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Bu sayfa, 26. Dünya Psikiyatri Kongresi'nde sunulan çalışmanın yapay zekâ desteğiyle hazırlanmış Türkçe özetidir. Çalışmanın sahibi sunan yazarlardır; atıf için orijinal kaynağa başvurun.

SO375

From neurasthenia to depression: A forty-five-year longitudinal analysis of academic discourses and cultural governance in Taiwan

FROM NEURASTHENIA TO DEPRESSION A FORTY FIVE YEAR LONGITUDINAL ANALYSIS OF ACADEMIC DISCOURSES AND CULTURAL GOVERNANCE IN TAIWAN

Over 45 years in Taiwan, the category of depression has become the primary language for naming and managing suffering through the combined processes of biomedical standardization and sociocultural reconfiguration.

The study aims to trace the 45-year historical evolution of the category of depression in Taiwan following Kleinman's fieldwork in the 1980s, and to show how this category has stabilized, diversified, and been culturally reconfigured across academic fields. Using Chinese and English search terms in titles, abstracts, and keywords, 3,819 master's theses and doctoral dissertations from 1980 to January 2026 were retrieved from Taiwan's National Digital Library of Theses and Dissertations; annual mapping, heuristic disciplinary grouping, and semantic coding were applied (coding was conducted by the primary researcher, with collaborative validation planned). Thesis and dissertation output accelerated after 2000 and remained high through 2025; the partial year 2026 (n=16) was excluded from the trend line. In the subset with complete title information (n=3,795), the distribution across disciplines was as follows: clinical and health sciences, 2,111 (56%); psychology and education, 826 (22%); data, management, and technology, 308 (8%); other and interdisciplinary fields, 265 (7%); social sciences and policy, 156 (4%); and humanities and the arts, 129 (3%). Two simultaneous movements were identified within a single category: clinical standardization through diagnosis, scales, biomarkers, pharmacology, and interventions, and sociocultural reconfiguration through family, labor, education, media, migration, marginalization, and digital life. From the mid-2010s onward, theses and dissertations increasingly situated depression within labor policies, workplace fatigue, digital narratives, migration, caregiving, media representation, and the experiences of marginalized groups. The author recommends taking family, work, policy, and digital contexts into account in clinical care, noting that Chinese-language sources overlooked in the predominantly English-language literature make regional trajectories visible and offer lessons for decolonizing global mental health and providing culturally responsive care.

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