The Art of Manliness - May 08, 2015


#113: The Evolutionary Origins of Depression With Jonathan Rottenberg


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36 minutes

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169.55371

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6,147

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287

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1

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Summary

Summaries generated with gmurro/bart-large-finetuned-filtered-spotify-podcast-summ .

In this episode, Dr. Jonathan Rottenberg discusses his new book, "The Depths: The Evolutionary Origins of the Depression Epidemic," and how this theory can change our understanding of depression and how we approach treating it.

Transcript

Transcript generated with Whisper (turbo).
Misogyny classifications generated with MilaNLProc/bert-base-uncased-ear-misogyny .
Hate speech classifications generated with facebook/roberta-hate-speech-dynabench-r4-target .
00:00:00.000 Brett McKay here and welcome to another edition of the Art of Manliness podcast.
00:00:18.740 So back in March and April, this is March and April of 2015, this year, we did an in-depth
00:00:25.420 series about depression, the symptoms of depression, what causes depression, how depression affects
00:00:30.780 men differently than from women, and also what you can do to manage your depression.
00:00:36.420 A lot of people resonated with that because they or someone they knew was struggling with
00:00:40.280 depression.
00:00:41.320 And one book that really resonated with me as I was researching for the series was a book
00:00:47.740 called The Depths, The Evolutionary Origins of the Depression Epidemic.
00:00:52.220 It's by Dr. Jonathan Rottenberg.
00:00:54.300 He is a professor of psychology at the University of South Florida.
00:00:59.060 He specializes in emotion, particularly with an emphasis on major depressive disorder.
00:01:04.680 Anyways, in his book, The Depths, he makes the case that depression is actually an evolved
00:01:11.840 tendency or trait in human beings, and that at one time, it served an adaptive purpose
00:01:18.820 in our long-ago past, and that today, the reason why we see so many people depressed is that
00:01:25.020 our environment, we're just not, our emotional system isn't set up for our modern environment
00:01:30.260 with all the stress and lack of sleep and the sedentary lifestyle, et cetera, et cetera.
00:01:34.880 It's a fascinating book, and it gives you a much more nuanced view of depression.
00:01:40.100 And so today on the show, Dr. Rottenberg, are going to discuss this theory, this evolutionary
00:01:43.720 theory of the origins of depression, and then how this view of depression can change how
00:01:50.220 we approach treating it.
00:01:52.540 So if you are struggling with depression, or you know that, if you know someone who's
00:01:56.220 struggling with depression, I think you'll get a lot out of the show, a lot of interesting
00:01:59.460 insights.
00:02:00.280 So let's do this.
00:02:05.860 Jonathan Rottenberg, welcome to the show.
00:02:08.260 Thank you for having me.
00:02:09.080 So your book is called The Depths.
00:02:11.780 It's about depression.
00:02:13.600 But before we get into the meat of your book, because it's just completely fascinating, can
00:02:19.300 we start with this?
00:02:19.780 Like, what is depression?
00:02:21.180 Because, you know, I'm writing a series of posts about depression right now, and I've been
00:02:24.740 doing so much research about it.
00:02:26.740 And it seems like every book I've read has a different idea or conception of depression.
00:02:32.940 And it's confusing.
00:02:34.200 I'm honestly like, I'm more confused now about depression than I was before.
00:02:39.080 And so how do you, I mean, what is depression for you?
00:02:42.620 How do you define it?
00:02:44.600 Yeah, the definition is very important, because how you define the problem is going to very
00:02:50.900 much guide you to the kind of solution that you might follow.
00:02:56.560 So depression for me, and this actually does follow the psychiatric definition of depression,
00:03:06.000 is a mood condition, which is to say people who are depressed report that they feel low,
00:03:12.280 they feel sad, they feel blue.
00:03:14.080 And they also report that they're unable to experience pleasure in the things that normally
00:03:22.000 brought them joy, things that they were normally interested in, that joy, that pleasure is now
00:03:29.300 absent.
00:03:30.100 And it's a mood state that, unlike ordinary sadness, you know, when you might experience
00:03:37.880 some kind of disappointment, or you might have a setback, this sadness is very hard to shake.
00:03:47.540 In clinical depression, a person not only has this low mood, but then has a number of other
00:03:53.520 symptoms that are associated with the low mood that go on for weeks, they can go on for months,
00:04:00.680 they can even go on for years.
