Posts Tagged ‘ depression ’

Call for Papers: Gloom Goes Global: Towards a Transcultural History of Melancholy Since 1850

Edvard Munch, Melancholy (1891). From: http://www.edvard-munch.com/gallery/love/melancoly.htm

Edvard Munch, Melancholy (1891). From: http://www.edvard-munch.com/gallery/love/melancoly.htm

CFP: Gloom Goes Global – Towards a Transcultural History of Melancholy since 1850

Location: University of Heidelberg, Karl Jaspers Centre
Date: 2–4 October 2014
Organisers: Frank Grüner and Maike Rotzoll,
Cluster of Excellence “Asia and Europe in a Global Context”, University of Heidelberg

This interdisciplinary conference focuses on the study of melancholy as a historical-anthropological phenomenon and scientific medical concept from a transcultural perspective. It will discuss influential narratives and perceptions of gloom as articulated in various national and cultural contexts – in Europe, Russia and Asia – since the middle of the 19th century, and will examine their mutual penetration and transformation. The central question concerns the extent to which the paradigm shift from a perception of melancholy shaped by natural philosophy, lite! rature and art to a psychopathological condition conceptualised using scientific terminology can be described as a global phenomenon.

The production of certain concepts and ontologies of melancholy in a specific historical context is to be understood as a dynamic cross-border process in which “traditional”, more or less established, forms of knowledge and science – among them medical systems – are affected, challenged or closely intertwined by “wandering ideas” in the sense of a “circulation of knowledge” or “culture on the move”.

The key concern of this conference is to discuss competing concepts of melancholy and their mutual penetration and transformation against the backdrop of cultural flows, in particular flows of knowledge and science between Europe, Russia and Asia. In concrete terms, this conference seeks books or texts and ideas (medical and scientific as well as philosophical or social) produced in one cultural context and transmitted or transferred to another, translated from one to the other language, or adapted, changed, transformed, etc. Further, the conference addresses the people and institutions as well as agents and brokers involved in or affected by these kinds of transcultural flows and cross-border activities.

Last but not least, this conference focuses on global flows of cosmopolitan psychiatry and the circulation of concepts of mental illnesses such as melancholy or depression and the ontologies that they produced in different historical and cultural contexts.

Topics of the conference papers can focus on the following aspects in particular:

• prevalent concepts of melancholy in Europe, Russia and/or Asia in the time from around 1850 to the present in literature, the arts, philosophy, sciences and medicine

• epistemological and ontological transfers in the field of science and medicine between different cultures which shaped the understanding,

•redefinitions and experience of melancholy and gloom in various historical contexts of Europe, Russia and Asia

• exchange processes and transcultural entanglements in the field of melancholy

• cultural brokers, itineraries and the institutions or places of knowledge involved in these transnational processes of knowledge transfer and circulation of melancholy concepts

• the circulation and application of certain practices concerning health and knowledge which played a role in regard to the (medical or social) treatment of melancholy and depression

Formal requirements:

Applicants should submit the title of a paper, an abstract of max. 300 words and a short CV to Frank Grüner (gruener@asia-europe.uni-heidelberg.de) or Maike Rotzoll (maike.rotzoll@histmed.uni-heidelberg.de) by 15 April 2014.

Successful applicants will be requested to submit a full paper (5,000 words max.) by 10 September 2014. The papers wil! l serve as a basis for discussion during the conference. Selected papers are expected to be published.

The presentations at the conference in Heidelberg last a maximum of 20 minutes.
Accommodation costs and travel expenses will (at least partially) be covered by the organisers.

Contact:

Dr. Frank Grüner
Cluster of Excellence “Asia and Europe”
University of Heidelberg
Karl Jaspers Centre for Advanced Transcultural Studies
Building 4400, Room 016
Voßstr. 2
D-69115 Heidelberg
Germany
Phone: ++49-(0)6221-544302
E-mail: gruener@asia-europe.uni-heidelberg.de

Dr. med. Maike Rotzoll
Institute for the History and Ethics of Medicine
University of Heidelberg
INF 327
D-69120 Heidelberg
Germany
Phone:++49-(0)6221-548960
E-mail: maike.rotzoll@histmed.uni-heidelberg.de

Guardian article: “Antidepressant use on the rise in rich countries, OECD finds”

The use of antidepressants has surged across the rich world over the past decade, according to the Organisation for Economic Co-operation and Development.

