<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0011-1503</journal-id>
<journal-title><![CDATA[Crítica (México, D.F.)]]></journal-title>
<abbrev-journal-title><![CDATA[Crítica (Méx., D.F.)]]></abbrev-journal-title>
<issn>0011-1503</issn>
<publisher>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México, Instituto de Investigaciones Filosóficas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0011-15032024000200101</article-id>
<article-id pub-id-type="doi">10.22201/iifs.18704905e.2024.1536</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[The Looping Effects of Medicalizing Grief]]></article-title>
<article-title xml:lang="es"><![CDATA[Efectos de bucle en la medicalización del duelo]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Kelley]]></surname>
<given-names><![CDATA[Alice Elizabeth]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of Michigan  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>USA</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>56</volume>
<numero>167</numero>
<fpage>101</fpage>
<lpage>126</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0011-15032024000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0011-15032024000200101&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0011-15032024000200101&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[SUMMARY: The most recent versions of official psychiatric diagnostic guidelines include a new addition: Prolonged Grief Disorder (PGD). PGD is controversial due to concerns about harmful looping effects. Some opponents of PGD&#8217;s inclusion in the DSM worry that the diagnosis may pathologize normal human experiences and alienate grievers from their grief. This paper argues that these concerns are less troubling than they initially appear (in part because they assume an unhelpful, and conceptually optional, background understanding of health conditions as pathologies) and calls attention to overlooked beneficial looping effects that might be achieved by medicalizing (some) experiences of grief.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN:  Las versiones más recientes de las directrices de diagnóstico psiquiátrico incluyen una nueva incorporación: el Trastorno de Duelo Prolongado (TDP). El TDP es controvertido debido a las preocupaciones sobre efectos nocivos de bucle. Algunos opositores a la inclusión del TDP temen que el diagnóstico patologice experiencias humanas normales y aliene a los dolientes de su duelo. Este artículo sostiene que estas preocupaciones son menos graves de lo que parecen inicialmente (en parte porque suponen una comprensión poco útil y opcional de las condiciones de salud como patologías) y señala efectos de bucle beneficiosos que podrían seguirse de medicalizar (algunas) experiencias de duelo.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[psychiatric nosology]]></kwd>
<kwd lng="en"><![CDATA[mental disorder]]></kwd>
<kwd lng="en"><![CDATA[health]]></kwd>
<kwd lng="en"><![CDATA[health-condition]]></kwd>
<kwd lng="en"><![CDATA[bereavement]]></kwd>
<kwd lng="es"><![CDATA[nosología psiquiátrica]]></kwd>
<kwd lng="es"><![CDATA[trastorno mental]]></kwd>
<kwd lng="es"><![CDATA[salud]]></kwd>
<kwd lng="es"><![CDATA[condiciones de salud]]></kwd>
<kwd lng="es"><![CDATA[duelo]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="">
<collab>American Psychiatric Association</collab>
<source><![CDATA[Diagnostic and Statistical Manual of Mental Disorders]]></source>
<year>2013</year>
<edition>5th</edition>
</nlm-citation>
</ref>
<ref id="B2">
<nlm-citation citation-type="">
<collab>American Psychiatric Association</collab>
<source><![CDATA[DSM-5 Fact Sheet: Major Depressive Disorder and the Bereavement Exclusion]]></source>
<year>2013</year>
</nlm-citation>
</ref>
<ref id="B3">
<nlm-citation citation-type="book">
<collab>American Psychiatric Association</collab>
<source><![CDATA[Diagnostic and Statistical Manual of Mental Disorders: DSM-IV-TR]]></source>
<year>2000</year>
<edition>4th</edition>
<publisher-loc><![CDATA[Washington, DC ]]></publisher-loc>
<publisher-name><![CDATA[American Psychiatric Association]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B4">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aviv]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do You Need a &#8216;Correct Attitude&#8217; to Understand Your Mind?]]></article-title>
<source><![CDATA[The New York Times]]></source>
<year>2022</year>
</nlm-citation>
</ref>
<ref id="B5">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barclay]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Autobiographical Remembering: Narrative Constraints on Objectifying Selves]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Rubin]]></surname>
<given-names><![CDATA[D.C.]]></given-names>
</name>
</person-group>
<source><![CDATA[Remembering Our Past: Studies in Autobiographical Memory]]></source>
<year>1995</year>
<page-range>94-125</page-range><publisher-name><![CDATA[Cambridge University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cacciatore]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[Frances]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[DSM-5-TR Turns Normal Grief into a Mental Disorder]]></article-title>
<source><![CDATA[The Lancet Psychiatry]]></source>
<year>2022</year>
<volume>9</volume>
<numero>7</numero>
<issue>7</issue>
</nlm-citation>
</ref>
<ref id="B7">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cholbi]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<source><![CDATA[Grief: A Philosophical Guide]]></source>
