Podcasts about Forensic psychiatry

​In a declaration dated April 17, 2025, Dr. Alexander Sasha Bardey, a forensic psychiatrist, provided expert testimony in the federal case against Sean "Diddy" Combs. Dr. Bardey's extensive credentials include board certifications in psychiatry and forensic psychiatry, and he has been recognized as an expert in various courts across New York and other states. His professional experience encompasses roles such as Director of Forensic Psychiatry for Nassau County and clinical leadership positions in multiple mental health courts and alternative to incarceration programs. In his declaration, Dr. Bardey outlined his qualifications and the scope of his forensic practice, which includes conducting psychiatric evaluations, risk assessments, and providing expert reports for legal proceedings. His involvement in the Combs case suggests that his expertise may be utilized to assess psychological factors pertinent to the defense.Dr. Bardey's declaration serves to establish his authority and the relevance of his forensic psychiatric expertise in the context of the trial. While the specific details of his anticipated testimony are not delineated in the declaration, his background indicates a focus on evaluating mental health aspects that could influence the case's outcome. Such evaluations may pertain to the psychological profiles of individuals involved, assessments of behavior, or considerations of mental state relevant to the charges faced by Combs. The inclusion of Dr. Bardey's declaration underscores the defense's intent to incorporate forensic psychiatric perspectives into their legal strategy.to contact me:bobbycapucci@protonmail.comsource:Sbizhub 45825032114550Become a supporter of this podcast: https://www.spreaker.com/podcast/the-epstein-chronicles--5003294/support.

Send us a textThis is another conversation from the Complex Needs Conference 2025 and our guest is Adjunct Associate Professor Danny Sullivan, Consultant Forensic and Adult Psychiatrist.Dr Sullivan gave a keynote at the conference about the prescribing of psychotropic medications, which are namely drugs that influence a person's mood, thoughts, and behavior - for people with complex needs.He is the Board Director of ACSO Australia and Director of Victoria's Sentencing Advisory Council.This episode was recorded at the Complex Needs Conference in Melbourne  co-hosted in March 2025 by ermha365 and ACSO Australia with support from Swinburne University's Centre for Forensic Behavioural Science and funded by the Victoria State Government's Department of Families, Fairness and Housing. ermha365 provides mental health and disability support for people in Victoria and the Northern Territory. Find out more about our services at our website.Helplines (Australia):Lifeline 13 11 14QLIFE 1800 184 52713 YARN 13 92 76Suicide Callback Service 1300 659 467ermha365 acknowledges that our work in the community takes place on the Traditional Lands of many Aboriginal and Torres Strait Islander Peoples and therefore respectfully recognise their Elders, past and present, and the ongoing Custodianship of the Land and Water by all Members of these Communities.We recognise people with lived experience who contribute to GET REAL podcast, and those who love, support and care for them. We recognise their strength, courage and unique perspective as a vital contribution so that we can learn, grow and achieve better outcomes together.

​In a declaration dated April 17, 2025, Dr. Alexander Sasha Bardey, a forensic psychiatrist, provided expert testimony in the federal case against Sean "Diddy" Combs. Dr. Bardey's extensive credentials include board certifications in psychiatry and forensic psychiatry, and he has been recognized as an expert in various courts across New York and other states. His professional experience encompasses roles such as Director of Forensic Psychiatry for Nassau County and clinical leadership positions in multiple mental health courts and alternative to incarceration programs. In his declaration, Dr. Bardey outlined his qualifications and the scope of his forensic practice, which includes conducting psychiatric evaluations, risk assessments, and providing expert reports for legal proceedings. His involvement in the Combs case suggests that his expertise may be utilized to assess psychological factors pertinent to the defense.Dr. Bardey's declaration serves to establish his authority and the relevance of his forensic psychiatric expertise in the context of the trial. While the specific details of his anticipated testimony are not delineated in the declaration, his background indicates a focus on evaluating mental health aspects that could influence the case's outcome. Such evaluations may pertain to the psychological profiles of individuals involved, assessments of behavior, or considerations of mental state relevant to the charges faced by Combs. The inclusion of Dr. Bardey's declaration underscores the defense's intent to incorporate forensic psychiatric perspectives into their legal strategy.to contact me:bobbycapucci@protonmail.comsource:Sbizhub 45825032114550

​In a declaration dated April 17, 2025, Dr. Alexander Sasha Bardey, a forensic psychiatrist, provided expert testimony in the federal case against Sean "Diddy" Combs. Dr. Bardey's extensive credentials include board certifications in psychiatry and forensic psychiatry, and he has been recognized as an expert in various courts across New York and other states. His professional experience encompasses roles such as Director of Forensic Psychiatry for Nassau County and clinical leadership positions in multiple mental health courts and alternative to incarceration programs. In his declaration, Dr. Bardey outlined his qualifications and the scope of his forensic practice, which includes conducting psychiatric evaluations, risk assessments, and providing expert reports for legal proceedings. His involvement in the Combs case suggests that his expertise may be utilized to assess psychological factors pertinent to the defense.Dr. Bardey's declaration serves to establish his authority and the relevance of his forensic psychiatric expertise in the context of the trial. While the specific details of his anticipated testimony are not delineated in the declaration, his background indicates a focus on evaluating mental health aspects that could influence the case's outcome. Such evaluations may pertain to the psychological profiles of individuals involved, assessments of behavior, or considerations of mental state relevant to the charges faced by Combs. The inclusion of Dr. Bardey's declaration underscores the defense's intent to incorporate forensic psychiatric perspectives into their legal strategy.to contact me:bobbycapucci@protonmail.comsource:Sbizhub 45825032114550Become a supporter of this podcast: https://www.spreaker.com/podcast/the-moscow-murders-and-more--5852883/support.

​In a declaration dated April 17, 2025, Dr. Alexander Sasha Bardey, a forensic psychiatrist, provided expert testimony in the federal case against Sean "Diddy" Combs. Dr. Bardey's extensive credentials include board certifications in psychiatry and forensic psychiatry, and he has been recognized as an expert in various courts across New York and other states. His professional experience encompasses roles such as Director of Forensic Psychiatry for Nassau County and clinical leadership positions in multiple mental health courts and alternative to incarceration programs. In his declaration, Dr. Bardey outlined his qualifications and the scope of his forensic practice, which includes conducting psychiatric evaluations, risk assessments, and providing expert reports for legal proceedings. His involvement in the Combs case suggests that his expertise may be utilized to assess psychological factors pertinent to the defense.Dr. Bardey's declaration serves to establish his authority and the relevance of his forensic psychiatric expertise in the context of the trial. While the specific details of his anticipated testimony are not delineated in the declaration, his background indicates a focus on evaluating mental health aspects that could influence the case's outcome. Such evaluations may pertain to the psychological profiles of individuals involved, assessments of behavior, or considerations of mental state relevant to the charges faced by Combs. The inclusion of Dr. Bardey's declaration underscores the defense's intent to incorporate forensic psychiatric perspectives into their legal strategy.to contact me:bobbycapucci@protonmail.comsource:Sbizhub 45825032114550Become a supporter of this podcast: https://www.spreaker.com/podcast/the-epstein-chronicles--5003294/support.

In this episode, I sit down with Dr. Kristopher Kaliebe, a child, adult, and forensic psychiatrist known for his critical stance on “gender-affirming care.” We delve into the complexities surrounding the current landscape of gender identity and the implications for mental health care. Dr. Kaliebe shares his journey into this contentious field, highlighting his concerns about the medicalization of gender dysphoria and the potential harm it poses to vulnerable youth.We explore the concept of "illness identity," where young people may gravitate towards labels that define their struggles, often leading to over-diagnosis and inappropriate treatment. Dr. Kaliebe emphasizes the importance of understanding the nuances behind statements like "I feel like a woman" or "I feel like a boy," urging listeners to consider the psychological factors at play. We also discuss the troubling trend of social transition among children and the societal pressures that contribute to this phenomenon.Throughout our conversation, we question the integrity of professional organizations that have adopted advocacy over science, leading to a lack of diverse perspectives in psychiatric practice. This episode aims to shed light on the urgent need for a more balanced dialogue in mental health care, encouraging professionals and parents alike to critically evaluate the current approaches to gender identity and treatment.Kristopher Kaliebe, MD is a Professor of Psychiatry at University of South Florida, in Tampa Florida. He is Board Certified in Psychiatry, Child and Adolescent Psychiatry and Forensic Psychiatry. He is a Distinguished Fellow at the American Academy of Child and Adolescent Psychiatry (AACAP).His clinical work has been primarily in University clinics, Federally Qualified Health Centers and juvenile corrections. At USF Dr. Kaliebe instructs medical students, psychiatry residents, child and adolescent psychiatry fellows, and forensic psychiatry fellows.From 2013-2021 he served as co-chair of AACAP's Media Committee. From 2016 to 2022 he was the liaison between the AACAP and the American Academy of Pediatrics. Dr. Kaliebe's publications and presentations include the effects of digital technologies, gender, psychotherapy, juvenile, corrections, mind-body medicine, nutrition, and mental health in primary care settings. He is concerned about naïve interventionalism in medicine.Restore Childhood: https://restorechildhood.com/  00:00 Start[00:01:43] Gender-affirming care skepticism.[00:03:39] Early onset gender dysphoria.[00:08:10] Gender dysphoria diagnosis concerns.[00:13:07] Illness identity versus stigma.[00:16:44] Illness identity and social transition.[00:21:08] Gender identity and social transition.[00:25:37] Gender identity's incoherent evolution.[00:29:31] Symbolic equivalence in identity.[00:32:01] Comfort and identity in gender.[00:38:01] Psychiatry's response to advocacy pressures.[00:39:49] Advocacy versus science in medicine.[00:45:34] Institutional takeover as a virus.[00:48:31] Emotional communication in media.[00:51:05] Classical liberalism in education.[00:55:24] Parental caution in therapy choices.[01:00:06] Overprotecting youth in society.[01:05:38] Building identity through creativity.[01:08:50] Consequences of overprotective parenting.[01:10:32] Consequences in parenting.[01:15:50] Male identity and societal challenges.[01:18:41] Restore Childhood initiative.ROGD REPAIR Course + Community gives concerned parents instant access to over 120 lessons providing the psychological insights and communication tools you need to get through to your kid. Use code SOMETHERAPIST2025 to take 50% off your first month.TALK TO ME: book a meeting.PRODUCTION: Looking for your own podcast producer? Visit PodsByNick.com and mention my podcast for 20% off your initial services.SUPPORT THE SHOW: subscribe, like, comment, & share or donate.ORGANIFI: Take 20% off Organifi with code SOMETHERAPIST.Watch NO WAY BACK: The Reality of Gender-Affirming Care. Use code SOMETHERAPIST to take 20% off your order.SHOW NOTES & transcript with help from SwellAI.MUSIC: Thanks to Joey Pecoraro for our song, “Half Awake,” used with gratitude & permission. ALL OTHER LINKS HERE. To support this show, please leave a rating & review on Apple, Spotify, or wherever you get your podcasts. Subscribe, like, comment & share via my YouTube channel. Or recommend this to a friend!Learn more about Do No Harm.Take $200 off your EightSleep Pod Pro Cover with code SOMETHERAPIST at EightSleep.com.Take 20% off all superfood beverages with code SOMETHERAPIST at Organifi.Check out my shop for book recommendations + wellness products.Show notes & transcript provided with the help of SwellAI.Special thanks to Joey Pecoraro for our theme song, “Half Awake,” used with gratitude and permission.Watch NO WAY BACK: The Reality of Gender-Affirming Care (our medical ethics documentary, formerly known as Affirmation Generation). Stream the film or purchase a DVD. Use code SOMETHERAPIST to take 20% off your order. Follow us on X @2022affirmation or Instagram at @affirmationgeneration.Have a question for me? Looking to go deeper and discuss these ideas with other listeners? Join my Locals community! 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Have you ever wondered how your life experiences could become powerful stories of change and inspiration? Rhona Morrison shares her extraordinary journey from forensic psychiatry to cruise ship lecturing. A passionate advocate for mental health, Rhona draws on decades of professional experience and personal loss to challenge stigma and promote understanding. Her work with mentally ill offenders, alongside caring for her sister and grieving her husband, has shaped a mission rooted in compassion. Through her books, public speaking and evocative art, she invites us to rethink how we view mental illness. Rhona's story is one of resilience, reinvention and hope showing that purpose can thrive after adversity. Her enduring message? See beyond the labels, embrace life's transitions and choose to Walk Alongside People.   KEY TAKEAWAY ‘It's a journey. We walk alongside people. You can't cure major mental illness like schizophrenia, so we're walking on a journey with them and it's a privilege. You get to meet the people behind the headlines, the human beings.'   BOOK RECOMMENDATIONS* I Don't Talk to Dead Bodies by Rhona Morrison - https://amzn.eu/d/9OKYrlg From Crime Scenes to Cruise Ships by Rhona Morrison – https://amzn.eu/d/6Yx83sl Focus on Why by Amy Rowlinson with George F. Kerr – https://amzn.eu/d/6W02HWu   ABOUT RHONA Rhona Morrison is a retired Forensic Psychiatrist who worked in the NHS in Scotland for 32 years. She has a grounded approach to life, a generous helping of humour and an adventurous spirit. Her bestselling memoir, I Don't Talk to Dead Bodies, shared bizarre, funny, and at times, scary stories about her life and work with mentally disordered offenders. The second instalment of her memoir, From Crime Scenes to Cruise Ships, follows her journey through bereavement after the loss of her husband and embracing her retirement as a solo traveller in life, while also offering the reader a lesson in seizing the day. When not writing about her fascinating life, Rhona is an artist and a globetrotting cruise line speaker.   CONNECT WITH RHONA https://www.rhonamorrison.com/ https://www.facebook.com/RhonaMorrisonArt info@rhonamorrison.com   ABOUT AMY Amy is a life purpose coach, author, podcast strategist, global podcaster, professional speaker, trainer and mastermind host. Work with Amy to improve productivity, engagement and fulfilment in your everyday life and work. Prepare to banish overwhelm, underwhelm and frustration to have clarity of purpose and create a more purposeful, sustainable and fulfilling way of life.   WORK WITH AMY If you're interested in how purpose can help you personally and professionally, please book a free 30 min call via https://calendly.com/amyrowlinson/call   KEEP IN TOUCH WITH AMY Sign up for the weekly Friday Focus - https://www.amyrowlinson.com/subscribe-to-weekly-newsletter   CONNECT WITH AMY https://linktr.ee/AmyRowlinson   HOSTED BY: Amy Rowlinson   DISCLAIMER The views, thoughts and opinions expressed in this podcast belong solely to the host and guest speakers. Please conduct your own due diligence. *As an Amazon Associate, I earn from qualifying purchases.

