“It must be repeated again that I consider, injustice, discrimination, material deprivation and painful disappointments as such and as causes of depression and depression-pro ness. What causes depression is the discrepancy between what children–and adults have learned to believe and expect, and the reality they meet. This discrepancy, when uncomprehended, causes chronic lack of self-esteem, or the loss of self-esteem that, writes Birling, has been associated with severe depression. Men and women can bear a remarkable amount of misfortune and grief, as long as they need not see them as a result and proof of their own inferiority.”

Excerpt from Emmy Gut, Productive and Unproductive Depression. Harper, SanFransisco. 1990. p.195. as quoted in THE ANTIDEPRESSANT TABLET (1991) SUMMER VOLUME 2:4. p.3