<year>2021</year>
<publisher-loc><![CDATA[New Jersey ]]></publisher-loc>
<publisher-name><![CDATA[Princeton University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B8">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Clayton]]></surname>
<given-names><![CDATA[P.J.]]></given-names>
</name>
<name>
<surname><![CDATA[Desmarais]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
<name>
<surname><![CDATA[Winokur]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A Study of Normal Bereavement]]></article-title>
<source><![CDATA[American Journal of Psychiatry]]></source>
<year>1968</year>
<volume>125</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>168-78</page-range></nlm-citation>
</ref>
<ref id="B9">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Conway]]></surname>
<given-names><![CDATA[M.A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cognitive-Affective Mechanisms and Processes in Autobiographical Memory]]></article-title>
<source><![CDATA[Memory]]></source>
<year>2003</year>
<volume>11</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>217-24</page-range></nlm-citation>
</ref>
<ref id="B10">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Diamond]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Difficulty of Reality and the Difficulty of Philosophy]]></article-title>
<source><![CDATA[Partial Answers: Journal of Literature and the History of Ideas]]></source>
<year>2003</year>
<volume>1</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>1-26</page-range></nlm-citation>
</ref>
<ref id="B11">
<nlm-citation citation-type="confpro">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eich]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Handy]]></surname>
<given-names><![CDATA[T.C.]]></given-names>
</name>
<name>
<surname><![CDATA[Holmes]]></surname>
<given-names><![CDATA[E.A.]]></given-names>
</name>
<name>
<surname><![CDATA[Lerner]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
<name>
<surname><![CDATA[McIsaac]]></surname>
<given-names><![CDATA[H.K.]]></given-names>
</name>
</person-group>
<source><![CDATA[Field and Observer Perspectives in Autobiographical Memory]]></source>
<year>2011</year>
<conf-name><![CDATA[ 14Sydney Symposium on Social Psychology]]></conf-name>
<conf-loc> </conf-loc>
</nlm-citation>
</ref>
<ref id="B12">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Goldie]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<source><![CDATA[The Mess Inside: Narrative, Emotion and The Mind]]></source>
<year>2012</year>
<publisher-loc><![CDATA[Oxford ]]></publisher-loc>
<publisher-name><![CDATA[Oxford University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hacking]]></surname>
<given-names><![CDATA[I.]]></given-names>
</name>
</person-group>
<source><![CDATA[The Social Construction of What?]]></source>
<year>1999</year>
<publisher-loc><![CDATA[Cambridge, Mass. ]]></publisher-loc>
<publisher-name><![CDATA[Harvard University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hensley]]></surname>
<given-names><![CDATA[P.L.]]></given-names>
</name>
<name>
<surname><![CDATA[Clayton]]></surname>
<given-names><![CDATA[P.J.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Why the Bereavement Exclusion Was Introduced in DSM-III]]></article-title>
<source><![CDATA[Psychiatric Annals]]></source>
<year>2013</year>
<volume>43</volume>
<numero>6</numero>
<issue>6</issue>
<page-range>256-60</page-range></nlm-citation>
</ref>
<ref id="B15">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hilberdink]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Ghainder]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Dubanchet]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Hinton]]></surname>
<given-names><![CDATA[D.]]></given-names>
</name>
<name>
<surname><![CDATA[Djelantik]]></surname>
<given-names><![CDATA[A.A.A.M.J.]]></given-names>
</name>
<name>
<surname><![CDATA[Hall]]></surname>
<given-names><![CDATA[B.J.]]></given-names>
</name>
<name>
<surname><![CDATA[Bui]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Bereavement Issues and Prolonged Grief Disorder: A Global Perspective]]></article-title>
<source><![CDATA[Cambridge Prisms: Global Mental Health]]></source>
<year>2023</year>
<volume>10</volume>
</nlm-citation>
</ref>
<ref id="B16">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kelley]]></surname>
<given-names><![CDATA[A.E.]]></given-names>
</name>
</person-group>
<source><![CDATA[Grief, Health, and Medicalization]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B17">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kukla]]></surname>
<given-names><![CDATA[Q.R.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Medicalization, &#8216;Normal Function&#8217;, and the Definition of Health]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Arras]]></surname>
<given-names><![CDATA[J.D.]]></given-names>
</name>
<name>
<surname><![CDATA[Kukla]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
<name>
<surname><![CDATA[Fenton]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
</person-group>
<source><![CDATA[Routledge Philosophy Companions: Routledge Companion to Bioethics]]></source>
<year>2014</year>
<page-range>515-30</page-range><publisher-loc><![CDATA[Florence ]]></publisher-loc>
<publisher-name><![CDATA[Taylor and Francis]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B18">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Psychopathology of Insight]]></article-title>
<source><![CDATA[British Journal of Medical Psychology]]></source>
<year>1934</year>
