November 6, 2005
I want to link back to this earlier post on psychiatry and psychoanalysis in relation to everyday life and depression. Depression has been reconceptualized and relabelled as a disease (a cluster of symptons) rather than an illness, in order to render it visible to the medical gaze.
Big Pharma was instrumental in that shift to seeing depression as a psychiatric disorder--a broken brain?-- conceptualized by biological medicine with the solution being to take drugs--anti-depressants-- for the rest of their life because no other treatment is available. Other than pulling one's socks up and getting a grip on oneself instead of taking medication.
Leunig
This shift can be seen as a response by psychiatrists to the impact of psychoanlysis and the risk of psychiatry losing its roots in medicine and becoming irrelevant. Psychiatry was bought back into medicine through an emphasis on psychiatry's biological roots and instituting a strong scientific approach.
That is my understanding of what has happened. Depression is now conceptualized as a biological condition reflecting a chemical imbalance independent of personality or character that requires correction by an anti-depressant drug.
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The cognitive/behaviorist roots that result in this biologistical concept of depression seem more functional for capitalist rationality, free-market positivism.
It also undermines any attempt to identify social pathologies that might be responsible for such phylogenetic developments, instead describing humans as "depressed by nature". I thought we had more reflected social epistemologies by now, but apparently the scientific enlightenment retains its ideological power...
Can you suggest any critical tools? Foucault? Freudomarxism?