Sir Robin Murray - Reframing Psychotic Illness

Mad in America: Rethinking Mental Health

Mad in America

Mental Health, Medicine, Health & Fitness

4.7 • 212 Ratings

🗓️ 23 December 2017

⏱️ 55 minutes

🔗️ Recording | iTunes | RSS

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Summary

This week on MIA Radio, we interview Professor Sir Robin Murray. Professor Murray is an Honorary Consultant Psychiatrist in the Psychosis Service located at the Bethlem Royal Hospital in South London. He is also a Professor of Psychiatric Research at the Institute of Psychiatry. His research covers epidemiology, molecular genetics, neuropsychiatry, neuroimaging, neuropsychology and neuropharmacology.

Professor Murray's main research interest is finding the causes of schizophrenia and bipolar disorder, as well as developing better treatments for these disorders.He is perhaps best known for helping to establish the neurodevelopmental hypothesis of schizophrenia, and for his work on the environmental risk factors relating to schizophrenia, such as obstetric events and cannabis use.

In 2011, Professor Murray was awarded a knighthood for services to medicine and he is the second most widely cited psychiatrist in the world outside the USA.

In this interview we discuss:

•How Professor Murray came to psychiatry and what sparked his interest in research into psychosis.

•Professor Murray's work to counter the concept of schizophrenia as a debilitating brain disease and how we came to appreciate the many factors that may contribute to psychotic illness.

•The importance of recognising the influence of social factors in the causes of psychotic illness.

•The differences between the Diagnostic and Statistical Manual (DSM V) and the International Classification of Diseases (ICD 11).

•How psychiatric diagnoses compare and contrast to diagnoses in other branches of medicine.

•The question of whether schizophrenia is a real entity or purely an artificial construct.

•How antipsychotic drugs exert their effects and the mechanisms by which they may lead, in some cases, to dopamine supersensitivity.

•How we should be cautious about the long-term prescribing of antipsychotic drugs.

•The effect that limited healthcare resources have on psychiatric diagnoses and treatments.

•What the future may hold for research into and treatment options for psychosis.

Relevant links:

Professor Sir Robin Murray

The Psychosis Service at the Bethlem Royal Hospital

30 Years on: How the Neurodevelopmental Hypothesis of Schizophrenia Morphed into the Developmental Risk Factor Model of Psychosis

Webinar: Is Schizophrenia Dead Yet?

Thou shall not criticise our drugs

To get in touch with us email: podcasts@madinamerica.com

Transcript

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0:00.0	Welcome to the Mad in America podcast, your source for science, psychiatry and social justice.
0:13.2	Hello, this is James, and welcome to episode 27 of the Madden America podcast.
0:18.7	A little later, we hear from Madden America founder Robert Whitaker.
0:22.7	But first, I'm delighted to say that we have an interview with Professor Sir Robin Murray.
0:27.6	Professor Murray is an honorary consultant psychiatrist in the psychosis service located at the
0:32.6	Bethlehem Royal Hospital in South London. He is also a professor of psychiatric research at the Institute of
0:38.3	Psychiatry. His research covers epidemiology, molecular genetics, neuropsychiatry, neuroimaging,
0:45.6	neuropsychology and neuropharmacology. He is the second most widely cited psychiatrist in the world.
0:51.8	Professor Murray's main research interest is finding the causes of
0:55.0	schizophrenia and bipolar disorder, as well as developing better treatments for these disorders. He is perhaps
1:00.7	best known for helping to establish the neurodevelopmental hypothesis of schizophrenia, and for his work on
1:06.7	the environmental risk factors relating to schizophrenia, such as obstetric events and cannabis
1:11.9	use. Professor Murray was awarded a knighthood for services to medicine in 2011. Professor Murray,
1:18.1	thank you so much for taking the time to talk with me for the Madden America podcast. To begin,
1:22.6	I wanted to ask about your long and distinguished career. You're known as one of the world's most influential
1:28.2	researchers in psychiatry. So what was it that led you towards psychiatry? Well, I decided to do
1:34.3	medicine to do psychiatry. So I had decided to do psychiatry by the time I was 16.
1:41.7	And was there anything particularly about psychiatry that led you towards it as opposed to
1:45.8	perhaps more functional medicine? I went to a boarding school which I disliked very much.
1:52.5	A unisex boarding school and I wasn't particularly happy in it. I began reading psychology and then
2:00.7	I started reading Freud and then I started reading
2:01.6	Freud. And the combination of a sort of philosophical insights and psychological insights from
	...

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