What is often (mis)diagnosed as depression is more properly termed "demoralization", and it's an inevitable outcome in a society in thrall with consumer culture.
The Demoralized Mind
By John F. Schumaker
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’.
Rather than a depressive disorder, demoralization is a type of existential disorder associated with the breakdown of a person’s ‘cognitive map’. It is an overarching psycho-spiritual crisis in which victims feel generally disoriented and unable to locate meaning, purpose or sources of need fulfilment. The world loses its credibility, and former beliefs and convictions dissolve into doubt, uncertainty and loss of direction. Frustration, anger and bitterness are usual accompaniments, as well as an underlying sense of being part of a lost cause or losing battle. The label ‘existential depression’ is not appropriate since, unlike most forms of depression, demoralization is a realistic response to the circumstances impinging on the person’s life.
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Human culture has mutated into a sociopathic marketing machine dominated by economic priorities and psychological manipulation.
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Full essay at:
https://newint.org/columns/essays/2016/04/01/psycho-spiritual-crisis/