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A future with no future: depression, the left, and the politics of mental health

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  1. patience_limited
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    This essay from the LA Review of Books assesses the prevalence and causation of depression in the context of "capitalist realism". This system places all responsibility for positive cognition on...

    This essay from the LA Review of Books assesses the prevalence and causation of depression in the context of "capitalist realism". This system places all responsibility for positive cognition on the shoulders of individuals, even when the conditions of life that capitalism creates remain dismal.

    The article doesn't exactly propose to solve the myriad problems caused through poverty and overwork, but it's still an interesting and refreshing read.

    Selected excerpts:

    “HOW DO YOU throw a brick through the window of a bank if you can’t get out of bed?” This question, formulated by Johanna Hedva in “Sick Woman Theory,” has been with me for quite some time now. I haven’t been able to get it out of my head. Why? Because it points to a situation familiar to too many of us (but who is that “us”?): a situation characterized by despair and depression. A situation in which you really can’t get out of bed. This situation is also, in most cases, saturated by politics and by the economy. Contrary to mainstream psychological and psychiatric discourse the reason why you can’t get out of bed is not because you have a bad attitude, a negative mindset, or because you have somehow chosen your own unhappiness. Nor is it merely a matter of chemistry and biology, an imbalance in the brain, an unlucky genetic disposition, or low levels of serotonin. More often than not it is a matter of the world you live in, the work that you hate, or the job that you just lost, the debt that haunts your present from the future, or the fact that the planet’s future is going still faster and further down the drain...

    In the book Capitalist Realism from 2009, he connected depression to what I have already referred to as capitalist realism, “the widespread sense that not only is capitalism the only viable political and economic system, but also that it is now impossible even to imagine a coherent alternative to it.” In this book, depression becomes a paradigm case of how capitalist realism operates, a symptom of our blocked and bleak historical situation. In the essay “The Privatisation of Stress” from 2011, later reprinted in K-Punk: The Collected and Unpublished Writings of Mark Fisher (2004–2016) from 2018, Fisher wrote that one difference between sadness and depression is that “while sadness apprehends itself as a contingent and temporary state of affairs, depression presents itself as necessary and interminable: the glacial surfaces of the depressive’s world extend to every conceivable horizon,” and because of that, because of that specific characteristic of depression, a strange resonance exists between “the seeming ‘realism’ of the depressive, with its radically lowered expectations, and capitalist realism.”

    If the individual is responsible for her own happiness, then she is also responsible for her own unhappiness. If the keys are in our own hands, each of us is personally responsible for almost everything. Success or failure, and health or illness are a matter of subjective willpower, lifestyle, and choice alone. While we may not be able to change other people, or the world for that matter, we certainly can work on changing ourselves and our selves. Structural change, a change of the system, is abandoned in favor of subjective change, a change of the self. Every problem, however social, political, or economic in nature, is personalized and even criminalized, the subject is made responsible for its own unhappiness, and made to suffer alone and to feel guilty, at the same time, for feeling unhappy, for not being a good and productive citizen, for not coming to work, for not getting out of bed...

    These processes of personalization and responsibilization that positive psychology and the imperative of happiness entail, these processes go hand in hand. Mark Fisher was attuned to this logic, or should we say ideology. Depressed people are encouraged to feel and believe that their depression is their fault and their fault only. “Individuals will blame themselves rather than social structures, which in any case they have been induced into believing do not really exist,” as he wrote in “Good for Nothing” — implicitly referencing another of Thatcher’s claims, that society does not exist...

    Capitalism, in other words, inflicts a double injury on depressed people. First, it causes, or contributes to, the state of depression. Second, it erases any form of causality and individualizes the illness, so that it appears as if the depression in question is a personal problem (or property). In some cases, it appears to be your own fault. If you had just lived a better and more active life, made other choices, had a more positive mindset, et cetera, then you would not be depressed. This is the song sung by psychologists, coaches, and therapists around the world: happiness is your choice, your responsibility. The same goes for unhappiness and depression. Capitalism makes us feel bad and then, to add insult to injury, makes us feel bad about feeling bad...

    7 votes