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What We Talk About When We Talk About Mental Health: Towards an Anthropology of Adversity in Individualistic Society

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Burnout, Fatigue, Exhaustion

Abstract

The French sociologist Alain Ehrenberg, author of The Weariness of the Self: Diagnosing the History of Depression in the Contemporary Age (1998), reflects on the anthropology of adversity in individualist societies in his contribution. He argues that in societies in which autonomy is the supreme value, mental health ‘functions as a discursive space in which many of the core tensions and conflicts of our individualism can be represented and find solutions’. Mental health, he writes, ‘is the name individualistic society has given to our style of dealing with passions, the social and moral equivalent of magical rites for the modern autonomous individual’. Conditions such as depression and burnout may thus be seen as a reaction against adversity and contingency, and constitute forms of psychosocial suffering organised by the idea of inadequacy. Ehrenberg concludes that ‘we have seen a change in the social status of psychic suffering, and an extension of its uses, particularly in the political sphere’.

One should neither laugh nor cry at the world, but understand it.

Baruch Spinoza

This was the subject Albert O. Hirschman had to deal with in philosophy for the French Baccalauréat he took in Berlin in 1932. Quoted by Cass Sunstein, ‘An Original Thinker of our Time’, The New York Review of Books, May 23 (2013).

To recall Haruki Murakami’s What I Talk About When I Talk About Running (London: Vintage, 2009), and in tribute to Raymond Carver’s short story, ‘What We Talk About When We Talk About Love’, in Where I’m Calling From: Selected Short Stories (New York: Vintage, 1989), pp. 138–51.

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Notes

  1. 1.

    Peter Winch ‘Understanding a Primitive Society’, American Philosophical Quarterly 1: 4 (1964), 307–24. The article consists of a discussion with anthropologist Edward Evans-Pritchard and philosopher Alasdair McIntyre regarding magical rites practiced by Azandes.

  2. 2.

    See Louis Dumont, German Ideology: From France to Germany and Back (Chicago: The University of Chicago Press, 1994).

  3. 3.

    See Hannah Arendt, On Revolution (New York: Viking Press, 1963), and François Furet, Penser la Révolution française (Paris: Gallimard, 1978).

  4. 4.

    For a comparison between French and American social ideas and values regarding the shift from Oedipus to Narcissus, see Alain Ehrenberg, La Société du malaise (Paris: Odile Jacob, 2010).

  5. 5.

    Furet, Penser la Révolution française, p. 43.

  6. 6.

    John Dewey, Après le Libéralisme. Ses impasses, son avenir (Paris: Flammarion, 2014).

  7. 7.

    If this seems a typical picture of depression today, the history of depression goes much beyond that of social causes of psychic suffering. In La Fatigue d’être soi. Depression et société (Paris: Odile Jacob, 1998), depression has been approached more in terms of accompanying transformations of ideals or collective representations than of power relationships, that is, a Durkheimian rather than Foucaldian orientation. As Allan Young wrote in his foreword to the English translation, ‘the book will be “unfamiliar” to most Anglophone readers’. ‘Foreword’, in The Weariness of the Self: Diagnosing the History of Depression in the Contemporary Age, trans. David Homel et al. (Montreal and London: McGill-Queens University Press, 2010), p. xi. I sum up the connecting thread of the book in a box at the end of this chapter.

  8. 8.

    Gøsta Esping-Andersen, with Duncan Gallie, Anton Hemerijck, and John Myles, Why We Need a New Welfare State (New York: Oxford University Press, 2001) pp. 105–6.

  9. 9.

    Ibid. See also this synthesis in Anton Hemerijk, Bruno Palier, and Frank Vandenbroucke, ‘For a Social Investment Pact in Europe’, Books and Ideas, 15 June 2011. Online at: http://www.booksandideas.net/For-a-Social-Investment-Pact-in.html (accessed February 2016).

  10. 10.

    American Academy of Pediatrics Task Force, ‘Report on the Future Role of the Pediatrician in the Delivery of Health Care’, Pediatrics 87: 3 (March 1991), 401–9 (401).

  11. 11.

    American Academy of Pediatrics: Committee on Psychosocial Aspects of Child and Family Health, ‘The New Morbidity Revisited: A Renewed Commitment to the Psychosocial Aspects of Pediatric Care’, Pediatrics 108: 5 (November 2001), 1227–30 (1229).

  12. 12.

    Jack Shonkoff et al., ‘The Lifelong Effects of Early Childhood Adversity and Toxic Stress’, Pediatrics 129: 1 (January 2012), 232–46 (233).

