I suspect some of the cultural sympathy that we have for this idea that a pill is better to deal with this is a reaction to the pre enlightenment age view of suffering. And I think there's a pressure on the professional side to particularly in psychiatry, which always has felt sort of, is it part of mainstream medicine or is it not? It's always occupied this kind of marginal relationship.
When psychiatrist Marco Ramos of Yale University prescribes antidepressants to patients in distress and they ask him how they work, Ramos admits: We don't really know. And too often, they don't work at all. Despite decades of brain research and billions of dollars spent, psychiatry has made little progress in understanding mental illness. Listen as Ramos explains to EconTalk's Russ Roberts how the myth of the biological basis for mental illness began, why it stubbornly persists, and why honesty about what we know and don't know is the best policy.