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The cognitive distortions that are undoubtedly present in depression must be, in my view, a consequence, not a cause, of the primary disturbance, which is a disturbance of affect. In short, we believe the world is a crock of shit because we are depressed; we are not depressed because we believe the world is a crock of shit.
The Master and His Emissary: The Divided Brain and the Making of the Western World
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