In the second episode of this two-part podcast, Dr Enys Delmage and Dr James Gardiner continue their exploration of the importance of effective, proactive multi-agency collaboration in adolescent forensic mental health settings. They speak to Graeme Penty, Lindsay Yeo, and Kingi Snelgar, who share their experiences working with young people across diverse environments and discuss best practices for providing effective support. This series introduces key topics that will be explored in greater detail at the upcoming RANZCP Section of Child and Adolescent Forensic Psychiatry Conference held in March 2025, Wellington. This podcast will be valuable for professionals working in adolescent forensic settings or those involved with children in the justice system.   Graeme Penty works with young people at Nga Taiohi National Youth Forensic Unit. He trained as a primary school teacher at Otago University and Dunedin College of Education, graduating in 1995 and registered in 1997. Graeme has taught in a wide range of schools since then and specialised in year 7 and 8 until starting work in 2017 with Health school. Graeme is passionate about re-engaging Rangitahi back into education, who may have been out of this for some time and helping with transition, information and feedback for Clinical teams and contributing to an overall outcome. Lindsay Yeo is an educational psychologist currently serving on the leadership team at Te Au rere a te Tonga Youth Justice Facility in Palmerston North, New Zealand. Drawing on his experience working in the Severe Behaviour Service at the Ministry of Education, Lindsay brings expertise in providing consultation, training, leadership and supervision to staff at the facility, which accommodates up to 40 young people aged 14 to 18 with complex needs, including high levels of offending. Lindsay is also involved in the collaborative development and implementation of services within the youth justice sector. He is committed to enhancing the quality of assessment and intervention for this high-needs group of rangatahi.  Kingi Snelgar is a criminal defence lawyer, youth advocate and academic based in Auckland, New Zealand. With 12 years of experience in the legal profession, he is a graduate of Harvard Law and a Fulbright scholar. Kingi is deeply passionate about criminal justice reform, particularly in the areas of youth justice and the prevention of young Māori and Pacific Islanders from entering the “pipeline” that often leads to a lifetime of offending and incarceration. He has whakapapa to Ngāpuhi, Ngāti Whakaue, Te Whakatohea, and Ngāi Tahu, with knowledge and understanding of tikanga Māori and te ao Māori. Topic suggestion:If you have a topic suggestion or would like to participate in a future episode of Psych Matters, we'd love to hear from you.Please contact us by email at: psychmatters.feedback@ranzcp.orgDisclaimer:This podcast is provided to you for information purposes only and to provide a broad public understanding of various mental health topics. The podcast may represent the views of the author and not necessarily the views of The Royal Australian and New Zealand College of Psychiatrists ('RANZCP'). The podcast is not to be relied upon as medical advice, or as a substitute for medical advice, does not establish a doctor-patient relationship and should not be a substitute for individual clinical judgement. By accessing The RANZCP's podcasts you also agree to the full terms and conditions of the RANZCP's Website. Expert mental health information and finding a psychiatrist in Australia or New Zealand is available on the RANZCP's Your Health In Mind Website.

Send us a textThe Complex Needs Conference 2025 on March 26-27 in Melbourne is co-hosted by ermha365 and ACSO – Australian Community Support Organisation. The conference is funded by the Victorian Government's Department of Families, Fairness and Housing. BOOK NOW Both ermha365 and ACSO deliver the pilot program Assertive Outreach and Support on behalf of the DFFH. This service is for people with complex needs who are experiencing significant service barriers. Our guest is Associate Professor, Dr Armon Tamatea who will deliver the closing keynote address at the conference - ‘We must remember, these people's history follows them': Maori, marginality and the Complex Needs of Gang Communities in Aotearoa New Zealand.Armon is a clinical psychologist and the Director of clinical psychology training at the School of Psychology at the University of Waikato in the North Island. ermha365 provides mental health and disability support for people in Victoria and the Northern Territory. Find out more about our services at our website.Helplines (Australia):Lifeline 13 11 14QLIFE 1800 184 52713 YARN 13 92 76Suicide Callback Service 1300 659 467ermha365 acknowledges that our work in the community takes place on the Traditional Lands of many Aboriginal and Torres Strait Islander Peoples and therefore respectfully recognise their Elders, past and present, and the ongoing Custodianship of the Land and Water by all Members of these Communities.We recognise people with lived experience who contribute to GET REAL podcast, and those who love, support and care for them. We recognise their strength, courage and unique perspective as a vital contribution so that we can learn, grow and achieve better outcomes together.

Around the world, prison populations are bursting at the seams, but in some European countries, they are closing and reoffending rates are down. The trend has been attributed to a novel approach to justice, one that places the mental health of offenders at its heart. Forensic psychologist Dr Jenny Okolo investigates whether prison systems around the world could benefit from a similar approach. Jenny speaks to Dr Marrit de Vries from the Dutch Institute for Forensic Psychiatry and Psychology, to learn about a novel approach to mental health intervention pioneered in the Netherlands. And in Sweden, we hear from Dr Martin Lardén from Karolinska Institutet's Center for violence prevention, who discusses the efficacy of the Risk-Need-Responsivity model, an approach which positions the offender at the heart of the strategies devised to address the causes of their crime. And Rivelino Rigters, who draws on lived experience from within the criminal justice system, reflects on how a kinder, community-focused approach could stop crime from happening in the first place.

Watch the Q&A session here: https://youtu.be/UzxyNc8vuNsTraditional risk factors for mental illness include genetics, perinatal factors, substance use, negative life events, trauma and organic disorders. Yet, more recently, it has been found that higher rates of mental illness are also seen in minoritised and marginalised groups. This lecture outlines the different types of discrimination – personally mediated, structural/institutional and internalised – and the evidence linking these with an increased risk of mental illness.This lecture was recorded by Lade Smith on 21st November 2024 at Barnard's Inn Hall, London.SDr Shubulade (Lade) Smith CBE is the President of the Royal College of Psychiatrists.Having trained in General Psychiatry and worked in Forensic Psychiatry, she is now the Lead for the Acute Forensic Pathway of the South London Partnership and Clinical Director of the Forensic Services at SLaM.In 2019, Lade was awarded a CBE in the Queen's Birthday Honours for services to Forensic Intensive Psychiatric care and was awarded Psychiatrist of the Year by the Royal College of Psychiatrists She is also the former Clinical and Strategic Director of the National Collaborating Centre for Mental Health at the Royal College of Psychiatrists, providing medical leadership for the team developing mental health policy and guidelines. The transcript of the lecture is available from the Gresham College website: https://www.gresham.ac.uk/watch-now/inequality-mental-healthGresham College has offered free public lectures for over 400 years, thanks to the generosity of our supporters. There are currently over 2,500 lectures free to access. We believe that everyone should have the opportunity to learn from some of the greatest minds. To support Gresham's mission, please consider making a donation: https://www.gresham.ac.uk/get-involved/support-us/make-donation/donate-todayWebsite:  https://gresham.ac.ukTwitter:  https://twitter.com/greshamcollegeFacebook: https://facebook.com/greshamcollegeInstagram: https://instagram.com/greshamcollegeSupport Us: https://www.gresham.ac.uk/get-involved/support-us/make-donation/donate-todaySupport the show

At a rally in Michigan over the weekend, Michelle Obama delivered a powerful message about abortion rights and warned male voters. She said, “If we don't get this election right, your wife, your daughter, and your mother will become collateral damage to your rage.” This striking statement sets the tone for a larger conversation that I had with Dr. Mark Levy, who explored the psychological dimensions of Donald Trump's behavior and his impact on our society.

Dr. Mark Levy's unwavering dedication to forensic psychiatry and the law is truly inspiring. After over 40 years in the field, his passion remains as strong as ever. What keeps him so engaged? It's the intricate nuances of complex civil and criminal cases and building credibility through his unique team approach in the field.

I'm excited to share the incredible insights from Dr. Mark Levy, a seasoned clinical and forensic psychiatrist with over four decades of experience. In our podcast conversation, Dr. Levy delves into the fascinating intersection of human behavior and the law, covering topics ranging from seeking therapy to identifying red flags in treatment and addressing societal issues like incivility. It's incredible how these topics tie into our everyday lives and the broader scope of our society!

Have you got dreams of turning your years of experience, knowledge and wisdom into a new career as a speaker? Well that's exactly what Dr Rhona Morrison did.  She is a retired Forensic Psychiatrist, who worked in the NHS for 32 years, and the author of ‘I don't talk to dead bodies'.  Her book takes you beyond the sensationalist headlines to show you just what happens in a world where mental illness occasionally makes good people do bad things. Rhona shares her often funny,  at times downright bizarre, but consistently thought provoking  experiences of delving into the minds of the real offenders she worked with as a leading forensic psychiatrist.  Born and bred in Scotland, into a working-class family, she has a grounded approach to life, with a generous helping of humour.  In this show you'll find out about her writing journey and how transitioned from psychiatrist, to author, to cruise-ship speaker. What you'll discover: How Rhona became a forensic psychiatrist and what they do. The gift given by her disabled sister that enabled Rhona to be more effective in her job and inspired the book.  Some of the stories from Rhona's career in forensic psychiatry. The difference between dot-to-dot psychiatry and the art of psychiatry. How Rhona has brought light to a dark subject in her book and talks. What made Rhona want to get into cruise line speaking and how she did it. How speaking on cruise ships works from the speaker's perspective. How Rhona approached creating and testing the five talks she needed for her first cruise booking. The message Rhona wants her audiences to take home.    All things Rhona (including her book - I Don't Talk to Dead Bodies): www.rhonamorrison.com   Books*: This is Going to Hurt by Adam Kay   Resources: Grab Your From Blank Page to Stage Guide and Nail the Topic for a Client Winning Talk Straight To The Top by Sarah Archer   Thanks for listening!   To share your thoughts:                                                   Share this show on X, Facebook or LinkedIn. To help the show out: Leave an honest review at https://www.ratethispodcast.com/tsc Your ratings and reviews really help get the word out and I read each one.  Subscribe on iTunes. *(please note if you use my link I get a small commission, but this does not affect your payment)

/*! elementor - v3.21.0 - 26-05-2024 */ .elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}Episode 382: What We Need to Know About Forensic Psychiatry with Dr. Mark Levy, Part I /*! elementor - v3.21.0 - 26-05-2024 */ .elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=".svg"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block} Episode NotesAre you curious to learn how human behavior and the law interact? Dr. Mark Levy delves into the fascinating world of Forensic Psychiatry, shedding light on the intriguing dynamics at play. Join us as we explore the riveting cases of The People vs. O.J. Simpson and The State of New York vs. Donald Trump. It's a fascinating discussion that will make you think!Dr. Mark Levy is a licensed clinical and forensic psychiatrist with over four decades of experience. He has degrees from Columbia University and the San Francisco Psychoanalytic Institute. He is certified by the American Board of Psychiatry and Neurology and the National Board of Physicians and Surgeons. He is an Associate Clinical Professor of Psychiatry at the University of California, San Francisco, and an Adjunct Associate Professor of Psychiatry at Stanford University School of Medicine.Dr. Levy and his team of 22 board-certified psychiatrists and 10 forensic neuropsychologists practice forensic psychiatry at Forensic Psychiatric Associates, L.P. (FPAMED.com). Dr. Levy has been retained as a forensic psychiatric expert in more than 500 civil lawsuits and related matters. He has published numerous articles and presented countless talks on forensic psychiatric topics, such as “Mental Illness In the Workplace” and “Shrink in the Courtroom: Forensic Psychiatry and Law.”I chose to discuss the O.J. Simpson and Donald Trump cases because they spontaneously came up in our conversation. Our legal system has loopholes that get exploited. In one case, someone is guilty but found innocent. In the other, the offender was found guilty of 34 counts of falsifying business records that kept a sordid extramarital affair from the public before the 2016 presidential election. The men accused in both cases committed the crimes.O.J. Simpson died earlier this year on the 30th anniversary of his yearslong 1994 criminal case, The People vs. O.J. Simpson. He was found not guilty by a Los Angeles jury of the gruesome murders of his ex-wife, Nicole Brown Simpson, and her friend, Ronald Goldman. Just because he was found not guilty doesn't mean he didn't commit the crime. We discuss the role of the prosecuting attorney, the broader cultural context, and the impact of societal influences on legal cases, which can blur the facts and conceal the truth.We taped this podcast conversation in the middle of The State of New York vs. Donald Trump trial. I asked Dr. Levy if he thinks Donald Trump is a psychopath. Dr. Levy explains the Gold Water Rule and the ethics of diagnosing people you haven't examined. Dr. Levy gives insights into Donald Trump's reactive and impulsive behavior and transactional focus in relationships regardless of norms or the law. Irrespective of the nation's needs or individuals in the country, Donald Trump is focused on what is in Donald Trump's best interest and projects onto others so whatever he accuses others of doing, it is really him who is doing it.

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This episode covers an introduction to forensic psychiatry with Dr. Amina Ali, a forensic psychiatrist at the Centre for Addiction and Mental Health (CAMH) in Toronto, Canada. Dr. Ali joined the Forensic Division at CAMH in 2018. She is an Assistant Professor in the Department of Psychiatry at the University of Toronto. Prior to joining CAMH, Dr. Ali received her Doctor of Medicine at the American University of the Caribbean, completed her Psychiatry residency at the Icahn School of Medicine at Mount Sinai in New York, and fellowship in Forensic Psychiatry at the Albert Einstein College of Medicine. Dr. Ali's leadership experience includes serving as Chief resident during her residency, for which she was bestowed a Residency Leadership Award from the Bronx Lebanon Hospital Center. She is a Competence By Design coach to residents and serves on the Psychiatry Competency Committee and as a CaRMS file reviewer for the University of Toronto General Psychiatry Residency Program. She is also a supervisor for forensic residents and sits on the subspecialty resident committees. Within the forensic division, Dr. Ali has contributed to the organization and implementation of the Summer Studentship in Forensic Psychiatry Program and is our Medical Education and Wellness Lead. Internationally, Dr. Ali was appointed to serve on the American Academy of Psychiatry and the Law Education Committee and most recently recruited to Chair their Civil Commitment and Consent to Treatment Working Group. The learning objectives for this episode are as follows: By the end of this episode, the listener will be able to… Describe the role of forensic psychiatry and its relation to the Ontario Review Board. Outline the criteria for fitness to stand trial. Describe the function and possible outcomes of a treatment order. Outline the criteria for not criminally responsible on account of a mental disorder. Distinguish between the disposition options available under the Ontario Review Board. Demonstrate an enhanced ability to advocate for and support patients in navigating the forensic psychiatric system. Guest: Dr. Amina Ali Hosts: Alexander Simmons (PGY3), Kate Braithwaite (MD), and Rhys Linthorst (PGY5) Audio editing by: Gaurav Sharma (PGY5) Show notes by: Alexander Simmons (PGY3) References: Crocker, A. G., Nicholls, T. L., Seto, M. C., Charette, Y., Cote, G., Caulet, M. (2015). The National Trajectory Project of individuals found not criminally responsible on account of mental disorder in Canada. Part 2: the people behind the label. The Canadian Journal of Psychiatry, 60(3), 106-116. Prpa, T., Moulden, H. M., Taylor, L., Chaimowitz, G. A. (2018). A review of patient-level factors related to the assessment of fitness to stand trial in Canada. International Journal of Risk and Recovery, 1(2), 16-22. Carroll, A., McSherry, B., Wood, D., & Yannoulidis, LLB, S. (2008). Drug‐associated psychoses and criminal responsibility. Behavioral sciences & the law, 26(5), 633-653. Watts, J. (2013). Updating toxic psychosis into 21st-century Canadian: Bouchard-Lebrun v. R. Journal of the American Academy of Psychiatry and the Law Online, 41(3), 374-381. Crocker, AG, Nicholls, TL, Seto, MC, Cote, G, Charette, Y, Caulet, M. The national trajectory project of individuals found not criminally responsible on account of a mental disorder in Canada, Part 1: Context and methods. Canadian Journal of Psychiatry. 2015;60(3):98-105. Schneider, RD. Mental health courts. Current Opinion in Psychiatry. 2008;21:510-513. https://www.orb.on.ca/scripts/en/about.asp#dispositions For more PsychEd, follow us on X (@psychedpodcast), Facebook (PsychEd Podcast), and Instagram (@psyched.podcast). You can provide feedback by email at psychedpodcast@gmail.com. For more information, visit our website at psychedpodcast.org.

