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Welcome

When I was an undergraduate, I studied medical biochemistry and spent a year working at the National Poisons Unit at New Cross Hospital. Sometimes, scientific approaches follow a rather linear causality; for example, this depletion of this chemical in the brain has this result, focusing on one factor among many. This is not terribly sophisticated; brain chemistry is a complex matter!

There is no diagnostic test for depression (one can鈥檛 accurately measure for 鈥榙epression鈥� as one can for diabetes). The diagnosis of depression is highly subjective: it depends on how the GP or psychiatrist interprets the answers to their questions during a brief interview. A diagnosis is a snapshot of that particular moment in time and one patient could perceive their own symptoms as mild, while another patient with similar symptoms could perceive their own as severe. Diagnosis is far from the exact science some people think it is. McIntyre and Nathanson, in their book, Severe Depression, state: 鈥楥urrently, no consensually agreed-upon definition of 鈥渟evere depression鈥� exists.鈥�¹ John Welwood, an American psychotherapist, describes depression (like all psychopathology) as an opportunity to wake up and become more connected to life.² This is similar to James Hillman鈥檚 ideas, which Thomas Moore describes as an 鈥榠maginal approach to pathology鈥�. Hillman describes depression as 鈥榚ssential to the tragic sense of life. It moistens the dry soul, and dries the wet鈥�. He goes on to say that 鈥楾he true revolution begins in the individual who can be true to his or her depression鈥�.³

In this issue, Sarah Parry鈥檚 special focus article is an honest exploration of depression and its causes. Her approach is refreshing in an age where many people look for answers and quick scientific solutions to complex issues. How our modern lifestyles contribute to depression makes me question my own lifestyle. We all seem to be under constant pressure to participate in social media and be available at a moment鈥檚 notice. We are distracted by constant and instant messages coming at us from many angles.

Rachel Hudson reflects on the many challenges faced by ministers in their work. Most ministers are generally expected to be available for everyone at a moment鈥檚 notice. Their work must be very draining and overwhelming at times. Giving support to those people who are constantly expected to be there for others requires specialist skills and understanding.

Robert Jeffery鈥檚 exploration of the life of his spiritual director, Christopher Bryant, makes for interesting reading. I was fascinated by how various forms of prayer suit different temperaments. Beaumont Stevenson takes a playful approach to making the most of therapeutic experience. In a rapidly changing world, experience is often not appreciated and his article reminds me that listening to more experienced practitioners and learning from them is invaluable when training as a psychotherapist. We are very fortunate to have supervision in the forefront of our work as therapists, counsellors and coaches. I have been working with supervisors for a short period of time and really value my supervisors鈥� experience and knowledge and their sense of humour. Supervision is a serious business, but it can be enjoyable too.

Becky Seale writes about the overlap between a person-centred approach to therapy and meditation practice. Her research focuses on the importance of presence in the therapeutic relationship. She asks important questions about mindfulness and how it has become increasingly trendy.

As I write this editorial, I am about to embark on my clinical year of training. The focus is clearly on the work with clients and supervision; on practice, not on theory. In the UK, September marks the beginning of the university year. I hope to approach my studies with a beginner鈥檚 mind and be open to learning as much as possible with the more experienced teachers I meet along the way. I am amazed by how much I learn from my clients and am looking forward to the year ahead. I would like to encourage you to engage in discussion with the contributors in this issue and to consider writing something for our forthcoming issues.

Amanda Anderson
Editor听
thresholds.editorial@bacp.co.uk

References

1. McIntyre RS, Nathanson J. Severe depression. Oxford: Oxford University Press; 2010.
2. Welwood J. Depression as loss of heart. Naropa Institute Journal of Psychology 1:123鈥�133; 1987.
3. Hillman J. The essential James Hillman: a blue fire (edited by Moore T.) London: Routledge; 1989.

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