“…if you are not like everybody else, then you are abnormal, if you are abnormal , then you are sick. These three categories, not being like everybody else, not being normal and being sick are in fact very different but have been reduced to the same thing.” Michel Foucault
Perhaps you noticed it, too. The word ‘anxiety’ appearing more and more in conversation, ads and media. People talking, not about ‘being anxious,’ (a moment that can pass) but about ‘having anxiety’ (a permanent affliction).
Social anxiety disorder did not officially exist until it appeared in 1980′s Diagnostic and Statistical Manual, the DSM-III — the psychiatrist’s bible of psychological afflictions — under the name “social phobia,” the same book which once classified homosexuality as a mental disorder.
Social anxiety disorder did not officially exist until it appeared in 1980′s Diagnostic and Statistical Manual, the DSM-III — the psychiatrist’s bible of psychological afflictions — under the name “social phobia,” the same book which once classified homosexuality as a mental disorder.
By the 1990′s pharmaceutical companies received F.D.A. approval to treat social anxiety and poured tens of millions of dollars into advertising its existence.
In 2002, statistics furnished by Anxiety Disorders Association of America reported that 19.1 million, or 13.3%, of adults ages 18-54 were affected with a form of anxiety disorder. Now the percentage has climbed to 40 million, or 18.1% of the population.
The current version of the DSM-IV describes diagnosis as warranted when anxiety “interferes significantly with work performance” (italics mine) or if the sufferer shows “marked distress” about it.
So in other words, according to the DSM, if you can’t adjust to your life as an employee, you may have a disorder. If it affects your productivity within the system, that’s the true indicator of a problem.
In Madness and Civilization, Michel Foucalt notices the link between society’s labor needs and their attitude towards the socially maladjusted:
Before having the medical meaning we give it, or that at least we like to suppose it has, confinement [of the insane] was required by something quite different from any concern with curing the sick. What made it necessary was an imperative of labor. Our philanthropy prefers to recognize the signs of a benevolence towards sickness where there is only a condemnation of idleness.
Interestingly, angst (often interpreted as “anxiety”) in the philosophical sense, as put forth by existential philosophers Kierkegaard and Sartre, refers to the spiritual dread one experiences in the face of one’s own freedom.
In that context, there begins to appear something ominous about the medication of such a feeling, which may be uncomfortable, but also suggests the presence of our own grand possibility. If anxiety is a natural reaction to the experience of our own overwhelming freedom, what will it mean to repress that sensation?
“The day may come,” says Susan Cain in her recent New York Times article, “Shyness: An Evolutionary Tactic?” ”when we have pills that ‘cure’ shyness and turn introverts into social butterflies [...] [But] the act of treating shyness as an illness obscures the value of that temperament.”
As a culture we need both the shy, sensitive introverts to ponder the deeper meanings of things and the assertive, bold extraverts to take action and get things done. Diversity in a species is an evolutionary advantage.
Case in point: evolutionary biologist David Sloan Wilson performed a simple but telling experiment on a school of unknowing pumpkinseed sun fish. About 15-20 % of animals display introvert characteristics of caution (interestingly, the same percentage as in humans,) called “sitters,” compared to the more curious, assertive “rover” types…
The biologist lowered a metal trap into the water and a large number of ”rover” sunfish went inside to investigate — only to be caught. While the more tentative “sitter” sunfish, who sat back and watched, remained free.
Wilson then caught all the sunfish and took them back to his lab. The rovers acclimated faster, eating a full five days earlier than their sitter brethren. In this case, the rovers had the evolutionary advantage.
“There is no single best … personality,” Professor Wilson concludes in his book, “Evolution for Everyone,” “but rather a diversity of personalities maintained by natural selection.”
Yet we live in a culture which treats the sitter personality as freakish. “Just do it!” our slogans roar. Action is prized over contemplation, assertiveness over timidity. One way we manifest this bias as a society is by encouraging perfectly healthy shy people to see their tendencies as problematic, needing to be cured.
Studies show that introverts, who tend to digest information thoroughly, do better in school than their extroverted peers, despite having the same I.Q. The careful, sensitive temperament from which both shyness and anxiety can spring is not only rich in observational skill, insight and inner vision, it may well be essential to the survival of our species — a point well illustrated by our friends the pumpkinseed sunfish.
As science journalist Winifred Gallagher points out: ”The glory of the disposition that stops to consider stimuli rather than rushing to engage with them is its long association with intellectual and artistic achievement. Neither E=mc2 nor ‘Paradise Lost’ was dashed off by a party animal.”
Back to the original thought: being anxious vs having anxiety. This is a shift of language I have witnessed in my lifetime. And what a consequence the simple replacement of “having” with “being” implies: one is an emotion that passes through you, another is something you are stuck with, a state, part of your personality, even your identity.
And could it have anything to do with the multi-million dollar pharmaceutical companies filling the airwaves with the language of “having?”
What great symphonies, works of literature and philosophies would not have been created had the sensitive temperaments creating them been medicated? And what will our society look like in 100 years if it continues down its current trajectory?
What great symphonies, works of literature and philosophies would not have been created had the sensitive temperaments creating them been medicated? And what will our society look like in 100 years if it continues down its current trajectory?
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