[Typus Melancholicus as endophenotype of melancholic depression]. 2016

Christian Widakowich
Clínica St Jean, Universidad Católica de Lovaina, Bélgica. chwidakowich@hotmail.com.

The concept of Typus Melancholicus has been proposed by German psychiatrist Hubertus Tellenbach (1914-1994) in 1960 to describe the pre-morbid personality of endogenous or melancholic depression. Thisentity shows distinctive personalitytraits: the order attachment, strong moral conscience, intolerance ambiguity and hypernomia-heteronomy. Tellenbach uses atypological and phenomenological approach allows the descriptionof styles, ways of being and becoming ill, with a vulnerability to specific situations (moving, pregnancy, career change). Melancholy would settle after the meeting between the Typus Melancholicus with a particular vulnerable situation. This clearly calls into question the classical idea that sees Kraepelinienne endogenous depression as a diseasede termined by heredity and lack of stressors. We propose to describe Tellenbach's concept, and to summarize the more recent empirical researches that valid the Typus Melancholicus as a phenotype for Melancholia.

UI MeSH Term Description Entries
D003866 Depressive Disorder An affective disorder manifested by either a dysphoric mood or loss of interest or pleasure in usual activities. The mood disturbance is prominent and relatively persistent. Depression, Endogenous,Depression, Neurotic,Depression, Unipolar,Depressive Syndrome,Melancholia,Neurosis, Depressive,Unipolar Depression,Depressions, Endogenous,Depressions, Neurotic,Depressions, Unipolar,Depressive Disorders,Depressive Neuroses,Depressive Neurosis,Depressive Syndromes,Disorder, Depressive,Disorders, Depressive,Endogenous Depression,Endogenous Depressions,Melancholias,Neuroses, Depressive,Neurotic Depression,Neurotic Depressions,Syndrome, Depressive,Syndromes, Depressive,Unipolar Depressions
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D058068 Endophenotypes Measurable biological (physiological, biochemical, and anatomical features), behavioral (psychometric pattern) or cognitive markers that are found more often in individuals with a disease than in the general population. Because many endophenotypes are present before the disease onset and in individuals with heritable risk for disease such as unaffected family members, they can be used to help diagnose and search for causative genes. Endophenotype

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