Brainpickings – “Great art was born of great terrors, great loneliness, great inhibitions, instabilities, and it always balances them,” Anaïs Nin famously wrote. But what if it doesn’t balance out? What if the emotional excess, believed to be essential to creativity, was of the negative and crippling kind? One need only look at such tragic heroes as Sylvia Plath, David Foster Wallace, Marilyn Monroe, and Kurt Cobain to grasp the gravity of the proposition. And yet we remain ever so culturally ambivalent about alleviating the anguish of mental illness with the same arsenal we use against physical pain: drugs.
In Coming of Age on Zoloft: How Antidepressants Cheered Us Up, Let Us Down, and Changed Who We Are (public library), Katherine Sharpe explores the heart of this ambivalence through an intersection of her own experience, conversation with medical and psychiatric experts, and in-depth interviews with forty young adults who grew up on psychopharmaceuticals. Having spent a fair portion of my own life on antidepressants, and having recently resumed treatment, I was instantly fascinated, both as an observer of culture and a living sample size of one.
Sharpe begins with an anecdote from her college days, in which she and her six roommates arrived at the accidental and highly self-conscious realization that each one of them was, or had been, on one form of psychoactive drug or another — an incident emblematic of the pervasive and profound cultural pattern at the heart of Sharpe’s book. She writes:
It is strange, as a young person, to realize that you have lived through something that can be considered a real historical change, but that’s exactly what we had done. When I was a child, in the early 1980s, taking psychiatric medication was decidedly a fringe phenomenon. Prozac came onto the market in 1987, the year I was eight. The first member of a family of drugs called SSRIs (for “selective serotonin reuptake inhibitors”), it quickly became the leading edge of a psychopharmaceutical revolution. Throughout the 1990s and 2000s, Americans grew ever more likely to reach for a pill to address a wide variety of mental and emotional problems. We also became more likely to think of those problems as a kind of disease, manifestations of an innate biochemical imbalance. Depression, social anxiety, obsessive-compulsive disorder, and the like went from being strange clinical terms or scrupulously hidden secrets to constituting acceptable topics of cocktail party conversation — talk that was often followed up by chatter about the new miracle drugs for despair.
But more than a mere statistically swelling phenomenon — less than two decades after the introduction of Prozac, SSRIs had outpaced blood pressure medication to become America’s favorite class of drugs, popped by about 10% of the nation — Sharpe points out a troubling corollary: In permeating everyday life so profoundly, antidepressants also embedded themselves in youth, with an ever-growing number of teenagers taking psychopharmaceuticals to abate depression, ADHD, and other mental health issues. And while relief from the debilitating and often deadly effects of adolescent depression is undoubtedly preferable over the alternative, it comes with a dark side: Antidepressants confuse our ability to tell our “true self” from the symptoms of the disease, and from the effects of the medication, at a time when the search for selfhood and the construction of personal identity are at their most critical and formative stages. And given the teenage brain responds so differently to life than the adult’s, the implications are even more uneasy:
Rightly or wrongly, antidepressants command powerful emotions; they can lead people to examine their deepest assumptions about themselves and the world.
The notion that depression distorts the true self and that antidepressants merely restore what was there all along has often been invoked against the fear that by taking antidepressants, we might somehow be betraying our true natures. But that belief in particular is one that people who start medication young cannot fall back on. Worries about how antidepressants might affect the self are greatly magnified for people who begin using them in adolescence, before they’ve developed a stable, adult sense of self. Lacking a reliable conception of what it is to feel “like themselves,” young people have no way to gauge the effects of the drugs on their developing personalities. Searching for identity — asking “Who am I?” and combing the inner and outer worlds for an answer that seems to fit — is the main developmental task of the teenage years. And for some young adults, the idea of taking a medication that could frustrate that search can become a discouraging, painful preoccupation.
Coming of Age on Zoloft is fantastic and pause-giving in its entirety, embodying the rare bravery of asking important, complex questions in a society that fetishizes simplistic, sensationalistic answers. In a culture where just about the most embarrassing thing is not to have an opinion, Sharpe invites us to form one that is truly our own, however inconclusive and full of what Keats called“negative capability,” rather than a borrowed one that is easier to don but devoid of true understanding.” Full Article + More Artwork on Brainpickings