Search Results for: health

This economist has a plan to fix capitalism. It’s time we all listened

Longreads Pick

Mariana Mazzucato, author of The Value of Everything and “one of the most influential economists in the world,” first set out to rewrite a narrative of corporate innovation that omitted the role of the state’s early investments in risk-taking. Now the European Parliament has just approved Mazzucato’s proposal for Horizon Europe, a set of concrete, measurable policies designed to invest heavily in moonshot solutions in five defined mission areas: “adaptation to climate change; cancer; healthy oceans, seas, coastal and inland waters; climate-neutral and smart cities; and soil health and food.”

Source: Wired UK
Published: Oct 8, 2019
Length: 17 minutes (4,394 words)

How to Survive a Vivisection

Getty Images, Collage by Homestead Studio

Rachel Somerstein | Longreads | October 2019 | 12 minutes (2,917 words)

Birth stories have that inexorable narrative drive, borne from the tension of knowing what’s going to happen, but not how you’ll get there. I thought I knew how my story would go.

I never could have predicted what happened: my OB performed a C-section on me without anesthesia. Go on, read it again. Because of the anesthesiologist’s mistake, and the OB’s desire to get it done, I had major abdominal surgery without anesthetic. In a hospital, in the United States, in 2016. It’s more common than you’d think.

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The first red flag was that the anesthesiologist had to re-up my epidural three times. Ultimately, it worked; despite back labor and what a nurse described as “monster” contractions, I felt comfortable enough, as a friend had put it describing her epidural, “to serve a meal.”

Hours passed. I labored, confined to bed, wondering whether my daughter would ever come out. I did all the relaxation things I was supposed to do: I pictured a sea anemone opening. I did the lion breath. Despite the pain, my cervix was not dilating much. It would turn out the baby’s feet were tangled up in her umbilical cord, and that her head was cocked to the side. In the parlance of labor, I was not progressing.

Eventually the doula and midwife went to dinner and told me to rest, dimming the lights. When they returned, my water had broken. I was almost fully dilated. Then the room became very busy. Someone turned on the baby warmer. The midwife told me to push, and I did, though I couldn’t really feel my lower body. It was just after midnight, my due date. I felt excited that, as a chronically late person, I’d finally be on time for something. My husband and I had long joked that our family crest would show the White Rabbit mid-flight, worriedly consulting his pocket watch.

I pushed for what seemed like a short time — but what doesn’t seem short when you’ve been in labor for 24 hours? — when the midwife whispered into my ear, “I think it’s time to call it. To do a C-section.” She explained that, amid the pushing, the baby’s heart rate wasn’t returning to levels that seemed safe. Also, she said, I’d been in labor for so long. The baby and I were exhausted.

I must have known something was going to go wrong, because I asked if I was going to die, if my baby was going to die. Oh, no, the midwife said, you’re going to be fine. I signed papers, things I couldn’t read because it was too loud in my head, which released the medical team from indemnities that would actually happen, but that I had never dreamed possible.

Then I waited. It took 40 minutes to pull together the surgical team. Some emergency!

Later the midwife would tell my husband, “I wonder, if we had just waited, if the baby would have slid out on her own. I wonder” — and, he told me, she didn’t seem to wonder, but to be pretty certain — “if maybe we didn’t need to do the C-section at all.”
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It’s Time To Talk About Solar Geoengineering

Kamachai Charoenpongchai / EyeEm / Getty

Holly Jean Buck | an excerpt adapted from After Geoengineering: Climate Tragedy, Repair, and Restoration | Verso | 2019 | 24 minutes (6,467 words)

December in California at one degree of warming: ash motes float lazily through the afternoon light as distant wildfires rage. This smoky “winter” follows a brutal autumn at one degree of warming: a wayward hurricane roared toward Ireland, while Puerto Rico’s grid, lashed by winds, remains dark. This winter, the stratospheric winds break down. The polar jet splits and warps, shoving cold air into the middle of the United States. Then, summer again: drought grips Europe, forests in Sweden are burning, the Rhine is drying up. And so on.

