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Some feautures are a mood of depressed, sad, hopeless, discouraged or "down in the dumps". Decreased energy, tiredness and fatigue are common. Frequently there may be thoughts of death, suicidal ideation, or suicide attempts. These thoughts range from thoughts that other persons would be better off if the person were dead, to transient but recurrent thoughts of committing suicide, to actual specific plans to commit [[suicide]].<ref name="DSM-IV" />
== Circumcision's contribution ==
Typically, non-therapeutic infant [[circumcision]] is carried out on a helpless infant or small child who has no choice in the matter. Circumcision is the amputation and excision of functional tissue with numerous physiological functions which are irreversibly destroyed.
When the child becomes older and comes to understand the nature of circumcision and of his irreversible loss for which there is no cure. he may become extremely angry regarding an injury for which there is no remedy. The anger becomes repressed and contributes to depression.
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