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Re:Major Depressive Disorders Have an Enormous Economic Impact by Nav_Panel on Wednesday May 05, 2021 @11:10PM (#27058756)
Wow, it's almost as if the modern economic system itself is the problem... /s

Their insistence on framing depression as if it were a biological illness (and not a result of the complex and historical interplay between psyche/desire and environment) is repulsive to me. Feels like blatant propaganda to discuss depression as "merely" an economic problem, in "scientific" american no less.

Re:Major Depressive Disorders Have an Enormous Economic Impact by sarsway on Thursday May 06, 2021 @12:14AM (#27059121)
Of course. The prospect of working 40 hours a week for the rest of your life on some miserable bullshit job, with no perspective and the future looking bleak, tends to make people depressed.

But instead of admitting that their life simply sucks, they are brainwashed into thinking that there must be something wrong with them.

It's part of the reason why psilocybin is so effective. It makes people actually realize that. That no amount of meds will fix it. That to be happy, you will have to change your life, get unstuck from all the things you don't really need, and prioritize happiness.

Re:Major Depressive Disorders Have an Enormous Economic Impact by tayo42 on Thursday May 06, 2021 @12:37AM (#27059215)
So What alternatives are people having success with? the 40 hour work week sucks, but what else can you do that's better?

I guess part of it depends on what you personally have an issue with. But I can't see trading 40 hours of meaningless work for 80 hours of running my own business, or dropping out and living some nomad life. Or the constant hustle and living near poverty to be in arts or academic research .

Re:Major Depressive Disorders Have an Enormous Economic Impact by sarsway on Thursday May 06, 2021 @12:56AM (#27059294)
That's something you probably have to figure out yourself, the answer is different for everyone. Doesn't have to be that drastic. Maybe the one obvious thing I often see a lot of people are reluctant about is quitting their job. If it's not fun just quit. Try a new company, if that isn't working either, quit and try again. At least something is changing, eventually you'll either find something good or figure out something else to do.
Re:Major Depressive Disorders Have an Enormous Economic Impact by Red_Leaves_Flyy on Thursday May 06, 2021 @11:37AM (#27064852)
>eventually you'll either find something good or figure out something else to do.

Or they'll die of exposure on the streets, or worse. People, in general, can't be expected to solve fundamental problems of the distribution of wealth, opportunity, education, healthcare, food, property, knowledge, power, and comfort in our society by job hopping. The median job in America is a bullshit job for a petty dictator which is a direct result of terrible policy over decades.

The "or figure out something else to do" at the end of your comment is telling of these systemic problems, even if you did not intend it to be such a profound criticism of society and culture.

Re:Major Depressive Disorders Have an Enormous Economic Impact by tayo42 on Thursday May 06, 2021 @01:53AM (#27059626)
Yeah maybe, quitting and job searching can really be a horrible experience itself. I started considering a career switch and giving up on tech during my last one until I finally found a place that would hire me. Then that job burned me out and I turned pretty cynical about work and tech.
Re:Major Depressive Disorders Have an Enormous Economic Impact by fsloth on Thursday May 06, 2021 @12:47AM (#27059254)
40 hours is an arbitrary number. There is no reason it could not be something less. The 8 hour workday is just a recent convention.
Re:Major Depressive Disorders Have an Enormous Economic Impact by throwawayboise on Thursday May 06, 2021 @12:28AM (#27059176)
Don't recall where I read it, but it resonated with me intuitively: depression is the body's way of telling you that you need to make a change in your environment. Whether it's move to a different city, get a different job, a different girlfriend; something in your life right now isn't working for you.

It's problematic when you can't make those changes, e.g. you're young and still living with/dependent upon parents, or you feel you'd have to give up too much e.g. being close to your kids, or people are telling you to just take a pill and it will be better.

IDK about psilocybin, never tried it, seems like more snake oil honestly, there are no magic answers here.

