By Vera H-C Chan
Controversy over the boundaries of griefHow much is too much grief? And how long do you wait before you decide?
Among all the changes in the fifth version of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), the most controversial may have been removing the so-called "bereavement exclusion." The proposal galvanized what the New York Times dubbed a "bitter skirmish" over what depression means, inspired petitions, and roused a former DSM-IV task force chair to call its removal a "dreadful mistake that flies in the face of clinical common sense."
Acrimony aside, most in the debate agree that you can't put a clock on sorrow. There's little argument that grief and major depression are two different things, and that grief lessens its intensity over time while major depression is a recurring disorder.
Where people diverge reflects more fundamental worries: Does psychology pathologize grief? Can our fears about death itself turn a blind eye to mental illness? One side worries about an overdiagnosed
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