Claudio Grass (CG): A lot has been said and written about the economic and financial impact of the covid crisis and all the lockdowns and restrictions that came with it. However, the mental health implications haven’t really received the attention they arguably merit, at least not by mainstream media or government officials. Over the last year, we saw self-reported depression rates creep up in many Western nations, while excessive alcohol consumption and the abuse of prescription drugs also jumped. Do such trends raise concerns over longer-term problems or will we all simply snap back to normal once the crisis is over?
Theodore Dalrymple (TD): The first thing to say is that I do not like the term “mental health.” Was Isaac Newton mentally healthy, or Michelangelo? I think part of the problem is very concept of mental health. It implies that there is some state or condition of mind deviation from which is analogous to illness. Once this idea takes hold, it is clearly up to an expert to cure the person, or better still prevent him from getting ill in the first place. This expectation cannot be met, but the idea that it can be makes people more fragile.
Second, people clearly vary much in their response to confinements, lockdowns, closures of resorts of entertainment, etc. For myself, I have reached the age of misanthropy or self-sufficiency when these things make comparatively little difference to my life. I have plenty of space and plenty of things to do, in essence reading and writing. But that does not make me mentally healthier than a young man who is frustrated because he cannot play football with his friends and becomes ratty – moreover living in a very confined space.
Depression is so loosely defined a term that it has become almost valueless as a diagnosis. How often have you heard someone say “I’m unhappy” rather than “I’m depressed?” The semantic shift is very important. The proper response to someone who says that he is depressed is to give him antidepressants, even though these don’t work in the majority of cases, except as a placebo, and have potential side-effects. It is always tempting for people who are unhappy to drink alcohol – to drown their sorrows, as we say. Of course, if you drink too much, you might become really and truly depressed. A person who did not respond to the current situation with a little gloom would be odd.
Claudio Grass, “Theodore Dalrymple: Self-Control And Self-Respect Have Become Undervalued”, The Iconoclast, 2021-02-17.
May 23, 2021
QotD: The psychological impact of extended lockdowns
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