Many of you will know George Scialabba simply as “geo,” one of our most thoughtful, incisive, and funny commenters at Crooked Timber. You may not know, however, that George has a day job. Two, actually. One is as the manager of a building at Harvard. The other is as one of our most brilliant contemporary essayists and critics. I discovered George’s essays about a decade and a half ago, and I’ve been hooked ever since.
One other fact about George you may not know: he has been suffering from acute depression for nearly a half-century.
In The Baffler today, he has a memoir of sorts about that depression. It’s really a record of the memos, emails, reports from the various doctors, therapists, psychiatrists he has seen over the years. While I’ve read some of the memoirs/reports of depression—William Styron’s and Andrew Solomon’s—George’s collection of documents is oddly more harrowing and desperate than those memoirs. Because you see just how baffled and helpless the doctors and helping professions often are as well. Every few years, they have to reinvent the wheel, it seems, and start from scratch.
What also marks George’s piece is his attention to the political economy of mental illness and its treatment. His conclusion, I fear, will be overlooked:
Let me bring this melancholy chronicle up to date. The last record printed here is dated July 2012. Things remained bad through August and September. In early October I began a three-month medical leave of absence, with pay; I had taken a similar leave in 2005, when the depression was at its worst. Harvard has a generous provision for medical leave, perhaps because of the presence of a strong union, the Harvard Union of Clerical and Technical Workers (HUCTW). Once again, the medical leave made possible a course of electroconvulsive therapy, this one only about half as long as before.
What would have happened if I had not received those medical leaves is something I’d rather not think about. At the least, a psychological ordeal would have eventuated in a financial calamity. The combination of an enlightened employer and a strong union is one that ever fewer Americans enjoy. Universal financial security is probably the single best countermeasure to the depression epidemic. It would certainly be more effective and more humane—and even, perhaps, cheaper—than providing antidepressants and ECT.
Anyway, you should read it. Here also is a piece in the Boston Globe about it. And an interview with George, too.