  13. 13.

    The London School of Economics: The Center for Economic Performance’s Mental Health Policy Group, Depression Report: A New Deal for Depression and Anxiety Disorders, June 2006. Online at: http://cep.lse.ac.uk/pubs/download/special/depressionreport.pdf (accessed February 2016).

  14. 14.

    Julia Margo and Mike Dixon, Freedom’s Orphans: Raising Youth in a Changing World (London: Institute for Public Policy Research, 2006), p. 20.

  15. 15.

    Jen Lexmond and Matt Grist, The Character Inquiry (London: Demos, 2011), p. 10.

  16. 16.

    Claire McNeil, Now It’s Personal: Personal Advisers and the New Work Public Service (London: Institute for Public Policy Research, 2009), p. 6.

  17. 17.

    Department of Health, Ministry for Care Services, Talking Therapy: A Four Year Plan of Action (London: Crown, 2010), p. 2.

  18. 18.

    Friedrich Nietzsche, Crépuscule des idoles (Paris: Gallimard, 1889), p. 34. My translation. ‘Rien ne nous est devenu plus étranger que ce qui semblait autrefois si désirable: “la paix de l’âme.”’

  19. 19.

    The comparison of Japan and France, and of both countries to the United States, shows a singular French line in articulating pharmacotherapy and psychotherapy. Even the psychoanalyst André Green gave an interpretation of the action of neuroleptics in terms of ‘Lacanian graphs’ at the beginning of the 1960s. On Japan, see Junko Kitanaka, Depression in Japan: Psychiatric Cures for a Society in Distress (Princeton: Princeton University Press, 2012), pp. 119–20; on France, see Ehrenberg, La Société du malaise, chapters 2 and 3.

References

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  • Department of Health, Ministry for Care Services, Talking Therapy: A Four Year Plan of Action (London: Crown, 2010).

    Google Scholar 

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    Google Scholar 

  • Louis Dumont, German Ideology: From France to Germany and Back (Chicago: The University of Chicago Press, 1994).

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  • ———, The Weariness of the Self: Diagnosing the History of Depression in the Contemporary Age, trans. David Homel et al. (Toronto: McGill-Queen’s University Press, 2010b), 44.

    Google Scholar 

  • Gøsta Esping-Andersen, with Duncan Gallie, Anton Hemerijck, and John Myles, Why We Need a New Welfare State (New York: Oxford University Press, 2001).

    Google Scholar 

  • François Furet, Penser la Révolution française (Paris: Gallimard, 1978).

    Google Scholar 

  • Anton Hemerijk, Bruno Palier, and Frank Vandenbroucke, ‘For a Social Investment Pact in Europe’, Books and Ideas, 15 June 2011. Online at: http://www.booksandideas.net/For-a-Social-Investment-Pact-in.html (accessed February 2016).

  • Junko Kitanaka, Depression in Japan: Psychiatric Cures for a Society in Distress (Princeton: Princeton University Press, 2012).

    Google Scholar 

  • Jen Lexmond and Matt Grist, The Character Inquiry (London: Demos, 2011).

    Google Scholar 

  • The London School of Economics: The Center for Economic Performance’s Mental Health Policy Group, Depression Report: A New Deal for Depression and Anxiety Disorders, June 2006. Online at: http://cep.lse.ac.uk/pubs/download/special/depressionreport.pdf (accessed February 2016).

  • Julia Margo and Mike Dixon, Freedom’s Orphans: Raising Youth in a Changing World (London: Institute for Public Policy Research, 2006).

    Google Scholar 

  • Claire McNeil, Now It’s Personal: Personal Advisers and the New Work Public Service (London: Institute for Public Policy Research, 2009).

    Google Scholar 

  • Friedrich Nietzsche, Crépuscule des Idoles (Paris: Gallimard, 1889).

    Google Scholar 

  • Jack Shonkoff et al. ‘The Lifelong Effects of Early Childhood Adversity and Toxic Stress’, Pediatrics 129: 1 (January 2012), 232–46.

    Article  Google Scholar 

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  • Peter Winch, ‘Understanding a Primitive Society’, American Philosophical Quarterly 1: 4 (1964), 307–24.

    Google Scholar 

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Ehrenberg, A. (2017). What We Talk About When We Talk About Mental Health: Towards an Anthropology of Adversity in Individualistic Society. In: Neckel, S., Schaffner, A., Wagner, G. (eds) Burnout, Fatigue, Exhaustion. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-52887-8_7

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