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An 1883 definition by physician Thomas Clouston demonstrates what it could entail: mental pain, emotional depression, and sense of ill-being, usually more intense than in melancholy, with loss of self-control, or insane delusions, or uncontrollable impulses towards suicide, with no proper capacity left to follow ordinary avocations, with some of the ordinary interests of life destroyed. (From Melancholia to Depression: Disordered Mood in Nineteenth-Century Psychiatry by sa Jansson, 2021)

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