Categories: Healthcare

How Depressing, Another Whitey Self Hating Myth Turns Out To Be Colei*

The number of things that the standard left wing narrative is entirely wrong about is of course impressive. But this one, I have to admit, is a new one on me. Apparently it has been a standard insistence – and who the hell knew this? – that poor peeps don’t suffer from depression. Or, perhaps, that people in poor countries don’t suffer from mental illness and depression. What looks like it, feels like it, tastes like it, is instead just a righteous and just reaction to the iniquities of colonialism. Or capitalism. Or Whitey. Or summat.

Because it is that economic structure of the world that causes mental imbalance and thus it must be only the oppressed proletariat that suffers from it.

The observant will note how close this is to the Happy Darkies argument of that colonial era. When people would – with a straight face and actually meaning it – argue that being enslaved in the Americas was better than being free in Africa. Because, summat.

But people really did believe this:

[perfectpullquote align=”full” bordertop=”false” cite=”” link=”” color=”” class=”” size=””]For decades, many psychiatrists believed depression was a uniquely western phenomenon.[/perfectpullquote]

You what? Seriously, people thought that chemical imbalances in the brain only affected those of us oppressed by capitalism?

[perfectpullquote align=”full” bordertop=”false” cite=”” link=”” color=”” class=”” size=””]In 1993, Patel, who was born in Mumbai, finished his training as a psychiatrist in London and moved with his wife to Harare, the capital of Zimbabwe, to begin a two-year research fellowship at the national university. His purpose was to find evidence for the view, then widespread among psychiatrists, that what looked like depression in poor countries was actually a response to deprivation and injustice – conditions stemming from colonisation. The remedy in such cases, he believed, was not psychotherapy, but social justice.[/perfectpullquote]

An entire profession went this far off the rails?

[perfectpullquote align=”full” bordertop=”false” cite=”” link=”” color=”” class=”” size=””]For most of the 20th century, the view that “mental health” was exclusively a problem of the wealthier west was widely held by doctors, mental health professionals and cultural theorists. JC Carothers, a psychiatrist and consultant to the WHO, represented one typical branch of this belief. In 1953, he published an influential paper on the “African mind”, in which he argued that the continent’s inhabitants lacked the psychological development and sense of personal responsibility necessary to experience depression.[/perfectpullquote] [perfectpullquote align=”full” bordertop=”false” cite=”” link=”” color=”” class=”” size=””]Even by the late 1990s, versions of this thinking survived. There was a heated debate going on in the US about whether the triggers for depression in wealthier countries could possibly have the same effect among the world’s poor, recalled Melanie Abas, a reader in global mental health at the Institute of Psychiatry, Psychology & Neuroscience at King’s College London. Abas characterised the sceptics’ position as: “If your baby died and you had seven already, you didn’t experience it in the same way.”[/perfectpullquote] [perfectpullquote align=”full” bordertop=”false” cite=”” link=”” color=”” class=”” size=””]Curiously, many people with leftist views arrived at the same dismissal of the need for mental health care, although via different routes. Critics of colonialism argued that calling what looked like depression an illness needing treatment was an act of western cultural hegemony: it medicalised experiences that were not considered illnesses and were dealt with perfectly well by the local culture. Others believed that the more communal nature of society and the stronger family ties in poor countries inoculated people against depression, which was linked to the loneliness, stress and materialistic culture of western life.[/perfectpullquote]

Err, yes, an entire profession was clearly and obviously insane.

Something to remember when we discuss the childhood obesity crisis perhaps. You know, that thing for which there is no evidence whatsoever but to deal with which we’ve got to entirely change society?

*Gibbon.

0 0 votes
Article Rating
Tim Worstall

View Comments

  • It does seem likely that if you live in a poor country you are too busy getting enough to eat, etc. to spend time sighing and whining on the psychiatrist's couch or even in a friend's living room. In affluent countries there is a fair amount of "depression" that is really just boredom or a desire for attention.

  • One only has to travel to poor countries to see how miserably depressed those living on the streets are, only the crassly insensitive could miss the vacant stares, listless perambulations and crushed postures. The more seriously ill psychotic is also visibly common place.

    It may well be true that in the rare comfortably off, without cash, rural idylls with strong social and family structures there can be great joy, but with that too there is also great sadness. Mental illness is never completely absent for the Garden of Eden is lost to all of humanity, rich and poor, white or black, Asian or Caucasian.

    Does a chemical imbalance in the brain cause depression, or does depression cause a chemical imbalance seems like an unanswerable query, but it is a false postulation. Thoughts and feeling are chemicals, chemicals are thoughts and feeling. Fearing starvation, having no safe place to lay ones head in the tropics strains the individual, as does lying alone and lonely well fed in a comfortable bed in wealthier latitudes. Such pain is a thought, it is a chemical and it is also a reality, wherever one is and whatever one's ethnicity or financial advantage.

    However, there is perhaps a significant difference between the "West and East/North and South", in our post modern society; we are much more prone to medicalise sadness, to conflate mental illness with unhappiness. We have a, generally unrealistic, expectation that we will be happy, we are prone to despondency when that expectation is not met. In societies where death, malnourishment and disease is more obvious and more likely, expectations are often more tempered and joys more easily inculcated by lesser gifts.

Share
Published by
Tim Worstall

Recent Posts

The BBC and terrorism

The language we use matters - it provides clarity to our own thoughts and enables…

3 years ago

We Should Pay Medical Personnel For Each Procedure They Perform

It is now generally acknowledged that the structure of the NHS needs to be overhauled…

3 years ago

The Scrubbers Are Failing

In the film Apollo 13, a loss of oxygen causes the crew to start inadvertently…

3 years ago

Wondering whether an idea is actually correct or not

There's an idea out there which seems intuitive but then so many ideas do seem…

4 years ago

Is Cryptocurrency Our Revolution, Or Theirs?

When we think about the darkly opaque goals of modern central bankers as they relate…

4 years ago

Playing The Mischief With Us

As the papers recently filled with the distressing images of desperate souls looking to escape…

4 years ago