The New York Review of Books on three new books; the titles tell it all: The Loss of Sadness: How Psychiatry Transformed Normal Sorrow into Depressive Disorder by Allan V. Horwitz and Jerome C. Wakefield; Shyness: How Normal Behavior Became a Sickness by Christopher Lane; and Let Them Eat Prozac: The Unhealthy Relationship Between the Pharmaceutical Industry and Depression by David Healy. Essayist Frederick Crewes concludes that we have here
“some uncomfortable insights about American psychiatry and its role within a far from rational health care system. That system is too cumbersome and too driven by profit considerations to meet the whole society’s medical needs; but citizens possessing full insurance, when they feel mentally troubled in any way, won’t be denied medication or therapy or both. Nothing more is required than some hypocrisy all around. As for psychiatry’s inability to settle on a discrete list of disorders that can remain impervious to fads and fashions, that is an embarrassment only to clear academic thinkers like these two authors. For bureaucratized psychological treatment, and for the pharmaceutical industry that is now deeply enmeshed in it, confusion has its uses and is likely to persist.”