One degree of warming has already revealed itself to be about more than just elevated temperatures. Wild variability is the new normal. Atmospheric patterns get stuck in place, creating multiweek spells of weather that are out of place. Megafires and extreme events are also the new normal — or the new abnormal, as Jerry Brown, California’s former governor, put it. One degree is more than one unit of measurement. One degree is about the uncanny, and the unfamiliar.

If this is one degree, what will three degrees be like? Four?

At some point — maybe it will be two, or three, or four degrees of warming — people will lose hope in the capacity of current emissions-reduction measures to avert climate upheaval. On one hand, there is a personal threshold at which one loses hope: many of the climate scientists I know are there already. But there ’s also a societal threshold: a turning point, after which the collective discourse of ambition will slip into something else. A shift of narrative. Voices that say, “Let’s be realistic; we’re not going to make it.” Whatever making it means: perhaps limiting warming to 2°C, or 1.5, as the Paris Agreement urged the world to strive for. There will be a moment where “we,” in some kind of implied community, decide that something else must be tried. Where “we” say: Okay, it’s too late. We didn’t try our best, and now we are in that bad future. Then, there will be grappling for something that can be done. Read more…

McDonald’s Starts Serving McTech to Survive in the Modern Age

McDonald's arches under renovation. (VCG/VCG via Getty Images)

In a fascinating story about food and innovation for Bloomburg Businessweek, Thomas Buckley and Leslie Patton write about how McDonald’s CEO Steve Easterbrook has been implementing some revolutionary changes to the fast food chain’s business model. Easterbrook wants, they say, “to reclaim the company’s image as a beacon of innovation, a designation McDonald’s hasn’t enjoyed since roughly the Truman administration.” Despite pushback from some franchise owners, the multibillion dollar company is trying to pull customers back from places like Five Guys and Chipotle by adding Uber Eats, item customization, and hoping to remake stores into data harvesting systems. To show how these programs fit into the company’s history, the authors describe the technological innovations that allowed McDonald’s to expand from a single tiny California burger stand into a titanic brand that feeds 1% of the human population. Even if you don’t eat at McDonald’s, it’s interesting to read about the struggles of a seemingly ever-present global brand that, like Coke and Nestle, has shaped the health of our species, and diluted many countries’ regional identity to a form as dull and predictable as the pink slime that becomes a chicken nugget. Now the challenge is for McDonald’s to rebuild itself into what the authors call “the Amazon of excess sodium.”

Easterbrook’s strategy so far has been vindicated by the numbers. That tailwind is breathing new life into the business. Strong drives 40 miles from his home in Aurora, Ill., every morning to be at his desk by 6 a.m., where he and a handful of other masochistic early risers blast rousing tunes by Journey or Adele on a Bose sound system to get the day going. It’s a routine they began after moving into the new head office, a $250 million building replete with sofa pods in the red and yellow McDonald’s color scheme, an amphitheater, rooftop terraces, and thousands of antique and modern Happy Meal toys locked inside cased glass like priceless museum specimens. Easterbrook opened the office in June of last year in a bid to attract young, tech-forward talent.

In March, McDonald’s acquired artificial intelligence startup Dynamic Yield, headquartered in New York and Tel Aviv, for $300 million—the company’s largest acquisition in 20 years. The burger chain had been testing the machine learning software on drive-thrus at four restaurants in Florida, where screens automatically updated with different items based on the time of day, restaurant traffic, weather, and trending purchases at comparable locations. That technology has been deployed at 8,000 McDonald’s and counting, with plans to be in almost all drive-thrus in the U.S. and Australia by the end of the year, Easterbrook says. The deal signaled an ambition to align the chain with the same predictive algorithms that power impulsive purchasing on Amazon.com or streaming preferences on Netflix. In April, McDonald’s acquired a minority stake in New Zealand-based mobile app vendor Plexure Group Ltd., which helps restaurants engage with diners on their phone with tailored offerings and loyalty programs. The effort falls into the consumer-goods industry’s wider trend toward micromarketing, which has proved effective in driving sales.

