The Empire of Depression

The Empire of Depression
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Depression has colonized the world. Today, more than 300 million of us have been diagnosed as depressed. But 150 years ago, “depression” referred to a mood, not a sickness.

Does that mean people weren’t sick before, only sad? Of course not. Mental illness is a complex thing, part biological, part social, its definition dependent on time and place. But in the mid-twentieth century, even as European empires were crumbling, new Western clinical models and treatments for mental health spread across the world. In so doing, “depression” began to displace older ideas like “melancholia,” the Japanese “utsushō,” or the Punjabi “sinking heart” syndrome.

Award-winning historian Jonathan Sadowsky tells this global story, chronicling the path-breaking work of psychiatrists and pharmacists, and the intimate sufferings of patients. Revealing the continuity of human distress across time and place, he shows us how different cultures have experienced intense mental anguish, and how they have tried to alleviate it.

He reaches an unflinching conclusion: the devastating effects of depression are real. A number of treatments do reduce suffering, but a permanent cure remains elusive. Throughout the history of depression, there have been overzealous promoters of particular approaches, but history shows us that there is no single way to get better that works for everyone. Like successful psychotherapy, history can liberate us from the negative patterns of the past.


Jonathan Sadowsky is Theodore J. Castele Professor of Medical History at Case Western Reserve University. Jonathan Sadowsky’s writing investigates madness and its compelling relationship with culture and society. A renowned historian of medicine, he is the author of Imperial Bedlam: Institutions of Madness and Colonialism in Southwest Nigeria, as well as Electroconvulsive Thera...

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  • 牧牛人
    11-20
    很扎实的医学史著作,主要在探讨有关抑郁症心理成因和社会成因的debate。作者作为一个Psychiatrist并没有一昧地支持心理问题的病理化,也从各类文学作品以及社会评论中汲取营养来丰富我们对抑郁的视角。第二三章有关病理化如何促进相关保险业发展的论点蛮惊艳的。能够把一个学术问题拉回到业界的角度分析,让我这个只知道三分人文视角的偏科生收益良多。
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