Re:Major Depressive Disorders Have an Enormous Economic Impact by tsimionescu on Thursday May 06, 2021 @03:49AM (#27060259)
> depression is the body's way of telling you that you need to make a change in your environment

That doesn't sound plausible, as one of the main parts of depression is often debilitating lack of motivation (much more than sadness or anxiety). So depressed people are usually the least likely to be able to independently make any kind of significant change in their life - they're already spending most of their "energy" on getting out of bed and following a routine.

Not to mention, establishing clear routines and minor goals is one of the main recommendations (outside medication) for dealing with depression.

Re:Major Depressive Disorders Have an Enormous Economic Impact by astura on Thursday May 06, 2021 @08:09AM (#27062015)
Beyond that, I've found attempting to literally outrun emotional and phycological problems (by moving away) actually make them worse.
Re:Major Depressive Disorders Have an Enormous Economic Impact by tsimionescu on Thursday May 06, 2021 @11:16AM (#27064497)
To be fair, these could also be symptoms of burning out or an otherwise toxic work environment, in which case changing job may be a part of the healing process. Unfortunately, people who suffer from depression will often need outside help to actually go through such a change.
Re:Major Depressive Disorders Have an Enormous Economic Impact by gleenn on Thursday May 06, 2021 @01:01AM (#27059319)
Definitely makes sense and sounds like a super healthy response to depression to realize that something should change if you're very depressed. Might not be easy of course. I think psilocybin isn't snake oil because I don't think anyone is promising it as a cure, taking some might break you out of your normal mental state enough to make you realize all sorts of things, including that you might have to change a whole bunch to get better. Not a cure, just something that make you recognize the problem or at least the existence of some problem.
Re:Major Depressive Disorders Have an Enormous Economic Impact by johncolanduoni on Wednesday May 05, 2021 @11:50PM (#27058972)
I think it’s worth noting that though many people would understandably view those two aspects as contradictory (biological in nature and often social and environmental in instigation) this is definitely not the dominant view of psychiatric professionals or researchers. Lead poisoning has a relatively simple cause and effect chain that few would claim is not biological, but nobody trying to combat it is blind to the environmental and social factors that determine who gets it.

You may not be the target audience of this particle piece, in the sense that they don’t have to convince you depression is worth paying attention to. When trying to signal-boost an issue, you often have to play up aspects of it that you yourself might not find to be the most acute, or even the most humane as in this case. If this is the angle that has to be taken to get it taken seriously by some people, I’d rather the argument be made than not.

Re:Major Depressive Disorders Have an Enormous Economic Impact by elevenoh on Thursday May 06, 2021 @01:08AM (#27059366)
>Their insistence on framing depression as if it were a biological illness (and not a result of the complex and historical interplay between psyche/desire and environment) is repulsive to me. Feels like blatant propaganda to discuss depression as "merely" an economic problem, in "scientific" american no less.

It's not one or the other. It's both, bio & environmental, like near-everything else.

Re:Major Depressive Disorders Have an Enormous Economic Impact by quotemstr on Wednesday May 05, 2021 @11:13PM (#27058775)
> Wow, it's almost as if the modern economic system itself is the problem

What makes you so sure that it's our economic system (inb4 "let's blame capitalism for everything") and not all the other aspects of modernity that make is isolated, atomized, and nihilistic?

Re:Major Depressive Disorders Have an Enormous Economic Impact by pmiller2 on Wednesday May 05, 2021 @11:17PM (#27058801)
Serious people do believe capitalism causes mental illnesses. I’m one of them. So is Gabor Maté.

https://briarpatchmagazine.com/articles/view/gabor-mate-how-...

Edit: another good link with Gabor Maté talking about how capitalism harms our mental health.

https://patch.com/california/berkeley/ev--an-evening-with-dr...

