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by BoredAstronaut 4786 days ago
What gets me about this description is how it's all about having indirect feelings for things in your mind. The imagination is a pretty late-stage evolved trait. I often think it's amazing that we have emotional responses to ideas in the first place. Seriously: they are ideas! Why should people have feelings for ideas? It's kind of bizarre.

People should have emotional responses to real things. And I've often wondered why we don't treat depression with more realness. Trying to treat it with "positivism" is just more of the same thing that aggravates the depression: disconnection from real things. Positive attitudes are invariably supposed to be evoked for, once again, ideas.

Sunlight and exercise are two things that were mentioned as real things that can help re-connect people to physical reality (instead of ideas). Another important one is fundamental to human emotional and social health: affection. Simple physical touch from someone you trust and who will suspend judgement. Hugs. Hand holding. Sitting on the couch together. No expectations. No demands. Just freedom to be.

It seemed from the article/comics that some (maybe a lot) of the person's unhappiness was coming from the discomfort and pain of not living up to expectations imposed on them by others about their attitudes. Just being detached is not itself that horrible (and maybe it's less weird than being emotionally attached to imaginary things). But being made to feel/believe that you are a bad person, a defective person, a source of pain to others, that leads to a real kind of pain. Other peoples' facial expressions and tone of voice affects us on a much deeper level than conceptual imagination.

Like many mammals, some birds and other kinds of animals, humans are deeply wired to respond to the sounds and images of other humans expressing positive and negative responses to us. Those are the first place to go to work on immediate sensory treatment for depression. Because these social signals are so ancient, we can even get treatment from non-humans. Cats and dogs make people feel better. It's even been shown in studies that seniors in retirement homes feel better when they are given time with pets.

I'm not saying this is a guaranteed solution, but it hasn't been mentioned in this discussion, and it's very important. The way we socialize is inadequate to our biological needs.

1 comments

You don't treat major depression with "realness" because the brain has the ultimate control of sensation and perception. Physical sensation doesn't make a difference in those cases. Light therapy is used for seasonal depression (seasonal affective disorder), but it does not necessarily work for those with major depression.

Your suggestion about 'physical touch' is funny because I think it perfectly shows how people misinterpret what depression is. Imagine touching your spouse one day and realizing that the endorphin and oxytocin release is no longer there. All you feel is warm flesh. Suddenly, the natural moisture of the skin becomes apparent. Has skin always felt like this? It's kind of gross. My discomfort becomes apparent, and now suddenly I'm trying to make a face like I enjoyed that hug. THAT is what depression does. You have all of the sensation with none of the reward pathway. And, much like someone who has lost one of their basic senses, the brain tries to overcompensate through heightened sensations (like feeling the moisture of someone's skin), which causes discomfort and anxiety.

Imagine smelling a flower and not having that temporary, brain-clearing, 'ahhhhh....' moment. This is what depression does to you.

This post makes me feel like I've never had depression, because I always enjoyed hugs...just not as much sometimes. I think that it's a gradient more than a "yes/no" type thing, and I haven't experienced that badly (thank FSM).