Medicine and psychiatry—more generally, the therapeutic outlook and sensibility that pervade modern society—reinforce the pattern created by other cultural influences, in which the individual endlessly examines himself for signs of aging and ill health, for tell-tale symptoms of psychic stress, for blemishes and flaws that might diminish his attractiveness, or on the other hand for reassuring indications that his life is proceeding according to schedule. Modern medicine has conquered the plagues and epidemics that once made life so precarious, only to create new forms of insecurity. In the same way, bureaucracy has made life predictable and even boring while reviving, in a new form, the war of all against all. Our overorganized society, in which large-scale organizations predominate but have lost the capacity to command allegiance, in some respects more nearly approximates a condition of universal animosity than did the primitive capitalism on which Hobbes modeled his state of nature. Social conditions today encourage a survival mentality, expressed in its crudest form in disaster movies or in fantasies of space travel, which allow vicarious escape from a doomed planet. People no longer dream of overcoming difficulties but merely of surviving them. In business, according to Jennings, “The struggle is to survive emotionally”—to “preserve or enhance one’s identity or ego.” The normative concept of developmental stages promotes a view of life as an obstacle course: the aim is simply to get through the course with a minimum of trouble and pain. The ability to manipulate what Gail Sheehy refers to, using a medical metaphor, as “life-support systems” now appears to represent the highest form of wisdom: the knowledge that gets us through, as she puts it, without panic. Those who master Sheehy’s “no-panic approach to aging” and to the traumas of the life cycle will be able to say, in the words of one of her subjects, “I know I can survive … I don’t panic any more.” This is hardly an exalted form of satisfaction, however. “The current ideology,” Sheehy writes, “seems a mix of personal survivalism, revivalism, and cynicism”; yet her enormously popular guide to the “predictable crises of adult life,” with its superficially optimistic hymn to growth, development, and “self-actualization,” does not challenge this ideology, merely restates it in more “humanistic” form. “Growth” has become a euphemism for survival.
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