In early September, McDonald’s said it was buying Silicon Valley startup Apprente Inc., a developer of voice-recognition technology. The idea is to help speed up lines by eventually having a machine, instead of a person, on the other side of the intercom to relay orders to kitchen staff. The deal for Apprente is McDonald’s third such investment in a technology business in the past six months as the company shakes off a tamer takeover strategy that for decades had focused on buying and selling restaurants from or to operators. McDonald’s is pursuing this new business model even as the latest burger trends steal the buzz from its offerings. Beyond fashionable vegan patties, a new and daunting foe is the fried chicken sandwich at Popeyes Louisiana Kitchen (a Miami-based chain owned by the same company that controls Burger King), which became a national obsession when it was introduced in the U.S. in August.

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Hello, Forgetfulness; Hello, Mother

Roxana Wegner / Getty

Marcia Aldrich | Longreads | October 2019 | 19 minutes (4,770 words)

I can’t pinpoint when it began. Or whether what is happening to me is the same thing that happened to my mother. Is it the first signs of dementia or just your run-of-the-mill aging?

I had lived far away from Pennsylvania and only seen my parents intermittently for short visits since going away to college. With my mother, the first sign of change I noticed was that she couldn’t remember the titles of novels she had just read or television shows she had just watched. She’d search an invisible memory bank to identify the titles with a baffled look on her face when she found it empty, then shrug the moment of forgetfulness away. Her usually precise way of speaking, of being in the world, started to soften at the edges. She mumbled as if she were sucking on a lozenge she didn’t want to spit out or swallow. I thought she was just slowing down and this was what aging looked like. By the time she became a depressed person, the deterioration had been going on for years and it was something more than aging. Who knows for how long the changes had been fomenting, how far back I would have to go to ferret out the beginning — 10 years, 15? After all, she worked at hiding the slippage, handing the phone to my father when I called, laughing away the mistakes she made. She used her considerable charm, long honed, to divert attention from the truth, for example that the New York Times Sunday crossword puzzle that she had been religiously completing for decades was now blank, the squares empty, folded in the bathroom where she thought no one would see it.

At a more advanced stage, she became resistant to change. My mother, who had loved nothing better than a shift in scenery, a drive, a travel expedition, became someone who didn’t even like walking out the front door. My father couldn’t get her in the car to make their seasonal pilgrimage back to Pennsylvania from their winter’s stay in Florida. She wouldn’t do it. I pictured my mother bracing her leg against the door, refusing to enter the car, and my father who wasn’t about to use force, though I’m sure he thought about it, trying to coax her as one would coax a child to do something they didn’t want to do. What did he promise her? A new ring? An ice cream cone? But nothing worked and weeks would pass with my father delaying their departure, carrying the suitcases back inside, until something broke and she got in the car. He’d call my sisters and me from a spot on the road to say they had finally started the drive home. What had eased enough for her to proceed? My father said he didn’t know what allowed him to hustle my mother into the car, but he wasn’t going to count on these sudden and unpredictable openings anymore. He was giving up, and thereafter they stayed holed up in their condominium in Pennsylvania and never went anywhere again.
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The Girl I Didn’t Save

Woman's spirit ascending to Heaven (1883) / Getty, Lookout Press

Cameron Dezen Hammon| Longreads | excerpt from This Is My Body: A Memoir of Religious and Romantic Obsession | September 2019 | 24 minutes (6,521 words)

 

“She’s saying ‘thank you’ when she blinks like that,” Hannah’s mother says.

Hannah is dying. She lies in her bed, in her bedroom, surrounded by cards and flowers. Her mother sits on the edge of the bed, stroking her hand. Hannah’s husband of one month is beside her, propped against pillows, cross-legged. A few close friends are here as well—they sit against the wall, knees pulled to chests, or lean against the window ledge. Every few seconds Hannah’s ribcage rises in a struggle for breath.

