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Re:The Teen Mental Illness Epidemic Is International, Part 1... by dragonwriter on Wednesday March 29, 2023 @01:03PM (#35360065)
> Saw a post on Paul Graham’s twitter about this, turns out white, liberal female teens were the most depressed, for whatever reason, that’s a strange specific group to be extremely depressed imho.

That’s…honestly, exactly the combination of race and gender I would expect to be most depressed right now, even thinking only about expectations people have been raised with about the direction of progress for their own conditions and how the reality currently manifesting clashes with it, and that’s without considering how concerns for conditions other than their own might play into it.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @01:18PM (#35360260)
Can you expand on your thoughts here? This is not a group whose lives I generally expect to be getting worse (in day-to-day life, barring social media effects).
Re:The Teen Mental Illness Epidemic Is International, Part 1... by travisjungroth on Wednesday March 29, 2023 @01:25PM (#35360368)
Huge expectations around women “having it all” clashing into economic uncertainty and the revocation of rights.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @01:43PM (#35360621)
I'm not trying to be annoying, but I genuinely don't understand what you mean by huge expectations of "having it all" for women (at least insofar as it relates to any trend starting ~2012, when the large growth in depression and self-harm among teen girls seems to have started).

The only "revocation of rights" I can think of would be Dobbs - which also does not fit the trend (see my response to the other comment).

If (white liberal) teen girls are supposed to actually see their real lives getting worse, I still don't see any reason for this to have become a problem in the early 2010s.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by travisjungroth on Wednesday March 29, 2023 @02:22PM (#35361165)
It does fit the trend. These issues are stacking. You can fool yourself into dismissing it if you split it into pieces. In 2012 you can write it off as fear mongering the media. In 2018 you can write it off as “how does this affect your day to day life?”. In 2022 you can say that Dobbs “doesn’t fit the trend” since it started in 2012.

I’m not saying this is the whole story, but it’s possibly part.

“Having it all” is a blessing and curse. The choice to do more, the burden to do more. Now you need a career, family, insta following. And it’s quite likely you’re going to have a hard time finding that perfect husband since men 18-30 as a demographic are doing horribly. What would normally be the backbone of a society is just not functioning well right now.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @03:44PM (#35362313)
As far as "having it all" -- female employment has basically not changed since 1990[0], and given the decline in the US birth rate, expectations of motherhood have probably decreased as well. I could see "having it all" increasing stress as, for example, more women were being introduced into the work force, but that seems entirely uncorrelated to the 2010s.

Insta following could be a new pressure and I agree it would fit the timeline, but that'd be a social media effect and not a decrease in real-life quality of living for white liberal girls.

[0] https://genderdata.worldbank.org/indicators/sl-tlf-acti-zs/?...

Re:The Teen Mental Illness Epidemic Is International, Part 1... by travisjungroth on Wednesday March 29, 2023 @04:04PM (#35362645)
When it comes to emotional well being, “real life” is what’s in your head. If people are experiencing unattainable pressures and that’s causing them stress, it’s real. I guess you could make a distinction for dreams, hallucinations, etc. But social media isn’t that.

It’s actually dangerous to think it’s “too pretend”. My bank account is just squiggles on the screen, but I can somehow buy stuff. Same thing that online relationships can have physical outcomes, even if just by turning it into cash first.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by naasking on Wednesday March 29, 2023 @03:05PM (#35361731)
> I genuinely don't understand what you mean by huge expectations of "having it all" for women

I think the OP meant the whole "lean in" movement. I'm not sure why that would affect teen girls though. Social media and decreased socialization seem like much more plausible factors.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by ModernMech on Wednesday March 29, 2023 @03:17PM (#35361915)
> The only "revocation of rights" I can think of would be Dobbs - which also does not fit the trend (see my response to the other comment).

Dobbs didn't just happen. It took decades to take those rights away from women, and there was incremental (anti)progress along the way. In those decades, a massive political project was created specifically to message that women who get abortions (a lifesaving medical procedure) are murders, and they should be jailed and punished for it. The result of this political campaign is that women in America have the worst medical outcomes in the developed world, and in some cases it's worse than the developing world. Infant mortality is on the rise, giving birth can put you into debt tens of thousands of dollars, and if there are complications you now have to be literally on your last thread of life before doctors will feel comfortable trying to save you.

