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Patient information - Depression
Patient information - Depression: John Stuart Mill
Date Created: 26/05/2002 Last Modified: Last Checked: 21/10/2002
This is an older, but most excellent, description of depressive illness. Those not used to this style of prose may benefit from reading it several times in order to appreciate its nicety and precision.
John Stuart Mill,
Autobiography, 1873
I was in a dull state of nerves, unsusceptible to enjoyment or pleasurable excitement; one of those moods when what is pleasure at other times, becomes insipid or indifferent. In this frame of mind it occurred to me to put the question directly to myself: Suppose that all your objects in life were realized; that all the changes in institutions and opinions which you are looking forward to, could be completely effected at this very instant: would this be a great joy and happiness to you? And an irrepressible self-consciousness distinctly answered, No! At this my heart sank within me: the whole foundation on which my life was constructed fell down. All my happiness was to have been found in the continual pursuit of this end. The end had ceased to charm, and how could there ever again be any interest in the means? I seemed to have nothing left to live for.
In vain I sought relief from my favourite books; those memorials of past nobleness and greatness from which I had always hitherto drawn strength and animation. I read them now without feeling, or with the accustomed feeling minus all its charm; and I became persuaded, that my love of mankind, and of excellence for its own sake, had worn itself out. I sought no comfort by speaking to others of what I felt. I felt, too, that mine was not an interesting, or in any way respectable distress. There was nothing in it to attract sympathy. Advice, if I had known where to seek it, would have been most precious. The words of Macbeth to the physician often occurred to my thoughts. But there was no one on whom I could build the faintest hope of such assistance.
These were the thoughts which mingled with the dry heavy dejection of the melancholy winter of I867. During this time I was not incapable of my usual occupations. I went on with them mechanically, by the mere force of habit. I had been so drilled in a certain sort of mental exercise, that I could still carry it on when all the spirit had gone out of it. I even composed and spoke several speeches at the debating society, how, or with what degree of success, I know not. Of four years continual speaking at that society, this is the only year of which I remember next to nothing. Two lines of Coleridge, in whom alone of all writers I have found a true description of what I felt, were often in my thoughts, not at this time (for I had never read them), but in a later period of the same mental malady:
“Work without hope draws nectar in a sieve,
And hope without an object cannot live”.
In all probability my case was by no means so peculiar as I fancied it, and I doubt not that many others have passed through a similar state;.... I frequently asked myself, if I could, or if I was bound to go on living, when life must be passed in this manner. I generally answered to myself, that I did not think I could possibly bear it beyond a year. When, however, not more than half that duration of time had elapsed, a small ray of light broke in upon my gloom......
From this moment my burden grew lighter. The oppression of the thought that all feeling was dead within me, was gone. I was no longer hopeless: I was not a stock or a stone. I had still, it seemed, some of the material out of which all worth of character, and all capacity for happiness, are made. Relieved from my ever present sense of irremediable wretchedness, I gradually found that the ordinary incidents of life could again give me some pleasure; that I could again find enjoyment, not intense, but sufficient for cheerfulness, in sunshine and sky, in books, in conversation, in public affairs; and that there was, once more, excitement, though of a moderate kind, in exerting myself for my opinions, and for the public good. Thus the cloud gradually drew off, and I again enjoyed life.
All text ©Dr Ken Gillman MRC Psych - PsychoTropical Research®
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