Matt and I met Hannah three years after Budapest, while we were working for the young Baptist at Koinonia. It was the first church we worked for with a congregation comprised of people roughly our own age, and Hannah, twenty-seven, fit perfectly into its little galaxy of artists, lawyers, and schoolteachers. She flitted easily between groups of friends, always smiling. The pastor often calls Hannah his favorite, but no one minds. Hannah is everyone’s favorite.
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What Should Universal Basic Income Look Like?

Anthony Bradshaw / Getty

Livia Gershon | Longreads | September 2019 | 9 minutes (2,264 words)

Andrew Yang, presidential candidate, serial entrepreneur, and icon of Silicon Valley futurism, has a vision. As you know if you’ve ever heard his name, Yang supports a universal basic income, $1,000 a month paid by the government to every American citizen, from part-time baristas to millionaire bond traders. To Yang, the UBI, as it’s called, is the answer to nearly every question about the economy. For out-of-work machinists, it’s a cushion that would make it possible to reorient to a new job. For would-be entrepreneurs, it’s the cost of ramen and a bed while they hustle to get off the ground. For stay-at-home parents, it’s recognition and support for crucial unpaid labor. For down-on-their-luck towns, it’s an economic stimulus plan.

“This is the trickle up economy from our people, families, and communities—up,” Yang told Face the Nation in August. “It will create over two million new jobs in our communities because the money will go right into local mainstream businesses, to car repairs, daycare expenses, Little League sign-ups.” Read more…

Shelved: The Bonzo Dog Doo Dah Band’s “Brain Opera”

Michael Putland / Getty, Photo Illustration by Homestead Studio

Tom Maxwell | Longreads | September 2019 | 18 minutes (3,497 words)

 

In 1993, interviewers from the psychedelic music magazine Ptolemaic Terrascope stood on Viv Stanshall’s stoop, wondering if he would answer the doorbell. Stanshall’s friend, who set up the meeting, was just beginning to apologize when she turned and gasped: A frail and obviously drunk Stanshall, according to the article, “staggering down the road clutching a carved stick and a white plastic carrier bag containing a freshly purchased bottle of Mr. Smirnoff’s elixir,” lurched toward the house.

“Vivian, you look awful!” the friend said. “Where’s your shoes?”

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‘People Can Become Houses’

Adam Shemper / Grove Press

Danielle A. Jackson  | Longreads | September 2019 | 18 minutes (4,289 words)

The Yellow House, Sarah M. Broom’s debut memoir, tells the story of the light-green shotgun house in New Orleans East her mother, Ivory Mae, bought in 1961. At 19, Ivory Mae was the first in her immediate family to own a home; her mother had been born on a plantation in St. Charles Parish. Over years of renovations, the house acquired a second floor at its rear and a layer of pale yellow vinyl siding. 

The book is also about a neighborhood, a city, a nation, and how generations of systemic neglect weigh on the human beings who bear it. New Orleans East was a vast, mostly undeveloped marshland in the early ’60s, a fledgling suburb within the city held afloat by investment from retailers and oil developers. Its neighborhoods were, at the time, predominantly white. The public schools were not yet integrated. 

The Brooms built a lively home life there. Sarah, the youngest of 12, was born in 1979. Largely missing from city maps and narratives that highlight the tourist-friendly French Quarter, New Orleans East fell into disrepair by the late ’80s. As investors pulled out, its streets became lined with abandoned apartment buildings and men in cars soliciting sex.

Sarah was just 6 months old when her father, Simon Broom, died suddenly at home. She came of age with the ache of his absence. The house became increasingly difficult to maintain, and shame settled in alongside the family’s grief.

 

Throughout The Yellow House’s four sections, which Broom calls “movements,” after the parts of a symphony, she pulls from hundreds of hours of interviews to include exceptionally long passages where her family members speak for themselves; the book is, in part, an oral history. She says it is because their stories “compose” hers. In 2005, Hurricane Katrina flooded New Orleans East and destroyed their home. By then, Broom had a magazine job in New York and had been gone from her hometown for nearly a decade. Her Louisiana family recounts the storm in “Water,” the book’s riveting third movement. In the fourth, the author unravels the questions the full text poses: about grief and identity, American racism and environmental catastrophe, family and womanhood and the multiple meanings of home.

