From context to phenomenology in grief versus major depression

摘要

Mr. Smith is a 72-year-old retired businessman whose wife died of cancer 3 weeks ago. At presentation he says, "I feel down in the dumps and weepy every day, Doc - really lousy! I don't get any pleasure out of anything anymore, even stuff I used to love, like watching football on TV. I wake up at 4 in the morning almost every day, and I have zero energy. I can't keep my mind on anything. I barely eat, and I've lost 10 pounds since Mary passed away. I hate being around other people. Sometimes I feel like I didn't really do enough for Mary when she was sick. God, how I miss her! I can still cook for myself, pay the bills, and so on, Doc, but I'm just going through the motions. I don't enjoy life at all anymore."