Join us for an intriguing discussion on the connection between law and human behavior with Dr. Mark, a distinguished forensic psychiatry specialist. I'm Adam, your host, and in this episode, we explore forensic psychiatry—a medical field that bridges legal systems and mental health. Dr. Mark explains the differences between treating psychiatrists and forensic psychiatric experts in the legal field. We discuss mental health assessments in legal contexts, psychiatric training evolution, and challenges of presenting evidence in court. Dr. Mark highlights the advantages of diverse group practice. Discover the crucial role of forensic psychiatry in the justice system and the need for effective communication and holistic mental health.Keywords:Forensic Psychiatry - Human Behavior - Legal Systems - Mental Health - Psychiatric Training - Legal Contexts - Psychiatric Evidence - Anthropology - Podcast - Essay - Group Practice - Justice System - Effective Communication - Holistic Health - Law Psychiatry - Forensic Expert - Mental Assessments - Medical Evolution - Psychiatry Follow This Anthro Life:https://www.linkedin.com/company/this-anthro-life/https://www.thisanthrolife.org/https://thisanthrolife.substack.com/https://www.facebook.com/thisanthrolifehttps://www.instagram.com/thisanthrolife/ Contac Mark Levy:https://fpamed.com/https://www.linkedin.com/in/mark-levy-md-83538213/

GUEST 1 OVERVIEW: Andrew Langer is a long-time activist for free-market and limited-government principles, and a well-recognized analyst of politics and public policy. He currently serves as the President the Institute for Liberty, the Host of the Andrew Langer Show on WBAL NewsRadio1090. A long time fighter for small business, Andrew came to IFL from NFIB, where he headed that organization's regulatory practice for six years. GUEST 2 OVERVIEW: Brian Hardin is a native son of Scottsbluff, NE and, after a business career in Colorado, he moved back to his hometown, where he was elected last November to represent District 48 in Nebraska's unicameral legislature. He is already hitting the ground running, being involved in passing important legislation involving Second Amendment rights, the right to life, and protecting our children from the transgender mania sweeping the nation. GUEST 3 OVERVIEW: Dr. Daniel Bober, D.O., is board-certified in General Psychiatry, Child and Adolescent Psychiatry, and Forensic Psychiatry by the American Board of Psychiatry and Neurology He is also a Diplomate of the American Board of Addiction meaning he is a certified Addiction Medicine physician. Dr. Bober has been a practicing psychiatrist for over 15 years.

In the pilot episode of my podcast, I had the privilege of hosting Dr Ali Ajaz, a distinguished Psychiatrist with a rich background in both the NHS and his private Brain Health Clinic. Dr Ajaz specialised in Forensic Psychiatry and has special interests in Gut-Brain Health and Nutritional Psychiatry. He has a strong belief in a holistic approach to mental health, advocating for the exploration of root causes over the conventional prescription of antidepressants—a practice he has abstained from for two years.The inaugural episode, drawn from a live X spaces event, presented a few technical challenges and was longer than intended. It has since been edited down for clarity and brevity. The technical aspects, admittedly rough in this initial foray, offered significant learning opportunities, which I've taken to heart for the improvement of future episodes. It's essential to clarify that any shortcomings in the production were mine alone and in no way reflect on Dr Ajaz's invaluable contribution. Indeed, I could not have hoped for a better first guest, whose insights set a high bar for the series!

Join Sasha & Stella for their interview with Dr. Jillian Spencer, a child and adolescent psychiatrist from Queensland, Australia. This episode delves into Dr. Spencer's experiences with the gender clinic in her hospital, highlighting the challenges and concerns she faced in encountering adolescents identifying as transgender. The episode explores the complexities of assessing and treating gender dysphoria in young individuals, shedding light on the impact of fast-tracking into gender clinics and the potential psychological consequences. Dr. Spencer shares her journey of trying to raise awareness about the concerns surrounding gender interventions for children and the need for a more comprehensive approach to mental health. Jillian Spencer is a child and adolescent psychiatrist who lives in Queensland, Australia. She studied Medicine at Monash University in Melbourne and then subsequently trained in psychiatry. She completed sub-speciality certificates in Child and Adolescent Psychiatry and Forensic Psychiatry. She qualified as a psychiatrist in 2009. She has worked for Queensland Health for 21 years. In mid-April 2023, she was removed from clinical duties due to being considered a danger to trans and gender diverse children. Since her story came out in the media in June, she has sought to raise awareness of the concerns around gender interventions for children.Sasha & Stella's conversation with Dr. Spencer touches on the influence of clinicians, the surge in youth attending gender clinics, encounters with dismissive responses from superiors, and the attempt to raise critical questions about safeguarding and ethical considerations in the treatment of gender dysphoria.This is the emotionally compelling account of the circumstances surrounding Dr. Spencer's suspension from clinical duties, her experiences raising awareness through presentations, distributing books, and participating in "Let Women Speak" rallies, and the broader implications for healthcare professionals challenging the prevailing narrative on gender dysphoria in children.Dr. Jillian Spencer speaks at a Let Women Speak rally in 2023 with Kellie-Jay Keenhttps://youtu.be/7OcIuLlbIPc?t=1204 Dr. Spencer's reference of former GWL guest, Ellie from her 2023 presentation:Models of Care for Children with Gender Dysphoriahttps://www.youtube.com/watch?v=zBZ-QkBGWlA&t=169s Introduction to the Gender Frameworkhttps://genspect.org/introduction-to-the-gender-framework/ Genspect's: The Gender Frameworkhttps://genspect.org/resources/sample-policies/genspect-presents-the-gender-framework/ Bigger Picture Conference - DenverTalks from the #genspectbiggerpicture conference in Denver, CO, 2023. More videos will be added regularly, revisit the link again for more content.https://youtube.com/playlist?list=PLmsMIEB9bK5xwwzCuF5AsjjviLfOxLzBA&si=DX_jQTb4JU_6pDmG Order Our Book – When Kids Say They're Trans: A Guide for Thoughtful Parents

In this episode of the Better Edge podcast, Michael Brook, PhD, associate professor of Psychiatry and Behavioral Sciences at Northwestern Medicine and director of the Isaac Ray Research Program in the Division of Psychiatry and the Law, goes into detail about the role of forensic psychiatry, psychology and neuropsychology in legal proceedings. He discusses the expertise of the division's highly trained team in a variety of legal issues and clinical subspecialties, as well as the research he is leading to address community violence using a public health approach.

America Out Loud PULSE with Dr. Marilyn Singleton – I'm discussing the overlooked intersection of mental health and crime, spotlighting Proposition 47 and its unintended consequences. With a dive into the 1992 execution of Ricky Ray Rector, I question the treatment of mentally ill criminals and explore the complexity of punishment, touching on the controversial death penalty, and its financial and moral implications in our society today.

America Out Loud PULSE with Dr. Marilyn Singleton – I'm discussing the overlooked intersection of mental health and crime, spotlighting Proposition 47 and its unintended consequences. With a dive into the 1992 execution of Ricky Ray Rector, I question the treatment of mentally ill criminals and explore the complexity of punishment, touching on the controversial death penalty, and its financial and moral implications in our society today.

We've been told for years that 120-150 minutes a week of moderate exercise is not only good for our physical health, but also our mental health. So, more exercise must provide more mental health benefits, yes?No, says the research.Here to dig into this topic is Jill Colangelo, a writer and researcher who studies the relationship between mental health and ultra endurance sport. Jill is currently a Research Affiliate in the Department of Forensic Psychiatry at the University of Bern and writing mental health-focused articles at Triathlete Magazine and across Outside Media.Today, she and Sara discuss the delicate balance of mixing ultra-endurance training and mental health and ask, "Do the positive effects of exercise stand up through volume and intensity?"They cover:The type of person who tends to get overtrained Drawing the line between healthy and unhealthyThe concept of having an off-season and why it's vital to healthWhat should your mindset be when it comes to exercise?What do we mean by “ultra-endurance culture?”The pitfalls of glorifying and mythologizing ultra-endurance athletes as “heroes”Jill's work in the world of social media and mental healthWhat do you wish people knew about mental health?As Sara says, “At the end of the day, people go through a lot worse than running a marathon and we have to ask who are the true heroes. Jill's research is extremely helpful and relatable and I think we can all learn from her wisdom.”Jill Colangelo's WebsiteSign up to Receive The Feist Newsletter:https://www.womensperformance.com/the-feist Watch the Women of Kona Campaign:https://www.feistytriathlon.com/watch-the-women Follow us on Instagram:@feisty_womens_performance Feisty Media Website:https://livefeisty.com/ https://www.womensperformance.com/ Support our Partners:The Amino Co: Shop Feisty's Favorite 100% Science-Backed Amino Acid Supplements. Enter code PERFORMANCE at Aminoco.com/PERFORMANCE to Save 30% + receive a FREE gift for new purchasers! Use code FEISTY25 for 25% off at https://pulpculture.la/

Content warning: Please be aware that this episode refers to topics such as suicide, suicidal ideations, methods of suicide and overdose. In Episode 9 of the series, Professor Belinda Lennox sits down with Professor Seena Fazel, Professor of Forensic Psychiatry at the Department of Psychiatry and Consultant Forensic Psychiatrist.  Here, they discuss Oxford's long history of suicide research, and Professor Fazel's work identifying high-risk populations, particularly those who have been through the criminal justice system, and what clinicians can do to improve assessment and treatment of patients.  They also look at the evidence for restricting access to means, and how examining population-level data can help researchers better understand the causes of suicide.

In this re-release episode, Dr. Andrew Cutler interviews Dr. Katherine Warburton about the history of criminalization of serious mental illness, the efforts to decriminalize mental illness, and the development and success of diversion programs. Dr. Katherine Warburton is Medical Director/Deputy Director of Clinical Operations for the California Department of State Hospitals. Prior to that, she was the Chief of Forensic Psychiatry at Napa State Hospital. She is on the volunteer clinical faculty of the UC Davis Division of Psychiatry and the Law. Link to “Decriminalizing Mental Illness” by Drs. Warburton and Stahl: https://www.amazon.com/Decriminalizing-Mental-Illness-Katherine-Warburton/dp/1108826954/ref=sr_1_1?crid=18XJ6RE7Y5X5M&keywords=warburton+stahl&qid=1657746214&sprefix=warburton+stahl%2Caps%2C112&sr=8-1

On today's episode, I am joined by board-certified forensic psychiatrist Dr. Brian Holoyda, whose work involves paraphilic disorders and cult-like behaviors. In our conversation we discuss the concepts of Delusion Like Beliefs (DLBs) and whether QAnon fits the criteria of being a cult movement. We also cover the diagnostic and ethical dilemmas in pathologizing conspiracy theories as an addiction disorder. FacebookThe Social Chemist | FacebookInstagramThe Social Chemist (@socialchemistig) • Instagram photos and videosTwitterThe Social Chemist | TwitterSubstackThe Social Chemist | SubstackDr. Brian Holoyda Literature ReviewQAnon: A Modern Conspiracy Theory and the Assessment of Its Believers | Journal of the American Academy of Psychiatry and the Law (jaapl.org)Dr. Brian Holoyda websiteBrian Holoyda, MD, MPH, MBA | Forensic PsychiatryOther Social Chemist EpisodesWhat Is A Conspiracy Theorist? w/ Aoife Gallagher (buzzsprout.com)Do Liberal Conspiracy Theories Exist in Contemporary Politics? w/ Ph.D. Benjamin Dow (buzzsprout.com)

Today, Arden hosts Dr. Jhilam Biswas, an Instructor in Psychiatry at Harvard Medical School and a board-certified Adult and Forensic Psychiatrist. They discuss the connection between crime and mental illness.  Dr. Biswas examines how frequently violent behavior and impaired judgment are rooted in trauma. She outlines the steps taken to evaluate the mentally ill and how, unfortunately, becoming involved in the judicial system may provide insight into the incarcerated. Don't miss this informative episode of Beyond the Balance Sheet.   IN THIS EPISODE:   [01:10] Arden introduces Dr. Jhilam Biswas and shares her background and accomplishments, and Dr. Jhilam Biswas defines forensic psychiatry  [05:58] Jhilam discusses violent behavior, impaired judgment, and trauma [11:13] Jhilam explains the steps she would go through to evaluate a trauma victim [16:02] The lack of awareness of a patient makes treatment more difficult [20:54] How the rock bottom moment in the penal system can provide a respite period. Discussion of socio-economic levels as they relate to mental illness [28:11] Jhilam shares a story of helping an individual accused of murder   KEY TAKEAWAYS:   All socioeconomic groups are affected by mental illness. When mentally ill individuals are unaware of their disease, they are much less likely to understand they need treatment. A traumatic brain injury can contribute to mental illness, and unfortunately, since a brain injury cannot be seen, it may be discounted by untrained professionals.   RESOURCES:   Beyond the Balance Sheet Website   Dr. Jhilam Biswas - LinkedIn   Dr. Jhilam Biswas - Facebook   BIOGRAPHY:   Jhilam Biswas, MD, is an Instructor in Psychiatry at Harvard Medical School and board certified in Adult and Forensic Psychiatry. She is the Director of the Psychiatry, Law and Society Program at Brigham and Women's Hospital in Boston, MA, and the Co-Director of the Harvard Mass General Brigham Forensic Psychiatry Fellowship. She is a clinician and researcher in psycho-legal issues, acute psychiatric care, and physician wellbeing, and she was awarded the Massachusetts Psychiatric Society's Award for Outstanding Psychiatrist in Early Career in 2023 for her contributions to these areas. Her research is focused on improving mental health laws so they better serve patients and their families and caregivers. Dr. Biswas has published in JAMA, Harvard Review of Psychiatry, and the Journal of American Academy of Psychiatry and Law and has been quoted in the Boston Globe, ProPublica, CBS This Morning, Forbes, and the New York Times.

