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The Daily Dish - 2006-2011 archives for The Daily Dish, featuring Andrew Sullivan

Sadness Is Healthy

By The Daily Dish
Nov 24 2008, 7:53 AM ET

Mind Hacks points me to this article on the "medicalization" of unhappiness:

The blurring of the distinction between normal intense sadness and depressive disorder has arguably had some salutary effects. For example, it has reduced the stigma of depression and created a cultural climate that is more accepting of seeking treatment for mental illness. Many people with normal sadness might benefit from medication that ameliorates their symptoms. However, the usefulness of medication for normal sadness, and especially the trade-off between symptom reduction and adverse effects, has not been carefully studiedpartly because the necessary distinctions do not exist within the current diagnostic system.



The decontextualized definition of MDD, however, has had substantial costs. Since 1980, an enormous “medicalization” of unhappiness has occurred. Life’s illswhether a failure to attain an expected promotion, ongoing conflict with a spouse, or overwhelming distress from coping with competing family and work demandsare too often treated as mental disorders based on the report of a few symptoms of sadness. The medicalization of social life triggered an immense rise in the consumption of antidepressants. The efficacy of these medications for the treatment of normal sadness is often overstated, and their potential to cause harmful effects has sometimes been underestimated.

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