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When he was just twenty years old, John Stuart Mill, perhaps the greatest English philosopher of the nineteenth century, suffered a “nervous breakdown.” In a well known passage of his Autobiography1 he gives a dramatic account of this event:
It was in the autumn of 1826. I was in a dull state of nerves, such as everybody is occasionally liable to; unsusceptible to enjoyment or pleasurable excitement; one of those moods when what is pleasure at other times, becomes insipid or indifferent; the state, I should think in which converts to Methodism usually are, when smitten by their first “conviction of sin.” In this frame of mind it occurred to me to put the question directly to myself: “Suppose that all your objects in life were realized; that all the changes in institutions and opinions which you are looking forward to, could be completely effected at this very instant: would this be a great joy and happiness to you?” And an irrepressible self consciousness distinctly answered, “No!” At this my heart sank within me: the whole foundation on which my life was constructed fell down. All my happiness was to have been found in the continual pursuit of this end. The end had ceased to charm, and how could there ever again be any interest in the means? I seemed to have nothing left to live for.
At first I hoped that the cloud would pass away of itself; but it did not. A night's sleep, the sovereign remedy for the smaller vexations of life, had no effect on it. I awoke to a renewed consciousness of the woeful fact. I carried it with me into all companies, into all occupations. Hardly anything had power to cause me even a few minutes oblivion of it. For some months the cloud seemed to grow thicker and thicker. The lines in Coleridge's “Dejection” —I was not then acquainted with them—exactly describes my case.
“A grief without a pang, void, dark and drear A drowsy, stifled, unimpassioned grief, Which finds no natural outlet or relief In word, or sigh, or tear.”
In vain I sought reli