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CHAPTER 13 - The anhedonias

from PART III - Mood and emotions

Published online by Cambridge University Press:  08 January 2010

German E. Berrios
Affiliation:
University of Cambridge
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Summary

The neologism anhedonie, coined by T. Ribot to name an ‘inability to experience pleasure’, has not yet made it into the most recent French psychiatric dictionary nor does its English version feature in OED. Its concomitant concept has merited both narrow (‘blocking of the reward reinforcement of usually reinforcing stimuli’) and broad formulations (‘loss of interest or pleasure in all or almost all usual activities and pastimes’). The behaviour to which anhedonia refers is not new: indeed, by the time of its coining it had already been reported in patients with ‘melancholia’ who were incapable of ‘feeling joy any more’. The term first took root in the psychoanalytic literature, and in English-speaking psychiatry came into currency after 1979. (The same holds true for France and Germany.) Legitimated by DSM III and recently by ICD-10, anhedonia is now considered as a ‘symptom’ of two important clinical conditions (depression and schizophrenia). More empirical evidence is, however, required to confirm that the clinical phenomena in question are the same in both cases.

Anhedonia is a multivocal term. This partially results from the fact that the concept on which it is grounded is parasitical upon the ever changing definition of pleasure, i.e. of ‘the condition of consciousness or sensation induced by the enjoyment or anticipation of what is felt or viewed as good or desirable; enjoyment, delight, gratification’ (my italics). However, because it is not even known whether ‘there is something fundamental which is common to enjoying something, getting satisfaction out of something, being pleased at something, feeling good and so on’ (my italics). the definition of anhedonia is bound to be multiple and fuzzy.

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The History of Mental Symptoms
Descriptive Psychopathology since the Nineteenth Century
, pp. 332 - 348
Publisher: Cambridge University Press
Print publication year: 1996

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  • The anhedonias
  • German E. Berrios, University of Cambridge
  • Book: The History of Mental Symptoms
  • Online publication: 08 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511526725.015
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  • The anhedonias
  • German E. Berrios, University of Cambridge
  • Book: The History of Mental Symptoms
  • Online publication: 08 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511526725.015
Available formats
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  • The anhedonias
  • German E. Berrios, University of Cambridge
  • Book: The History of Mental Symptoms
  • Online publication: 08 January 2010
  • Chapter DOI: https://doi.org/10.1017/CBO9780511526725.015
Available formats
×