What if depression were a blessing as well as a curse? This is a book about how depression can have benefits as well as costs, and how to reap those benefits while making yourself feel better—better, in fact, than ever before.
🏆Semi-finalist, the BookLife Prize
🏆Highly Commended, the BMA Book Awards
A comprehensive, sympathetic, and thought-provoking guide for those who want to explore their depression in more depth.—The British Journal of Psychiatry
This book brings understanding and encourages independent solutions. It is remarkable in its shortness and practicality.—The British Medical Association Book Awards
★★★★★ I have read most of Dr. Neel Burton’s books and have enjoyed them immensely … All in all, I found this to be a very insightful and engaging book on depression.—Jamie Bee, Amazon.com Top 50 Reviewer
Grab your copy now for a new and powerful way of looking at depression.
If Freud is the father of psychoanalysis, Schopenhauer is the grandfather. Here’s why.
In 1809, the twenty-one-year-old Arthur Schopenhauer matriculated at the University of Göttingen, nominally to study medicine and satisfy his interest in the natural sciences. In Göttingen, the skeptic Gottlob Ernst Schulze introduced him to Plato and Kant. Arthur remarked to Schulze, “Life is a tricky business. I’ve decided to spend it trying to understand it.” With that, he left Göttingen to pursue his studies at the newly founded University of Berlin, which had fast risen into Germany’s premier centre of philosophy.
In Berlin, Schopenhauer attended lectures by Johann Gottlieb Fichte, the head of the department, and found him to be abstruse and tedious. He thought of Fichte as a charlatan and second-rate Kant, and, in his notes, referred to his philosophy as a “world-comedy”. He held the dogmatic Friedrich Schleiermacher in equal contempt, and his notes on Schleiermacher’s lectures reveal a budding atheism. He never regretted his beginnings as a medical student. Even at Berlin, he attended more lectures in the sciences and medicine than in philosophy, since, he believed, a philosopher ought to have a strong grounding in the sciences.
The relationship between madness and genius
And not just the sciences, but life itself. In the winter of 1812, Arthur began visiting patients in the “melancholy ward” of Berlin’s Charité hospital to investigate the relationship between madness and genius. In his lectures, Fichte had characterised genius as “divine” and madness as “animal”, but Arthur, who was no stranger to mental illness, suspected the two to be intertwined. “Genius” he would write in The World as Will, “lives only one storey above madness.”
Many of the patients he spoke to were or had been highly accomplished people. They were perfectly capable of rational thought, even of wit, and rarely erred in their knowledge of the immediate present. Madness, he surmised, is not a disturbance of the rational faculty. Instead, it arises when the past is too painful to bear. When this happens, memories are repressed, and may be replaced by new “memories”. “If … certain events or circumstances are wholly suppressed for the intellect, because the will cannot bear the sight of them; and then, if the resultant gaps are arbitrarily filled up for the sake of the necessary connection, we then have madness.” “True mental health” in contrast, “consists in perfect recollection of the past.”
Schopenhauer conceived of genius as an ability to rise into timelessness, to see time merely, in that famous phrase of Plato, “as the moving image of eternity”. Thus, what genius and madness share in common is a disrupted relationship with time. Whereas the madman has lost the thread of the “where” and “when”, the genius can still pick it up, but disentangles himself to better concentrate on the “what”.
What Freud said about it
Freud, who was four years old when Schopenhauer died, denied having been at all influenced by him. But in 1914, he conceded: “What [Schopenhauer] says about the struggle against accepting a distressing piece of reality coincides with my concept of repression so completely that once again I owe the chance of making a discovery to my not being well read.”
Again, in 1925, Freud wrote: “I have carefully avoided any contact with philosophy proper. The large extent to which psychoanalysis coincides with the philosophy of Schopenhauer—not only did he assert the dominance of the emotions and the supreme importance of sexuality, but he was even aware of the mechanism of repression—is not to be traced to my acquaintance with his teaching. I read Schopenhauer very late in my life.”
If Freud is the father of psychoanalysis, Schopenhauer is the grandfather.
Three ancient mind exercises for processing and subliming bad news.
Imagine: Your house has been burgled. You’ve been fired. Your partner cheated or walked out on you. You’ve been diagnosed with a life-changing condition…
Bad news can leave us in a state of dread and despair. It seems like our whole world is falling apart, almost as if we’re being driven into the ground. We fear the very worst and cannot get it out of our mind, or gut. Often, there are other emotions mangled in, like anger, guilt, despair, betrayal, and love.
Bad news: we’ve all had it, and the worst is yet to come.
So, how best to cope?
