I’m sure that many cases of clinical depression emerge without cause. Then again, it could be argued that ALL cases of depression - or indeed, all moods - are “organic disorders”, since they are all associated with the presence or absence of certain chemicals in the brain. If we discovered a drug that could reduce phenylethylamine levels in the brain, would love become an organic disorder? It’s certainly a disruption in the normal cycle of things in the brain.
Be that as it may, as I say I’m sure that there are a lot of clinically depressed people walking around. I’m also sure that there are a lot more people than we are led to believe who are situationally depressed but treated as though it were clinical simply because they aren’t getting to the emotional roots of their condition.
In this society, if a rich computer programmer gets “clinically” depressed, she is inclined to dismiss her profession (although she may consider the facts of her actual job, such as stress) to be a factor. If what she really wanted to be was a musician, she is reinforced to believe that she made the right career choice because she never would have made as much money as a musician, which isn’t a “real job” anyway. She doesn’t consider it, it isn’t brought up, and if it should be that that is in fact what is stressing her, she may go on for a long time, taking Prozac and never dealing with her issues, cloaked behind a medicated clinical depression.
It’s pleasant to believe that psychiatrists can tell between these two types of depression, but psychiatrical assessment is an art, not a science. This is fine, but when you start drugging people on the basis of an art, you are imposing true-false answers on an essay question.
This is just one example. Our society, which is structured, corporatist, and rationalist, is devoted in large part to lying to ourselves about our needs and trying to deal with them in ways other than actually dealing with them. When the system is at fault, we are encouraged to alter ourselves individually rather than altering the system or our place in it. And so we end up with 17 million Americans (nearly 6% of the population) on Prozac, not counting other antidepressants as well.
BTW, I don’t listen to Alanis Morrisette (I prefer Tori Amos and the Pet Shop Boys when depressed), but I don’t need to be told what depression is like because I’ve been there - most recently about two weeks ago. I lost my appetite, slept for eighteen hours a day, spent the rest of the time in front of the computer playing Snood, lost my sex drive, and occasionally collapsed into a manic crying jag. And of course, I couldn’t figure out what was wrong, I thought it must be clinical, I wanted to take Prozac.
And then, when I moved away from my roommate, it went away. He was stressing me out.
BTW, I don’t use caffeine, theophylline, theobromine, or cannabis when depressed; in fact, I cut all but the chocolate out so that my sleep schedules can normalize.