In general the epidemiological data show that only 20 percent of Americans are flourishing. The rest are either languishing or just getting by. Maybe they remember a time in their lives when things were coming together easily; there wasn’t a lot of self-concern, self-scrutiny, or self-loathing because they were focused outward and contributing to the world. But now they’re just doing the minimum necessary to get by. This “just getting by” mode is not depression or mental illness. It’s merely people living lives of quiet despair.