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Mad in America: Rethinking Mental Health

Nikolas Rose - Psychiatry and the Selves We Might Become

Mad in America: Rethinking Mental Health

Mad in America

Mental Health, Medicine, Health & Fitness

4.7212 Ratings

🗓️ 19 August 2020

⏱️ 60 minutes

🧾️ Download transcript

Summary

Nikolas Rose is a professor of Sociology in the Department of Global Health and Social Medicine at King's College London. His work explores how concepts in psychiatry and neuroscience transform how we think about ourselves and govern our societies.

Initially training as a biologist, Rose found his subjects unruly: "My pigeons would not peck their keys, and my rats would not run their mazes. They preferred to starve to death." He moved on to study psychology and sociology and has become one of the most influential figures in the social sciences as well as a formidable critic of mainstream psychiatric practice.

A prolific writer, Rose has over fifteen books to his name, including, most recently, Neuro with Joelle Abi-Rached (2013) and Our Psychiatric Future (2018), addressing the most pressing controversies in the fields of neuroscience and psychiatry. He is also a former Managing Editor of Economy and Society and Joint Editor-in-Chief of the interdisciplinary journal, BioSocieties.

Throughout his work, Rose emphasizes that one must look beyond origins, or "why something happened," and focus instead on the conditions under which ideas and practices emerge. The answers may not be comforting or straightforward, but they can help us to avoid band-aid solutions to complex problems.

Rose builds on the work of philosopher Michel Foucault to reveal how concepts in psychiatry and psychology go beyond explanation to construct and construe how we experience ourselves and our world. Consistent with Foucault's oft-quoted adage, "My point is not that everything is bad, but that everything is dangerous," Rose's work avoids simplistic explanations of why and how the mental health fields go awry and instead examines how injustices can happen without unjust people. In this way, his work often transcends critique and imagines new possibilities and ways of thinking about "mental health," "normality," "brains and minds," and, ultimately, the selves we might yet become.

Transcript

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0:00.0

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

0:13.8

Hello everyone and welcome to another episode of the Mad in America podcast.

0:18.5

This is your host for today, Ayurdi Dhar.

0:21.2

This has been, as always, an interesting month for psychology and psychiatry.

0:25.7

A new study in nature found that 70 different teams of experts differed on how they would

0:30.9

analyze the same set of fMRI scans and came up with vastly different results.

0:35.9

Another study in Jama psychiatry this month used randomized control trials to find that antipsychotic

0:41.9

olanzapine causes, and this is important, causes widespread cortical thinning.

0:48.0

Yet another research published this month in Australian and New Zealand Journal of Psychiatry

0:53.0

found that antipsychotics are associated with

0:55.5

the worst outcomes when used on people who are considered, quote, at risk for psychosis.

1:01.0

You can read these and a lot more on the Mad in America website.

1:04.8

On that note, as we talk about risks, I should introduce our guest for today, Dr. Nicholas

1:09.7

Rose.

1:12.9

Dr. Rose is a professor of sociology in the Department of Global Health and Social Medicine, a department that he found at King's College,

1:18.1

London. He has written and edited around 15 books and published so many articles that I tried to

1:24.1

count them and I could not. So I kind of left that.

1:28.7

Dr. Rose's work ranges from sociology to psychiatry to biology and biology and politics and more.

1:33.9

So I could say he's a towering presence in his discipline, but there are many disciplines out here.

1:39.7

But if I were to compress this range in the simplest words, I would say that very often he writes about how modern forms of knowledge like psychology, psychiatry, neurobiology and others don't simply explain what and who we are and how we think and feel.

1:55.5

They also create it and influence it. In other words, popular forms of knowledge are not simply and objectively

2:01.9

describing the world to us, but also creating it as we also influence them. This in turn is

...

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