00:04:02.880 So in addition to the low mood, a person will have trouble sleeping, they might lose their
00:04:09.120 appetite, they have trouble concentrating, they're very fatigued.
00:04:14.040 And some of the most troubling, you know, parts of depression is a person feels that life is not
00:04:18.840 worth living. They might think about hurting themselves, and they might even attempt suicide.
00:04:24.860 And tragically, some people who have depression die by suicide. So the symptoms can be very,
00:04:31.580 very serious.
00:04:32.880 Okay. And you talked about mood, and that's sort of interesting, because you come from a
00:04:38.180 mood science perspective. That's what you do, is mood science. Can you explain what mood is? I mean,
00:04:42.880 how is that different from, say, temperament or feelings?
00:04:46.060 Well, mood is a very important organizing idea in psychology, because our moods not only reflect
00:04:54.420 our feelings. So we talk about, I'm in a good mood, I'm in a bad mood. And feelings are a part of what
00:05:01.180 mood is. But moods also organize us. So when we're in a good mood, we not only feel good, but we're
00:05:08.080 prepared to take certain actions. So for example, I'm in a good mood, and that's when I want to get
00:05:12.680 together with friends. That's when I want to have fun. Conversely, when I'm in a really low mood,
00:05:22.880 I tend to withdraw. And the mood actually makes me more likely or less likely to do certain things.
00:05:30.160 So moods actually have this ability to kind of harness, so to change our cognitions, to change
00:05:35.980 what's going on in our body. And so they're more than just a feeling state. They actually organize
00:05:42.120 our activities.
00:05:44.100 Okay. And humans aren't the only ones who experience moods. Animals do as well?
00:05:49.120 Yeah. I mean, you could have an interesting conversation about where in the phylogenetic
00:05:55.420 chain does mood begin? Does an amoeba, because it can approach a nutrition gradient, have mood? Well,
00:06:01.520 probably that's too elastic a term. But certainly other mammals, they have brains that are very
00:06:09.500 similar in how they're organized to us. They have many of the same evolutionary goals, to
00:06:14.980 survive, to reproduce, to mate, to make alliances and so forth. And they too have moods to help
00:06:22.500 organize these activities. Even though they can't report, a chimpanzee cannot report, I'm feeling
00:06:28.440 sad. It nevertheless, when the mother chimpanzee sees the baby chimpanzee die, it has a very
00:06:36.160 similar behaviors and very similar things going on inside the mother chimp's body as humans
00:06:41.800 do when they're grieving the loss of their own infant.
00:06:44.260 Yeah. I think you write about that in the book. And it's actually, it's really sad reading
00:06:48.260 about what happens when a chimp mourns the death of her baby. I mean, she holds it and tries 1.00
00:06:53.060 to like revive it. And it's really touching. I don't know. It was pretty sad.
00:06:58.100 Yeah, it is sad. But it's also, if you think about it, we should be grateful that we have
00:07:04.360 this capacity. When something really bad happens, like you're a mother and you've just invested
00:07:10.580 nine months in a baby and your baby dies, this is a moment to stop and think about what your
00:07:20.260 next move is. It's not, it's not a, uh, in, in humans, uh, grief, the loss of a loved one is
00:07:26.660 almost a universal, I mean, across different cultures, across history. Um, there are many
00:07:33.600 different rituals for grief, but always there is this, uh, stopping and pausing and low mood
00:07:41.740 again, organizes that. It forces us to think, what does this person mean to us? What do we
00:07:47.000 do now, now that they're gone? How do we carry on? Um, and, and, and this is actually useful.
00:07:53.500 Imagine if we paid no attention and we just went on, uh, as we were before, um, when something
00:08:00.980 that serious happened, maybe they, they died because, um, there was an illness sweeping the,
00:08:07.220 the, the land or because, uh, there were enemies about. Death is always a sign to pay attention
00:08:13.840 what's going on and what can we learn from this. So it's low mood makes us stop. It makes us
00:08:18.640 analyze the environment really carefully in part. So you don't repeat the same mistakes that got us
00:08:23.840 into the situation in the first place. Okay. And so that sort of, that leads us into sort of the,
00:08:28.240 the meat of your book and you make the case that depression may be, may have an evolutionary purpose.