Robert W. Alcorn, MD is a retired psychiatrist. He graduated from Yale College in 1966 with a Bachelor of Arts degree. He received his MD degree from Case Western Reserve University School of Medicine in 1970. He specialized in psychiatry and practiced in the Cleveland, Ohio area for about 50 years. He was Board Certified in Psychiatry and Forensic Psychiatry (law and psychiatry).Beginning in about 1999 he began to recognize that something important was missing in the medical understanding of human beings and their illnesses. This involved subtle energies, and how these energies influence wellness and illness. He started studying energy healing techniques in 1999 and continued for several years. His discoveries in this discipline led him to begin learning shamanic techniques, that is, techniques commonly used among tribal peoples for divination and healing. He initially learned from teachers associated with the Foundation for Shamanic Studies. Later he learned Soul Retrieval techniques from Sandra Ingerman, and Compassionate Depossession and other advanced shamanic techniques from Betsy Bergstrom.He met Dr. Barbara Stone in 2012 and began learning her system for multidimensional healing of mental health issues, becoming a certified Soul Detective® and subsequently and certified trainer in that discipline. Soul Detective is a system which seeks to find the spiritual causes of mental and emotional disturbances in people. It can be thought of as incorporating shamanic techniques as well as being guided by muscle testing and/or dowsing to achieve clarity.As a result of these studies, Dr. Alcorn has come to the conclusion that the diagnostic and therapeutic methods of mainstream psychiatry are seriously deficient in addressing the real needs of patients.He is the author of Healing Stories: My Journey from Mainstream Psychiatry Toward Spiritual Healing.  The book is available on Dr. Alcorn's website: dralcorn.usOther books mentioned in this podcast:Thirty Years Among the Dead by Dr. Carl Wickland (available on Amazon)Remarkable Healings: A Psychiatrist Discovers Unsuspected Roots of Mental and Physical Illness by Shakuntala Modi (Available on Amazon)The introduction to this podcast is narrated by Rick Lamb PhD.*The information provided in this podcast is not intended to be a substitute for professional medical, psychiatric or veterinary advice or treatment. Always seek licensed medical, psychiatric, or veterinary care. Interspecies Evolution™ promotes holistic balance through an integrative treatment model defined by the National Center for Complementary and Integrative Health.Please use discernment when contracting with energy "healers" who claim to heal humans or animals in any capacity. Interspecies Evolution™ promotes self-awareness and empowerment through education and direct experience on one's own journey of remembering.www.interspeciesevolution.comFor more information about the Host, Ginny Jablonski, please refer to her website at www.heartofthehorse.us

Dr. Davin Tan MbChB FRANZCP, is a specialist in Child and Forensic Psychiatry. He's also an expert on empathy & the role it plays within inter- and intrapersonal relationships. There can be no health without mental health. He works to make accessible the mental models to turn emotional chaos into strength for youth + adults, and has distilled the core tenets of emotional intelligence into his course, the Practice of Empathic Discipline. Through good mental models & a good dose of empathy a lot of good can be done. Dr. Tan has a weekly podcast featuring over 70 captivating topics from How-to approach gender dysphoria, to managing ADHD, and more. During this chat we dive into what exactly a forensic & youth pyschiatrist 'does', the difference between empathy/sympathy/pity, and how you can become more self-reflective & therefore empathic. Quite the character, and FULL of knowledge + expertise, such a pleasure to welcome Dr. Davin Tan to Tall Poppy Talk! Listen to the full interview on Spotify, iHeart Radio, or Apple Podcasts. #youth #forensic #psychiatry #highperformance #empathy #podcast #sympathy #pity #parenting #emotional #discipline #mentalhealthmatters #aotearoa #newzealand #mentalhealthawareness #sports #content #contentcreation

In this podcast, I sit down with Robert Greenwood.  Robert has 35 years of experience working for the Michigan Department of Corrections in prison administration and community corrections. He has worked as a corrections officer, resident unit officer, transportation officer, trainer, cell block supervisor, captain, and deputy director of safety and security at the Center for Forensic Psychiatry. Always looking to learn more about all aspects of corrections, Robert also worked in community corrections as a parole agent;  probation officer and retired as a Probation Manager over a large office in metro Detroit. Robert was on the front lines of the Gus Harrison Correctional Facility riot in 1995 and was commended for his bravery.Robert currently teaches in the criminal justice department at Madonna University in Michigan.You can reach Robert at rgreenwood@madonna.edu PepperBall From crowd control to cell extractions, the PepperBall system is the safe, non-lethal option.OMNI OMNI is cutting-edge software designed to track inmates and assets within your prison or jail. Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showContact us: mike@theprisonofficer.comFacebook: https://www.facebook.com/ThePrisonOfficerTake care of each other and Be Safe behind those walls and fences!

Cult Babes! This week's episode is a journey into the UK's Broadmoor Hospital which has been home to many infamous patients throughout it's history. We'll first get to know how the hospital came to be and then get acquainted with it's haunting guest list…Come see me on tour: obitchuarypodcast.com Write me: spencer@cultliter.comSpencer Henry PO Box 18149 Long Beach CA 90807 Follow along online: instagram.com/cultliterpodcastJoin our patreon: Patreon.com/cultliterCheck out my other show OBITCHUARY wherever you're listening now! Sources:https://allthatsinteresting.com/jack-the-ripper-suspects/http://news.bbc.co.uk/local/berkshire/hi/people_and_places/nature/newsid_8263000/8263371.stmhttps://www.cambridge.org/core/journals/medical-history/article/i-am-very-glad-and-cheered-when-i-hear-the-flute-the-treatment-of-criminal-lunatics-in-late-victorian-broadmoor/1F711BABFE0E8D356D2A0169020C099Ahttps://www.rcpsych.ac.uk/docs/default-source/about-us/library-archives/archives/madness-to-mental-illness-online-archive/important-legal-cases-of-the-19th-century-james-hadfield.pdf?sfvrsn=e4cedf57_6https://www.biography.com/crime/graham-younghttps://allthatsinteresting.com/graham-youngRollin, H. (1991) Forensic Psychiatry in England: a Retrospective. In 150 Years of British Psychiatry (vol. 2, The Aftermath) (eds H. Freeman & G.E. Berrios, G.E.), pp. 243–267Gaskell. Smith, R. (1996) Legal Frameworks for Psychiatry. In 150 Years of British Psychiatry (vol. 2, The Aftermath) (eds H. Freeman & G.E. Berrios), pp. 137–150. Athlone Press. https://www.theguardian.com/artanddesign/jonathanjonesblog/2015/jun/17/richard-dadd-victorian-artist-bedlam-mental-illness-fairieshttps://www.newspapers.com/image/933363280/?terms=Richard%20Dadd&match=1See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On this episode of Expanded Perspectives, the guys start the show off talking about the recent Texas heat wave, Kyle and Luke's Indiana Jones marathon, and the tragic sinking of the Titan submarine near the Titanic wreck site. Then, two bow hunters in Pennsylvania have an extraordinary experience in the woods with a ghost, some strange space gel, and possible time distortion. After the break, Kyle brings up some horrifying tales of murderous children. With stunning frequency, new stories appear about one of the most perplexing of all crimes - homicide committed by children. As recent research has shed light on children who murder, experts have become troubled about an apparent intensification of youthful homicidal behavior. For instance, Dr. Elissa P. Benedek, director of research and training at the Center for Forensic Psychiatry in Ann Arbor, Mich., said she had seen many more youths engaged in ''mass murder,'' the killing of more than one person, in the last few months than in all her previous experience. A pattern that disturbs scholars is that youthful homicide rates still remain near the very high level of the mid-1970's. Statistics compiled by the Federal Bureau of Investigation show 9.88 of 100,000 Americans were arrested for homicide in 1982. But the rate among 17-year-olds, for instance, was more than double the rate for all ages: 22.6 per 100,000. Concern about youth violence has changed the way grown-ups walk in cities and prompted Congressmen to prod the executive branch to focus on youth violence. The Attorney General recently named a task force on family violence which will include the study of murders by youths in its work. What drives these children to kill? All of this and more on this installment of Expanded Perspectives! Show Notes: Paranormal Round Table's 2nd Annual Dogman/Cryptid Conference Sponsors: ExpressVPN: So if you really want to go incognito and protect your privacy, secure yourself with the #1 rated VPN. Visit expressvpn.com/expanded, and get three extra months for free. Athletic Greens: If you're looking for a simpler and cost effective supplement routine, Athletic Greens is giving you a FREE 1 year supply of Vitamin D AND 5 free travel packs with your first purchase. Go to athleticgreens.com/EXPANDED. Check it out! Want to Share Your Story? Email: expandedperspectives@yahoo.com Hotline: 888-393-2783

Listen to Jessie and Clare's Handover here Subscribe to MamamiaIt's been another grim week for women in Parliament. So how does the way sexual assault is being discussed in Canberra impact the rest of us?  Plus, we're one week out from the new season of And Just Like That and we can't agree about just who was the worst boyfriend was on Sex And The City.  And, it's Jessie's last show. So, she shares her most hated segment, and who she'll be handing over to... The End Bits Listen to our latest episode: The Times Other Women Betrayed Us Read Mamamia's Who was the worst man in Sex and The City? A very serious investigation. RECOMMENDATION: Holly wants you to read Mia's new Mamamia Cover Story How Helicopter Parents Broke A Generation.  Holly wants you to listen to 'Tea Talks With The Duchess And Sarah' Podcast  Jessie wants you to read 'I Have Some Questions For You' By Rebecca Makkai Elfy wants you to watch A Good Person  Elfy wants you to read 'The Devil You Know: Encounters in Forensic Psychiatry' By Gwen Adshead & Eileen Horne GET IN TOUCH: Feedback? We're listening. Leave us a voicememo or email us at outloud@mamamia.com.au Join our Facebook group Mamamia Outlouders to talk about the show. CREDITS: Hosts: Holly Wainwright, Jessie Stephens and Elfy ScottProducers: Emeline Gazilas & Susannah Makin Audio Producer: Leah Porges Mamamia acknowledges the Traditional Owners of the Land we have recorded this podcast on, the Gadigal people of the Eora Nation. We pay our respects to their Elders past and present, and extend that respect to all Aboriginal and Torres Strait Islander cultures. Just by reading our articles or listening to our podcasts, you're helping to fund girls in schools in some of the most disadvantaged countries in the world - through our partnership with Room to Read. We're currently funding 300 girls in school every day and our aim is to get to 1,000. Find out more about Mamamia at mamamia.com.auBecome a Mamamia subscriber: https://www.mamamia.com.au/subscribeSee omnystudio.com/listener for privacy information.

Dr. Sohom Das is an interesting bloke with a super cool job (well, he likes it) and we had a great chat about all-things psychopathy, criminality, sociology, world-class liars, Forensic Psychiatry (his job), stand-up comedy (his passion), prison (where he often works), murderers (who he often assesses), Will Smith (his thoughts on the infamous slap) and Sohom also shared a few fascinating stories about some of the people he has worked with. The Doc has a new(ish) book called 'In Two Minds: Stories of Murder, Justice and Recovery from a Forensic Psychiatrist' and a ripper YouTube channel called 'A Psych For Sore Minds'. This was fun. Enjoy.See omnystudio.com/listener for privacy information.

