Earlier today we posted a Q & A with Allan V. Horwitz, co-author with Jerome C. Wakefield, of The Loss of Sadness: How Psychiatry Transformed Normal Sorrow Into Depressive Disorder. Below is an excerpt from the book which uses Willy Loman from Death of A Salesman to show how our perceptions of sadness have changed over time.
The Concept of Depression
The poet W. H. Auden famously deemed the period after World War II the “age of anxiety.” For Auden, the intense anxiety of that era was a normal human response to extraordinary circumstances, such as the devastation of modern warfare, the horrors of the concentration camps, the development of nuclear weapons, and the tensions of the cold war between the United States and the Soviet Union. Were Auden still alive, he might conclude that the era around the turn of the twenty-first century is the “age of depression.” There would, however, be a crucial difference between the two characterizations: whereas the age of anxiety was viewed as a natural response to social circumstances that required collective and political solutions, ours is viewed as an age of sadness that is abnormal—an age of depressive psychiatric disorder that requires professional treatment.
Consider Willy Loman, the lead character in Arthur Miller’s classic play Death of a Salesman and possibly the fictional character most representative of American life during the decades following World War II. As he enters his 60s, despite his fervent belief in the American dream that hard work will lead to success, Willy Loman has never accomplished very much. He has heavy debts, his health is failing, he is barely able to continue working at his job as a traveling salesman, and his sons despise him. When he is finally fired from his job, he is forced to admit to himself that he is a failure. He kills himself in an automobile accident in the hope of getting his family some money from an insurance settlement. The tremendous popularity of Death of a Salesman on its introduction on Broadway in 1949 stemmed from Willy Loman’s embodiment of the Everyman in American life who embraced the goal of achieving great wealth but found himself destroyed by it.
Death of a Salesman received a very different response during its revival 50 years later. According to a piece in The New York Times titled “Get That Man Some Prozac,” the director of the revived version sent the script to two psychiatrists, who diagnosed Loman as having a depressive disorder. The playwright, Arthur Miller, objected to this characterization, protesting: “Willy Loman is not a depressive. . . . He is weighed down by life. There are social reasons for why he is where he is.” The response of the psychiatrists is as exemplary of our time as Loman was of his. What our culture once viewed as a reaction to failed hopes and aspirations it now regards as a psychiatric illness. The transformation of Willy Loman from a social to a psychiatric casualty represents a fundamental change in the way we view the nature of sadness.
Why is it either or? psychiatric problem or a failed social system? It can be both and usually is. The chicken or the egg is a problem for the Willy Lomans of the world, but taking into account the myths and failures in society that we each encounter on our journeys through our lives still needs to be dealt with and some form of treatment whether prozac or pyshchological/behavorial treatment often does releave suffering and prevent destructive behaviors which only make the human condition even more tragic.
see “Artificial Happiness”
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