Joan Didion 1968: First Patient Diagnosed With Clinical Depression For Fear Of Collapse Of America?

Above Image:  In 1968, Joan Didio, a respected writer once named Woman of the Year was diagnosed with clinical depression. Was she the first American to have a physical & mental breakdown over an incurable fear of the collapse of America and Western Civilization?

 

In the summer of 1968, a woman checked herself into the outpatient psychiatric clinic at St John’s Hospital, in Santa Monica, California, after suffering what was described as an “attack of vertigo and nausea.” The patient was Joan Didion, one of America’s finest writers and social critics. Her trip to the clinic happened right before she was named a Los Angeles Times “Woman of the Year,” along with Mrs. Ronald Reagan and others.

Here’s her psychiatric report: “In June of this year patient experienced an attack of vertigo, nausea, and a feeling that she was going to pass out. A thorough medical evaluation elicited no positive findings and she was placed on Elavil, Mg 20, tid. … The Rorschach record is interpreted as describing a personality in process of deterioration with abundant signs of failing defenses and increasing inability of the ego to mediate the world of reality and to cope with normal stress. … Emotionally, patient has alienated herself almost entirely from the world of other human beings. Her fantasy life appears to have been virtually completely preempted by primitive, regressive libidinal preoccupations many of which are distorted and bizarre. … In a technical sense basic affective controls appear to be intact but it is equally clear that they are insecurely and tenuously maintained for the present by a variety of defense mechanisms including intellectualization, obsessive-compulsive devices, projection, reaction-formation, and somatization, all of which now seem inadequate to their task of controlling or containing an underlying psychotic process and are therefore in process of failure.

The content of patient’s responses is highly unconventional and frequently bizarre, filled with sexual and anatomical preoccupations, and basic reality contact is obviously and seriously impaired at times. In quality and level of sophistication patient’s responses are characteristic of those of individuals of high average or superior intelligence but she is now functioning intellectually in impaired fashion at barely average level. Patient’s thematic productions on the Thematic Apperception Test emphasize her fundamentally pessimistic, fatalistic, and depressive view of the world around her.

It is as though she feels deeply that all human effort is foredoomed to failure, a conviction which seems to push her further into a dependent, passive withdrawal. In her view she lives in a world of people moved by strange, conflicted, poorly comprehended, and, above all, devious motivations which commit them inevitably to conflict and failure …”

But the irony is that Didion wasn’t losing her mind; she was just acutely aware of how American society had seemingly lost its mind and was observing it in the summer of 1968.

 

Shared by Pedro L. Gonzalez @emeriticus on Twitter on July 21, 2023 from The Pessimistic Case for the Future
Michael Anton

“In conventional terms, The United States peaked around 1965. . . “

Click Here For Link To Full Post By Michael Anton:   The Pessimistic Case for the Future | Compact Mag

 

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  • Seth Grossman

    Seth Grossman is executive director of Liberty And Prosperity, which he co-founded in 2003. It promotes American liberty and limited constitutional government through weekly radio and in-person discussions, its website, email newsletters and various events. Seth Grossman is also a general practice lawyer.

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