Abstract
In this paper, I explore the questions of how and to what extent new antidepressants (selective serotonin-reuptake inhibitors, or SSRIs) could possibly affect the self. I do this by way of a phenomenological approach, using the works of Martin Heidegger and Thomas Fuchs to analyze the roles of attunement and embodiment in normal and abnormal ways of being-in-the-world. The nature of depression and anxiety disorders — the diagnoses for which treatment with antidepressants is most commonly indicated — is also explored by way of this phenomenological approach, as are the basic structures of self-being. Special attention is paid in the analysis to the moods of boredom, anxiety and grief, since they play fundamental roles in depression and anxiety disorders and since their intensity and frequency appear to be modulated by antidepressants. My conclusion is that the effect of these drugs on the self can be thought of in terms of changes in self-feeling, or, more precisely, self-vibration of embodiment. I present the idea of a spectrum of bodily resonance, which extends from the normal resonance of the lived body, in which the body is able to pick up a wide range of different moods; continuing over various kinds of sensitivities, preferences and idiosyncrasies, in which certain moods are favored over others; to cases that we unreservedly label pathologies, in which the body is severely out of tune, or even devoid of tune and thus useless as a tool of resonance. Different cultures and societies favor slightly differently attuned self-styles as paradigmatic of the normal and good life, and the popularity of the SSRIs can therefore be explained, not only by defects of embodiment, but also by the presence of certain cultural norms in our contemporary society.
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References
American Psychiatric Association: 2000, Diagnostic and Statistical Manual of Mental Disorders. Fourth edition, text revision. Washington DC: American Psychiatric Publishing
Buchanan A., Brock D.W., Daniels N., Wikler D. (2000) From Chance to Choice: Genetics and Justice. Cambridge, Cambridge University Press
Crossley N. (2003). Prozac Nation and the Biochemical Self: A Critique. In: Williams S., Birke L., Bendelow G. (eds.) Debating Biology: Sociological Reflections on Health, Medicine and Society. London, Routledge
Elliott C. (2003) Better than Well: American Medicine Meets the American Dream. New York, Norton
Elliott, C.: 2007, ‘Against Happiness’, Medicine, Health Care and Philosophy 10(2) (this issue)
Elliott, C. and T. Chambers (eds.): 2004, Prozac as a Way of Life. Chapel Hill: University of North Carolina Press
Freud, S.: 1957, ‘Mourning and Melancholia’ in: The Standard Edition of the Complete Psychological Works of Sigmund Freud, vol. 14. London: Hogarth
Fuchs T. (2000) Psychopathologie von Leib und Raum: Phänomenologisch-empirische Untersuchungen zu depressiven und paranoiden Erkrankungen. Darmstadt, Steinkopff
Goldie P. (2004) On Personality. London, Routledge
Haar M. (1992) Attunement and Thinking. In Dreyfus H., Hall H. (eds.) Heidegger: A Critical Reader. Cambridge, Blackwell, pp. 159–172
Healy D. (1997) The Antidepressant Era. Cambridge, Massachusetts, Harvard University Press
Healy D. (2004) Let them Eat Prozac: The Unhealthy Relationship between the Pharmaceutical Industry and Depression. New York, New York University Press
Heidegger, M.: 1983, Die Grundbegriffe der Metaphysik: Welt, Endlichkeit, Einsamkeit. GA 29–30, Frankfurt am Main: Vittorio Klostermann; trans. W. McNeill and N.␣Walker (1995) The Fundamental Concepts of Metaphysics: World, Finitude, Solitude. Bloomington: Indiana University Press
Heidegger, M.: 1986, Sein und Zeit. Tübingen: Max Niemeyer; trans. J. Stambaugh (1996) Being and Time. Albany: State University of New York Press
Held K. (1993) Fundamental Moods and Heidegger’s Critique of Contemporary Culture. In Sallis J. (ed.) Reading Heidegger: Commemorations. Bloomington, Indiana University Press, pp. 286–303
Kramer P. (1993) Listening to Prozac: A Psychiatrist Explores Antidepressant Drugs and the Remaking of the Self. New York, Viking
Kramer P. (2005) Against Depression. New York, Viking Press
Schermer, M.: 2007, ‘Brave New World versus Island — Utopian and Dystopian Views on Psychopharmacology’, Medicine, Health Care and Philosophy 10(2) (this issue)
Spiegelberg H. (1972) Phenomenology in Psychology and Psychiatry. Evanston, Illinois, Northwestern University Press
Spiegelberg, H.: 1982, The Phenomenological Movement: A␣Historical Introduction, 3rd rev. edition. The Hague: M.␣Nijhoff
Spitzer, M., F. Uehlein and M.A. Schwartz (eds.): 1993, Phenomenology, Language and Schizophrenia. New York: Springer
Svenaeus F. (2001) The Hermeneutics of Medicine and the Phenomenology of Health: Steps Towards a Philosophy of Medical Practice. Dordrecht, Kluwer Academic Publishers
Toombs, S.K. (ed.): 2001, Handbook of Phenomenology and Medicine. Dordrecht: Kluwer Academic Publishers
Valenstein E.S. (1998) Blaiming the Brain: The Truth about Drugs and Mental Health. New York, Free Press
Whybrow P.C. (1997) A Mood Apart: Depression, Mania, and Other Afflictions of the Self. New York, Basic Books
World Health Organization: 2004, International Statistical Classification of Diseases and Related Health Problems, 10th edition. Geneva: World Health Organization
Zahavi D. (2003) Husserl’s Phenomenology. Stanford, California, Stanford University Press
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Svenaeus, F. Do antidepressants affect the self? A phenomenological approach. Med Health Care Philos 10, 153–166 (2007). https://doi.org/10.1007/s11019-007-9060-8
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DOI: https://doi.org/10.1007/s11019-007-9060-8