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According to widely publicized WHO data “depression” is an epidemic that by 2020 is set to become the second most important cause of disease throughout the world (World Health Organization 2012). Yet, what the WHO identifies as an emerging pandemic requiring a coordinated global response, more critical voices see as the unreflective application of problematic disease labels that fail to understand and therefore help real patient needs (Summerfield 2006). These critics hold that the classification systems that define psychiatric disorders—the International Classification of Diseases (ICD) and the Diagnostic and Statistical Manual of Mental Disorders (DSM)—are based on self-descriptions of mental states elicited from patients living in advanced capitalist societies and draw on historically specific definitions of disease, evidence, and facts. In that sense, they constitute “western cultural documents par excellence” (Summerfield 2008). Far from objectively assessing mental health they seek to shape specific ways of citizenship and of being a person that, rather conveniently, match the western neoliberal economic order. Displacing modes of dealing with mental health issues that emphasize interpersonal relationships or social and economic causes, depression thus becomes just one more condition that reflects and sustains globally dominant networks of consumption and control in the twenty first century.

Constraint 鬱 as a Window on Approaches to Emotion-Related Disorders in East Asian Medicine