Demoralization/Depression
Demoralization/Depression
It is very common for therapists to diagnose people with major depressive disorders, which generally leads to a prescription for anti-depressants.
I believe that in most cases, anti-depressants are not any more effective than placebos, except in cases of severe major depressive disorders.
There is a small percentage of people that are prescribed anti-depressants where the use of drugs is warranted and could be useful in lowering the patient’s anxiety and increasing their ability to function. For the majority of people, their medication functions like a placebo, meaning that it's not the substance itself that helps them but the knowledge that they are being helped which has the most significant effect.
It is my opinion that in the vast majority of cases of depression diagnosis, the depression is only a symptom of the person being in a state of demoralization.
The term demoralization was first used in psychiatric literature by Jerome Frank in the 1970’s: “The chief problem of all patients that come to psychotherapy is demoralization… the effectiveness of all psychotherapeutic schools lie in their ability to restore patient morale.” (Demoralization In Medical Practice, 2007)
Characterized by a persistent failure of coping with (either internally or externally induced) stress, Frank believed that demoralization left one feeling impotent, isolated, and in despair.
This conceptualization was congruent with the psychodynamic approach of the DSM-II, in which all disorders were considered reactions to environmental events. Frank defined these symptoms of anxiety and depression as direct expressions of demoralization.
This idea clearly suggests that depression is a symptom of demoralization, and demoralization, in turn, is a symptom of something else. Usually, the definition of demoralization is that a person lacks morale.
In my mind, decreased morale is directly related to a lack of morals. I would suggest that demoralization is both a lack of morals as well as morale.
In the 1960’s, more than two-thirds of university students in the U.S. answered "finding meaning in life" when asked to define the most important objective of their lives.
If someone were to conduct this study today among American students, I suspect that a small minority would declare meaning as their life's objective. From my humble observation, I think that about half would define their purpose as making money and/or making a name for themselves. The other half, perhaps even more so for millennials, are more likely to want to change the world.
Is changing the world a proper aspiration to have from the beginning? Perhaps, the way to change the world is to start by changing ourselves.
The next post will explore the answers to these questions.