Showing posts with label Depression. Show all posts
Showing posts with label Depression. Show all posts

Friday, November 23, 2007

Psychotherapy: Humbug?

As depression becomes a public health issue, how can an increasingly skeptical public benefit from the fruits of modern psychotherapy?


By: Vanessa Uy


If one dares to point a finger on who destroyed the credibility of modern / contemporary psychotherapy, then the blame should be directed at the current American pop culture. Ever since the TV series “The Sopranos” gained it’s legions of fans, the folks who mistrust modern psychotherapy finally gained a platform in which their “statement” finally got the “sex appeal” it badly deserves. Or is it the “Soprano” – spoof movie “Analyze This” and the sequel “Analyze That” where the Italian-American community’s mistrust of “shrinks” finally got worldwide mass-media attention. And what about the famous actor Tom Cruise airing his views on the science of psychology as a whole during his appearance on the TV talk show “Oprah”. It seems like America has abandoned her faith on psychotherapy, but it isn’t always been this way.

Back in the late 1980’s and early 1990’s - friends of mine who are old enough to have experienced first hand the worldwide cultural phenomena called Guns N’ Roses - lived through a time where shrinks / counselors / psychotherapists were held in high regard by American pop culture and the American society. My older friends also remembered on how the practice of seeing shrinks / psychotherapists / psychoanalysts became fashionable back then even though those who visit one are not currently suffering any known mental illness. Back to Guns N' Roses circa 1989, the band’s mercurial frontman – W. Axl Rose – never forgot to mention during his press interviews about his personal opinion on the virtues of “shrinks” i.e. psychotherapists. Back then, it’s even fashionable to visit to shrinks and “chill out” with one even though it was (is) a somewhat expensive proposition at 75 to 100 US dollars- an- hour. At that time, Newsweek and Time even criticized the peoples growing over reliance on shrinks. There’s even a blurb about talking someone out of his or her diabetes (!). But during the same time (1989) in the Philippines, the existing sentiments on shrinks are pretty much like / mirroring the TV series “The Sopranos”. Back in 1989- era Philippines, only “crazy people” i.e. the mentally ill went to shrinks. Even though this is my view, I know of native New Yorkers of Filipino ancestry who say that Filipino’s distrust of shrinks / psychotherapists are born of “repressed Catholic anti-Semitism”. Is this because of what Sigmund Freud said that he is Jewish- by- race- and- not-by-religion as an expression of Jewish pride in defiance of Nazi-era Germany? By the way, the New Yorkers of Filipino descent who I am frequently in contact with via "WEB 2.0" are very critical of this "Makati-Corporate-World-Metro-Manila-Castelian-Catholic-Colonial-Chauvanism" that is "conveniently" overlooked (in the name of money) by the Tagalog Media / Cultural elite.

Today, the Filipino society – in general – don’t trust modern psychotherapy. The existing idea that only the mentally ill visit shrinks is still the norm. Ironically, the practice of astrology, fortune telling and other Gypsy / Roma / Romani style mysticism are used as substitute for legitimate psychoanalysis by the very rich and local celebrities i.e. the "Tagalog Cultural Elite". To me, that’s their loss.

Depression: An Overlooked Public Health Crisis?

From famed artists like Vincent Van Gogh and Edgar Allan Poe to a steadily rising part of the general public, should we adopt a pro-active rather than a reactive response in dealing with this mental health crisis?


By: Vanessa Uy


The inevitability for urgent concern might be a long time coming but a World Health Organization (WHO) study shows that mental health issues like depression is largely ignored by healthcare providers around the world. A WHO report aired in November 13, 2007 shows depression had already reached parity with other “preventable” public health concerns like coronary heart disease and even AIDS. The existing lack of urgency when it comes to dealing with mental health problems like depression is largely due to the pre-existing stigma attached to most mental health disorders in addition to general mistrust of the general public on the science of psychology.

Depression by itself is generally harmless, since most of us live in the Northern Hemisphere and when winter season comes the daylight hours gets shorter and shorter. This gives rise to a melancholic feeling commonly referred to as Seasonal Affective Disorder (SAD). The more serious form of depression that could lead to suicides are usually a product of manic – depressive disorder also known by its modern more politically correct name of bipolar disorder. Sufferers of bipolar disorder usually resort to suicide during the depressive part of their mental illness. While in their manic state, the sufferer could be manifesting his or her creative genius in various art forms like music, literature, and other creative outlets in ways far beyond the abilities of “normal” people.

With the aid of the latest existing mental health diagnostic tools like the fourth edition of the American Psychiatric Association’s handbook, the Diagnostic and Statistical Manual of Mental Disorders, referred to as the DSM-IV, had made analyzing mental illness across cultures much more easier and accurate. The latest WHO report also shows that mainland China probably has 100 million undiagnosed sufferers of depression that if left untreated could lead to suicide. Local studies have shown that rural parts of China has a much higher rates of suicide that urban areas due to increased isolation and hardship in day –to –day living.

Even though the basic facts in overcoming depression rest’s on the individual sufferer, to me, it still takes a skilled psychotherapist / counselor / social worker to bring back someone from the brink. Many of us –including me – had been taking for granted that every time we suffer from “the blues” we don’t wind up killing ourselves. As someone with above average creative skills, it always pays to keep close tabs with one’s selves. After all, you’ll know things are getting out of hand when you become your own worse enemy.