00:08:37.340 And so the, when people hear that, I mean, I guess the first thing people that came to my mind was
00:08:41.660 like, how could something that we see as maladaptive? Cause no one wants to be depressed, right? It makes
00:08:46.280 us feel terrible. And, uh, you want to just stay home all the time and not do anything. How can that
00:08:51.940 be adaptive? Well, you have to, um, think about evolution and what the point of evolution is.
00:08:58.340 The point of evolution is survival reproduction. The point of evolution is not happiness. And so there
00:09:04.140 are many things that evolution has clearly selected for that are not pleasant. So in addition to low mood,
00:09:11.640 pain, uh, pain comes out a very good example. When you feel pain, you will, uh, guard an injured
00:09:19.780 site in your body. You won't move it. Uh, and pain makes you not want to do things sort of like
00:09:26.200 depression makes you not want to do things. But again, if you didn't have it, uh, you would be
00:09:30.920 unable to heal, uh, and a serious injury would become much worse. Similarly, uh, anxiety, which is
00:09:37.360 another, it's a very unpleasant state, but if we were unable to anticipate dangers, um, those organisms
00:09:45.080 that were unable to anticipate dangers, sadly are no longer with us. And so we're, we're left with
00:09:50.720 this evolutionary, uh, legacy to be capable of these anxiety states, which sometimes become very
00:09:56.940 unpleasant. Just like low mood sometimes becomes very unpleasant and can even become very crippling.
00:10:02.820 But that, that capacity, the ability to have low mood in the first place, uh, I think the evidence
00:10:09.280 is pretty good that we see this across, across species. And, uh, it's not an accident that in
00:10:16.620 across cultures and across species, there is this capacity.
00:10:19.580 So what, I mean, what, why do we get depressed? I mean, what, what, what purpose does it serve
00:10:25.320 just to, to withdraw if things aren't right and sort of reevaluate? Is that the purpose of?
00:10:31.560 Yeah. So the, the mood system is incredibly sensitive to a whole variety of clues, cues that
00:10:40.220 are related to, to, uh, survival and reproduction. So for example, over, over the eons, uh, when it's
00:10:47.220 dark, we're much less active. That's, there are no rewards, uh, at night that you can't hunt a,
00:10:52.160 it's very hard to find edible berries by the moonlight. Uh, and conversely, when it's light out,
00:10:58.160 um, we typically have access to rewards. And so we feel we've, our mood is much higher. And so we
00:11:05.260 typically, and, and you'd see this, you know, here in the Northern hemisphere, uh, during the winter,
00:11:11.400 people tend to experience more low mood. So that's one contribution. Another contribution is your
00:11:17.620 physical health. And so when you have a, if you have a fever, uh, and you're ill, your mood is much
00:11:25.320 lower. And again, that's to force you to slow down, uh, to, to not, uh, pursue a goals as vigorously
00:11:32.340 to allow your body to recover. But moods are also sensitive to the psychological state. So people,
00:11:37.840 uh, does the situation. So people, uh, experience a variety of shocks, whether it's, they, uh, get a
00:11:45.020 poor grade on a test or they get rebuffed by a lover or they have problems on the job in mood is
00:11:51.400 responsive to those situations as, as well, in part for the same reasons that, uh, there's some
00:11:57.420 situations like imagine you get fired from your job where this now you're in a predicament. You have
00:12:04.420 to figure out what to do next. You should not hastily, uh, you should not hastily proceed when
00:12:10.280 you've, uh, when you've experienced such a big loss. So there's a variety of, the variety of things
00:12:16.700 that can push people into a low mood. And unfortunately what's happening now is that our
00:12:21.980 perfectly good adaptation low mood is being set. It's being set off by a very large number of different
00:12:30.260 things at the same time, kind of creating the, the perfect storm for mood, which explains why so
00:12:36.240 many people are experiencing low mood and so many people are experiencing more severe depression for
00:12:42.260 long periods of time. Well, what are those things that are pushing more and more people into a low
00:12:47.000 mood? Um, well, so to stay on the, um, the example of, uh, of light. So, you know, we were, we,
00:12:55.500 we evolved in that context of the rotating earth and 24 hour cycle of light and dark with, uh, uh,
00:13:01.680 reliably feeling, uh, more energy and alertness at, at, uh, during the daytime than at night.
