alongside a circular mood disorder, bipolar I and II), but this view is challenged by clinicians and researchers who argue for the reinstatement of melancholia as a separate and distinct mood disorder with marked somatic and psychotic features.
Igor Grossmann and Franki Kung
The concept of wisdom is ancient and deeply embedded in the cultural history of humanity. However, only since 1980s have psychologists begun to study it scientifically. Taking a culturally and philosophically informed perspective, this article integrates insights from the quantitative science of wisdom. Analysis of epistemological traditions and research on folk theories of wisdom suggest cultural similarities in the domain of cognition (e.g., wisdom as reasoning ability and knowledge). These similarities can be contrasted with cultural differences concerning folk-theoretical affective and prosocial themes of wisdom, as well as expression of various wisdom-related themes, rooted in distinct sociocultural and ecological environments. Empirical evidence indicates that wisdom is an individually and culturally malleable construct, consistent with an emerging constructionist account of wisdom and its development. Future research can benefit from integration of ecological and cultural-historical factors for the meaning of wisdom and its expression.
This historical overview of the concepts of harmony in Chinese culture situates the topic in the ecological context of a strong-ties society that fosters a type of rationality that privileges symmetry over asymmetry. Analysis of the discourse of harmony focuses on the texts of two native schools of thought—Confucianism and Taoism—and briefly mentions Buddhism (a religion imported from India). The modern history of harmony has just begun but is already portentous. The turbulent course of China’s rapid modernization suggests the possibility that as China transitions from a strong-ties society to the weak-ties global market, harmony may be encountering, for the first time, contradictions that defy harmonization. Whatever the future holds for the Chinese legacy of harmony, its contribution to the happiness and well-being of the individuals in their intimate relationship with self and others is likely to remain unchallenged.