The Yellow House is beautifully wrought on a grand scale and at the level of the sentence. It is intricately researched, narratively complex, and dives into the most fundamental questions of our time: Who am I? How did I become me? How does one survive catastrophe when it is inevitable? How does one rebuild? The Yellow House was longlisted for a National Book Award and became a New York Times best seller in late August. I spoke to Broom two days before its release. A condensed version of our conversation follows. 

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Longreads: Even before Toni Morrison passed away, I’d noticed certain things about The Yellow House that reminded me of her novels. Beloved begins by mapping the house where Sethe and her family live, the place that is haunted, with an address: “124 was spiteful. Full of a baby’s venom. The women in the house knew it and so did the children.” There’s a scene in the documentary The Pieces I Am showing how Morrison sketched out a floor plan of this house. The architecture and physicality of a house and how a house can live as an object, but also as an imagined thing, a goal, a part of us, is really the foundation of your book. Could you talk about Toni Morrison’s influence on you and your work?

Sarah M. Broom: I remember finding out that Toni Morrison had died. It was rainy and dim where I was in upstate New York, and I kept thinking, This day is so low hanging. That’s how I kept imagining it. Almost like the sky was hovering close, just above my head. I felt grief. It was bottomless and familial. The way that one grieves a family member is like grieving a part of a system, a part of an organism. And I knew this, but I really knew this after she died — she was literally a part of my system. A part of what it meant for me to be a writer. She was so interwoven in these layered ways into the ways in which I think. 

In The Yellow House, I talk about “water having a perfect memory” [from the essay “The Site of Memory”]. Most people only mention that part of the essay, about how water is forever trying to get back to where it was. But the part that comes after that is equally as important. She says, “Writers are like that, remembering where we were, what valley we ran through, what the banks were like, the light that was there and the route back to our original place.” Writing this book for me was driven in some deep way by that quotation, which is really about the ways in which Morrison thought about and dealt with place. It was a given and known thing that she was from Lorain, Ohio. I think that in a way she was always writing deeply about place and about belonging.

There was an interview a few years ago in the Telegraph, where she is talking about a conversation with her sister, Lois, who still lived in their hometown. Her sister told her the street where they grew up is gone. In the interview she says that her sister drew her a map of the street and wrote in the names of the people who used to live in the houses on their street. They figured out that 20 houses were gone. What Morrison said in the interview is that loss, that absence of the houses and all the memories they held, it’s a death. That idea fueled me as I was trying to understand my book and the architecture of it. 

Another thing about Morrison, which matters so much to me: Often, especially with writers of color, people focus a lot on our story and less on our craft. Toni Morrison wrote sentences that were so multi-varied and layered and also were road maps to something. Beyond that, they had an innate musicality to them and they made you feel. I think often when certain writers make you feel, people misunderstand the difficulty of that. Making a person feel something is the greatest thing an artist can do, and it’s all about craft. It’s about rhythm and cadence and tone.

Is it also about what you have to take out to get to that? What isn’t there?

Absolutely. There is a composed-ness. It’s jazz-ical. Great language and great writing is jazz-ical, it’s spontaneous but it’s super controlled. Whenever I was at a point that I felt that I needed to remember the sounds of what writing could do, I always read Toni Morrison. And that’s a gift. I’ll probably be rereading her throughout this entire book tour because I can’t imagine not having her voice every single day. 

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Grandiose and Claustrophobic: ‘Prozac Nation’ Turns 25

Riverhead Books

Anne Thériault | Longreads | September 2019 | 6 minutes (1,607 words)

 

When I was 20, I cornered my ex-boyfriend in his bedroom during a party and cried on him for two hours, leaving a watery mascara stain down the front of his shirt. When he finally managed to extricate himself, I found his best friend and did the same to him. I made the rounds of the party, rehashing my misery to anyone who would listen: how my ex had broken my heart, how I was certain that I was an unloveable failure, how I thought about killing myself. I knew that I should stop and go home, but I couldn’t; my feelings were huge and immediate; the thought of being alone was unbearable.