The Guardian has just published an article on this issue, with a video containing exclusive rare footage from patient interviews which shows the inside story of anti-depressants. The piece reads that “doctors in some countries are writing prescriptions for more than one in 10 adults, with Iceland, Australia, Canada and the other European Nordic countries leading the way”.

To read the entire article, click here.

The video can be accessed at http://www.theguardian.com/society/video/2013/nov/20/taking-tablets-personal-guide-anti-depressants-video

The Geography of Depression

What’s the country with the smallest percentage of depressed people? Click here to find out. This extensive map, published yesterday in the Washington Post,  details the rates of depression diagnoses across the world:

The article is based on a new study by researchers at Australia’s University of Queensland published this week in the journal PLOS Medicine. The authors of this study, the Post article reads,used data on the prevalence, incidence and duration of depression to determine the social and public health burden of the disorder around the world. Globally, they found, depression is the second-leading cause of disability, with slightly more than 4 percent of the world’s population diagnosed with it. The map at the top of this page shows how much of the population in each country has received a diagnosis of clinical depression.”

Another opportunity to stir up the DSM debate?

Click here to read the entire Washington Post article.

Click here to access the original study.

How Depression Went Mainstream: Interview with Dr. Edward Shorter

George Mason University’s History News Network features a recent article entitled “How Depression Went Mainstream”. In the piece, Robin Lindley interviews renowned psychiatrist and historian of psychiatry Dr. Edward Shorter, who talks about his new book How Everyone Became Depressed: The Rise and Fall of the Nervous Breakdown (Oxford University Press):

Every year, more and more Americans are treated for complaints of depression and often do not derive relief from treatment for their symptoms that may include anxiety, fatigue, poor sleep, and physical problems.

According to acclaimed historian of psychiatry, Dr. Edward Shorter, the diagnosis of depression has increased steadily over the past forty years and, during our lifetimes, “one American in five will receive a diagnosis of depression.” That’s more than sixty million people.

To read the entire article, click here.

Book Review – Junko Kitanaka, Depression in Japan: Psychiatric Cures for a Society in Distress (Princeton 2011)

By Clark Lawlor

Junko Kitanaka’s book richly deserves the superlatives that reviews other than this one will be sending in its direction. A fruitful combination of medical history, ethnography and sociology, Kitanaka guides us with an expert knowledge and lucid style through the complexities of Japanese depression as it is now and as it was in the past. Thus it stands to be of interest both to historians of medicine who work in early modern periods and those who are concerned with the present and how psychiatry moves forward in our own time. Kitanaka has had plenty of experience with Western psychiatry from her time in North America, and provides something of a comparative study (although this is by no means the stated aim of the book) of the way Japanese and Western cultures of psychiatry have converged and diverged. The book is never less than fascinating and should be read by any historian of psychiatry, or indeed anyone interested in the history of depression.

The book is divided into three main parts: depression in history (an excellent short history with cross-cultural applications), in clinical practice, and in society. The first part deals with the progress of depression from ‘the premodern language of depression’, ‘the expansion of psychiatry into everyday life’, the debate in the early twentieth century about neurasthenia as a disorder of overwork or defective (‘weak’) personality, and finally to the point at which ‘the current medicalization of depression’ has not necessarily resulted in the same potentially reductive biochemical emphasis so prevalent in the West, particularly the United States (67). Instead, Japanese psychiatrists have annexed the idea of depression as a disease of the whole person, a ‘Typus Melancholicus’, who is prone to depression because he (we will return to gender later) is too hard-working and has over-internalized the Japanese ethic of productivity and corporate loyalty. Depression thus becomes a disease of fatigue, but to be treated in pharmaceutical manner rather than via the social structures that determine this discourse of work.

The second part examines how depression has been dealt with at the coal face of clinical practice, for psychiatrists as well as patients. It is a great strength of this book that it combines history with ethnography, so that this part is ‘based on two years of ethnographic fieldwork I conducted at three psychiatric institutions (a university hospital, a private mental hospital, and a small clinic specializing in psychosomatic medicine)’ (85). A working knowledge of real-world interactions between patients and their psychiatrists gives the book a practical and authentic insight. The first chapter in this section demonstrates how psychotherapy for depression has been a ‘taboo’ treatment for Japanese patients, and how psychiatrists have actively avoided wandering into the realm of the patient’s subjectivity and possibilities for self-analysis and reflexivity. Rather, they have concentrated on providing biological and social explanations for depression, partly motivated by a fear of ‘colonizing’ the patient and – to mix the metaphor-  unleashing psychological forces that the ‘lid’ of biomedical explanations had kept under control (104).  The next chapter deals with the limits of this method, and in particular the case of suicide, which is usually regarded in Japan as an act of free well and a ‘moral act’. The explanations provided by Japanese psychiatrists conflict with this self-determinism as they strip away that very aspect of suicide that seems most to figure individual agency. These tensions are apparent when patients are not persuaded by the psychiatric discourse of passive determination by outside forces, whether social or physical.