00:13:07.400 Humans, when they, uh, moved into, to, uh, villages and started farming in permanent settlements,
00:13:15.040 initially that was okay. But as they stayed in permanent settlements and became more urbanized,
00:13:21.940 people got less and less daylight. And in more recent times, um, this has really increased
00:13:31.140 dramatically so that even in very sunny parts of the world, there's one study in San Diego,
00:13:36.300 the average citizen is getting less than a half an hour of sunlight. And this is one of the most
00:13:41.200 sunny places in the United States a day. And that's kind of been replaced with, uh, light that people
00:13:47.600 are getting at night, which is a really poor substitute for daylight. So for example, people
00:13:52.320 are, uh, lying in bed, uh, and looking at their, uh, laptop screens and their iPhone screens, uh, or
00:14:00.240 their TVs. And this is, this is having a bunch of bad effects. So the, the light does not benefit
00:14:06.660 of the mood system, but it also tricks the body and it, it makes people, makes it harder for people
00:14:12.140 to get to sleep. And sleep is another thing which is very tied to mood. So people are having more and
00:14:18.360 more, um, problems with sleep in part because of these routines and because of the hectic lives
00:14:25.340 that people often lead are getting less and less sleep. And so I would say two of the things that I
00:14:31.220 would immediately, um, say have changed that are contributing to this depression epidemic are a
00:14:37.360 lack of light in sleep. Unfortunately, there are, there are a number of other things. Um, like I
00:14:42.260 said, it was, it's kind of the perfect storm. So there are also, there are also things going on in
00:14:46.600 the psychological environment that I think are very harmful, uh, to mood that I hope we have a chance
00:14:50.800 to talk about. Yeah. Like what are the, is it just the, um, our market economy? Is it, uh, just the
00:14:58.120 constant stress of information overload and what, what are some of those things? Well, some of the
00:15:02.400 things are, some of the things are actually quite paradoxical. Um, so, you know, again, the typical
00:15:08.040 view of depression is that it's about defects and things that the person is doing wrong. And, you
00:15:13.940 know, people talk about a, uh, defective brain or defective genes and so forth. But I think that the
00:15:20.920 reason that there is so much depression is really not so much because of things that humans don't do
00:15:25.840 well or individual people who, who, who are defective as things that humans are really, really good at.
00:15:31.960 So for example, humans are really, really good at setting goals and they're really good actually
00:15:37.420 at setting goals about very abstract things. For example, setting goals about their happiness.
00:15:43.900 And one thing that has changed dramatically in the last 30 years or so is that more and more people
00:15:50.340 have set these goals, uh, that I am going to be very happy. Now that may sound like a benign goal,
00:15:58.560 but at no time in human history have people, uh, so many people trying to deliver the state of kind
00:16:07.080 of reliable euphoria. Um, the mood system again is, it's designed to absolutely periodically deliver
00:16:15.320 a burst of pleasure when you've, you know, when, when your first date asks you to the prom or,
00:16:20.220 you know, you, uh, you, uh, you buy a groovy new car, uh, you, you do, you do get that shot of
00:16:26.140 pleasure, but people have this belief that they can feel happy all the time. And actually there
00:16:31.220 are books that you can buy, uh, that essentially say, uh, here are the three steps that you need
00:16:36.120 to take, uh, in order to feel happy all the time. And it sounds benign, but what's actually happening
00:16:41.580 is that many people are, uh, feeling okay or feeling somewhat, uh, down or depressed, but they're
00:16:48.580 wondering, why am I not happier? Is there something wrong with me? My, why am I not as happy as the
00:16:53.540 people that I see on Facebook, my friends, I see their perfect vacations and their perfect families,
00:16:59.340 um, that they compare themselves to these other people and they compare to their, their mood to
00:17:05.540 what they think they ought to feel. And they feel a lot worse and they start to feel very discouraged,
00:17:11.820 but it might be helpful to know that in reality, um, in no time in human history have ever people felt