I’m going to give you three cognitive strategies, or mind exercises, that I picked up from the Stoic philosophers—who, in the second century, could count the Roman Emperor, Marcus Aurelius, among their followers.
All three strategies aim, in one way or another, at generating perspective. While reading, hold a recent piece of bad news in the front of your mind, and consider how the strategies might or might not apply to your bad news.
Contextualization
Try to frame the bad news, to put it into its proper context. Think about all the good things in your life, including those that have been and those that are yet to come. Remind yourself of all the strengths and resources—the friends, facilities, and faculties—that you can draw upon in your time of need. Imagine how things could be much, much worse—and how for some people they actually are. Your house may have been burgled. Yes, you lost some valuables and it’s all such a huge hassle. But you still have your health, your job, your partner… Bad things are bound to hit us now and then, and it can only be a matter of time before they hit us again. In many cases, they are just the flip side of the good things that we enjoy. You got burgled, because you had a house and valuables. You lost a great relationship, because you had one in the first place. In that much, many a bad thing is no more than the removal or reversal of a good one.
Negative visualization
Now focus on the bad news itself. What’s the worst that could happen, and is that really all that bad? Now that you’ve got the worst out of the way, what’s the best possible outcome? And what’s the most likely outcome? Imagine that someone is threatening to sue you. The worst possible outcome is that you lose the case and suffer all the entailing cost, stress, and emotional and reputational hurt. Though it’s unlikely, you might even do time in prison (it has happened to some, and a few, like Bertrand Russell, did rather well out of it). But the most likely outcome is that you reach some sort of out-of-court settlement. And the best possible outcome is that you win the case, or better still, it gets dropped.
Transformation
Finally, try to transform your bad news into something positive, or into something that has positive aspects. Your bad news may represent a learning or strengthening experience, or act as a wake-up call, or force you to reassess your priorities. At the very least, it offers a window into the human condition and an opportunity to exercise dignity and self-control. Maybe you lost your job: time for a holiday and a promotion, or a career change, or the freedom and fulfilment of self-employment. Maybe your partner cheated on you. Even so, you feel sure that he or she still loves you, that there is still something there. Perhaps you can even bring yourself to look at it from his or her perspective. Yes, of course it’s painful, but it may also be an opportunity to forgive, to build a closer intimacy, to re-launch your relationship—or to go out and find a more fulfilling one. You’ve been diagnosed with a serious medical condition. Though it’s terrible news, it’s also the chance to get the support and treatment that you need, to take control, to fight back, to look at life and your relationships from another, richer perspective.
A Taoist story for the road
There’s a Taoist story about an old farmer whose only horse ran away. “Such terrible news!” said a neighbour. “Maybe it is, maybe it isn’t,” replied the farmer. The next day, the horse returned with six wild horses. “Such wonderful news!” exclaimed the neighbour. “Maybe it is, maybe it isn’t,” replied the farmer. The day after that, the farmer’s son tried to tame one of the wild horses but got thrown off and broke a leg. “Such terrible news!” cried the neighbour. “Maybe it is, maybe it isn’t,” replied the farmer, biting into a peach. A week later, war broke out: thanks to his broken leg, the farmer’s son managed to escape military conscription. “It all worked out really well in the end,” said the neighbour, “such great luck!”
“Maybe it is, maybe it isn’t,” replied the farmer, rolling his eyes.
Neel Burton is author of Growing from Depression, which is currently free to download from his website bookstore.
And why our approach to depression may be misguided.
As many as one in four Americans will at some time in their lives suffer from a mental illness called “Major Depressive Disorder”. Despite the growing concerns about their effectiveness, sales of antidepressant drugs continue to grow, and, in England, have more than doubled since 2008. Clearly, the approach to depression that we as a society are taking is not working. But why?
The concept of depression as a mental illness may be helpful for the more severe cases treated by hospital psychiatrists, but probably not for the majority of cases, which, by and large, are mild and short-lived, and readily interpreted in terms of life circumstances, human nature, or the human condition. Indeed, for many people, the concept of depression as a mental illness is likely to be positively harmful. How?
By pushing us towards doctors and drugs, the belief that we are suffering from a mental illness or chemical imbalance in the brain can prevent us from identifying and addressing the important real-life problems or psychological issues that are at the root of our distress, and that are, quite literally, crying out for our attention. To treat this cry out of the depths as a simple biological problem is effectively to ignore and suppress it, while ever more people join the legions of the depressed.
Depression as a signal
Crushing though it may be, depression, or the depressive position, can present a precious opportunity to come to terms with deep-seated life problems.
