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Tuesday, April 03, 2007

The cure for depression? A good party, apparently.

Interesting psychology and social dynamics... Individualism and religious strictures leading to depression, at the same time cutting off the very things that can alleviate the melancholy. The 19th century Ethiopian cure for female depression is particularly cool.

How we learned to stop having fun | Health and wellbeing | Life and Health:
"...But to my knowledge, no one has suggested that the epidemic may have begun in a particular historical time, and started as a result of cultural circumstances that arose at that time and have persisted or intensified since.

...Historians infer this psychological shift from a number of concrete changes occurring in the early modern period, first and most strikingly among the urban bourgeoisie, or upper middle class. Mirrors in which to examine oneself become popular among those who can afford them, along with self-portraits (Rembrandt painted more than 50 of them) and autobiographies in which to revise and elaborate the image that one has projected to others. In bourgeois homes, public spaces that guests may enter are differentiated, for the first time, from the private spaces - bedrooms, for example - in which one may retire to let down one's guard and truly "be oneself". More decorous forms of entertainment - plays and operas requiring people to remain immobilised, each in his or her separate seat - begin to provide an alternative to the promiscuously interactive and physically engaging pleasures of carnival...

...But there was a price to be paid for the buoyant individualism we associate with the more upbeat aspects of the early modern period, the Renaissance and Enlightenment. As Tuan writes, "the obverse" of the new sense of personal autonomy is "isolation, loneliness, a sense of disengagement, a loss of natural vitality and of innocent pleasure in the givenness of the world, and a feeling of burden because reality has no meaning other than what a person chooses to impart to it"... The flip side of the heroic autonomy that is said to represent one of the great achievements of the early modern and modern eras is radical isolation and, with it, depression and sometimes death.

...So if we are looking for a common source of depression on the one hand, and the suppression of festivities on the other, it is not hard to find. Urbanisation and the rise of a competitive, market-based economy favoured a more anxious and isolated sort of person - potentially both prone to depression and distrustful of communal pleasures. Calvinism provided a transcendent rationale for this shift, intensifying the isolation and practically institutionalising depression as a stage in the quest for salvation...

It may be that in abandoning their traditional festivities, people lost a potentially effective cure for it. Burton suggested many cures for melancholy - study and exercise, for example - but he returned again and again to the same prescription: "Let them use hunting, sports, plays, jests, merry company ... a cup of good drink now and then, hear musick, and have such companions with whom they are especially delighted; merry tales or toys, drinking, singing, dancing, and whatsoever else may procure mirth." He acknowledged the ongoing attack on "Dancing, Singing, Masking, Mumming, Stage-plays" by "some severe Gatos," referring to the Calvinists, but heartily endorsed the traditional forms of festivity: "Let them freely feast, sing and dance, have their Puppet-plays, Hobby-horses, Tabers, Crowds, Bagpipes, &c, play at Ball, and Barley-breaks, and what sports and recreations they like best." In his ideal world, "none shall be over-tired, but have their set times of recreations and holidays, to indulge their humour, feasts and merry meetings ..." His views accorded with treatments of melancholy already in use in the 16th century. While the disruptively "mad" were confined and cruelly treated, melancholics were, at least in theory, to be "refreshed & comforted" and "gladded with instruments of musick".

...There is, however, an abundance of evidence that communal pleasures have served, in a variety of cultures, as a way of alleviating and even curing depression.

The 19th-century historian JFC Hecker reports an example from 19th-century Abyssinia, or what is now Ethiopia. An individual, usually a woman, would fall into a kind of wasting illness, until her relatives agreed to "hire, for a certain sum of money, a band of trumpeters, drummers, and fifers, and buy a quantity of liquor; then all the young men and women of the place assemble at the patient's house," where they dance and generally party for days, invariably effecting a cure. Similarly, in 20th-century Somalia, a married woman afflicted by what we would call depression would call for a female shaman, who might diagnose possession by a "sar" spirit. Musicians would be hired, other women summoned, and the sufferer cured through a long bout of ecstatic dancing with the all-female group.

We cannot be absolutely sure in any of these cases - from 17th-century England to 20th-century Somalia - that festivities and danced rituals actually cured the disease we know as depression. But there are reasons to think that they might have. First, because such rituals serve to break down the sufferer's sense of isolation and reconnect him or her with the human community. Second, because they encourage the experience of self-loss - that is, a release, however temporary, from the prison of the self, or at least from the anxious business of evaluating how one stands in the group or in the eyes of an ever-critical God...

The immense tragedy for Europeans, and most acutely for the northern Protestants among them, was that the same social forces that disposed them to depression also swept away a traditional cure. They could congratulate themselves for brilliant achievements in the areas of science, exploration and industry, and even convince themselves that they had not, like Faust, had to sell their souls to the devil in exchange for these accomplishments. But with the suppression of festivities that accompanied modern European "progress", they had done something perhaps far more damaging: they had completed the demonisation of Dionysus begun by Christians centuries ago, and thereby rejected one of the most ancient sources of help - the mind-preserving, life-saving techniques of ecstasy."

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