00:17:19.440 happy all the time. It really is an illusion. Well, so what should the goal be? Uh, you know,
00:17:24.980 if you shouldn't focus on happiness, what should you focus on? Sure. I think that, um, it is important
00:17:32.220 to, to find things that are, that are meaningful in your life and as a consequence, uh, of pursuing
00:17:38.720 those, those goals. So for example, I'll, I'll bring my own case into this. So, uh, I, before I wrote
00:17:44.700 this book, this is actually, you know, more than 20 years ago, uh, I experienced a very severe episode
00:17:51.540 of depression that lasted a very long time and it took a very long time for me to figure out how to
00:17:57.320 kind of rebuild my life. And I, and I think that many of the reasons that I experienced depression
00:18:03.180 is that I did not have a lot of different activities, um, that I, you know, found meaningful
00:18:08.860 and, and, and, and I find the study of mood to be very valuable. And I also find the advocacy work
00:18:18.780 that I'm doing, uh, to help people, uh, who have depression be less isolating, that that also is
00:18:25.640 very meaningful. I started a family. I've now have more hobbies. When I, when I had to, uh, depression
00:18:31.620 initially, I really had put all of my eggs into one basket. I had this goal that I was going to become
00:18:37.920 a famous historian. And when that wasn't going well, everything kind of collapsed. So I guess I
00:18:43.360 would say, um, to kind of summarize my experience, and I think it would be relevant to, to a lot of
00:18:50.220 people who are listening to your show is having a diversity of things that are meaningful to you,
00:18:56.820 uh, that are important to you. Don't worry about whether you're ecstatically happy one day that you
00:19:02.420 will, you will, as a by-product of pursuing things that are meaningful, experience more wellbeing, um,
00:19:09.980 than if you simply have the goal, uh, to be happier, which is kind of like the goal. It's one
00:19:14.620 of these goals that, uh, the harder you run, the faster the treadmill goes. Um, it's, it's sort of an
00:19:20.260 impossible goal. So, uh, here's a question I have. Um, you know, you're talking about some of these
00:19:25.320 benefits of low mood, that it allows us time to reflect, uh, maybe informs us that maybe this is
00:19:31.760 a goal we should stop pursuing and maybe pursue something else. But when does, when does that low
00:19:37.540 mood shift to like severe depression where that, the costs outweigh the benefits? That's a great
00:19:44.020 question. And it's not a question that has a really easy answer. Um, again, um,
00:19:50.500 many things that humans are great at, um, and I think are admirable qualities, um, are important
00:20:00.960 and I would not speak against. So, you know, this idea that if you, if you're, if you're failing,
00:20:06.780 uh, if you're failing at an important goal in America, um, we're always told that no matter what,
00:20:13.220 you must persist, uh, in, in part because, you know, from a young age, kids are told that you can do
00:20:19.660 anything. And I, I don't want to be, you know, cast as, uh, as the gloomy person who says that you
00:20:27.600 should give up on goals, you know, at the slightest idea, that's low mood telling you, you know, to
00:20:32.120 disinvest and so forth. But at some point in many people persist, whether it's in a marriage, whether
00:20:38.880 it's in a career, um, whether it's in some other venture, fame to achieve great riches, they persist,
00:20:47.740 um, for a number of years in this, in spite of this escalating low mood, when, if they were able
00:20:55.140 to disengage and think about some other things that they could do with their time to kind of, again,
00:21:01.180 diversify their portfolio or maybe, um, develop a completely different goal completely that this,
00:21:09.460 this depression, which of course at the time was very destructive and very painful, may end up in
00:21:16.220 the long view being something that, uh, they're thankful for, that they, um, wouldn't trade, um,
00:21:23.880 because it, it helped them see, uh, other possibilities. But in the current, in our current
00:21:29.980 system, we only see depression as a sign of weakness. We see depression as, as a, you know, a broken brain
00:21:36.920 or cognitions that need to be changed. And so people are really unable to make any use of,
00:21:42.620 of these depressions, you know, kind of are, are, have been listening to Prozac, but not depression,
00:21:48.320 you know, to kind of put a point on it.