I’d always been an over-emotional cryer, but that year was a personal nadir when it came to mental health. There had been the breakup, then I’d lost my housing situation, and finally, financial problems had forced me to drop out of school. I went from being an occasional downer to a wailing banshee party-ruiner. I just couldn’t differentiate between the immediate relief of dissolving into tears and the long-term gratification of cultivating emotional continence — probably because I no longer believed I had a future. My friends were exasperated and wanted to know why I couldn’t just stop doing things that made me feel bad. My answer — everything made me feel bad anyway, and I just couldn’t help it — seemed insufficient even to me.

A few weeks after the party crying incident, I found a copy of Elizabeth Wurtzel’s Prozac Nation at a secondhand bookstore. It had been out for nearly a decade, but up until then I’d resisted it. For one thing, I’d actually been on Prozac for the previous three years, so reading it seemed a little too clichéd. For another, I was skeptical that the beautiful girl on the cover, with her clear skin and artfully messy hair, could know anything about my ugly life. But by the end of the prologue — titled, with extreme subtlety and nuance, “I Hate Myself And I Want To Die” — I was hooked.

Whether we like it or not, Prozac Nation really did change the landscape when it comes to the way women write about themselves.

Prozac Nation is a young person’s book, both in terms of its author and its target audience. It’s full of florid language, sweeping generalizations, and an obsessive, unproductive introspection. Each chapter begins with an epigraph from someone like Albert Einstein, Sylvia Plath, or Edith Wharton. Many of the original reviews were negative, and offered valid critical perspectives on the book. The text did need a stronger editorial grip, at the very least to fix the distracting moments when Wurtzel jumps from one tense to another within the same paragraph. The narrative really was just as repetitive and self-pitying as critics accused it of being. Wurtzel seemed to have no perspective when it came to her own behavior, offering it all up for consumption without any kind of analysis. But all of this (tense-jumping aside) might be the book’s secret genius.

Prozac Nation was the first time I saw myself reflected in writing about mental illness. Sure, I’d read and loved Plath, Kaysen, and all the other stars of the depressed-lady canon, but none of their work was as relatable to me then as Wurtzel’s prose, at once grandiose and claustrophobic. It’s the kind of book that feels like edgy literature to a white girl in her early 20s, and I don’t mean that as snidely as it might sound; everyone deserves their own version of On The Road or Naked Lunch for that period in their life. Prozac Nation read to my 20-year-old self like something I aspired to someday write, precious epigraphs and all. At one point early in the narrative, Wurtzel voices a worry that her story is “too stupid, too girlish, too middle class.” But that was exactly why it resonated with me. Even the parts that grated on my nerves, like Wurtzel’s frequent bewailing of the fact that she had once been the best little girl in the world, sounded like me. In fact, I had a litany of similar regrets that I dragged out whenever I was down; I called it my catechism, which I thought was witty and ironic. There are certainly times when Prozac Nation feels monotonous and solipsistic, but that aligns with my own experiences with depressive spirals. Repetition and self-obsession are part of the nature of the illness.

Wurtzel was oversharing before oversharing even became an everyday term we use, writing in a way that made people recoil with discomfort.

What seemed most important to me about Wurtzel’s writing was that she had been messy, and she was willing to detail that mess without apology. Just: here is how I’ve behaved. She offers the reader no contextualizing, no explaining, no objective distance from the events described. I still can’t tell if Wurtzel did this intentionally or not — and, if it’s a device meant to draw readers deep into her own stream of consciousness, she doesn’t always wield it skilfully — but either way, it was a radical departure from how I’d seen women write about themselves. I’d never read a story about a woman engaging in such rambunctious self-destruction that didn’t turn into a morality tale; on the other hand, there was no shortage of stories about men being comparably messy. This isn’t meant to be a bad faith argument about how “equality” means women deserve to behave just as badly as men, but rather that youthful messiness is a reality for people of all genders. There is power in seeing yourself represented, warts and all. How do you survive something if you don’t know that someone else has already survived it, too?