Re:Major Depressive Disorders Have an Enormous Economic Impact by quotemstr on Wednesday May 05, 2021 @11:22PM (#27058828)
What's the guy's point? Skimming the article, he's just saying that some people have more than others. And? So what? Is that supposed to be self evidently mentally distressing?
Re:Major Depressive Disorders Have an Enormous Economic Impact by pmiller2 on Wednesday May 05, 2021 @11:51PM (#27058979)
No, what’s distressing is that those at the bottom have nothing, and those just above the bottom are literally swimming for their lives, treading water and trying not to die.

Do you know what one of the animal models for depression is? It’s called the “behavioral despair test,” but it’s actually much crueler and more insidious than it sounds.

Put a mouse in an inescapable cylinder filled partly with water. The mouse will initially try to swim and escape, but eventually gives up. Remove the mouse after 15 minutes. Just 24 hours later, the procedure is repeated and the mouse gives up after less than 5 minutes. The mouse has become depressed.

These are the conditions that capitalism knowingly imposes on those at the bottom of the economic ladder. Living paycheck to paycheck just to keep a roof over one’s head, if one is lucky, is what it’s like for a huge swath of America.

And, this is, if not “by design,” working as intended!

Can you honestly tell me that a literal 24/7 struggle to survive isn’t “self evidently mentally distressing?” Because it sounds to me like a recipe for PTSD and depression.

https://en.wikipedia.org/wiki/Behavioural_despair_test

Re:Major Depressive Disorders Have an Enormous Economic Impact by throwawayboise on Thursday May 06, 2021 @12:34AM (#27059199)
"a literal 24/7 struggle to survive"

Doesn't this describe nearly all of human history, for the vast majority of humans who have ever lived? For far longer than capitalism was ever the basis for any kind of human society?

Re:Major Depressive Disorders Have an Enormous Economic Impact by sudosysgen on Thursday May 06, 2021 @12:55AM (#27059292)
The thing is that it just doesn't have to be this way anymore. We'd all need to work somewhere around 8h a week to produce enough food, housing and energy to survive.

Instead we make up bullshit jobs and spend hundreds of billions of dollars to convince people people they should be unhappy with what they have, while structuring the necessities for life and social function around extractive institutions.

Re:Major Depressive Disorders Have an Enormous Economic Impact by samvher on Thursday May 06, 2021 @05:44AM (#27060986)
Actually many people believe it does not. Living off the land might have caused stress occasionally due to e.g. natural hazard but on average people may have been able to get by with relatively little effort: https://en.wikipedia.org/wiki/Original_affluent_society
Re:Major Depressive Disorders Have an Enormous Economic Impact by pmiller2 on Thursday May 06, 2021 @12:45AM (#27059243)
Why does it have to be? We have plenty of resources. Everyone can have the bottom levels of Maslow’s hierarchy. Everyone!

Today is today, not “nearly all of human history.” Who cares about “nearly all of human history?”

https://en.wikipedia.org/wiki/Maslow%27s_hierarchy_of_needs

Re:Major Depressive Disorders Have an Enormous Economic Impact by unishark on Thursday May 06, 2021 @02:04AM (#27059692)
I think the point was that human history predates the recent increase in depression. Having unmet needs you need to work to fill is the baseline state of all animals, and the unending grind to fill them is what we are evolved to do.
Re:Major Depressive Disorders Have an Enormous Economic Impact by pmiller2 on Thursday May 06, 2021 @02:17AM (#27059766)
People would still have plenty of unmet needs if the basic physiological and safety needs in Maslow's hierarchy are met. What kind of straw man are you trying to argue here? If anything, having those needs met makes it easier -- nay, possible -- to "grind" toward needs at upper levels of the heirarchy (not that I accept your contention that humans were "evolved" to "grind").

Who says the increase in depression is "recent?" The article itself mentions the strong upward trend since 1990. You know 1990 is 30 years ago now, right? (Not trying to be condescending here -- I genuinely forget this myself sometime.)