00:21:50.180 Okay. Well, so, I mean, you've kind of hit on this a little bit, you know, using this mood, uh,
00:21:56.120 evolutionary perspective, you know, someone who's struggling with depression, I mean, what's the best
00:22:02.120 way to approach it? I mean, I guess you don't, you don't, do you try to cure depression or is it
00:22:06.280 better to just try to manage it? You try to manage it. Absolutely. In the, the really, I think,
00:22:13.900 good news, you know, the, the book has a lot of, you know, alarming, um, facts about the direction
00:22:21.640 that we're headed in the, the difficulty of controlling depression, um, you know, as a public
00:22:26.820 health matter. So the, the incidence of depression is very high. It's concentrated in young people,
00:22:32.120 but there's also a lot of good news, especially when you take this mood science perspective,
00:22:36.660 because moods are responsive to so many different things. So I absolutely, if someone wanted to, to
00:22:44.080 try medications, which are the dominant approach to depression, I, I would say that's fine, but don't
00:22:51.000 limit yourself. Uh, you can also change your moods by changing your, uh, your, your thoughts. So, um,
00:22:59.580 people often have very negative thoughts during a depression. They're often very, uh, harsh and
00:23:04.580 self-accusatory kinds of thoughts. And there are, there are, there are both formal treatments in
00:23:10.320 books that people can read to try to get a little bit better control over their thoughts. People can
00:23:16.220 improve their mood by simply learning to tolerate the low moods better, which is another problem that,
00:23:21.380 um, happens when you're, when you're, um, fixated on feeling happy all the time that these low moods
00:23:27.820 become just intolerable. You can change your physical routines. So things that, you know,
00:23:33.280 I mean, I, I think many people know are benefit, uh, mood can even be beneficial to people who are
00:23:40.060 really struggling with, with more significant low mood, like exercise, uh, in getting more sunlight,
00:23:46.700 uh, you changing your social environment. So what happens in, in depression is that people tend to
00:23:52.760 withdraw and it's very understandable. You feel like hell, you don't want to talk to anyone. You
00:23:58.300 feel like you have nothing to say, but the extent to which you can schedule in some social interactions,
00:24:06.400 maybe, you know, you take it slow, but this is another way that, um, by changing your social
00:24:11.560 environment, you can, you can change your mood. And finally, and this might take more time, but I think
00:24:17.220 ultimately, you know, can be part of the solution for many people is really re-examining your goals.
00:24:24.700 Maybe you're, you're, you, uh, are committed to goals that really aren't working for you.
00:24:29.560 Some people, you know, aren't able to do this all on their own and that's okay. I mean, um, I would say
00:24:35.940 if you have the ability to, um, uh, to find a therapist to work with, uh, for any of these issues,
00:24:41.960 I think that can be very helpful. Um, so I guess the mood approach is very eclectic in the sense
00:24:48.560 that, um, it sees that there are all these different tools available and that people should
00:24:53.600 absolutely make use of them. Here's what do you tell the person who, cause I've had, I've known
00:24:59.580 people who have been in such a depressive state that they just have no motivation. And the thought
00:25:04.940 of even doing some of these things that you've talked about is just, uh, it just seems impossible.
00:25:10.020 So how do you bootstrap, right? To get to that point where you just, you know, you get out and
00:25:14.660 you change your social situation or you get out into the sun or, you know, to do those things that
00:25:19.720 can help your mood when you're just incapacitated. Yeah, that's a great point. And so room wasn't
00:25:25.440 built in a day. And I think also it's very important to tell people who are struggling with depression
00:25:31.120 that there's nothing fundamentally wrong with them, that they will, they will eventually get better
00:25:38.020 control over this mood state, but it may take some time. And, and I, and, and I really think it is
00:25:44.380 dangerous, um, to over promise. Um, but the, but telling people that, you know, from decades of
00:25:52.600 epidemiology that even the worst depression eventually will lift. And the goal would be,
00:25:57.500 what can we do to accelerate that lifting? What often happens that the folks that you're describing,
00:26:03.220 and it's understandable when you feel so bad, uh, that they've kind of, they've kind of lost morale.
00:26:09.080 They've lost a belief that things can change. They've lost a belief in themselves. And so before
00:26:15.360 people can really, uh, take the kinds of, some of the actions that I'm talking about, um, I think it's
00:26:22.400 important to, um, to check in with them about their morale and be understanding that, uh, that it may take
00:26:28.800 some time, but that they're going to prevail. I mean, there's no question that one way or the other,
00:26:34.680 you will outlast this depression, whether you can, um, whether you can hasten, uh, hasten its exit,
00:26:42.140 whether you can learn from it, that's, you know, that's more up for grabs. Um, but, you know, often
00:26:48.100 people have been, I think they've been kind of led down the garden path, maybe given false promises.
00:26:53.960 If they do this treatment in six weeks, they, they'll have, you know, they'll be, uh, totally
00:26:59.480 better. And then they're very disappointed and then they don't believe the next person, um, who
00:27:05.220 makes promises to them. So, um, you know, I think, I think, uh, the, the point about being very honest
00:27:10.800 with people is important. So yeah, what does recovery look like? Um, because I think some people
00:27:16.820 have this idea that, okay, if I do these things, if I, you know, do cognitive behavioral therapy,
00:27:21.940 or I take this medication, then, you know, one day I'll just wake up and I'll just be happy.