Whether we like it or not, Prozac Nation really did change the landscape when it comes to the way women write about themselves. It laid the groundwork for the what Jia Tolentino called the “personal-essay boom” of the early 2010s, an era when no detail was too graphic, no humiliation too private for sharing. Wurtzel was oversharing before oversharing even became an everyday term we use, writing in a way that made people recoil with discomfort. But, like so many of those XOJane-style pieces, she also made people feel seen. Wurtzel’s writing has influenced how I write about mental illness; it’s made me more committed to relate my experiences in honest ways, rather than style them to appear more understandable or sympathetic. Through her, I’ve learned that it’s much more interesting when I center myself in my own narrative rather than the feelings my readers might have about it. The embarrassing personal details are, somehow, what makes these stories relatable. I’m sure there are many others whose writing owes a similar debt of gratitude to Wurtzel, even if they don’t realize it.


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Prozac Nation was published on September 25, 1994, three days after Friends premiered on NBC. Both are emblematic of that era: angsty Gen-X youth and the golden age of television sitcoms. Like many cultural artifacts that are very rooted in their particular time and place, neither has aged very well. Wurtzel’s semi-premise — that the use of SSRIs was too widespread, that America had become a nation of pill-poppers who were drawn to Prozac because of its name-brand trendiness — seems especially unsturdy. For one thing, she doesn’t even encounter the drug until the very end of the book, and when she does take it, she experiences a swift and nearly miraculous recovery. For another, all of the panic about SSRI consumption seems, in retrospect, almost adorable in its unfoundedness. Doctors were pushing the idea that oxycontin was non-habit-forming in any amount, but people were worried about Prozac?

Re-reading Prozac Nation again after all these years felt a bit like being a 20-year-old melting down at a party: embarrassing, but somehow comforting in its familiarity.

Many of those concerns piggybacked on the very real problems with mid-century tranquilizer use, but they were also influenced by what psychiatrist Gerald L. Klerman termed pharmacological Calvinism: the idea that a drug that alleviates unhappiness is morally questionable. It’s an attitude that’s still very much present today, even though the use of SSRIs has become more normalized over the past 25 years. Pharmacological Calvinism is what makes your high school friend share those memes describing nature as the real antidepressant. It’s what leads people to view medication that treats anxiety and depression as a “crutch” rather than an ongoing and necessary treatment (which is a weird framing in and of itself, considering that people rarely use crutches unless they really need them). It’s the reason we hear arguments like the one in David Lazarus’ recent Los Angeles Times essay, where he describes himself as a “drug addict” because quitting antidepressants caused him to experience symptoms of depression, and quotes doctors praising the “work” of not taking medication as compared to the “easy” out of taking a pill every day. Of course, some people do experience adverse reactions while discontinuing use of SSRIs, but history has largely proven them to be quite safe compared to many other medications that experience similar faddish moments.

Re-reading Prozac Nation again after all these years felt a bit like being a 20-year-old melting down at a party: embarrassing, but somehow comforting in its familiarity. It made me feel grateful, above all else, for no longer being young. It’s such a relief to get older and be less vulnerable to Big Emotions, to have better coping skills, and to know how to opt out of drama. But I’m also grateful to my younger self for being deep in that depressive morass and still managing to navigate us to where we are now. I don’t hate her for who she was, as much as she sometimes failed to measure up to who I wanted to be. I try to be tender to her and understand that she was doing the messy best she could. Hopefully Wurtzel feels the same way.

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Anne Thériault is a Toronto-based writer whose bylines can be found all over the internet, including at the Guardian, The London Review of Books and Longreads, where she created the Queens of Infamy series.

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Editor: Ben Huberman