Depressed vs. Unhappy

Must-read. City Journal recently ran a very thoughtful article, "The Frivolity of Evil" by Theodore Dalrymple, a retiring M.D. in Great Britain. A couple of provocative quotations to whet your whistle:
There is something to be said here about the word "depression," which has almost entirely eliminated the word and even the concept of unhappiness from modern life. Of the thousands of patients I have seen, only two or three have ever claimed to be unhappy: all the rest have said that they were depressed. This semantic shift is deeply significant, for it implies that dissatisfaction with life is itself pathological, a medical condition, which it is the responsibility of the doctor to alleviate by medical means. . . . This idea in turn implies that one's state of mind, or one's mood, is or should be independent of the way that one lives one's life, a belief that must deprive human existence of all meaning, radically disconnecting reward from conduct.

A little later he continues:

I have therefore come to see that one of the most important tasks of the doctor today is the disavowal of his own power and responsibility. The patient's notion that he is ill stands in the way of his understanding of the situation, without which moral change cannot take place. The doctor who pretends to treat is an obstacle to this change, blinding rather than enlightening.

Read the whole thing, it's fascinating.