00:27:27.460 Um, is it, is it more gradual? Is it any, is it, you don't become happy? Is it just so you're not
00:27:32.720 depressed? I mean, what does that look like? Yeah. And I wish that there was more conversation
00:27:36.860 about exactly this. Cause I think this is really interesting and, and under discussed. So even what
00:27:43.180 is the goal of treatment? Um, you know, if you just talk to people in psychiatry, so, you know,
00:27:48.940 in mainstream psychiatry, would they treat with medications, the goal of treatment? Well,
00:27:53.740 it's to reduce your symptoms and that is great. Um, but people are often satisfied that they've
00:28:00.340 reduced your symptoms to, to a degree. Um, I think that we need to set the bar a bit higher. Um,
00:28:07.820 I think the goal ultimately has to be that the person is satisfied with their life, that they're no
00:28:13.400 longer, uh, they're not, no longer troubled by a depression that they can't manage. There may still
00:28:19.780 be, you know, there may still be ups and downs. There may still be some symptoms, but I think it's
00:28:25.920 really important to have an explicit conversation about what is, what is the goal actually? Because
00:28:31.020 I, I don't think that, you know, by just saying, well, we'd like to reduce your symptoms, that's,
00:28:36.560 I think, setting the bar kind of low. This, just saying that you have low symptoms could mean
00:28:41.660 that you're still having problems with your sleep, that you're still having, uh, concentration
00:28:46.020 difficulties or, and that you're still having trouble enjoying things. Um, I think it would
00:28:51.700 be great to think more broadly about, again, um, this more purposeful life that as a, you know,
00:28:57.180 as a consequence of that, that is a consequence of figuring out some better strategies to, to manage
00:29:04.240 your low mood. You're just not as dominated by it. I think that really is the goal to not be
00:29:09.700 dominated by your moods. It's, they're going to be a part of your life. You may not always
00:29:14.500 want the moods. You may not always like the moods that you're having, but moods are no longer your
00:29:20.760 enemy. Uh, moods are to a greater extent, your friend and something that you can use. Um, but,
00:29:27.500 you know, so often people might get better for a time and then the depression comes back and they
00:29:31.960 feel powerless. I mean, that can be even the worst, the worst thing about, uh, about a depression
00:29:37.560 is this uncertainty, um, and this feeling that having no, no power over your mood whatsoever.
00:29:44.780 I should have asked this earlier. Um, but I've read, are there differences between the way men and
00:29:51.040 women express depression or experience it, or is it pretty much the same? There are some differences.
00:29:57.560 Um, depression is a, is a bit more common in women. And so in some ways, um, uh, our kind of,
00:30:04.780 our template for depression is a female one. I think that's unfortunate, uh, because even if women, 0.99
00:30:11.420 if, even if depression is more common in women than it is in men, depression is so common in people
00:30:17.260 that it's incredibly common in men. And, and men may feel less comfortable talking about their
00:30:23.560 depression in that it, society has identified this as a female problem. And again, it's connected 1.00
00:30:29.840 to this notion of weakness and men of course are not allowed. Uh, they're not allowed by the dominant
00:30:35.180 culture to, uh, to express vulnerability or weakness. So I think it is much as difficult as
00:30:41.200 it is to be depressed for anyone. It's even more difficult for a man to struggle with depression,
00:30:47.480 uh, in that there, there is some greater, uh, barrier to letting other people know what's
00:30:54.320 happening. It can be hard to get help. That certainly was true in my own case. Um, ideas
00:31:00.160 about masculinity can be kind of a, it can be an impediment to getting help and getting depression
00:31:05.700 under control. Um, so you, in the book, and I thought it was really interesting, you talk about
00:31:12.000 possibly reframing or, you know, looking at your depression in a positive light and that it could
00:31:18.860 be instructive and helpful or even finding meaning in the depression. You know, how do you go about
00:31:24.420 doing that and how does that help someone? Well, it, you know, whether or not your depression is
00:31:32.840 helpful or, or, or, or harmful really is something that you're only going to, um, be able to determine
00:31:39.220 depression years later. Uh, it's not, it's not, it's not, I'm not suggesting that it's some eureka
