?On 23 February 2010 Stephen Black wrote:
> Not to set Allen Esterson off again, but for those tiring of a
> steady diet of Olympics,  there's a long interesting essay, in
> historical context,  on the dilemma of treating depression. It's
> on-line at the _New Yorker_ at http://tinyurl.com/ykqfon8

I'm up to my neck in preparing an article, so can't rise to Stephen's 
bait (assuming I wanted to -:) ), but I'll respond to one remark of 
Louis Menand's:

"For some disorders, such as depression some disorders, such as 
depression, we may never know, in any useful way, what the underlying 
pathology is, since we can’t distinguish biologically patients who are 
suffering from depression from patients who are enduring a depressing 
life problem."

It may or many not turn our to be relevant, but I'm reminded of a 
comment by a scientist in the nineteenth century (anyone recall who it 
was?) who gave as an example of scientific facts we could never know -- 
the constitution of the stars. This was shortly before the discoveries 
of Fraunhofer and Kirchhoff enabled scientists to achieve that feat 
using spectroscopy.

In passing – Menand writes:
>And there was the rapid collapse of Freudianism […].

For those still interested in the controversies around Freud, my latest 
on him (and Jeffrey Masson) has just been posted here:

http://simplycharly.com/freud/allen_esterson_freud_interview.htm

Allen Esterson
Former lecturer, Science Department
Southwark College, London
[email protected]
http://www.esterson.org

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From:
[email protected]

Subject:
Is psychiatry a science?

Date:
Tue, 23 Feb 2010 16:55:14 -0500

Not to set Allen Esterson off again, but for those tiring of a
steady diet of Olympics,  there's a long interesting essay, in
historical context,  on the dilemma of treating depression. It's
on-line at the _New Yorker_ at http://tinyurl.com/ykqfon8

The author, Louis Menard, runs through much of the stuff we
discussed in our recent thread, including the alleged placebo
status of anti-depressants, in what appears to me to be an
even-handed presentation.

Some quotes to pique your interest:

"So the antidepressant business looks like a demolition
derby-a collision of negative research results, questionable
research and regulatory practices, and popular disenchantment
with the whole pharmacological regime. And it may soon turn
into something bigger, something more like a train wreck".

"The recommendation from people who have written about their
own depression is, overwhelmingly, Take the meds! It´s the
position of Andrew Solomon, in "The Noonday Demon" (2001),
a wise and humane book. It´s the position of many of the
contributors to "Unholy Ghost" (2001) and "Poets on Prozac"
(2008), anthologies of essays by writers about depression. The
ones who took medication say that they write much better than
they did when they were depressed."

Stephen
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Stephen L. Black, Ph.D.
Professor of Psychology, Emeritus
Bishop's University
 e-mail:  [email protected]
2600 College St.
Sherbrooke QC  J1M 1Z7
Canada
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