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24 Nov 2008 07:53 am
Sadness Is Healthy
Mind Hacks points me to this article on the "medicalization" of unhappiness:
The blurring of the distinction between normal intense sadness and depressive disorder has arguably had some salutary effects. For example, it has reduced the stigma of depression and created a cultural climate that is more accepting of seeking treatment for mental illness. Many people with normal sadness might benefit from medication that ameliorates their symptoms. However, the usefulness of medication for normal sadness, and especially the trade-off between symptom reduction and adverse effects, has not been carefully studied—partly because the necessary distinctions do not exist within the current diagnostic system.
The decontextualized definition of MDD, however, has had substantial
costs. Since 1980, an enormous “medicalization” of unhappiness has
occurred. Life’s ills—whether a failure to attain an expected
promotion, ongoing conflict with a spouse, or overwhelming distress
from coping with competing family and work demands—are too often
treated as mental disorders based on the report of a few symptoms of
sadness. The medicalization of social life triggered an immense rise in
the consumption of antidepressants. The efficacy of these medications
for the treatment of normal sadness is often overstated, and their
potential to cause harmful effects has sometimes been underestimated.
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