Welcome back to Analyze Scripts, where a psychiatrist and a therapist analyze what Hollywood gets right and wrong about mental health. Today, we are thrilled to be joined by Dr. Tobias Wasser, a forensic psychiatrist from Yale University, in analyzing the 2010 film "Shutter Island." Dr. Wasser explains how forensic psychiatry bridges the gap between the criminal justice and mental health care systems. He describes what it's really like to work on a forensic psychiatry unit and compares his experience to that depicted in the film. We also ask him to explain the difference between competency to stand trial and the NGRI (not guilty by reason of insanity) plea. He also shares his opinions about our favorite narcissistic psychopaths - Joe Goldberg, Logan Roy, and Tom Wambsgans. We learned a ton and hope you enjoy! Instagram TikTok Website [00:00] Dr. Katrina Furey: Our channel. [00:10] Portia Pendleton: Hi, I'm Dr. Katrina Fury, a psychiatrist. And I'm Portia Pendleton, a licensed clinical social worker. And this is Analyze Scripts, a podcast where two shrinks analyze the depiction of mental health in movies and TV shows. Our hope is that you learn some legit info about mental health while feeling like you're chatting with your girlfriend. There is so much misinformation out there, and it drives us nuts. And if someday we pay off our student loans or land a sponsorship, like with a lay flat airline or a major beauty brand, even better. So sit back, relax, grab some popcorn and your DSM Five and enjoy. Welcome back to Analyze scripts. Portia and I are super excited to be joined today by Dr. Tobias Wasser, who is an associate professor of psychiatry at the Yale School of Medicine. He completed all of his psychiatry training at Yale, including the psychiatry Residency program and two fellowships in forensic psychiatry and public psychiatry. He currently serves as the Deputy medical Director for Community and Forensic Psychiatry for Yale New Haven Hospital and the Assistant Chair for Program development in the Yale Psychiatry department. He's previously held leadership roles in Yale psychiatry residency program and for five years served as the chief medical officer of Connecticut's State Forensic Hospital. And most importantly, he was my chief resident for a whole day at the very beginning of my intern year. So welcome, Tobias. Thank you so much for coming and joining us today. [01:46] Dr. Katrina Furey: Hi, thank you so much for having me. [01:49] Portia Pendleton: So interestingly. I'm sure you don't remember this, Tobias, but I remember my very first day of psychiatry residency. I was on the inpatient psych unit. You were observing me do, I think, like, my very first interview as a resident, and I was interviewing a patient with a psychotic disorder. I don't think I'd ever really interviewed someone with one of those before. And afterwards you told me something that has stuck with me ever since, and I think is really pertinent to this movie you were telling me. And you were so nice in the way that you would tell me this criticism, but it's very kind. You were saying, you did a great job, but when you're listening to someone talk about their delusions, try really hard not to nod as they're talking. It's like a very natural thing to do. But if you're nodding, you're kind of confirming for them, like, yeah, this is true. This is true. What a perfect sort of clinical pearl to think about as we talk about Shutter Island today, right? [02:53] Dr. Katrina Furey: Well, you're right that I don't totally remember saying that to you, but I guess maybe it'll make you feel better to know you're not the only individual to whom I've given that feedback. [03:05] Portia Pendleton: Good. [03:06] Dr. Katrina Furey: It is a common aspect of people learning how to practice psychiatry and mental health. So as you said, I think it's a natural reaction. So clearly it helped you. [03:17] Portia Pendleton: I'm glad it's but I just like that sort of popped in my mind as I rewatched the movie today, knowing you join us because in this movie, they do this whole weird experiment, right? And so I think before we dive in and really pick your brain on what it's like to be a forensic psychiatrist and what you think about this movie, portia is going to give us just a really quick rundown of the plot. [03:43] Dr. Tobias Wasser: So the movie came out in 2013 by Martin Scorsese, all star cast, all star director. We have Teddy Daniels, who is played by Leonardo DiCaprio. And then we have Chuck, played by Mark Rafalo. And so we see these two people kind of heading to this island where there's apparently this mental institution where the criminally insane are being held. And it opens up with vomiting, which we talk about this a lot. [04:12] Portia Pendleton: I was like, great, portia hates vomiting. [04:16] Dr. Tobias Wasser: And so they are going to kind of investigate someone who's missing. [04:20] Portia Pendleton: And they are state marshals. [04:23] Dr. Tobias Wasser: Yes, marshals. And so you kind of see them exploring the island. It looks really scary. And there's a few different kind of living arrangements, it seems like. One where more, I would say, like, peaceful patients are housed. And then another one that feels really gross and dirty and more jail like. And the movie does take place in 1954. So it's like post World War II, which I think is interesting with the differences in how we treat mental health. So we kind of see them investigating this crime or this person who's missing, as we have some questions of Teddy's mental status. So he has these migraines. There's some flashbacks to his time during World War II at some concentration camps. Really, really traumatic, it seems like some experiences that he's had. And then also these kind of flashbacks to this family, but then to this other wife without kids. And it's confusing. So I was kind of confused watching it at first. And then we see him kind of continuing to investigate and believe that there are these inhumane trials going on or. [05:41] Portia Pendleton: Clinical trials or like experimentation, almost experimentations. [05:46] Dr. Tobias Wasser: Kind of going on that we see, and he doesn't find any. And so the movie kind of arcs all of a sudden to where I initially thought, so this was the first time that I saw it, that he was being kind of like, pushed into insanity, quote, unquote. He was being given some medications. All of a sudden there's this part where it's like, well, have you been eating the food? Have you been taking medications from them? Have you been smoking your own cigarettes? And he starts to kind of feel. [06:14] Portia Pendleton: Like he was poisoned or something. [06:15] Dr. Tobias Wasser: Yeah. And so then all of a sudden, we find out that he is the test subject of this really immersive. I don't want to say well done, but well done. [06:30] Portia Pendleton: Well executed. [06:31] Dr. Tobias Wasser: Maybe set up for him in order to help his psychosis or delusions in order to kind of have him kind. [06:40] Portia Pendleton: Of come back, snap out of it. [06:41] Dr. Tobias Wasser: Which is his wife killed his three children and then he killed her. [06:46] Portia Pendleton: And so he is actually a patient. [06:48] Dr. Tobias Wasser: To make someone potentially have a psychotic break or experience some psychosis. So I will say that I'm probably going to take a little bit of a backseat to this episode. I think the only experience I have with psychosis is, like, drug induced. So it's not my poor kid. I don't think I've ever interviewed or come across a patient with non drug induced psychosis. So that's kind of the story of the movie. And I think it leaves off with two questions. Did they trick him? And that was a whole trick to kind of get him to stay there, or was he really a patient? [07:23] Portia Pendleton: Yeah, I think he was the 67th patient that he was looking for the whole time. And then at the very end, I felt like the whole premise, once you figured out what was going on, was they were trying to restore his sanity once and for all with this elaborate hoax in hopes that he could avoid a lobotomy. Right? And then at the very end, you see him sort of slip back into his delusional way of thinking and go off to get the lobotomy. And I think actually he knew what he was doing. I think he sort of didn't actually slip back into that delusional frame of mind. I think he finally realized what had happened and didn't want to live with it. So it was really fascinating movie. I always love Leonardo DiCaprio, especially with a Boston accent. I'm just like, anytime. But one thing that hit me right away was just like, there's like this big, scary mental hospital in the middle of the ocean where you can't get to and we're going to play this big scary music, and there's rocks everywhere, and there's like, police everywhere. And just like this. It reminded me of Alcatraz in San Francisco, which was just a jail, I believe, not a forensic psych hospital. But I was just like, oh, my God. Just like, yeah. It's like, oh, God. [08:39] Dr. Katrina Furey: Yeah. [08:39] Portia Pendleton: The mentally we're so scary. It just really right away really knocked you over with that intensity. What did you think, Tobias, about sort of the way they started off. [08:51] Dr. Katrina Furey: Yeah. So I think you're right about the ending. I saw Capri a really extreme form of denial, almost like choosing an extreme form of denial that once he knew what he had done, he didn't want to live with it anymore, and choosing surgical interventions to try to keep that out of his mind as far as the depiction of what the place looks like. So I definitely think you're right. It played into all of our worst stigmas about psychiatric hospitals. It's criminally insane and this scary island in the middle of nowhere, and that it has to be surrounded by miles and miles of water to prevent anyone from escaping. And I think also, Portia, your point about this is post night. This is in the 1950s, and so it's a very different understanding of what mental illness is at the time in any case. But I'll say as someone who, as Katrina you mentioned in the brief bio, someone who spent many years running a current forensic hospital, it's a very different experience than how it's been depicted in the movie. I think we often imagine these really horrible, scary places. And I will say there are aspects of it that align with my experience. But for the most part, we've come a long way in the 50 years. If that's what it really was like 70 years ago, we've come a long way. But I definitely agree that it was trying to really I think it was trying to immerse the viewer in experience of being terrified. And I think it succeeded in that. [10:26] Portia Pendleton: Yes, it did. So what parts of it sort of matched with your experience working in a modern day forensic hospital? [10:33] Dr. Katrina Furey: Yeah, so I think part of it is what Portia alluded to with this idea that there might be different parts of the hospital. So that continues to be true today. So not all forensic hospitals are like this, but many of them will have what we call different services. So in Connecticut, for example, the hospital that I was a chief medical officer for, for five years, we did have two different services. We had what we called a maximum security service, which was for patients who are at a higher risk for violence or who may have engaged in more violent behavior before they came to the hospital or currently were engaging in unsafe behaviors. And that is more like a synthesis between a typical hospital or typical psychiatric hospital and a correctional setting. At least on the one in Connecticut. The walls are cinder block and in order to get in, you have to go through multiple layers of security and double locking doors. We call a Sally Port, like you're entering a prison facility. So there are layers of security to it that are similar, and the structure is somewhat similar. When you get on the unit, though, it looks more as opposed to in the movie where people are in jail cells and they're locked up, and it really looks like a jail facility. Once you actually get into the physical space where the patients are living, it's more like an inpatient unit. People have bedrooms, they don't have cells, they don't have bars on the doors. They can enter and exit as they wish. There are group rooms in which therapeutic activities occur. There's a shared dining space, there's television. So there are some aspects that are similar, but hopefully it's a little bit more humane when you actually get onto the unit. The one in Connecticut is a much older facility. It was built in 1970. So actually not long after this movie supposedly takes place. And there are a couple of much more modern facilities that have been built, one in Washington, DC. And one in Missouri, that are really picturesque, very aesthetically pleasing. They really focus on things that are supposed to enhance individual recovery, like access to natural light spaces and all those things. So the more modern facilities have really come a long, long way and they look nicer than some typical psychiatric hospitals. Not for forensic patients. And then the other aspect is going to say, so there is a second service, again, even in our own hospital, for safer patients, patients who have engaged in less serious violence, but for some reason have engaged in some kind of behavior that got them involved with the criminal justice system. And they require psychiatric treatment. And those settings, at least in Connecticut, looks much more like a typical hospital that you'd expect. And those patients actually are given grounds privileges. They can walk the ground, sort of like we saw in the movie, that they can walk around. [13:17] Portia Pendleton: Are they handcuffed like we saw in the movie? People would be like in shackles, walking around, but like their feet shackled up. [13:26] Dr. Katrina Furey: That's a great question. So no, they're not modern day because there's been so much emphasis on patients rights and advocacy movements for all patients, not just these kinds of patients. And maybe I should just take a step back to define what does it mean to be a forensic patient. So forensic really refers to in mental health or in psychiatry. It's talking about the intersection of psychiatry and the law. So when we talk about forensic hospitals or forensic patients, sort of like in the movie, they are typically places where individuals who've been found not guilty by reason of insanity. So they've committed a crime. They've pledged what's anecdotally called, colloquially called the insanity defense, meaning that they're saying they're not criminally responsible for their actions because at the time of the crime, they either didn't appreciate that what they were doing was wrong or they couldn't control their behavior because of a mental illness. They're found not guilty by reason of insanity, which is a horrible stigmatizing moniker, but it's still what we call it. And then they're sent for long term psychiatric treatment in a hospital setting. [14:30] Portia Pendleton: And then is the goal. We just released an episode about the movie side effects. I don't know if you ever saw that movie, it's also an older movie, but in that movie it seemed like the goal was to restore the character who was found not guilty by reason of insanity to sanity, so then she could go back to them, be tried. Does that actually happen? [14:56] Dr. Katrina Furey: Yes, that's a great question. It's kind of mixing two different topics in forensics, like two different populations. So we do have the one group who is what I just described, not guilty by visa and sanity. We have a second group of individuals who are found not competent to stand trial, which similar but is different. So being found not competent to stand trial. So for all of us, if we are accused of a crime, we're all presumed or assumed to be competent. Meaning you understand what's going on in court. For some individuals with mental illness or cognitive disorders, they're not able or intellectual disabilities, they're not competent as a result of their capacities. And so if they're not able to understand what's going on in court, they don't know what a judge is, what a lawyer is, or they have delusions that the court is out to get them and they're paranoid about it or because of an intellectual disability, they're just not able to effectively understand what's happening. Or maybe because of mood instability, they're so upset and get so upset so easily and angry and yelling and screaming. They can't really work. A lawyer, they're a court hearing. Those are all reasons somebody might be found not competent to stand in trial. [16:09] Portia Pendleton: Got it. [16:10] Dr. Katrina Furey: And that's very much like on here and now at the time you're supposed to show up to court, you will get what's going on. [16:17] Portia Pendleton: Got it. [16:17] Dr. Katrina Furey: Whereas the insanity defense is much more about when you did the thing right. [16:23] Portia Pendleton: Okay, so for this second group, this. [16:26] Dr. Katrina Furey: Not competent group, it would be more like what you were talking about with Sideways, where they might also come to our hospital and they're going to be sent there for treatment and we're going to try to restore them. So we're going to try to make them better so that they can go back to court and deal with their charges. And that might be through getting medications, group therapies and just education about the court system. Sometimes there's an educational deficit and then we try to send them back so they can deal with their charges. The other group we talked about, the insanity defense, folks, we are trying to make them better, but they're not going to go back and face their charges. They've already been found not guilty and their trial is over. [17:06] Portia Pendleton: Got it. [17:07] Dr. Katrina Furey: Now we're just going to re. [17:10] Portia Pendleton: Got it. That makes a lot of sense. Portia we've been talking about that for weeks. We're discovering and doing this podcast that a lot of the shows we watch and that other people are asking us to cover involve narcissists and psychopaths. This keeps coming up. Yeah, apparently fascinating. [17:33] Dr. Tobias Wasser: I think also we see, which I think is an interesting shift. In the movie, Dr. Kauley makes a comment that sanity is not a choice. And then also if you treat a patient with respect, you can reach them. So I think that's kind of like the shift into more current times with respecting patients and having them understand what's happening and having a right to choose maybe different medication trials or therapies and stuff like that. And I think that's great and wonderful and it seemed like what he was doing at the time was really kind of like shocking and out there. [18:07] Portia Pendleton: Right. [18:08] Dr. Tobias Wasser: And you even see Teddy the Marshall like being angry. Some of these patients are being treated well or, you know, they're not just. [18:18] Portia Pendleton: Being, um, so cool, like they're being believed. Right. I'm so curious to biased to hear your views about the forensic psychiatrist they depict who is played by Ben Kingsley, dr. Collie. I did write down a couple of quotes that either he said, I think he said them that I actually thought were pretty lovely. So at one point he was sort of telling Teddy Leonardo DiCaprio's character like what they do at Ashcliffe and he said something like this is the moral fusion between law and order and clinical care. And I thought like, well, that's kind of a lovely description of or definition of forensic psychiatry. And then I really appreciated when Dr. Collie would correct the marshals, when they would refer to the patients as prisoners. And he kept saying they're patients, they're patients. And I think Teddy at one point is like, how can you even treat them like knowing these awful things that they've done? And he said something like I treat the patients, not their victims, I'm not the one here to judge. And I just thought like, wow, I don't know. What are your thoughts about his character Tobias and the depiction of him and the other psychiatrists? All of which I'll just point out were old white men, which is accurate probably for the think. [19:42] Dr. Katrina Furey: You have picked up on some really lovely quotes and some themes in this that I also aligned with, noticed as being really interesting and as you're saying, portion of the time probably were very progressive. And now I think I wouldn't say they're mainstream, but I think they really what's reflected in this is a lot of the tensions that we do see in the practice of modern forensic days, modern day forensic psychiatry that even now working in these facilities. So we've come a long way since the 1950s and there have been this enormous movement around patients rights and giving them the right to choose what does it mean to accept or refuse medication, what abilities do you have to have to be able to do that? Just because you've been committed to a hospital doesn't mean you can be forced to take medications necessarily. And all the things you're saying about in a forensic hospital, about calling them patients, not prisoners, thinking about their illness and their symptoms rather than the criminal behavior they're accused of or been convicted of. And yet we struggle with this all the time still all day working in these facilities. You often find this tension between how he described the law and order and the clinical care you hope for, that the mental health clinician will be the ones really advocating for the treatment component, that they're going to want to think about the person and their illness. Many of these individuals have been horribly traumatized and see an enormous amount of comorbidity in terms of histories of physical, emotional and sexual trauma in their youth that leads them then to enact this kind of behavior when they're older or it's not surprising to any of us. And so we try to get our staff who are demonstrated, like orderlies or the police officers or security guards, whatever they are, to help them understand that these patients are people and that yes, they may have done something really horrible, but that's not what we're going to define them by. But it's still really a struggle and it really falls on those of us who are providing the care or leadership roles in these institutions to keep holding on to that moralistic value and try to keep advancing things forward. And I often found that in these environments, you often see some amount of regression by the staff, meaning that they start to act in more primitive and earlier ways because it can be an unsafe environment. There is more aggression in these environments than the typical mental health setting. And when people start to feel unsafe, they start to regress into these earlier states of being. And so you'll see more interest in punishment than maybe clinical care. They want the patients to have consequences. [22:18] Portia Pendleton: When they do that right, or sometimes. [22:21] Dr. Katrina Furey: They'Ll refer to them by their crime as opposed to by their name or their diagnosis. They're just a murderer, they're just a rapist, something horrible like that. And so it takes a lot of work and a lot of effort to continue to hold the line and to not be drawn into that because I think it's kind of a natural human proclivity and it taxes all of us. But it's also our responsibility when you work in these settings to try to keep holding on to that. The role I had running the hospital for the patients, particularly the individuals who have been found not guilty by reason of insanity, they had to have mandatory public hearings every two years in terms to monitor their progress. And if there was ever an effort to try to move them from the hospital to the community and this happens, every state handles it differently. But every state has some process where either the court or a quasi judicial body, like in Connecticut, we have this separate board. It's kind of like a synthesis between a mental health it's sort of like a mental health parole board, essentially, that these folks, as they move through the system to less and less restrictive environments. And whenever you have to have these hearings, families will come, and they have the opportunity, or they have the opportunity at least to give victim statements, the victim themselves or the family of the victim. And it was heart wrenching. It was really awful to hear and really difficult to many of them have been horribly traumatized by what happened to them or their family members. And as difficult and uncomfortable as it was, it was extremely important, I know for myself and others who work in that environment to hear that for two reasons. One, because I think you don't. As much as we're focused on the patients and wanting to get them better, I think as opposed to how the movie depicts it, where it's I don't think about the other things. I just think about this. We have to at least consider that. I mean, one, because it affects their risk, their initial behavior, even if they were really ill at the time they committed some horrific act, we know that's the riskiest thing potentially they could do, right? If they became ill again, if they medicine or they were out of treatment, that could happen again. And so we have to account for that. The second thing is you can become a little too myopic if all you think about is the patient. There has to be some consideration for the impact of this on the community, both just as a human and if you're trying to advocate that this person returns to the community. And that's probably the biggest reason, is if you advocate that this person returns to the community, this is a reflection of what they might experience in the community. The victims will be there, the family of the victims or other victims who have been suffered at the hands of other individuals. And so the patient has to be ready to manage that, and you have to help the patient to be ready to manage that. And so you can't entirely turn a blind eye to it and just say, oh, that's something that happens out there. Because if the goal is to help the patient get back to out there, you want them to be prepared to what that's going to be like. So I think it's extremely difficult. I don't want to pretend like it's easy, but I think it's a really important part of doing this type of work. [25:33] Portia Pendleton: This sounds like a really hard job. [25:37] Dr. Katrina Furey: It's not an easy job. [25:38] Portia Pendleton: It sounds really hard. Like just thinking about not just being the psychiatrist for patients like this. I think some would argue these might be like the sickest of the sick, but then also managing the whole team, treating them, who every team member brings in their own experiences. And so they're also probably getting triggered by different things, as we all are right in this line of work. And then thinking about the community at large, I'm just thinking like, gosh, that sounds like a lot of pressure to be the one, I guess at the end of the day to decide like, okay, yes, I think you're ready to reintegrate, or no, I don't know if I could do that. It sounds really hard. [26:23] Dr. Katrina Furey: It's really tough. And I think raising a couple of points. One is the community. No community wants these individuals in their community. There actually was a New York Times Magazine article back in, I think, either 2017 or 2018, where they interviewed folks who run these types of hospitals all over the country because they talked about the fact that it's so hard to get patients out of the hospital because nobody wants a former arsonist to be their next door neighbor. [26:50] Portia Pendleton: Right? [26:51] Dr. Katrina Furey: Arsonist with schizophrenia. I mean, doesn't that sound really inviting that you want to move next door and not to be I don't want to be overly stigmatizing. Maybe that's how people in the community experience this. The other aspect of it that you talk about, the experience of staff who have been traumatized, and so part of it is, as you are saying, they may have had trauma in their own lives that might be triggering when they do this work. As much as I don't want to propagate the idea that individuals mental illness are violent, they're much more likely to be the victims of violence and the perpetrators of violence. But when you have enclosed environments dedicated for individuals who have been accused of crimes, many of who engaged in violent behavior, there is an increased risk of violence in those environments. And some of these staff members will become they will be harmed, of course, their work. And that, of course, can be very traumatizing. And then the final pieces in these environments, the patients tend to stay there for much longer than at a usual hospital. So, I mean, typical, if someone has to go to the psychiatric