The final chapter in this section challenges the Western conception of depression as a ‘female malady’ (although of course this is only a particular representation of gendered depression as recent work on both depression and hysteria has demonstrated) and shows Japanese depression to be regarded as a disease of both sexes, but with the twist that representations of male depression are structured by a public discourse of depression ‘that highlights their sense of fatigue and overwork as well as the injustice of economic and social systems’ (86). Female depression often resists the ‘paternalistic’ relationship with the psychiatrist (are they all men?) that smooths the male road to recovery because women ‘rarely seem to link their suffering to the recognized structural causes of depression’.  The way women manifest their resistance to the encouraged dependency on the psychiatrist is to switch the particular practitioner until they find the ‘right’ one. This is a situation that is starting to change, argues Kitanaka, as the gender politics of Japanese society shifts, and as the neoliberal imperative of modern Japan stimulates the individual to take control of her or his destiny rather than ceding power to the psychiatrist.

The last part of the book (III) moves beyond the asylum and into the wider social realm, where psychiatry is employed as a means of representing and critiquing the ills of that realm. The first chapter uses Rabinow’s concept of ‘bio-sociality’ –in which a patient can empower him or herself via medical label or diagnosis, despite a lack of power in the social sphere – to analyse the status of overwork suicide and depression in Japan. Kitanaka shows that psychiatrists ‘have become engaged in a social movement against overwork that has brought doctors, lawyers, and depressed workers and their families together’ (153). The fact that workers have managed to win legal battles that argue for overwork depression and suicide brings psychiatric discourse firmly into the public realm, but with this transition comes a series of conflicts that need to be negotiated. If a willing worker commits suicide from overwork, where does that leave the traditional Japanese work ethic? Similarly, within medical discourse itself, what do doctors do when they intrude into the moral rather than scientific arguments about the causes of depression in Japanese workers?

The following chapter (10) examines the way in which medicalization over the course of a decade has had effects in law and policy, public debates about antidepressants, and industrial management. This again uses fieldwork conducted in 2008/9, and is the better for it. Medicalization, it transpires, has not been straightforward, and has involved the medical community in the demand from government and industry to find a scientific way of managing depressed workers. Different groups (medics, lawyers, managers) have different perspectives on the nature of depression and the depressed person, including their susceptibility to work stress, and stress’s connection to depression. Finding the best way of dealing with work-related depression is a political hot potato, not merely a medical issue.

Kitanaka concludes the book by connecting the local issues of Japanese medicalization with global politics. The result chimes with the Western emphasis on drugs:  ‘Despite the seemingly redemptive role it has played in Japan, however, psychiatry continues to be characterized by a dual structure: while providing a socializing language that has helped popularize depression, psychiatry retains its biological principles at the core of its practice. Without fundamentally altering the way it operates-or generating a new theoretical and clinical framework to address the social nature of people’s “depression”-psychiatry has relegated the depressed to the pharmaceutical management 0f everyday distress’ (193). This ‘aggressive pharmaceuticalization’ promoted by Japanese psychiatry ditches the psychological and social aspects of depression, at least in terms of treatment. Needless to say, this focus on the biological is not generally a positive outcome for the suffering patient. The future of Japanese depression goes in some ways in tandem with Western depression: both cultures need to move beyond the crudely pharmaceutical and to address the social and psychological structures that (albeit differentially) affect both types of (late?) industrial societies.

This review hardly does justice to the depth of scholarship (both historical and ethnographic) and complex yet lucid arguments that constitute Kitanaka’s brilliant  book. This is the first place one should look to gain an understanding of Japanese depression, contemporary and historical, and, what is at least as rewarding, should be taken as a model of what cultural and ethnographic research can achieve when conducted at this level of excellence.

Clark Lawlor teaches at the University of Northumbria, UK. He is the author of several works, including most recently, From Melancholia to Prozac: A History of Depression (Oxford 2012).

%d bloggers like this: