There is something to be said here about the word "depression", which has almost entirely eliminated the word and even the concept of unhappiness from modern life. Of the thousands of patients I have seen, only two or three have ever claimed to be unhappy: all the rest have said they were depressed. This semantic shift is deeply significant, for it implies that dissatisfaction with life is itself pathological, a medical condition, which it is the responsibility of the doctor to alleviate by medical means. Everyone has a right to health; depression is unhealthy; therefore everyone has a right to be happy (the opposite of being depressed). This idea in turn implies that one's state of mind, or one's mood, is or should be independent of the way one lives one's life, a belief that must deprive human existence of all meaning, radically disconnecting reward from conduct.
Our Culture, What's Left of It, p9
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