Lisa Appiganesi in New Republic:
Way back in 1977 the prescient French philosopher/historian Michel Foucault pointed out that in our societies, “the child is more individualised than the adult, the patient more than the healthy man, the madman and the delinquent more than the normal and the non-delinquent.” Whatever our concurrent desire for a painless sanity, normality or, as it is now known, neuro-typicality, having a “secret madness” can help constitute what makes us individual. This may be one of the clues to the alarming rise of mental illness in recent decades. Foucault might not have been surprised that the biggest success story in the pharmaceutical world since the advent of antibiotics has been the growth of antidepressants in the form of selective serotonin reuptake inhibitors (SSRIs)—those much-hailed little pills that helped to bring about the very illness for which they are the touted cure. After a rocky start and unsuccessful clinical trials, SSRIs took off in the 1990s. By 2002 about 25 million Americans were taking them. Now, although they have been exposed as no more effective than placebos, the figure is closer to 40 million. The situation is no different in the UK, where one in four of us will, it is said, succumb to depression and anxiety at least once in our lifetime—though the more usual pattern is for these to become chronic conditions.
In the west we live in a time when we look to medics (rather than, say, politicians, priests, artists or philosophers) for solutions to most of our life and death problems. It is clear that the NHS in Britain and the rise of scientific medicine in the west count among the greatest achievements of the postwar years. But can doctors really be the providers of all our goods? Do they have the wherewithal to direct the mind and the emotions, do they hold the keys to sex, reproduction and death, besides healing our diseases?