Factors Influencing the Changing Clinical Expression of the Depressive Process in Children

Abstract

The authors attempt to conceptualize a pattern of defense against the depressive process that changes with age. They enumerate several forces that oppose or promote these defensive operations, resulting in three levels at which the depressive process manifests itself: fantasy, verbalization, and mood and behavior. The shifting balance of these forces helps to explain the variability with which the depressive process manifests itself throughout the various phases of the life cycle.

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