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On Depression

Drugs, Diagnosis, and Despair in the Modern World

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1 of 1 copy available
1 of 1 copy available

Lasting happiness comes not from chasing the American dream but from living an authentic life—which includes despair.

In a culture obsessed with youth, financial success, and achieving happiness, is it possible to live an authentic, meaningful life? Nassir Ghaemi, director of the Mood Disorder Program at Tufts Medical Center, reflects on our society's current quest for happiness and rejection of any emotion resembling sadness. On Depression asks readers to consider the benefits of despair and the foibles of an unexamined life.

Too often depression as disease is mistreated or not treated at all. Ghaemi warns against the "pretenders" who confuse our understanding of depression—both those who deny disease and those who use psychiatric diagnosis "pragmatically" or unscientifically. But experiencing sadness, even depression, can also have benefits. Ghaemi asserts that we can create a "narrative of ourselves such that we know and accept who we are," leading to a deeper, lasting level of contentment and a more satisfying personal and public life.

Depression is complex, and we need guides to help us understand it, guides who comprehend it existentially as part of normal human experience and clinically as sometimes needing the right kind of treatment, including medications. Ghaemi discusses these guides in detail, thinkers like Viktor Frankl, Rollo May, Karl Jaspers, and Leston Havens, among others.

On Depression combines examples from philosophy and the history of medicine with psychiatric principles informed by the author's clinical experience with people who struggle with mental illness. He has seen great achievements arise from great suffering and feels that understanding depression can provide important insights into happiness.

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    • Publisher's Weekly

      May 27, 2013
      The key to happiness might be sadness—or maybe we need to expand our definition of “happiness” to include more introspectively low states, argues Tufts University psychiatry professor Ghaemi (A First-Rate Madness) in this scientific and philosophical treatise on depression. The author blames our culture of widespread discontent on two phenomena: the death of God and postmodernism. The former has made us to feel purposeless, while the latter has undermined psychiatric nosology by blurring the line between physical and existential symptoms. These cultural malaises have combined with overly prescriptive psychiatric practices to disastrous effect. Ghaemi spends the first part of the book outlining the intricacies of this large-scale problem before going on to profile several thinkers, or “guides” (including Austrian psychiatrist and Holocaust survivor Viktor Frankl), whose wisdom he believes can lead individuals toward a clearer understanding of themselves and their experiences of happiness and sadness. Ghaemi acknowledges that drugs do work for some people, and though his ideas about the necessity of pain and sitting through suffering are nothing new, his theory that understanding happiness requires accepting its impossibility—or at least embracing our time in the trenches—presents our darker moods in a more optimistic light.

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  • English

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