So I guess you can see why women in America might feel under threat. There is one political party in America who has been telling them for decades that their goal is to use their power and influence to turn the clock back on women in America.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by Tiktaalik on Thursday March 30, 2023 @01:00AM (#35368222)
Even beyond Women in the USA, amongst my friends in Canada, where to me at least the status quo on abortion seems quite safe, they very clearly feel extremely on edge about it.

Existing in the state of being where you're constantly feeling under pressure and attack that your rights may be taken away at any moment, I dunno, maybe that's stressful! If I can sense this tension from my Canadian women friends who are stressed just being adjacent to USA news, I'm not at all surprised that American women would be feeling even more stressed and depressed about the situation.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by dragonwriter on Wednesday March 29, 2023 @01:30PM (#35360438)
One key element (though not the only one) is Dobbs v. Jackson, subsequent legislation encouraged by it, and the highly visible effects that this has had on reproductive healthcare even where no actual elective abortion is involved.

In terms of cultural expectations of progress and very visceral potential personal impact and perceived position in society, this is a radical reverse for that group (on the second point probably less than for non-whites, but the first and third points probably bite white liberals harder.)

Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @01:39PM (#35360574)
Notably, though, the charts start showing massive growth in depression around 2012, which was long before Dobbs.

And there are some trends in the opposite direction - iirc hormonal birth control used to be much harder to get (telehealth has made the prescription requirement much less onerous), and anecdotally it seems a lot easier to get info on sterilization or methods for intentionally changing menstruation (ex. skipping the placebo week).

I'm not saying Dobbs doesn't matter, only that I both 1) doubt it's a central driver of the trend, and 2) think [outside the world of news/social media] most women can still expect more rights & a higher quality of care in most US location than they could a decade or two ago.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by dragonwriter on Wednesday March 29, 2023 @01:50PM (#35360723)
> I’m not saying Dobbs doesn’t matter, only that I both 1) doubt it’s a central driver of the trend

Yeah, I’m not saying it (or reproductive rights & health care more generally) is the central driver of the trend, I’m saying its one of the key reasons why if someone asked me, today, what group in American society would be most depressed, my intuitive response would be “white liberal teen girls” (particularly, its a key reason why “female, white, and liberal” are parts of that) – why that element that was called out as surprising upthread would not be.

Though Dobbs didn’t just appear ex nihilo without many years of clear lead up to it that reflected a change in the direction of society, so I wouldn’t dismiss the issue being deeply connected to an important part of the broader, earlier trend.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @02:05PM (#35360945)
Interesting. I would much rather be a (white liberal) teen girl today than in ~2012, but I can see how insofar as Dobbs is only a manifestation of existing trends, I might be in the minority.

It's just hard to wrap my head around what this trend would be, or why teens started picking up on it in 2012. I am not conscious of any major modern debates around women's rights except abortion/birth control, and I see no particular link between the causes of Dobbs and that generic time period.

Also, possibly as proof that I'm not a great commenter on the issue, I thought only ~8% of women had abortions, but in looking it up while writing this comment apparently it's more like 25% (so abortion & related issues affect way more women/girls than I expected).

Re:The Teen Mental Illness Epidemic Is International, Part 1... by disgruntledphd2 on Wednesday March 29, 2023 @02:46PM (#35361475)
Note that miscarriages are counted as spontaneous abortions in most medical statistics, which was super confusing to me when I first saw similar data.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by PuppyTailWags on Wednesday March 29, 2023 @03:08PM (#35361767)
Miscarriages are abortions. Often times if the miscarriage happens late enough, a doctor must intervene to assist in the removal of the dead fetus, which is the same medical procedure as one may remove a viable one.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by disgruntledphd2 on Thursday March 30, 2023 @03:48AM (#35369417)
Agreed, but they don't fit the common perception of what abortions are, hence my clarification.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by KMag on Wednesday April 05, 2023 @11:24AM (#35455765)
No, "abortion" is not a medical procedure. There are several medical procedures used for abortion, some of which have uses other than abortion.