hospital, they're there maybe seven to 14 days. For our patients, the shortest period of time they're there is usually 60 to 90 days, and the longest is two decades. [28:02] Portia Pendleton: Wow. [28:03] Dr. Katrina Furey: People will be there for very long periods of time. And to incentivize, particularly general healthcare workers to work in these environments, they're usually part of unions that are through the state. They have really good benefits, and so they work there for long periods of time. And so you can only imagine the kinds of relationships and dynamics that evolve over the course of years with employees with their own history of trauma, most well trained in managing personality disorders, your psychopaths, your narcissist, your borderline personality disorders, and then you've got those individuals living in an enclosed environment for a decade. It's fraught with all sorts of drama and trauma. [28:40] Portia Pendleton: Drama and trauma, yeah, for sure. One thing we wanted to ask you, Tobias, is are you able to comment at all about what are the common diagnoses you see or the most common diagnoses you tend to see? Because I think, just like you said, it's really important to us also that in releasing these podcast episodes, that we keep getting the message out there that people with mental illness are so much more likely to be victims of crimes rather than perpetrators of crimes. And yet a lot of these shows depict these raging psychopathic narcissistic. People who are hurting everyone all around them. So I'm just curious if you're able to comment on that or if that was something you noticed in doing this work. [29:30] Dr. Katrina Furey: Yeah, so I think this is very much a generalization based on data, statistics or anything, but generally you tend, for the most part to see two kinds of kind of diagnostic profiles. So I think on the one hand, you tend to see individuals who have some kind of a psychotic and or genetic illness schizophrenia, schizoaffective disorder, bipolar disorder with psychotic features. Sometimes they become depressed with psychosis, but mostly it's more in the kind of bipolar and psychotic rain. And their illness is untreated. Either it's been unrecognized or it has been. But they've got off medication for a long period of time. And because of their severe symptoms, their severe mood and psychotic symptoms, they develop either delusional beliefs or they hear voices tell them to do violent things, and then they end up engaging in some kind of risky or violent behavior, whether that's directly being harmful, physical assault, sexual assault, setting a fire, something of that nature. That's kind of one large diagnostic group we tend to see. The second tends to be much more, actually, unfortunately, you said you don't have experience with this, but it tends to actually be probably people you might have been more likely to see, which are individuals who have severe personality disorders and then may or may not develop some. They're usually using substances and may or may not develop a substance induced psychosis. So they're typically, as I was saying, really people with some kind of antisocial personality disorder, which means that they disregard the rights of others. They don't care about rules. They're really only out for themselves. They usually have a heavy dose of narcissism. And then you see a fair number of individuals with borderline personality disorders with this relationship instability and all sorts of other things. You add some substances on top of that, whether it's alcohol, marijuana, coffee, opiates, whatever it might be. And then sometimes they start to develop psychop psychosis or extreme mood instability. And with that group so with the first group we talked about who has a more classic psychotic, manic illness, they actually tend to do it because once they get to the hospital, they get treatment. We know how to treat that group, right? Medicines we have that are tried and true, therapies we have that are tried and true. And they actually tend to get out of the hospital sooner if they're willing to kind of go along with the treatment program. The second group is enormously difficult to treat. And as you guys will know, we certainly don't have medicines because usually what happens is, once they're in the hospital, they're not using illicit substances. So that psychotic or manic illness, dissipates, and all we're left with is the personality disorder, and we don't have medicines to treat it. Our therapies are intermittently or variably effective, depending. Particularly, we don't really have much for antisocial, right? We're a little better with borderline antisocial. But then they're also in these contained environments which are full of law and worship, just like described in the OB. And these individuals don't tend to they don't like it. [32:39] Portia Pendleton: Lots of rules and law being told. [32:41] Dr. Katrina Furey: What to do and long term relationships with either their peers or staff who keep showing up every single day. So those individuals are really challenging for the staff, and they're really challenging to reintegrate into the environment. [32:57] Portia Pendleton: Do you come across a fair amount of malingering? [33:01] Dr. Katrina Furey: So you do. Where you tend to see more malingering, you tend to see a lot of malingering in those. Not a lot, I should say we see more for the most part, there is not a lot of malingering, but we do see it probably more than other environments. And when we tend to see it, it tends to be in those individuals who not the insanity defense folks, but those people who are found not competent to stand trial. So again, every state is different, but in most states, the legal regulations are essentially that if you're not competent to stand trial, you cannot be tried for your crime, because the courts place this emphasis on human dignity, essentially. And so the idea is, if you're not mentally sound, how can we try you for a crime if you don't understand what's going on? Work effectively to your lawyer. So it depends on the state, but if you're not able to be competent or restored to your competence, you may never face your charges. And so how that's dealt with is different. You may end up in a psychiatric hospital, you may not, but most of those people won't face their crime. And so there's a number of individuals, whether their crimes are significant or more minor, who essentially think, can I fake crazy? [34:15] Portia Pendleton: Can I fake crazy in order to. [34:16] Dr. Katrina Furey: Get out of facing my crime and dealing with the consequences. So we do see that more than most things, and most of hospitals like this employ psychologists who can do psychological testing and screen for malinkering as a way of trying to help us substitute that out. That's a big part of the assessment we do, especially if we suspect that somebody might be faking it more than might be faking it, period. [34:39] Portia Pendleton: When you're getting ready to discharge patients from these forensic hospitals, are there specific community clinics or places that you sort of go to who can sort of do you get to collaborate with them after the patient leaves to sort of make sure they're okay or their check ins. Or if they start to unravel, they can sort of quickly come back into treatment. Or is that just like a fantasy I'm creating in my head? [35:05] Dr. Katrina Furey: No, you're not far off. So again, my experience is here in the state of Connecticut. So here we tend to work with our state mental health department and almost all the patients receive treatment at community mental health centers that are part of the state mental health system. [35:20] Portia Pendleton: Okay. [35:22] Dr. Katrina Furey: They work with those folks and because it's so hard to get them to the community, there are usually prolonged transition periods where they're meeting their community clinicians while they're still at the hospital. They're beginning they have transitional visits if they're going to be in some kind of they're almost always living in some kind of supervised setting, whether it's a supervised apartment or a group home or something. And so they do transitional visits before they actually leave the hospital. And they may spend months, maybe even up to a year, just engaged in a transition process before they actually go and leave the hospital. And then usually in most states, there's some mechanism for bringing us back to the hospital if they're not doing well. So there's a concept called conditional release, which is the idea that they can be released to the hospital, but it's conditional on their safety, good behavior or whatever you want to say. And it can be both. That's why it's conditional if there's some safety related concern and they can be brought back to the hospital. [36:22] Portia Pendleton: I see. Okay. Wouldn't this be nice for almost everyone needing inpatient psychiatric care to just have more time getting treatment and then have this nice transition period? And it just seems like such a better model overall. And I wonder if that's what it used to be like back in the day where people would not just get two days of treatment and then be discharged. [36:45] Dr. Katrina Furey: I think in a world that's less driven by insurance reimbursement, this probably was I don't know that quite this extreme, but I imagine this was the model. And I do think as so much of our health care is now decided by what will be paid for and not paid for, we've really gotten away from this. And I think not everybody needs this, but many individuals for whom they could benefit from this kind of care. And part of what's talked about in public entities, state, county funded institutions, is this idea that kind of like the allocation of resources really depends on what the law requires you to do. And so there's always a limited fund of resources in any state, county, whatever. And so where you shift your resources is what's required. So like, for example, Connecticut is not one of them. But most states have some form of involuntary outpatient commitment for individuals who need to be they're chronically ill, chronically dangerous, and they want something like what you're describing, which is a way to bring them into the hospital quickly if they're not doing well in the community. [37:47] Portia Pendleton: I think New York has something like that, right? Where if you're not complying with your injectable antipsychotic or something. [37:55] Dr. Katrina Furey: Exactly, yeah. So New York actually 46 of the 50 states have laws like this but New York was one of the first, called Kendra's Law. North Carolina was an early adopter of this as well. They've done the most research on it, and there's some evidence that it works. But the major concerns with laws like this one is that it tends to be overly representative of minoritized individuals, people who are black, brown, Hispanic, from low socionomic status, that we tend to see more of those individuals. And so there's a significant concern that's been raised that these ideas are built on racist practices and structures, and so it's inappropriately used in those populations too often. The second concern that's often raised, which I think is where I was going before, was that because there's a limited pot or pool of resources, when you construct laws like what I'm describing, for involuntary outpatient commitment, it requires the public entity to give the resources to those individuals usually at the loss of the resources for other individuals who aren't engaging in those same behaviors but might equally benefit from them. Because you're going to kind of shift your focus to whatever you have to do, and whatever you don't have to do, you're less likely to do. [39:12] Portia Pendleton: That makes a lot of sense. I also feel like that could be really used against patients in an icky way. It's so hard. It's like I understand it, but then it just feels like it could be really coercive. [39:26] Dr. Katrina Furey: Yeah, it's not the same, but it's a little similar to when you have patients if you're caring for individuals who are on probation. And then there's this polls as well. Your probation officer is not going to like it if you don't show up. I'm going to call them again. I think it's like this well intended effort to try to keep the person engaged in treatment and engaged and using the interventions that you think will keep them safe and well and out of trouble. But it's really manipulative kind of co opting the purpose of treatment, which ought to be for treatment, and we ought to be giving people a choice. And if they want to participate, great. And if they don't, they may have consequences for those choices, but it's not our responsibility as mental health providers to be enacting those consequences. And that's often the challenge that people find themselves in, that somehow they get drawn into that in a well intended but kind of inappropriately administered way. [40:18] Portia Pendleton: Yeah. [40:18] Dr. Tobias Wasser: And I want motivational interviewing gone wrong, helping them explore the potential consequences and what that might be like versus I'm going to call them myself. [40:31] Portia Pendleton: It reminds me when I threaten to call Santa Claus on my children when they won't just get dressed in the morning. So Tobias, do you have any criticisms about this movie and the way anything was portrayed? Or I guess on the flip side, did they get anything really right that you really liked? [41:01] Dr. Katrina Furey: I found myself really struggling with the ending. When you find out that this whole thing has been kind of an elaborate and effort to lean into the delusions. I think back to your anecdote. [41:17] Dr. Tobias Wasser: There was a part of me that. [41:18] Dr. Katrina Furey: You don't know why. [41:19] Portia Pendleton: Right. What are you doing? I learned this my very first day of training. [41:25] Dr. Katrina Furey: Yeah. And then you don't want to trick your patients. That's not a way of engendering trust and all these things. And then there was another part of me that thought, like, this is really interesting. Would this work? Is there any chance that trying to align with the patient in some way could be effective? I think I reached a conclusion. No, I don't think so. I don't think we want to. It's a tightrope walk, as we probably talked about that fateful day. I think you want to help the patient feel supported without reinforcing that the beliefs that you think are symptoms of an illness are actually happening. [42:02] Portia Pendleton: Right. [42:03] Dr. Katrina Furey: I think that it wasn't surprising to me, I guess, given that this was supposed to be such a novel, progressive treatment model, that they would try to enact this on Shutter Island. But I found myself troubled by it, ultimately. [42:20] Portia Pendleton: And I couldn't believe it was his psychiatrist who was, like, the other Marshall. Right. Like Mark Ruffalo's character. Like, for a while, I kept thinking, like, was Mark Ruffalo like a hallucination? Was that his part of his mind that was still sane in some ways? And then when it comes out that that's actually the psychiatrist they all said was on vacation, I was like, how do you do that? How is he ever going to trust you again? [42:47] Dr. Tobias Wasser: Yeah. [42:48] Portia Pendleton: What did you think about when they were all having their scotch at the end of their night, like, in their big, fancy velvet chairs and thrilling their mustaches? And that one psychiatrist kept saying, I feel like I want to use this in social conversation. Somehow he kept looking at Teddy and going, you have great defense mechanisms. Do you remember that? Wow, these are great defense. But it was like an underhanded comment. I don't know. [43:15] Dr. Katrina Furey: Was that not part of your training? [43:17] Portia Pendleton: No, I missed that part. I must have been on maternity leave. [43:23] Dr. Katrina Furey: Yeah. I just thought it was so stereotypical of psychiatrists. Who knows? Maybe that is what really happened in the 50s. But it was just this kind of idea of the old boys club, and let's sit around and be very sophisticated and talk about our analytics theory right. [43:42] Portia Pendleton: And judge and analyze everyone. Right. I feel like I think we all probably get this in social situations, like when you're just trying to make friends or whatever, and people hear your psychiatrist and everyone gets so nervous, and they're like, oh, are you analyzing me now? But I think movies like this sort of perpetuate that when these people are analyzing everyone so quickly. One thing that I wanted to touch on was Michelle Williams's character. I forget her name, but she was basically Teddy Daniels's wife. And she did end up, it seems like well, she did end up killing their three children. And I just wanted to bring it up because it reminds me of postpartum psychosis, which has been in the news lately. And as a reproductive psychiatrist, anytime I can talk about this and sort of just get some info out there, I like to, because it is the most severe complication of childbirth. I mean, mental health complications like depression, anxiety, OCD are the most common complication of childbirth beyond any physical complication. And then postpartum psychosis is the most severe and also the most rare. And if you develop postpartum depression or anxiety, that does not increase your risk for having postpartum psychosis. These are two separate disease pathways. So I see a lot of women in my practice who have had postpartum depression or anxiety, especially lately, I think, with what's being said in the news, who get really scared that if they want to have a baby, does that mean that they could lose their mind, so to speak? So this condition occurs in one to two out of every thousand births. So, again, super rare. About 40% of women have the baby blues after delivering a baby. That's just where you feel like you're on an emotional roller coaster, and it's awful, but it's totally normal. And then about ten to 15% develop postpartum depression, anxiety, OCD. And then, again, one to two out of 1000. I can't do that fraction in my head, but very rare to get postpartum psychosis. Again, I feel like I don't think that's what this character was experiencing because her children look too old. I don't think there was a baby involved. Usually, postpartum psychosis develops in hours to weeks after delivery, so that first, like, two to four weeks is really critical to be monitoring someone. A lot of times, women who develop this condition, you'll have symptoms of hallucinations, hearing or seeing things that aren't there, delusional lines of thinking that aren't in line with the broader cultural beliefs that you're growing up in. And a lot of times, unfortunately, these delusional thoughts are directed toward the baby. You think, like, the baby is possessed by a demon. The only way of helping them is by killing them, for example. Something like that. So the rates of suicide infanticide are really high. Sadly, I think there's like a 4% risk of suicide and around the same for infanticide. And that's incredibly sad. In this movie, it seems like the children were older. So again, postpartum psychosis would develop really early or up to a year. A lot of times, women with this condition end up having an underlying bipolar disorder. So, again, if you have a history of bipolar disorder, you really want to be monitored carefully. Again, it's still rare, but it could happen. But I feel like, if I remember correctly in the movie, the kids were older, so it makes me wonder if the mom had depression with psychotic features or a personality disorder. We don't really know. We don't really get to know anything about her. But I couldn't watch it this time. I had to fast forward through those scenes near the end. It was, like, way too much for me to watch. I don't know about you guys. Yeah. [47:35] Dr. Tobias Wasser: They had said in the movie and using their words at the time that his wife was insane and a manic depressive. Suicidal tendencies was how they described her to him when he was kind of. [47:48] Portia Pendleton: Coming out of right. So maybe she had some kind of bipolar disorder or schizoaffective disorder or something. [47:58] Dr. Tobias Wasser: And I think, too, I was just, like, reflecting on his trauma in the war and then coming home and kind of finding his children deceased. And then his wife kind of really flippant about it. And I think that could make a lot of people react the way he did with killing her in that moment. Emotions are so high because I was thinking it's like, why did he end up here? I might be way off here. I don't know at all. He was there not because of the crime of killing his wife, but because of his then, like, delusion after because I feel like you could kill someone and you go to jail versus, like, a forensic hospital. [48:48] Portia Pendleton: Maybe he was found not guilty by reason of insanity because they were saying maybe have happened. [48:53] Dr. Tobias Wasser: I'm assuming then for him to end up on that island versus, like, a jail. [48:57] Portia Pendleton: Right? No, I think you're right. And I think I wrote down when the team kept talking about Rachel Solano, the brunette woman who allegedly went missing, I felt like if you rewatched it, you could hear their thoughts about Teddy, right? Like, as they're all part of this big hoax. I think they're actually, like, talking to Teddy, and they said something about how the greatest obstacle to recovery is the inability to face what she's done. And I feel like that was him. And I think, like you said earlier, Tobias, it really speaks to is he delusional or an extreme denial? And we kind of saw that foundation laid. I thought with all the flashbacks to war and that he clearly had PTSD, looks like he developed an alcohol use disorder, and then this happened. Why wouldn't he still be using his excellent defense mechanisms to stay in this world of denial? Is there anything else you want to mention before we ask you your thoughts about some of our other favorite psychopaths? [50:09] Dr. Katrina Furey: No. I hate you guys at all. I welcome your psychopath. [50:16] Portia Pendleton: So you have seen the show. You right. At least some of it. [50:20] Dr. Katrina Furey: Yes. I've seen the first couple of seasons. [50:22] Portia Pendleton: I'm so jealous whenever I meet someone who isn't caught up because it's so good, and, like, season three and four are so good. So we're dying to know your thoughts about Joe Goldberg? [50:36] Dr. Katrina Furey: Yeah. And I've heard some of your guys discussions about this, about the episode, the seasons. I have seen that he is such an interesting sociopath. [50:48] Portia Pendleton: Right. [50:48] Dr. Katrina Furey: He's got this level of compassion in him that you just don't typically see. And it's confusing. I mean, like his relationship, like with. [50:59] Portia Pendleton: Paco, the little boy. [51:01] Dr. Katrina Furey: Exactly. Neighbor boy. Clearly there's some projection identification there, but there are just ways in which he clearly connects exactly in a way that you don't typically get. It makes it almost feel not real. But in my experience working with individuals with social personality disorder, and even the ones who would be identified as sociopaths, I've never come across somebody like that before. You tend to see much more callousness, much more narcissism, self directed interest. And he clearly has plenty of callousness and self directed interest and erotic fantasies and all sorts of other things. But I think that's the part to me that's most notable because it humanizes the character in a way that you almost root for him. [51:52] Portia Pendleton: Right. [51:53] Dr. Katrina Furey: Dominique, sociopathic, right? [51:56] Portia Pendleton: Yeah. What do you think about Logan Roy? Do you watch Succession? [52:06] Dr. Katrina Furey: I'm just thinking about this in anticipation of today and I guess are you guys convinced that he's a sociopath or a psychopath? I think he's an extreme narcissist, doesn't care about other people. I don't know that he purposely tries to harm me. To me, I view his character pathology as all being about himself and a way of fulfilling his own needs, seeing himself as more important than anybody else. I don't see him necessarily as like I guess he doesn't care about the rules, but it just all seems so self serving. So maybe I'm drawing the lines of distinctions that don't exist, but I don't know what you guys think. [52:47] Portia Pendleton: I still think he's very, like a malignant narcissist. However, I could maybe be convinced that this was a very intense, complex PTSD and developments of putting his own needs first to survive in a trauma informed kind of way based on the way he was brought up. Like, he doesn't know any better, but then he just does stuff to the kid, to his kids who are adults, but I always call them kids that just feel so icky and like to his grandson, and maybe he's going to poison them or not, where then I'm just like. [53:25] Dr. Katrina Furey: Yeah, that's fair. Poisoning of the children. [53:31] Portia Pendleton: That'S usually not cool. What do you think about that? [53:35] Dr. Tobias Wasser: Is that also learned? [53:37] Portia Pendleton: Right? [53:38] Dr. Tobias Wasser: This is how he was hit, or this is how you make a man, or this is how you make someone who's self sufficient views at times like Kendall and specifically, it feels like Kendall is really soft, right. Not hard enough, not like a killer. And I don't know, it's like almost his disappointment in that, because he is, but it's like he was raised that way. I think it is confusing. I mean, a lot of trauma always there seems to be. But does he love does he feel good when he hurts them because he hurts them, or does he not think about it, or does he feel like he's helping them? I don't know. [54:23] Portia Pendleton: Right. [54:25] Dr. Katrina Furey: I think I can see that, and I guess I've seen it more as maybe an adaptive behavior. I think that based on the difficult life experiences that we learned recently that he had and upbringing, the challenges he had to overcome, I think both. He literally had to overcome a lot. And it seems like there's this learned aspect that espousing a machado and a machismo. Like, this is the way that you're big and you're tough and you got to get through life to get over these things. And he does some horrible things, but usually it's to achieve some personal, self serving end. [54:59] Portia Pendleton: Usually the reason, not because he's, like, getting off on hurting someone else. [55:04] Dr. Katrina Furey: Yeah. Again. I don't pretend to fully understand logan Roy. It doesn't seem like he hurts for the sake of hurting. He seems to hurt as a means to the end of his own success and survival. [55:16] Portia Pendleton: Right? Yeah. Right. What do you think about Tom? [55:20] Dr. Katrina Furey: He's, like, slimy and slithery and will do whatever he has to do to anybody in order to get to that ultimate goal. And it's hard to know. He probably is probably born that way, whatever. But it does seem like it stems differently from this deep seated insecurity about his upbringing and always wanting something grand and great and wanting to feel grand and great. And it seems like he hopes that if he can be in the presence of greatness, then he will be great, and then he will ascend to greatness, and he'll finally, basically, finally convince Mommy to love him. [55:53] Dr. Tobias Wasser: I had the wool over my eyes for him until recently. [55:57] Portia Pendleton: That's okay, portia. You have a pure heart. You have a pure heart. Got to watch out. People like him will get you like it for real. Thank you so much, Tobias. This is super helpful. So thanks for listening to another episode of Analyze Scripts. You can find us on Instagram at Analyze scripts. You can find us on TikTok at Analyze Scripts podcast and stay tuned for our next episode, and we'll see you next Monday. Bye. This podcast and its contents are a copyright of Analyzed Scripts. All rights reserved. Any redistribution or reproduction of part or all of the contents in any form is prohibited. Unless you want to share it with your friends and rate review and subscribe, that's fine. All stories and characters discussed are fictional in nature. No identification with actual persons, living or deceased places, buildings, or products is intended or should be inferred. This podcast is for entertainment purposes only. The podcast and its contents do not constitute professional mental health or medical advice. Listeners might consider consulting a mental health provider if they need assistance with any mental health problems. Or concerns. As always, please call 911 or go directly to your nearest emergency room for any psychiatric emergencies. Thanks for listening and see you next time. [57:29] Dr. Katrina Furey: Our channel.

