cover image Artificial Happiness: The Dark Side of the New Happy Class

Artificial Happiness: The Dark Side of the New Happy Class

Ronald W. Dworkin, . . Carroll & Graf, $24.95 (343pp) ISBN 978-0-7867-1714-9

In this impassioned but hard-to-swallow treatise, Dworkin, an M.D. and senior fellow at the Hudson Institute, laments the rise among primary care physicians of the "ideology" that "unhappiness [is] a disease" to be treated with "external cures" from psychotropic drugs to "obsessive" exercise. This view, he argues, has led doctors to push antidepressants onto patients at an explosive rate. Dworkin argues that primary care doctors initiated and conquered a turf war with psychiatrists in which antidepressants are their main source of power. The author shows how placebo science, the desire for happy patients and a desire for more personal doctoring led to a rise in dubiously beneficial alternative health practices. He belittles the 1980s buzzword "stress" with its accompanying surge of mind-body activities and denigrates the moral deficit he perceives to be underlying a widespread obsession with fitness culture. He also argues that "many Americans are only superficially religious, outwardly professing belief in God while crossing over to medicine for help when life grows really difficult." Dworkin's thesis is provocative but its sweeping claims, heavy reliance on the term "ideology" to describe doctors' motivations and his confrontational approach undermine the book's power to persuade. (June)