The medical procedure you're referring to is dilation and curettage (a.k.a D&C / DnC). The common term "abortion" is imprecise, and refers to several medical procedures, and D&C has multiple uses other than pregnancy termination.

In the case of spontaneous abortion (commonly called "miscarriage"), even in early pregnancy if the fetal remains are allowed to naturally be expelled, afterward the ob/gyn will often need to inspect the uterus and perhaps remove some remaining tissue. So, rather than waiting for the fetus to naturally be expelled following spontaneous abortion and going through the pain and trauma of seeing the blood and tissue being passed at home, the ob/gyn will often advise a D&C rather than waiting for the body to naturally resolve the lost pregnancy.

Unfortunately, my wife has had 3 first trimester miscarriages under 2 ob/gyns, both of which advised D&C rather than waiting for the fetal remains to pass. Also, her ob/gyn performed a 4th D&C to make sure the surface of the uterus is free of tissue that might interfere with pregnancy. This 4th D&C seems to have worked (along with a ton of medications), as we're expecting identical twins in September. Every D&C weakens the cervix, so it's a delicate balancing act.

In any case, D&C has several uses and shouldn't be conflated with "abortion". In our case, my wife's 4th D&C was a fertility treatment, and the first 3 were to resolve lost pregnancies.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by KMag on Wednesday March 29, 2023 @06:34PM (#35364828)
In this case, the "spontaneous" means naturally occurring. Spontaneous abortion is the medical term for what's commonly called a miscarriage.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by dragonwriter on Wednesday March 29, 2023 @03:22PM (#35361983)
> I am not conscious of any major modern debates around women’s rights except abortion/birth control, and I see no particular link between the causes of Dobbs and that generic time period.

2011-2012 was when the major wave of state anti-abortion laws (135 in those two years) and the first notable state executive measure defunding Planned Parent that represented the beginning (well, the visible conversion to a major active push rather than mere rhetoric) of the anti-abortion push by the Republican Party that led to Dobbs occurred.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by notch898a on Wednesday March 29, 2023 @03:44PM (#35362308)
And yet fertility rates had another strong step down around that time.

One conjecture could be that fewer young women with children is correlated with higher rates of diagnosis of mental illness. And if I know I had mental illness, I'd be scared shitless to let it known on the record I had a disorder that a CPS worker or family courts could use against me -- without a child those concerns are lessened. I can also attest having a child means you have way less time for your own personal care, which means perhaps these women now have more time for their own care.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @04:06PM (#35362675)
The abortion changes don't seem to have been major enough for me to easily find (https://en.wikipedia.org/wiki/Abortion_in_the_United_States), but I've definitely become a lot less confident in my initial opinion that it's nearly-universally better to be a white liberal teen girl today, so thank you for the interesting conversation.

I still think social media / smartphones / etc as an explanation fits the trend more simply & cleanly, but I'm much more open to the idea that I could be wrong.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by dragonwriter on Wednesday March 29, 2023 @04:46PM (#35363346)
> The abortion changes don’t seem to have been major enough for me to easily find (https://en.wikipedia.org/wiki/Abortion_in_the_United_States), but I’ve definitely become a lot less confident in my initial opinion that it’s nearly-universally better to be a white liberal teen girl today, so thank you for the interesting conversation.

Prior to the Texas private-enforcement-only hack that occurred just before Dobbs (and was huge news before Dobbs eclipsed it), most of them were either funding/access restrictions that didn’t directly target the Constitutional right just made it difficult to exercise in practice (because that had some chance of surviving the courts), while the rest were struck down (or enjoined, and then struck down later) before going into effect and never enforced, serving primarily as strong social messaging rather than enforced law.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by ModernMech on Wednesday March 29, 2023 @03:29PM (#35362082)
> It's just hard to wrap my head around what this trend would be, or why teens started picking up on it in 2012.

One reason could be they started talking to each other more. Women and girls who had similar life experience shared them on the internet. This is how the whole Me Too movement started; the experiences shared during the Me Too movement were old, but it was the internet and social media which acted as a catalyst to dislodge them from the past and bring them into the present.