<volume>14</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>332-48</page-range></nlm-citation>
</ref>
<ref id="B19">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lewis]]></surname>
<given-names><![CDATA[C.S.]]></given-names>
</name>
</person-group>
<source><![CDATA[A Grief Observed]]></source>
<year>1961</year>
<publisher-loc><![CDATA[London ]]></publisher-loc>
<publisher-name><![CDATA[Faber and Faber]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B20">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Loughman]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
<name>
<surname><![CDATA[Haslam]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Neuroscientific Explanations and the Stigma of Mental Disorder: A Meta-Analytic Study]]></article-title>
<source><![CDATA[Cognitive Research: Principles and Implications]]></source>
<year>2018</year>
<volume>3</volume>
<numero>43</numero>
<issue>43</issue>
</nlm-citation>
</ref>
<ref id="B21">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Maru&#353;i&#263;]]></surname>
<given-names><![CDATA[B.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Do Reasons Expire? An Essay on Grief]]></article-title>
<source><![CDATA[Philosophers&#8217; Imprint]]></source>
<year>2018</year>
<volume>18</volume>
<numero>25</numero>
<issue>25</issue>
</nlm-citation>
</ref>
<ref id="B22">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moran]]></surname>
<given-names><![CDATA[R.]]></given-names>
</name>
</person-group>
<source><![CDATA[The Story of My Life: Narrative and Self-Understanding]]></source>
<year>2015</year>
<publisher-loc><![CDATA[Wisconsin, USA ]]></publisher-loc>
<publisher-name><![CDATA[Marquette University Press]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B23">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Na&#8217;Aman]]></surname>
<given-names><![CDATA[O.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Rationality of Emotional Change: Toward a Process View]]></article-title>
<source><![CDATA[Noûs]]></source>
<year>2021</year>
<volume>55</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>245-69</page-range></nlm-citation>
</ref>
<ref id="B24">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shear]]></surname>
<given-names><![CDATA[M.K.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Grief and Mourning Gone Awry: Pathway and Course of Complicated Grief]]></article-title>
<source><![CDATA[Dialogues in Clinical Neuroscience]]></source>
<year>2012</year>
<volume>14</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>119-28</page-range></nlm-citation>
</ref>
<ref id="B25">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shear]]></surname>
<given-names><![CDATA[M.K.]]></given-names>
</name>
<name>
<surname><![CDATA[Wang]]></surname>
<given-names><![CDATA[Y.]]></given-names>
</name>
<name>
<surname><![CDATA[Skritskaya]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Duan]]></surname>
<given-names><![CDATA[N.]]></given-names>
</name>
<name>
<surname><![CDATA[Mauro]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
<name>
<surname><![CDATA[Ghesquiere]]></surname>
<given-names><![CDATA[A.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of Complicated Grief in Elderly Persons: A Randomized Clinical Trial]]></article-title>
<source><![CDATA[JAMA Psychiatry]]></source>
<year>2014</year>
<volume>71</volume>
<numero>11</numero>
<issue>11</issue>
<page-range>1287-95</page-range></nlm-citation>
</ref>
<ref id="B26">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Shear]]></surname>
<given-names><![CDATA[K.]]></given-names>
</name>
<name>
<surname><![CDATA[Frank]]></surname>
<given-names><![CDATA[E.]]></given-names>
</name>
<name>
<surname><![CDATA[Houck]]></surname>
<given-names><![CDATA[P.R.]]></given-names>
</name>
<name>
<surname><![CDATA[Reynolds]]></surname>
<given-names><![CDATA[C.F.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Treatment of Complicated Grief: A Randomized Controlled Trial]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2005</year>
<volume>293</volume>
<numero>21</numero>
<issue>21</issue>
<page-range>2601-8</page-range></nlm-citation>
</ref>
<ref id="B27">
<nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tekin]]></surname>
<given-names><![CDATA[&#350;.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Against Hyponarrating Grief: Incompatible Research and Treatment Interests in the DSM-5]]></article-title>
<source><![CDATA[The DSM-5 In Perspective]]></source>
<year>2015</year>
<page-range>179-97</page-range></nlm-citation>
</ref>
<ref id="B28">
<nlm-citation citation-type="">
<collab>The Center for Prolonged Grief</collab>
<source><![CDATA[The Center for Prolonged Grief-Professionals-Treatment]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B29">
<nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Wakefield]]></surname>
<given-names><![CDATA[J.C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Loss of Grief: Science and Pseudoscience in the Debate over DSM-5&#8217;s Elimination of the Bereavement Exclusion]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Demazeux]]></surname>
<given-names><![CDATA[S.]]></given-names>
</name>
<name>
<surname><![CDATA[Singy]]></surname>
<given-names><![CDATA[P.]]></given-names>
</name>
</person-group>
<source><![CDATA[The DSM-5 in Perspective. Philosophical Reflections on the Psychiatric Babel]]></source>
<year>2015</year>
<page-range>157-78</page-range><publisher-loc><![CDATA[Dordrecht ]]></publisher-loc>
<publisher-name><![CDATA[Springer]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
