Masennus massamitassa. Epidemiologinen välineistö ja psykologian muodonmuutos

Depression in Great Numbers. Epidemiological Equipment and the Metamorphosis of Psychiatry

The subject of the paper is the becoming of depression a major public health problem in Finland from the late 1980s onwards. In particular, the role of ‘epidemiological turn' in psychiatry in facilitating this process is analysed. The main argument of the paper is following: Epidemiological studies have brought symptoms and risks of depression into the focus of psychiatric reasoning and practice. This shift is parallel with the vast expansion of the scope of mental disorders, especially depression, during the past quarter of a century. Consequent­ly, a great part of mental health care has changed from a therapeutic practice to risk management and control of personal living.

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