Marxist scientists Richard Levins and Richard Lewontin said, “nothing evokes as much hostility… as the suggestion that social forces influence or even dictate either the scientific method or the facts and theories of science." But it is in this illusion of non-ideological objectivity where ideology can be seen to be the most entrenched, functioning as unknown knowns, that is, as unrecognized assumptions or inherent biases which mediate how scientists approach the world. [...]
[S]tudies have shown that “within a given location, those with the lowest incomes are typically 1.5 to 3 times more likely than the rich to experience depression or anxiety.” The plethora of factors that stem from and contribute to poverty has allowed researchers to establish “a bidirectional causal relationship between poverty and mental illness,” [...]
“[C]hemical imbalances” don’t arise out of a void but are produced by the concrete environment the individual is in. The point, again, is not to diminish the biochemical in order to elevate the role of the environment, but to see both the biochemical and the environment as dialectically interconnected, acting “upon each other through the medium of the [individual].” [...]
It is much easier to reduce depression to a biochemical phenomenon in the brain than to analyze how the social relations prevalent in the capitalist mode of life create the conditions for the emergence of depression. Similarly, once this reduction is established, it is much easier to treat the “solution” through individualized drug consumption than through socially organized revolutionary activity. [...]
Tracing depression to the exploitative and alienating relations sustained between people and their work, their peers, and nature, is not only a much more laborious task, but one which would necessarily end in the realization of the systemic root of the problem. [...]
Cuban scientists see mental health issues and treatment “within the context of the community,” not isolated individuals. [...] This socialist model has afforded the Cuban people the conditions where, despite the enormous material difficulties created by the US blockade, depression in Cuba affects only 3.8 percent of the population, whereas in the United States 4.8 percent.
Well, the article is saying that serotonin deficiency is not the cause, which is reasonable. It is not saying that chemical/genetic factors are not at play, or that SSRIs are totally ineffective.