Worthy of a read. Some important questions and observations, but a somewhat lacking analysis.
Partial summary : our culture adopted a largely negative view of suffering, in which suffering should always be avoided. Our economic paradigm and our cult of productivity, incompatible with a range of human experiences, promotes this negative view of suffering, as depression and self-reflection incapacitate the worker, subjugated by a rhythm which is not his own. This negative view manifest itself in the medicalization of depression, with the rate of diagnosed depression and antidepressants prescription reaching alarming heights and still increasing.
The author compares this negative view of suffering with the positive view of suffering, largely adopted in the past, promoted for example by Christianity, the Romantics or pessimists philosophers, although all in a different way, and not necessarily helpful either.
The author argues that antidepressants are mostly anaesthetics, just like the socially accepted (and even encouraged) over-consumption and workaholism. By medicalizing depression we are missing a vital part of human experience, and silencing the necessary and healthy pain signal that indicates that something with ourself or our environment is wrong. Depression is a mechanism which invites the sufferer to the cessation of activity to promotes the reflection needed to know what is causing distress, and/or give him the time to grieve, prior to self-actualization and action.
Those are all reasonable points. But the biggest issue with this book is that some fundamental questions are not even mentioned : Where should we now draw the line between the people who need medication and those who do not? The distinction between those who are "ill" and those whose depression is merely a symptom of an external cause, is extremely difficult to make, and like others nature/nurture problems, get increasingly absurd and ungraspable the more you think about it. What we know so far indicates that, depression tends to a moderate extent to be hereditary. Yet do this indicates that there is such a thing as a depression gene, limiting the amount of feel-good neurotransmitter than an individual can produce, or is it the gene of perfectionism, rendering its recipients more prone to be unsatisfied with themselves and the world around them? Is there even a difference between the two?
It quickly becomes evident that those are complex philosophical questions, but this is the discussion that needs to be had in order to get closer to some guiding principles in how we should perceive and handle depression. By not engaging with these questions, the book makes itself a lot less useful than it could have been. The stance of the author is that we should be more discriminate in the medicalization of depression, but since he doesn't provide any discriminating factors, this book alas serves merely as a conversation starter and avoids doing any of the hard-lifting.