Living Without Illusions: Psychological Survival in a World of Persistent Hatred
The Carlat Psychiatry Podcast
Pocket Psychiatry: A Carlat Podcast
4.7 • 524 Ratings
🗓️ 20 December 2025
⏱️ 19 minutes
🧾️ Download transcript
Summary
Today’s episode is one we’ve been sitting with for a long time. We’re talking about how to survive psychologically in a world where hatred is persistent, not abstract, not metaphorical but recurring, and sometimes lethal.
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Published On: 12/19/2025
Duration: 19 minutes, 01 seconds
Joshua Feder, MD, and Mara Goverman, LCSW, have disclosed no relevant financial or other interests in any commercial companies pertaining to this educational activity.
Transcript
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| 0:00.0 | This episode contains discussion of anti-Semitic violence and intergenerational trauma. |
| 0:10.8 | Welcome to the Carlath Psychiatry Podcast. I'm Dr. Josh Fader, the editor-in-chief of the |
| 0:17.1 | Carlat Child Psychiatry Report. And I'm Mara Government, a licensed clinical social worker in Southern California with a private practice. |
| 0:27.9 | Today's episode is one that we've been sitting with for a long time. |
| 0:33.0 | We're talking about how to survive psychologically in a world where hatred is persistent, not abstract, |
| 0:40.8 | not metaphorical, but recurring and sometimes lethal. Josh, I want to stop by asking you, |
| 0:48.7 | what made this feel necessary to speak about this now? This past week, I mean, we've had three major events, planetary, right? |
| 0:59.0 | We have the Brown University School shooting. |
| 1:02.0 | We had the Bondi Beach Massacre during a Conica celebration. |
| 1:07.0 | And then we have the murders of the Reiner couple. |
| 1:10.0 | This question keeps coming back in my work, in my community, |
| 1:14.8 | even in my own nervous system and maybe many of our listeners too. |
| 1:19.0 | My own internal world formed in the presence of real danger from hateful people, |
| 1:23.7 | and the hatred didn't end. |
| 1:25.4 | It recedes, then it returns. |
| 1:40.2 | And at this time of year, Hanukkah, the Christmas season, talking about joy or resilience without acknowledging that reality, frankly, feels dishonest. |
| 1:52.2 | And disingenuous. So you're already pushing against a lot of the language people usually rely on resilience, optimism, even healing. |
| 2:02.2 | Well, yeah, that's because those frameworks often assume that there was some kind of before when everything was okay and then the danger ended, right? But for many Jews and for people from many other groups, historically and presently, |
| 2:07.0 | that just isn't true. |
| 2:13.2 | I mean, pause for a moment. |
| 2:19.0 | Notice for yourself, right? |
| 2:20.6 | When you hear the word healing, what kind of assumptions does that come with? |
... |
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