The demoralized mind
1 April 2016
© Robin Heighway-Bury/Alamy
Our descent into the Age of Depression
seems unstoppable. Three decades ago, the average age for the first onset of
depression was 30. Today it is 14. Researchers such as Stephen Izard at Duke
University point out that the rate of depression in Western industrialized
societies is doubling with each successive generational cohort. At this pace,
over 50 per cent of our younger generation, aged 18-29, will succumb to it by
middle age. Extrapolating one generation further, we arrive at the dire
conclusion that virtually everyone will fall prey to depression.
By contrast to many traditional cultures
that lack depression entirely, or even a word for it, Western consumer culture
is certainly depression-prone. But depression is so much a part of our
vocabulary that the word itself has come to describe mental states that should
be understood differently. In fact, when people with a diagnosis of depression
are examined more closely, the majority do not actually fit that diagnosis. In
the largest study of its kind, Ramin Mojtabai of Johns Hopkins Bloomberg School
of Public Health sampled over 5,600 cases and found that only 38 per cent of
them met the criteria for depression.
Contributing to the confusion is the
equally insidious epidemic of demoralization that also afflicts modern culture.
Since it shares some symptoms with depression, demoralization tends to be
mislabelled and treated as if it were depression. A major reason for the poor
28-per-cent success rate of anti-depressant drugs is that a high percentage of ‘depression’
cases are actually demoralization, a condition unresponsive to drugs.
Existential
disorder
In the past, our understanding of
demoralization was limited to specific extreme situations, such as debilitating
physical injury, terminal illness, prisoner-of-war camps, or anti-morale
military tactics. But there is also a cultural variety that can express itself
more subtly and develop behind the scenes of normal everyday life under
pathological cultural conditions such as we have today. This culturally generated
demoralization is nearly impossible to avoid for the modern ‘consumer’.
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