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"Even though depression has periodically made me feel that my life was not worth living, has created havoc in my family, and sometimes made the work of teaching and writing seem impossible," writes David Karp, "by some standards, I have been fortunate." Indeed, depression can be devastating, leading to family breakups, loss of employment, even suicide. And it is a national problem, with some ten to fifteen million Americans suffering from it, and the number is growing. In Speaking of Sadness, Karp captures the human face of this widespread affliction, as he illuminates his experience and that of others in a candid, searching work.
Combining a scholar's care and thoroughness with searing personal insight, Karp brings the private experience of depression into sharp relief, drawing on a remarkable series of intimate interviews with fifty depressed men and women. By turns poignant, disturbing, mordantly funny, and wise, Karp's interviews cause us to marvel at the courage of depressed people in dealing with extraordinary and debilitating pain. We hear what depression feels like, what it means to receive an "official" clinical diagnosis, and what depressed persons think of the battalion of mental health experts--doctors, nurses, social workers, sociologists, psychologists, and therapists--employed to help them. We learn the personal significance that patients attach to beginning a prescribed daily drug regimen, and their ongoing struggle to make sense of biochemical explanations and metaphors of depression as a disease. Ranging in age from their early twenties to their mid-sixties, the people Karp profiles reflect on their working lives and career aspirations, and confide strategies for overcoming paralyzing episodes of hopelessness. They reveal how depression affects their intimate relationships, and, in a separate chapter, spouses, children, parents, and friends provide their own often-overlooked point of view. Throughout, Karp probes the myriad ways society contributes to widespread alienation and emotional exhaustion.
Speaking of Sadness is an important book that pierces through the terrifying isolation of depression to uncover the connections linking the depressed as they undertake their personal journeys through this very private hell. It will bring new understanding to professionals seeking to see the world as their clients do, and provide vivid insights and renewed empathy to anyone who cares for someone living with the cruel unpredictability of depression.
- Sales Rank: #270980 in Books
- Published on: 1997-04-24
- Original language: English
- Number of items: 1
- Dimensions: 5.30" h x .60" w x 7.90" l, .73 pounds
- Binding: Paperback
- 240 pages
From Library Journal
This sociological consideration of illness and disease in contemporary America comes from a professor (Boston Coll.) who uses his own suffering, treatment, and theory along with reports of 50 others who volunteered to talk with him about their major depressive episodes. Karp writes well, addressing psychological, chemical, and cultural perspectives, with much credit to C. Wright Mills, Erving Goffman, and Arthur Kleinman. Many psychiatrists would agree that too little attention is paid to the nature of the pain and the impact of social context on our definitions of normality and treatment. "Self-help" comes under fire, too, as shallow ideology in a time of advancing anomie. A careful, honest writer, Karp has produced a classic equal to William Styron's Darkness Visible (LJ 8/90) and Clifford Beers's A Mind That Found Itself (1908). Highly recommended for sufferers, would-be healers, and anyone interested in the effects of depression.
E. James Lieberman, George Washington Univ. Sch. of Medicine, Washington, D.C.
Copyright 1995 Reed Business Information, Inc.
Review
"The millions of people who suffer hard and long with excruciating depressions will recognize themselves in these pages....Speaking of Sadness provides an open challenge to wrestle with the difficult questions."--Martha Manning, The New York Times Book Review
"A careful, honest writer, Karp has produced a classic equal to William Styron's Darkness Visible."--Library Journal
"Finally a book from the inside...by a scholar who admits to knowing this aspect of the human condition in his own person and has seen beyond the superstition of the 'medical model,' expressed in the lived experience of real and beautifully articulate people who, like himself, have been there."--Kate Millett, author of The Loony Bin Trip
From the Back Cover
Combining a scholar's care and thoroughness with searing personal insight, Karp brings the private experience of depression into sharp relief, drawing on a remarkable series of intimate interviews with fifty depressed men and women. By turns poignant, disturbing, mordantly funny, and wise, Karp's interviews cause us to marvel at the courage of depressed people in dealing with extraordinary and debilitating pain. We hear what depression feels like, what it means to receive an "official" clinical diagnosis, and what depressed persons think of the battalion of mental health experts - doctors, nurses, social workers, sociologists, psychologists, and therapists - employed to help them. We learn the personal significance that patients attach to beginning a prescribed daily drug regimen, and their ongoing struggle to make sense of biochemical explanations and metaphors of depression as a disease. Ranging in age from their early twenties to their mid-sixties, the people Karp profiles reflect on their working lives and career aspirations, and confide strategies for overcoming paralyzing episodes of hopelessness. They reveal how depression affects their intimate relationships, and, in a separate chapter, spouses, children, parents, and friends provide their own often overlooked point of view. Throughout, Karp probes the myriad ways society contributes to widespread alienation and emotional exhaustion.
Most helpful customer reviews
2 of 2 people found the following review helpful.
Difficult to accept, yet precisely what we need
By Jake Harris
This book lays out the (in my opinion, correct) case that only those who have personally suffered from depression can thoroughly understand or put into words its prolonged, life-consuming grip on the victim. Some might complain it offers little hope, but that's not what someone who has suffered from it most of their life needs to hear anyway. They need to hear that this state of being isn't their fault and that others endure the same mental anguish. Possibly ways to mitigate the symptoms can be explored...but a complete cure is elusive for whatever reason and it's best to not hold out for or put others through false hope for one. I particularly recommend this book to the "intelligent depressed" who have because of the illness struggled to get by, or had aspirations dashed entirely. It can offer closure and self-acceptance. I'd even suggest lending it to relatives who give you a hard time cause they just don't get why someone can't get out of bed, or never shows improved moods.
Unlike short-term or cyclical depression brought on by specific events, for example death of a loved one, most of the 50 subjects are clearly in it for the long haul. Their improvement is negligible, and after countless therapists and prescriptions and even hospitalization, they often evoke nothing but contempt for the medical establishment. Who can blame them? Really though, it's quite difficult for others including therapists to relate, which is why I've found the personal testimonies and the author's insights far more useful than anyone else has been. It can be inspiring at times, such as the few interviewees who found ways to turn their morbid existence into creative outlets, or discovered some greater appreciation for the human struggle. In the end it's hard to not root for all of them to somehow emerge from this malaise.
26 of 26 people found the following review helpful.
Academic View of Illness
By Sharon E. Cathcart
Karp is a sociologist who examines depression from a cultural point of view. Folks looking for a "quick cure" are not likely to be satisfied with this particular outing. However, folks looking to understand how society views those with depression, how folks with depression view society, and how the illness can also impact family members ... this is the place to go. I read this book as part of a medical anthropology curriculum ... an ethnography of an illness ... and found it to be quite enlightening. I have been in and out of treatment for depression myself over the years, and finding that so many people had similar experiences of reconstructing their self-view as a result of the illness was quite useful. Again, this book is definitely not a "quick fix" or "feel good" kind of book ... it's one that looks at the nitty-gritty of one of the country's most prevalent illnesses and examines the minutiae therein.
2 of 2 people found the following review helpful.
Insightful, deep read for the information maniac
By Ford
Really enjoyed this book. It teaches you about so many aspects that come with and are affected by depression. Not a self-help book, but pure information. Insightful, wonderful, deep read. A book for those who want to understand their suffering and don't want to fluff so many books come with these days.
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