Isn't that line about a foot stomping on a human face forever a quote from O'Brian? If so, it's the kind of thing he'd like to believe, but it wouldn't be the sort of thing that could be known, and is less likely to be accurate considering that atmosphere of lies that Oceania had.
On the other hand, I wouldn't be surprised if Orwell meant it to be taken straight.
Second thought: O'Brian might not have believed it himself (what does belief mean to an Inner Party member?), he just might have been saying it to get Winston to despair.
One of the other implausibilities of the book is that people who get hurt in dictatorships are generally just ground up by the system, they aren't targeted by a highly intellectual stalker.
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Another thought from hypothesis land: maybe a little depression is a chance to retire and regroup, but in the original environment, there was more that would pull people out of depression-- social contact and work that obviously needs to be done.
This is about mild-to-moderate depression, though. Major depression seems to be different, and not good for anything.