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Mad in America: Rethinking Mental Health

Matcheri Keshavan and Raquelle Mesholam-Gately - Why Some Experts and Patients Want to Rename Schizophrenia

Mad in America: Rethinking Mental Health

Mad in America

Mental Health, Medicine, Health & Fitness

4.7213 Ratings

🗓️ 29 September 2021

⏱️ 66 minutes

🧾️ Download transcript

Summary

Schizophrenia is a psychiatric diagnosis that carries a heavy social stigma. However, experts have also questioned the validity and utility of the label. In response, some experts and service-user groups have called for different conceptualizations and terms for those experiencing psychotic symptoms.

Doctors Matcheri Keshavan and Raquelle Mesholam-Gately are currently tackling this issue. They recently completed a project in collaboration with the Consumer Advisory Board of Beth Israel Deaconess Medical Center in Boston, MA, examining the benefits and drawbacks of renaming schizophrenia.

Matcheri Keshavan, M.D. is the Stanley Cobb Professor of Psychiatry at Harvard Medical School and Academic Head of Psychiatry and Beth Israel Deaconess Medical Center, Massachusetts Mental Health Center.

Raquelle Mesholam-Gately, Ph.D., is an Assistant Professor of Psychology in the Department of Psychiatry at Harvard Medical School. She is also the director of the Consumer Advisory Board and conducts neuropsychology research in the Psychosis Research Program at the Massachusetts Mental Health Center.

In this interview, they discuss what they learned about the issues surrounding the renaming of schizophrenia in their research with consumers and service users. In particular, they reflect on how this psychiatric diagnosis can impact the therapeutic alliance necessary for effective treatment and the overall quality of life of people diagnosed.

Transcript

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0:00.0

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

0:13.5

So today we have Dr. Machari Keshavan and Dr. Raquel Mashel-Mashel-Gaately.

0:19.2

Dr. Keshavon is a board-certified psychiatrist, the Stanley Kaup Professor of Psychiatry at Harvard Medical School,

0:26.4

and professor and academic head of psychiatry at Beth Israel Deacon's Medical Center.

0:30.4

His work focuses on neurobiological models of psychotic disorders and on the development

0:36.2

and implementation of early interventions

0:38.7

with biopsychosocial treatment strategies. He is also the editor-in-chief of schizophrenia

0:44.1

research. Dr. Raquel Mechlam Gately is an assistant professor of psychology and the Department

0:50.1

of Psychiatry at Harvard Medical School. She is also a licensed clinical psychologist and

0:55.6

neuropsychologist who directs the Consumer Advisory Board and Neuropsychology Research in the

1:00.9

Psychosis Research Program at the Massachusetts Mental Health Center, Public Psychiatry Division

1:05.6

of the Beth Israel Deaconis Medical Center. She has felt privilege to be partnering with

1:10.4

the Consumer Advisory Board

1:11.7

and participatory mental health research, including recent projects on therapeutic alliance

1:17.0

and quality of life in as well as renaming schizophrenia. We're going to be talking about

1:23.7

a particular project of Dr. Keshevan and Meshalam Gatley's on renaming schizophrenia.

1:30.9

But first, I'd like for us to learn more a bit about you, about the both of you.

1:35.8

Can you please tell us and tell the audience what drew you to your respective fields?

1:41.4

Yes. Thank you, Marilyn.

1:44.1

So as you mentioned, I'm a psychiatrist and I have practiced

1:48.2

this profession for over three decades. There were many moments that were kind of consciously

1:55.2

or unconsciously drawing me towards psychiatry from early on in my medical career, including the fact that,

...

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