Just as physical pain evolved to signal injury and prevent further injury, so depression may have evolved to remove us from distressing, damaging, or futile situations, situations that do not serve us well as human beings. The time and space and solitude afforded by depression can enable us to reassess our needs, reframe our perspectives, and round up the resolve to break with established patterns. In other words, the depressive position may stand as a signal from our unconscious to our conscious that something is seriously wrong and needs working through and changing, or, at the very least, processing and understanding.
In the normal run of things, we may become so immersed in our daily life that we no longer have the opportunity or perspective to think and feel about our self. The adoption of the depressive position invites or compels us to shed our defences, stand back at a distance, re-assess our needs and priorities, and formulate a modest but realistic plan for fulfilling them.
At a deeper level, the adoption of the depressive position can enable us to develop a clearer understanding and appreciation of our self, our life, and life in general. From an existential standpoint, the adoption of the depressive position obliges us to become aware of our mortality and freedom, and challenges us to exercise the latter within the framework of the former. By meeting this ultimate challenge, we are able to break out of the mould that has been imposed upon us, discover who we truly are, and begin to give deep meaning to our lives.
Light at the end of the tunnel
Looking at it like this, it can be no surprise that many of the most creative and insightful people in history suffered from depression, or a state that might today be diagnosed as depression.
The roll of names includes the politicians Winston Churchill and Abraham Lincoln; the poets Charles Baudelaire, Elizabeth Bishop, Hart Crane, Emily Dickinson, Sylvia Plath, and RM Rilke; the thinkers Michel Foucault, William James, JS Mill, Friedrich Nietzsche, and Arthur Schopenhauer; and the writers JK Rowling, Agatha Christie, Charles Dickens, William Faulkner, Graham Greene, Leo Tolstoy, and Evelyn Waugh, among many, many others.
To quote Marcel Proust, who himself suffered from depression, “Happiness is good for the body, but it is grief which develops the strengths of the mind.”
Dr James Davis is a medical anthropologist and trained psychotherapist who is perhaps best known for his book of 2013: Cracked: Why Psychiatry Is Doing More Harm Than Good.
Cracked is a forensic examination of our increasing reliance on psychiatry and psychiatric drugs, in which Davis essentially argues that psychiatry ‘in the name of helping others, has actually been helping itself’.
His latest book, Sedated (March 2021), is broader in scope, looking at the social and political underpinnings that facilitated and enabled this state of affairs.
Since the early 1970s, the number of mental disorders listed in the DSM, the American classification of mental disorders, has risen from 106 to 370. Antidepressant prescribing in the U.K. surged from 25 million prescriptions per year in 2002 to nearly 75 million in 2020. The coronavirus pandemic has only accelerated the trend—while more benign and empowering psychological treatments are ever harder to access.
In Sedated, Davis puts it to us that psychiatric interventions, including superficial psychological interventions principally aimed at returning people to productivity, merely create the illusion of care while leaving the structural causes of distress intact. More than that, by shifting the blame or responsibility onto the sufferer, they serve to obscure these structural causes and, thereby, to preserve and entrench the neoliberal status quo.
The interventions favoured by the government, including even the psychological interventions, are those that involve internal rather than external change, because internal change promises to increase economic productivity and so cost-effectiveness, which is the preferred criterion for endorsing one treatment over another. If we are suffering, we are simply to stiffen ourselves to the social problems created by successive policies aimed solely at the bottom line.
Karl Marx famously said that ‘religion is the opium of the people’. The social institutions responsible for understanding and managing suffering are critical to the preservation of vested interests. With the waning of religion in the West, priests may have been supplanted by psychiatrists. The idea that a pill can make us happy ought to be inherently suspicious but fits perfectly with our materialistic and mechanistic worldview.
Thus, according to the prevailing narrative, suffering is rooted in individual rather than social or existential causes, while well-being is whatever best serves the economic imperative. Behaviours that disrupt economic activity are labelled as mental disorder, and this mental disorder presents yet another money-making opportunity.
If so many of us are ill, if a quarter of us are taking a psychiatric drug, this is because our suffering, having been stripped of its deeper purpose and meaning, is no longer being heeded. It is no longer being interpreted as a vital call to change, or to protest against harmful or inhibiting conditions.
On the contrary, once we identify as mentally ill, we become disempowered in the belief that the problem lies solely with us, or, more precisely, with misfiring chemicals in our brains. While we are at the clinic, we are not at the barricades.
And while we work to grow the economy, we are not working to grow ourselves.
This is very big picture stuff from James Davies, who weaves our worst fears into a coherent, compelling, and damning narrative.
There is much more to mental health than the mere absence of mental disorder. Today, I write about all the things that I was never taught. Click here to find out more.
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