Re:Major Depressive Disorders Have an Enormous Economic Impact by unishark on Thursday May 06, 2021 @03:11AM (#27060049)
I'm not arguing any strawman.

I don't accept your non-acceptance of my contention.

I say 30 years is recent. Particularly given I was referring to evidence on a prehistoric timescale.

I hope that clears everything up for you. Totally not trying to be condescending either.

Re:Major Depressive Disorders Have an Enormous Economic Impact by pmiller2 on Thursday May 06, 2021 @04:44AM (#27060582)
Then, what are you arguing? Why does it even actually matter if the increase in depression is recent, or not? What does that have to do with the fact that mere survival does not have to be a constant 24/7 struggle for anyone, really? And, what is your evidence we were "evolved" to do much of anything besides survive and breed? More importantly, who cares?
Re:Major Depressive Disorders Have an Enormous Economic Impact by hhjinks on Thursday May 06, 2021 @11:00AM (#27064236)
So the problem is poverty, not capitalism.
Re:Major Depressive Disorders Have an Enormous Economic Impact by pmiller2 on Saturday May 08, 2021 @06:11AM (#27085660)
No. The problem is that capitalism creates wealth but in an unsustainable manner, and distributed very unevenly. This is pretty inherent in how capitalism works, because the way the free market works is that it responds to people voting with their dollars. This means that people with more dollars get more votes. So, guess who ends up with all the wealth?

This is a very simplified version of what goes on in a capitalist economy, but it can be made more rigorous using modern concepts of economics. The end result is still the same, though: a very few control an immense amount of wealth, while many have little, and some have none or nearly none.

Re:Major Depressive Disorders Have an Enormous Economic Impact by pmiller2 on Thursday May 06, 2021 @07:19AM (#27061567)
Wrong link on that second one. Here's the right one: https://www.kindredmedia.org/2017/10/capitalism-makes-us-sic...
Re:Major Depressive Disorders Have an Enormous Economic Impact by chewz on Thursday May 06, 2021 @12:22AM (#27059150)
As my meditation teacher explained to me - consumer capitalism needs to make us feel unhappy all over again in order to sell us all the stuff. People content with their life do not need to buy stuff or experience to fill their inner void, they do not make good citizens of caplitalism.
Re:Major Depressive Disorders Have an Enormous Economic Impact by Nav_Panel on Wednesday May 05, 2021 @11:16PM (#27058789)
We don't need to invoke "capitalism" to discuss the psychic distress involved in repetitive work schedules and, more generally, the expectations surrounding labor and wages, i.e. the modern economic system. The term contains too much, although I do personally agree with many critiques of capitalism.
Re:Major Depressive Disorders Have an Enormous Economic Impact by MattGaiser on Wednesday May 05, 2021 @11:34PM (#27058887)
Because life as a hunter gatherer just a few days away from starvation at any point was less stressful? Generations upon generations of farming was less repetitive?
Re:Major Depressive Disorders Have an Enormous Economic Impact by Nav_Panel on Wednesday May 05, 2021 @11:37PM (#27058904)
I'm assuming you misread me, because I'm saying something to the effect of "reducing work hours and providing flexibility might be helpful for people, but the present social equilibria prevent that from happening, and mental health provides an excuse to avoid changing aspects of the economic system that have issues", and not some primitivist whatever.

Also, stress alone isn't the issue here at all.

Re:Major Depressive Disorders Have an Enormous Economic Impact by monocasa on Thursday May 06, 2021 @02:02AM (#27059686)
> Generations upon generations of farming was less repetitive?

It was. Medieval serfs worked less than us.

http://groups.csail.mit.edu/mac/users/rauch/worktime/hours_w...

Re:Major Depressive Disorders Have an Enormous Economic Impact by Toks on Thursday May 06, 2021 @12:09AM (#27059091)
I don't think it's repetitive work or expectations surrounding labour that cause psychic distress, but worker alienation, which is one of my main gripe with capitalism.