Overtraining syndrome is a condition that haunts many runners, often leading to a frustrating halt in their training or even forcing them to step away from the sport. In this episode, we unravel the mysteries surrounding this condition with research affiliate Jill Colangelo. We explore the signs and symptoms of overtraining syndrome and why ultrarunners should be talking about it. We also dive into the underlying physiological mechanisms, how to differentiate it from normal fatigue and the impact it can have on both the body and mind and so much more. Watch this episode on YouTube Thanks to our episode sponsor Arc'teryx Subscribe to UltraRunning Magazine Jill Colangelo is a Research Affiliate, Department of Forensic Psychiatry, University of Bern, Switzerland. Instagram: @jillcolangelopsych Website:  www.jillcolangelo.com

In this episode of "If It Bleeds It Leads," we dive deep into the world of forensic psychiatry with Dr. Sohom Das, a consultant forensic psychiatrist and expert witness. We explore his fascinating journey from growing up as an kid in a small village to discovering his passion for psychiatry during a medical school placement. We delve into the role of a forensic psychiatrist in determining offenders' mental health and criminal culpability, and discuss the challenges of treating and rehabilitating those labeled as criminally insane. We also examine the complexities of psychopathic behavior and the psychology behind major offending. Along the way, we touch on the importance of humor in dealing with dark subject matter, the misconceptions surrounding psychopathy, and the impact of the media's portrayal of psychosis. Join us for this insightful conversation and dont forget to listen and subscribe on Global Player

