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June 1983

Neglected Literature

Author Affiliations

Department of Psychiatry University of Missouri—Columbia Health Sciences Center Room N-109 1 Hospital Dr Columbia, MO 65212

Arch Gen Psychiatry. 1983;40(6):699-700. doi:10.1001/archpsyc.1983.04390010109017

To the Editor.—Given the thorough review of the literature nicely presented by Sovner and Hurley (Archives 1983;40:61-67), I note an almost identical but overlooked review that I wrote on affective disorder in mental retardates,1 as well as a chapter on mania and depression in the cognitively immature.2I concluded not only that bipolar and unipolar manic depressive illness could coexist with mental retardation, but that the coexistence, especially in profoundly, severely, and moderately retarded persons, made untenable the thesis that ego immaturity makes depression and mania impossible (a reason sometimes given for the supposed rarity of childhood depression). Although, as Sovner and Hurley point out, the lack of systematic data renders definitive conclusions impossible, it further seemed to me that the core phenomenology of affective disorder at all levels of mental retardation was surprisingly similar to that in cognitively normal adults. Inability to describe one's feelings, thus showing somatic symptoms or

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