I might be wrong here, but I feel that we can endure a repetitive work schedule and high expectations if we feel connected to the work and the fruit of our labour.

Re:Major Depressive Disorders Have an Enormous Economic Impact by throwawayboise on Thursday May 06, 2021 @12:37AM (#27059213)
Feeling connected to work and the fruit of our labor is largely a matter of attitude. I've mopped floors for minimum wage and still took satisfaction in doing it well.
Re:Major Depressive Disorders Have an Enormous Economic Impact by sudosysgen on Thursday May 06, 2021 @01:01AM (#27059323)
There is a matter of attitude and a matter of reality. Deluding yourself into feeling connected into meaningless work that will benefit no one but a few is just that, delusion.

Besides, worker alienation and alienation in general is way more than just taking satisfaction in doing things well, it's actually feeling connected to what you are doing and it's purpose, and feeling connected to the social relationships that enable your life instead of seeing them as impersonal exchanges of commodity on the market.

Re:Major Depressive Disorders Have an Enormous Economic Impact by throwawayboise on Thursday May 06, 2021 @01:52AM (#27059615)
Strikes me that a lot of this is what people used to get from religion. I'm not religious myself, so definitely not trying to push it, but it does seem that there's a correlation between the rise in incidence of depression, feelings of disconnectedness, and lack of a sense if purpose that goes along with the decline in participation in organized religion.
Re:Major Depressive Disorders Have an Enormous Economic Impact by caddemon on Thursday May 06, 2021 @03:15AM (#27060071)
Yeah capitalism was much more ruthless in the early days of the US yet there seems to have been less depression (of course due to different societal factors surrounding diagnosis this can't be said with certainty). Even looking more recently where we have better data - suicides continue to go up through the 2000s. Is the claim seriously that the US is more capitalistic or forces more work/less engaging work now than it did in the 80s and 90s? I find that hard to believe but would be interested in data that could inform the question either way.

Certainly bad financial situations are a risk factor for depression, and we should do more to address these issues so that people working full time jobs can actually make ends meet. But I do also worry that the push on the other side to continually cut back work hours will only make things worse. HN is a total bubble, most people without a career do not know what to do with themselves. Sustaining intrinsic motivation for long periods can be very difficult. Continuing a project without regular feedback can feel impossible. These are big reasons why doing a PhD can be a really tough experience. You might not think it matters if people are productive, but in the long run it is critical to the mental health of many that they feel productive. Work also generally keeps people on a routine schedule, forces some amount of social interaction, etc. These are important for a healthy life.

Re:Major Depressive Disorders Have an Enormous Economic Impact by watwut on Thursday May 06, 2021 @05:28AM (#27060887)
> Yeah capitalism was much more ruthless in the early days of the US yet there seems to have been less depression

What makes you think so? It is 100% honest question: what historical evidence makes you guess the rates of depression in early days of US?

Re:Major Depressive Disorders Have an Enormous Economic Impact by caddemon on Thursday May 06, 2021 @10:19AM (#27063615)
As I mentioned the further back you go the harder it is to say anything definitive. But I do think it's telling that depression rates keep rising, and this isn't even just a 21st century phenomenon. There are epidemiological studies from the late 80s that read very similarly to the alarm raised now: https://jamanetwork.com/journals/jama/article-abstract/37702...

Going further back, discussion of a link between modernity/depression is largely speculation, but it is a popular hypothesis and there are some studies that focus on suicide rates for a more data-driven approach. It is harder to find information on US numbers but Scandinavian countries are notorious for access to thorough epidemiological data: https://journals.sagepub.com/doi/abs/10.2307/1389426

Re:Major Depressive Disorders Have an Enormous Economic Impact by maybelsyrup on Thursday May 06, 2021 @03:02AM (#27059983)
I’m glad this reply is not at the bottom of the page, but I’m sad it’s not at the top. I did come here hoping to see it, though, so I’m netting pretty content right now.