> I am not conscious of any major modern debates around women's rights except abortion/birth control

Don't you recall the 2016 Presidential election? There was a huge debate about whether or not a woman was ready to be President of the United States. I don't know about your family, but in my family people thought it very clever to say that a woman could never become president, because her period would make her too volatile. This kind of rhetoric may have flowed right past you, but it wasn't lost on women (especially the very cogent point that men have in fact started most wars in all of human history).

The outcome of that election was that America chose a serial sexual predator who has admitted to spying on women in changing rooms, has raped women, and who has admitted to using his power and prestige to assault women. It wasn't lost on women that this man, with a famously volatile temper, was chosen over a women because he was viewed as more trustworthy and more stable than her.

That man ended his term by waging a violent coup against the United States government with his supporters, who themselves made an effort assassinate the vice president. Yet it was the female candidate that America considered a priori too "volatile".

> I thought only ~8% of women had abortions, but in looking it up while writing this comment apparently it's more like 25% (so abortion & related issues affect way more women/girls than I expected).

As with rape, the number of women who have abortions and the number of women who report abortions are quite different. That number is going to diverge even more now that it's illegal and criminalized in many jurisdictions.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @03:59PM (#35362554)
I could definitely see something like MeToo being a cause, but I still would put that as a "social media" effect and not a "women's/girl's irl day-to-day lives get worse" effect.

Most of my family voted for Trump, but mostly for immigration & military reasons. I don't remember anyone I knew in real life saying anything negative about Hillary on the basis of her gender -- though, as always, there was plenty of it online. Pretty much all of the negative talk I heard about her (irl) was about her emails, her policies, or her party.

(My mother is still angry about Hillary's "there's a cold place in hell for women who don't vote for a woman" thing, but that wasn't the main reason for her vote.)

The presidents bracketing Trump (Obama & Biden) seem generally feminist, so I'd be surprised that the trend started during Obama and continued to accelerate during Biden if something like Trump / related to Trumpism was a big cause. Maybe the SCOTUS justices he left behind could be pointed to as a continuing political pain point now?

I agree that our abortion statistics will become less indicative of the actual rate now that we're post-Dobbs; this'll be a very interesting time to look back on.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by ModernMech on Wednesday March 29, 2023 @07:41PM (#35365554)
There was definitely also a lot of misogyny in the 2008 primaries as well, even coming from liberals and especially the media:

  Previous research has suggested that news and commentary concerning political candidates can vary based on a candidate's gender or race. Race and gender were especially salient in the 2008 U.S. presidential election. A content analysis of editorial cartoons was conducted to examine patterns in content or imagery related to race and gender. Editorial cartoons that featured Barack Obama, Hillary Clinton, and/or John McCain and were published during the primary season were analyzed. Cartoons featuring Obama were more likely to be favorable than those featuring the other candidates; those featuring Clinton were more likely to be unfavorable. Clinton was more often presented as ugly and small in size than was Obama. Clinton was shown perpetrating violence more often than the male candidates; she was also portrayed as the recipient of particularly gruesome violence. Some cartoons featured imagery or content that relied on racial or gender stereotypes; a qualitative analysis of these cartoons is provided. Overall, findings support previous research showing the continued relevance of race and gender in media coverage of political campaigns.
https://spssi.onlinelibrary.wiley.com/doi/10.1111/j.1530-241...
Re:The Teen Mental Illness Epidemic Is International, Part 1... by thesausageking on Wednesday March 29, 2023 @01:45PM (#35360638)
That doesn't fit the data though. Dobbs v Jackson was in 2022. The increase starts in around 2012. That's before Trump and the current wave of politicians who are behind Dobbs, etc. In 2012, Obama was President, the Paycheck Fairness Act was passed, Hillary Clinton was Secretary of State, Pelosi had recently been the first woman to be speaker of the house, two women were added to the supreme court, etc.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by jfengel on Wednesday March 29, 2023 @02:03PM (#35360917)
That's just it: 2012 was the high point, from which the decline is measured. Focus turned to Hillary Clinton, and began the long train of abuse that led to her losing in 2016.

