pain. Context, race, gender, tradition, nation—all conspire to determine what is to be said and what is to be left unsaid—and to some extent they thereby determine what is to be alleviated, what exacerbated, what endured, what forsworn. The depression—its urgency, its symptoms, and the ways out of it—is all determined by forces quite outside of our individual biochemistry, by who we are, where we were born, what we believe, and how we live.

