Of course the reality is that depression is a profound and increasingly noted experience for very many people, causing much distress to sufferers and their loved ones. And with death by suicide affecting over 6000 people in the UK every year (it's over 40000 in the US), it is a huge public health challenge .
I was thinking of this whilst in Happisburgh since I have finally got round to reading Lincoln's melancholy-how depression challenged a president and fuelled his greatness which has sat on my shelves for a few years. It is a remarkable analysis of the life long struggle that Abraham Lincoln endured as he contended with severe bouts of depression. The book is full of insights from various psychological and psychiatric studies on the experience of depressive disorders and also the various treatments which were tried in the 19th century. Most remarkably of all it tells of why Lincoln's longstanding depression in many ways contributed to his greatness as a leader at such a pivotal point in US history. His personality is a profound contrast with that of of Donald Trump!
Lincoln's melancholy is full of so many insights its hard to know where to start, but just one sample of his wisdom, forged from his own personal struggles, and for a man so well known for his seriousness, is interesting since it's notable how important humour was to him (referred to by psychologist George Vaillant as a 'mature strategy' to combat depression).
The phrase 'coping mechanism' comes from the function served by a coping, the top of the wall that protects against the elements. Humour gave Lincoln some protection from his mental storms. It distracted him and gave him a measure of relief (it's interesting that many of our comedians also suffer with depression-my note).
Humour gave Lincoln a way to connect with people. Withdrawal is an essential feature of depression, and once withdrawn a person can grow steadily more awkward in company. Many depressives find small talk to be a Herculean effort...
As president Lincoln was asked why he would pardon soldiers who deserted for cowardice, he said, "It would frighten the poor devils to death to shoot them".
Any contribution that might help us all understand the experience of depression and offer insights into managing it, is to be welcomed. This remarkable book does both and offers a helpful view of what one might almost call the potential 'positive effects' of depression-which of course may well be impossibly hard to appreciate whilst in the midst of a severe depression.