Melancholic depression

Modern type depression

Ages

Middle age (born before 1970)

Young (born after 1970)

Temperaments

Shuchaku-kishitsu (Shimoda, 1932)

Student apathy (Walters, 1961)

Typusmelancholicus (Tellenbach, 1961)

Withdrawal neurosis (Kasahara & Kimura, 1975)

Avoidant-type depression (Hirose, 1977)

Modern-type of depression (Matsunami & Yamashita, 1991)

Immature-type depression (Abe et al., 1995)

Characters

Attachment to rules

Attachment to self without roles

Love for order, models

Feel distressed against rules/order

Sympathetic

Negative feelings toward order or model

Obsessive

Vague sense of almighty

Honest

Not a hard worker to begin with

Hard worker

Symptoms

Agitation or retardation

Fatigue and not feel good enough

Exhaustion and guilt

Avoidance and blame others

Well-prepared suicide

Impulsive suicidal action

Therapeutic relationship

Resist to diagnosis of depression

Cooperate with diagnosis of depression

When recovered, learn from experience of depression

Tend to check depressive symptoms

Hard to depart from diagnosis (like to stay in depression)

Drug response

Usually good

Partial response

Complete remission

Cognition

I as a teacher to I as a “man who experienced depression”

Life style or depression

Hard to depart from “I suffer from depression”

Prognosis

Good response to rest and antidepressants

Become chronically ill only with rest and antidepressants

Ambivalent about change of environment

Change of environment rapidly improves symptoms