00:31:46.760 moment, um, because their depression in mood generally is, it is connected to the, very often
00:31:54.620 to the overall trajectory of, of one's life. And, and whether or not you've learned all that you can
00:32:02.040 learn from the situation that you're in, um, takes a lot of time. So in my own case, um, I,
00:32:09.220 I experienced this depression, which I believe was related to, uh, I mentioned having all of my
00:32:17.560 career aspirations and all my eggs in one basket, but it was also related to a certain idea of who I
00:32:25.420 was, uh, and I saw myself as a, as a kind of a creature of the mind. And, and when I started
00:32:33.900 experiencing depression, my mental faculties really deteriorated, uh, and I was no, no longer
00:32:40.500 able to do that kind of work. And that was very threatening to me and made the depression that
00:32:45.100 much worse. So I learned, you know, in my case, I learned, uh, that many things, uh, many of, many of
00:32:53.980 the ideas that I had, uh, were wrong. Um, and I really learned, uh, that I could do something
00:33:01.340 different, um, and going into a new field. Uh, I think for other people, the lessons are going to
00:33:08.360 be very different. There's no one universal meaning of, of what depression is in part because
00:33:14.580 it can be provoked by so many different things. So, you know, depression can result from, uh, from,
00:33:22.400 from very physical things. So for example, if someone is, uh, starving and they, they, they did
00:33:30.360 research on this in the second world war, people experience very low mood as a secondary, you know,
00:33:36.740 as a secondary feature of not getting enough nutrition. So it, there's not a, there's not
00:33:42.600 always some grand psychological interpretation, but there often is, uh, it often does have meaning,
00:33:50.160 but you don't know immediately what it is. Well, Jonathan, where can people find out more
00:33:55.420 about your work? Well, in addition to reading, uh, reading my book, I regularly, uh, blog on,
00:34:01.420 uh, psychology today, uh, and a blog is called charting the depths and the Huffington post.
00:34:07.280 And if they're interested in, uh, any of the advocacy work that I'm doing, because I, you know,
00:34:12.400 talking with you as part of starting a broader conversation about depression, uh, and I'm very
00:34:17.920 interested in doing that. Uh, so, uh, have a group called come out of the dark. So if people,
00:34:23.140 if you were even to Google the term, come out of the dark and come out of the dark campaign,
00:34:27.420 you'll see a number of links that come up that are describing that activity. We have, uh, we have
00:34:33.060 an active Facebook presence. Uh, so the goal really is to expand our conversation about depression,
00:34:38.620 to get people to, to, uh, kind of challenge the dominant way of seeing depression as being about
00:34:45.140 defects and to create a society where we, uh, devote. Um, we understand depression better and
00:34:52.540 we're more tolerant of people who have struggled with the depression and we make use of the people
00:34:57.180 who have struggled in, have come out the other side. Fantastic. Well, Jonathan Rottenberg, thank
00:35:01.980 you so much for your time. It's been a pleasure. Oh, it's a delight to talk to you. Thank you very
00:35:05.600 much. Our guest today was Dr. Jonathan Rottenberg. He's the author of the book, The Depths,
00:35:10.260 The Evolutionary Origins of the Depression Empidemic. You can find that on amazon.com and other
00:35:15.160 bookstores. Also check out his Facebook page. Uh, just search for Jonathan Rottenberg. That's R-O-T-T-E-N-B-R-G 1.00
00:35:22.300 on Facebook, or you can go to facebook.com slash charting dot the dot depths. He posts a lot of
00:35:29.520 interesting articles, uh, latest research about depression. I think you'll find a lot of useful
00:35:33.720 information there. Well, that wraps up another edition of the Art of Manliness podcast. For
00:35:40.240 more manly tips and advice, make sure to check out the Art of Manliness website at
00:35:43.560 artofmanliness.com. And if you enjoy the show, you've gotten something out of it. I'd really
00:35:47.500 appreciate it if you would give us a review on iTunes or Stitcher, whatever it is you
00:35:51.740 use to listen to the podcast that helps us get the word out about the podcast. So I'd really
00:35:56.460 appreciate that. Also, if you can just recommend the podcast to a friend, uh, I'd appreciate
00:36:00.860 that as well. Anyways, until next time, this is Brett McKay telling you to stay manly.
00:36:10.240 Thank you.
00:36:12.240 Thank you.
00:36:13.240 Thank you.