-- ABSTRACT OF ARTICLE --
The Casualties of Sadness
by James A. Hyde, Ph.D.
and John J. Schwab, M.D.
At the core of our being, we are not alone when
we invest our faith in the One who stands by us and gives us
courage and comradeship through adversity.
Introduction
Sadness is a dynamic we encounter on the spiritual
journey of life described by Lewis Sherill (1959) as the "struggle
of the soul." For Sherrill, the religious and spiritual development
of the individual takes place as we go through the crises of life
from infancy to death. The struggle of the soul leads to integration
of one's understanding of God into daily life. How we accept and
deal with sadness is essential to our psychological, physical
and spiritual development and wellbeing. In this paper we address
sadness as one of the negative aspects of the struggle of the
soul.
Sadness is a common, troublesome feeling; a negative
affect that is felt as unpleasant and observed by others as a
sign of distress. Its range of intensity is from slight to deep
and its severity from mild to extreme. In this article, our purposes
are to: (1) mention briefly the origin and changing use of the
word, sadness, (2) describe its development during childhood and
look at its neurobiological basis, (3) present the clinical significance
of sadness in grief, depression and especially dysthymia; and
(4) discuss some treatment considerations.
Dr. James Hyde is Associate
Professor and Dr. John Schwab is Professor Emeritus in
the Department of Psychiatry and Behavioral Sciences at the University
of Louisville in Louisville, KY.