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This history of ideas in American psychology divides 11 decades into three periods, marked out by specific themes central to psychologists over the years.

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To control ennui with chemicals is to direct our attention away from what is wrong in our lives and to focus instead on what we can control easily, by taking a pill.

Mental life has become marginal in biologically reductionistic discourse.

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Depression tells us of life and death, good and evil, but not sickness and health.

Keen begins with human consciousness, in contrast to the non-reflective consciousness of animals.

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These deeper questions are being ignored, Keen asserts, in favor of pragmatic attitudes driven by convenience, cost, popular demands, insurance protocols, and theoretical preferences.

Keen first examines some of the reactions of psychiatry to the advent of pharmacotherapy.

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Keen, a professor and practicing psychotherapist, addresses the essential distinction between the truly serious questions involved in human life and the superficial aspects so generally engaging people's concern-and often professional treatment-which he terms, triviality.