Welcome to the Madden America podcast, your source for science, psychiatry, and social justice.

Hello, everyone, and welcome to Madden America. This is your host, Ayurdi Dhar. I am an academic,

a spotlight interviewer for Mad in America, and the editor of Mad in South Asia. This week on Mariner America, you can read

about a new Lancet study exploring higher suicide risk among people who are involuntarily detained

in psychiatric facilities. This is where our guest for today comes in. Dr. Kamaldi Bhui,

otherwise known as Cam, is a professor of psychiatry at the University of Oxford and an honorary

professor at Queen Mary University London. A few years ago, Dr. Bhuie was named commander of the

order of the British Empire for his work on mental health research and policy.

His work, as we will discuss today, covers many things, from adverse childhood experiences to the grim reality of minorities facing higher rates of psychiatric detention.

We will also talk about how the world we live in, our environment, context, class, culture,

reach deep within us to inform our experience of distress, pain, to inform what is abnormal,

why we feel distress, and when.

And lastly, we'll cover how patients' own understanding of their pain, why they think they suffer,

is also central to treatment and care.

Dr. Bowie, welcome to Mad in America.

Thank you ever so much, and I'm delighted to contribute and really appreciate the opportunity

to talk about my work.

Thank you.

So let's dig in.

The first thing that we will talk about is culture.

And people, especially in my time in the US, the 10, 11 years that I spend there in the US and UK, tend to feel that culture is something, you know, other people have, kind of like an accent is something other people have and we don't. Of course, that's not true. But even in psychological research, culture is often treated as an add-on or as an afterthought,

which is why probably, as you have written, cultural competency trainings, sometimes fail.

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