Much of that abuse was explicitly misogynist. Misogyny had been deprecated for a long time, but had a resurgence starting right around 2012.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by extasia on Wednesday March 29, 2023 @05:24PM (#35363931)
This argument is US-centric and in no way explains the trends seen in the rest of the anglosphere shown in the article..

Why would a teen in Australia care about US law?

Maybe I'm missing something.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by dragonwriter on Wednesday March 29, 2023 @06:38PM (#35364862)
> This argument is US-centric and in no way explains the trends seen in the rest of the anglosphere shown in the article..

The US culture war is a significant cultural export, especially to the rest of the Anglosphere.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by notch898a on Wednesday March 29, 2023 @01:26PM (#35360378)
Social rank is zero-sum. Better positioning for previously unfavored group/races is the right thing but lowers relative social rank of those above.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @01:46PM (#35360657)
I feel like this could be a reasonable explanation for the race piece, but I'm unsure how it connects to the female & liberal pieces. I'm not sure being a conservative male has gained a lot of social status in the past decade, though I suppose it's definitely possible.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by muffinman26 on Wednesday March 29, 2023 @04:23PM (#35362945)
Not sure if this aligns with what the GP was trying to say, but this is also one of the groups I would expect to be the most depressed, although I would expect white, middle-aged, middle-classed women to be an even larger demographic. Chemicals/genetics have a lot to do with depression, but for other cases I think depression comes from a feeling of uselessness/lack of purpose.

White liberal women have a lot of incompatible expectations placed on them. If they stay home to raise children, they're labeled as lazy, "betraying the feminist cause", etc. for not participating in the workforce. If they work, they're labeled as neglectful of their children (if they have them) or told they're going to regret their choices. They have to outpace their male coworkers to be respected at work, but their career is also seen as a "nice to have". So the standards for women are impossible, but simultaneously so low that achieving them doesn't earn respect.

In a strange way, the group's relative privilege is a contributing factor to depression. If you're a member of a group that is violently oppressed, the act of protest and standing up to oppressors provides a sense of purpose. Because white women's position isn't "that bad," though, attempts to improve their situation are considered too small to celebrate at best and entitled whining at worse. Further, there's been a movement, particularly in liberal spaces over the past few years, to lift up the voices of the most oppressed. So liberal white women have pressure to just shut up and swallow their concerns from both sides of the political aisle.

None of this is to advocate drowning out the concerns of other groups to prioritize the mental health of white women, only a recognition that a seemingly easier life doesn't necessarily mean a happier one. In fact, an easier life can be more depressing.

Re:The Teen Mental Illness Epidemic Is International, Part 1... by YellOh on Wednesday March 29, 2023 @05:07PM (#35363671)
I could see this being a major factor. It reminds me of wealthy white women's "hysteria" / other mental health issues of the past (ex. https://www.ribbonfarm.com/2013/01/16/eternal-hypochondria-o...). Being neither particularly oppressed nor in the most priveleged group is an interesting position, and I could see this being an important mental health factor. I don't have a strong enough sociological background to connect any shift in social position for white women to the correct time frame in the original post, but it's certainly possible.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by chasd00 on Wednesday March 29, 2023 @05:23PM (#35363912)
I would imagine it parallels the plight of growing up a middle child. Or another analogy from The Simpsons, "but what to do with poor hugo. Too crazy for Boys Town, too much of a boy for crazy town." - Dr. Hibert
Re:The Teen Mental Illness Epidemic Is International, Part 1... by ikr678 on Wednesday March 29, 2023 @11:30PM (#35367551)
I read a theory that this is sort of the roots of the current anti-trans movement out of England - affluent but otherwise politically irrelevant women posting in mothers&parenting forums kind of latched on to this cause of defending their brand feminism from the existential threat of transfolk.
Re:The Teen Mental Illness Epidemic Is International, Part 1... by rpjt on Wednesday March 29, 2023 @05:14PM (#35363771)
I tend to agree with. A lack of purpose is a big deal for lots of depressed people. Humans need a purpose or they can go down a dark path quite quickly.