Welcome to PsychEd — the psychiatry podcast for medical learners, by medical learners. This episode covers the “big picture” relationship between violence and severe mental illnesses such as schizophrenia and bipolar spectrum disorders. Our guest experts in this episode are Dr. Robert McMaster, Assistant Professor of Forensic Psychiatry at the University of Toronto and Dr. Ragy R. Girgis, Associate Professor of Clinical Psychiatry at Columbia University in New York. This episode is a good companion to Episode 15: Managing Aggression and Agitation with Dr. Jodi Lofchy, which covers how to identify and manage acute risk of violence in a clinical setting. The learning objectives for this episode are as follows: By the end of this episode, you should be able to… Describe the epidemiology of violence in severe mental illness (rates of perpetration vs. victimization, risk factors, quality of evidence)  Understand and critique how society currently addresses violence in those with severe mental illness  Discuss this topic with patients, caregivers and the public, and address common myths  Guests:  Dr. Robert McMaster - Assistant Professor of Forensic Psychiatry at the University of Toronto Dr. Ragy R. Girgis - Associate Professor of Clinical Psychiatry at Columbia University in New York Hosts: Dr. Alex Raben (Staff Psychiatrist), Dr. Gaurav Sharma (PGY4), Sena Gok(IMG), Josh Benchaya (CC4) Audio editing by: Gaurav Sharma Show notes by: Josh Benchaya, Gaurav Sharma, Sena Gok   Interview Content:   Learning Objectives: 02:29 Perceptions of Violence and Mental Illness: 03:53 Mental illness & Violence Link Evidence: 06:48 Violence Perpetration & Victimisation: 10:10 Risk of Violence Assessment (HCR 20 Model): 17:00 Mass Shootings & Mental Illness & Predictions: 20:30 Violence Risk Prediction: 25:25 Severe Mental Illness & Violence Risk Treatments: 29:40 Society's approach to Severe Mental Illness & Violence Misperceptions: 38:30 Mental Illness and Violence Stigma: 45:03 Case Vignette & Approach: 46:44 Summary of the episode: 58:00   References:   de Mooij, L.D., Kikkert, M., Lommerse, N.M., Peen, J., Meijwaard, S.C., Theunissen, J., Duurkoop, P.W., Goudriaan, A.E., Van, H.L., Beekman, A.T. and Dekker, J.J., 2015. Victimization in adults with severe mental illness: prevalence and risk factors. The British Journal of Psychiatry, 207(6), pp.515-522. Desmarais, S. L., Van Dorn, R. A., Johnson, K. L., Grimm, K. J., Douglas, K. S., & Swartz, M. S. (2014). Community violence perpetration and victimization among adults with mental illnesses. American journal of public health, 104(12), 2342-2349. Metzl, J.M., Piemonte, J. and McKay, T., 2021. Mental illness, mass shootings, and the future of psychiatric research into American gun violence. Harvard review of psychiatry, 29(1), p.81.   Buchanan, A., Sint, K., Swanson, J. and Rosenheck, R., 2019. Correlates of future violence in people being treated for schizophrenia. American Journal of Psychiatry, 176(9), pp.694-701.   Rund, B.R., 2018. A review of factors associated with severe violence in schizophrenia. Nordic journal of psychiatry, 72(8), pp.561-571.   Markowitz FE. Mental illness, crime, and violence: Risk, context, and social control. Aggress Violent Behav. 2011 Jan 1;16(1):36–44.   Pescosolido BA, Manago B, Monahan J. Evolving Public Views On The Likelihood Of Violence From People With Mental Illness: Stigma And Its Consequences. Health Aff Proj Hope. 2019 Oct;38(10):1735–43.   Ross AM, Morgan AJ, Jorm AF, Reavley NJ. A systematic review of the impact of media reports of severe mental illness on stigma and discrimination, and interventions that aim to mitigate any adverse impact. Soc Psychiatry Psychiatr Epidemiol. 2019 Jan 1;54(1):11–31.   Srivastava K, Chaudhury S, Bhat PS, Mujawar S. Media and mental health. Ind Psychiatry J. 2018;27(1):1–5.   Stuart H. Media portrayal of mental illness and its treatments: what effect does it have on people with mental illness? CNS Drugs. 2006;20(2):99–106.   Rowaert S, Vandevelde S, Lemmens G, Audenaert K. How family members of mentally ill offenders experience the internment measure and (forensic) psychiatric treatment in Belgium: A qualitative study. Int J Law Psychiatry. 2017;54:76–82.   Bjørn Rishovd Rund (2018) A review of factors associated with severe violence in schizophrenia, Nordic Journal of Psychiatry, 72:8, 561-571, DOI: 10.1080/08039488.2018.1497199  References cited by our experts:   Steadman, H.J., Monahan, J., Pinals, D.A., Vesselinov, R. and Robbins, P.C., 2015. Gun violence and victimization of strangers by persons with a mental illness: data from the MacArthur Violence Risk Assessment Study. Psychiatric services, 66(11), pp.1238-1241. [00:05:26]   Appelbaum PS, Robbins PC, Monahan J. Violence and delusions: data from the MacArthur Violence Risk Assessment Study. Am J Psychiatry. 2000 Apr;157(4):566-72. doi: 10.1176/appi.ajp.157.4.566. PMID: 10739415. [00:05:26]   Torrey EF, Stanley J, Monahan J, Steadman HJ; MacArthur Study Group. The MacArthur Violence Risk Assessment Study revisited: two views ten years after its initial publication. Psychiatr Serv. 2008 Feb;59(2):147-52. doi: 10.1176/ps.2008.59.2.147. PMID: 18245156. [00:05:26]   Witt, K., Hawton, K. and Fazel, S., 2014. The relationship between suicide and violence in schizophrenia: analysis of the Clinical Antipsychotic Trials of Intervention Effectiveness (CATIE) dataset. Schizophrenia research, 154(1-3), pp.61-67. [00:08:46] Sariaslan, A., Arseneault, L., Larsson, H., Lichtenstein, P., & Fazel, S. (2020). Risk of subjection to violence and perpetration of violence in persons with psychiatric disorders in Sweden. JAMA psychiatry, 77(4), 359-367. [00:11:20] Douglas, K. S., Shaffer, C., Blanchard, A. J. E., Guy, L. S., Reeves, K., & Weir, J. (2014). HCR-20 violence risk assessment scheme: Overview and annotated bibliography. HCR-20 Violence Risk Assessment White Paper Series, #1. Burnaby, Canada: Mental Health, Law, and Policy Institute, Simon Fraser University. [00:18:53] Girgis, R.R., Rogers, R.T., Hesson, H., Lieberman, J.A., Appelbaum, P.S. and Brucato, G., 2022. Mass murders involving firearms and other methods in school, college, and university settings: findings from the Columbia Mass Murder Database. Journal of forensic sciences. [00:25:11]       CPA Note: The views expressed in this podcast do not necessarily reflect those of the Canadian Psychiatric Association. For more PsychEd, follow us on Twitter (@psychedpodcast), Facebook (PsychEd Podcast), and Instagram (@psyched.podcast). You can provide feedback by email at psychedpodcast@gmail.com. For more information, visit our website at psychedpodcast.org.  

This Week Dr. Drew is joined by Dr. Ken Duckworth & Eric Smith. Ken Duckworth, MD, serves as the medical director for NAMI, the National Alliance on Mental Illness. He is triple board certified by the American Board of Psychiatry and Neurology in Adult, Child and Adolescent, and Forensic Psychiatry and has extensive experience in the public health arena. Eric Smith is one of Ken's collaborators and a Mental Health Advocate, Public Speaker, and Consultant. Dr. Duckworth's new book 'You Are Not Alone: The NAMI Guide to Navigating Mental Health?With Advice from Experts and Wisdom from Real People and Families' is available now anywhere books are sold and you can learn more about NAMI at nami.org

#STSNation,In this episode, dive into the latest news surrounding the disappearance of Ana Walshe. Our thoughts are with Ana and her 3 young children. WE WANT TO REMIND EVERYONE THAT BRIAN WALSHE IS PRESUMED INNOCENT UNTIL PROVEN GUILTY IN A COURT OF LAWThe #BestGuests in #TrueCrime breakdown the very latest:An internationally recognized expert in the security realm, Anthony Amore has also worked in homeland security field at the federal level in aviation and facility security as well as immigration enforcement. He is also an expert in matters related to security fine art and in the theft of highly-valuable property, including rare masterpieces. He is one of the world's top experts in the field of stolen art investigations.Anthony is the best-selling author of "Stealing Rembrandts" (2011). His second book, "The Art of the Con," was published in 2015 and was a New York Times Best Seller in Crime. His next, "The Woman Who Stole Vermeer” Boston Globe: Brian Walshe and the art of the (sloppy) conDr. Daniel Bober, D.O., is board-certified in General Psychiatry, Child and Adolescent Psychiatry, and Forensic Psychiatry by the American Board of Psychiatry and Neurology. He is also a Diplomate of the American Board of Addiction Medicine, meaning he is a certified Addiction Medicine physician. #AnaWalshe #BrianWalshe #MissingMom #TrueCrime #AnaWalsheMissing #AnaWalsheCase #AnaWalsheStory #DomesticViolence #BrianWalsheArrested #BrianWalsheArriagnment #BrianWalsheSentencing #Cohasset For Ad-Free & BTS Content ...Support the show ❤️https://www.patreon.com/survivingthesurvivor

Dr Susan Trachman is a Psychiatrist, Forensic Specialist, and mental health clinician. She joins the podcast today to share some information about the role of psychiatry in legal and forensic areas, the difference between non-clinical levels of trauma & PTSD, and some of the psychological elements of the COVID crisis.  If you are in a place to do so, please consider becoming a patron Brainiac of the show at www.patreon.com/brokenbrain. Bonus episodes, merch, and more! Plus you will get that warm and fuzzy feeling only known by true patrons of the arts. 

Mickey talks with forensic psychologist Dr. Roy Lubit about child abuse in America. He has special expertise in evaluating emotional trauma in children and adults (post traumatic stress disorder-PTSD), sexual harassment/abuse and traumatic brain injury. Roy Lubit MD, Ph.D. is board certified in Forensic Psychiatry, Child and Adolescent Psychiatry, and Psychiatry and Neurology. To learn more check out RoyLubit.com. ► For more tactical training check out ConcealedCarry.com: https://www.youtube.com/c/Usafirearmtraining   RELATED PODCASTS: Best of Dr. William Aprill | Higher Line Podcast #120 Your Thoughts are not Always Your Friend | Higher Line Podcast #17 Think Strong, Be Strong with Mike Gillette | Higher Line Podcast #21   --- Music Attributions: Intro - "3rd Eye Blimp" by Otis McDonald Outro - "I Want More" by Silent Partner The Carry Trainer Higher Line Podcast is available on iTunes, Google Play, YouTube, Stitcher and most importantly CarryTrainer.com.

It’s a VERY special JoAG this week as we’re joined by Dr. Ben Duffin-Jones, a forensic psychiatrist with years of experience working in the Welsh penal system. We learn the ins, outs, ups, and downs of working to understand what makes criminals tick, and why empathy is the most important requirement for the job. Plus: Ben ranks our perfect murder strategies from episode 31!

Rx for Success Podcast is proud to be nominated in the arts category for the 2022 Columbus Podcast Awards! You can help us by VOTING FOR US. Thank you!   The CME experience for this Podcast is powered by CMEfy - click here to reflect and unlock credits & more: https://earnc.me/EHyxzT    Dr. Ravindranath Kolli, a Board-Certified Psychiatrist with specializations in Addiction,  Geriatrics, and Forensic Psychiatry, serving as the Psychiatric Medical Director of Southwestern  Pennsylvania Human Services, is a Clinical Assistant Professor of Psychiatry at the University of  Pittsburgh and West Virginia University. Dr. Kolli has over for decades of experience in the  healthcare field. He graduated from Rangaraya Medical College, NTR University of Health  Sciences Medical School in 1981. He is affiliated with medical facilities at the Washington  Health System Greene and Washington Hospital.  Dr. Kolli's association with AAPI began over two decades ago. He was involved with his  Alumni Chapter of Rangaraya Medical College, which boasts of over 500 active members, and  became its President. Later, he was elected as the President of the Telugu Medical Graduates of  USA which represents over 15,000 Telugu origin Physicians in the USA.  Dr. Kolli has previously served as the Chair of IT committee of AAPI, Convention AV  Co-Chair, a member of several Committees of AAPI including Endowment fundraising,  Geriatric, IT, GME Liaison, South Asian CVD and Childhood obesity awareness and Obesity  awareness programs and Adopt a Village Plan and more. He had served as the Secretary, Vice President and eventually as the President of Pittsburgh  TAPI in 2012-13. A Psychiatrist by profession and among the many goals Dr. Kolli has set for himself, something  very dear to him, is to “focus on battling the stigma of mental illness and access to quality mental  health care broadly and widely Group Coaching for Physicians MD Coaches is proud to offer Group Coaching for Physicians. This is a small, intimate virtual group that will help to inspire participants to experience personal and professional fulfillment. Sessions begin on Thursday, October 6th, 2022 and runs through November 10th, 2022.  You will also earn CME credits by participating! For more information or to register please visit us at mdcoaches.store   Join the Conversation! We want to hear from you! Do you have additional thoughts about today's topic? Do you have your own Prescription for Success? Record a message on Speakpipe   All The Tools You Need To Build and Scale A Integrative Health Business Get a behind the scenes look at our playbook at Texas Center for Lifestyle Medicine to see the underpinnings of how they deliver health while keeping team members fulfilled. Find out more at https://rxforsuccesspodcast.com/IPB Unlock Bonus content and get the shows early on our Patreon Follow us or Subscribe: Apple Podcasts | Google Podcasts | Stitcher | Amazon  | Spotify --- Show notes at https://rxforsuccesspodcast.com/115 Report-out with comments or feedback at https://rxforsuccesspodcast.com/report Music by Ryan Jones. Find Ryan on Instagram at _ryjones_, Contact Ryan at ryjonesofficial@gmail.com

Dr. Elizabeth Ford was the former Director of Forensic Psychiatry at Bellevue Hospital and the Chief of Psychiatry at Rikers Island. Dr. Ford has spent the majority of her 20-year career working to improve treatment for incarcerated people with serious mental illness. She is currently the Director of Mental Health/Criminal Justice Initiatives and Associate Professor of Clinical Psychiatry at Columbia University. Eileen and Dr. Ford discuss mental illness treatment within the prison system, how jails function as the largest psych wards in the United States, and the work being done to improve care behind bars.   Show links:   Follow @eileen on Instagram   Follow @killerandasweetthang on Instagram   Follow @eileeninparis on TikTok    Follow @goingmentalpodcast on Instagram   More information at: Goingmental.com     Produced by Dear Media.

Why do people commit violent crimes? Do we all have the capacity to be evil? And is it possible to change the mind of a murderer? This week on Changes, we speak to one of Britain's leading forensic psychiatrists Dr Gwen Adshead, co-author of the Sunday Times Bestseller The Devil You Know: Encounters in Forensic Psychiatry. Dr Adshead has spent over thirty years providing therapy inside secure hospitals and prisons like Broadmoor working with violent offenders who have committed terrible crimes - serial homicide, stalking, arson. Her job is to help them to better know their minds and in turn understand why people do what they do. In this conversation, we look at the concept of evil, her work and lessons learnt, her experiences and the benefits of therapy. It will challenge you, it may even change how you think about offenders and evil. See acast.com/privacy for privacy and opt-out information.

What is it like to treat some of the most troubled men and women in society? Dr Ben Cave is a forensic psychiatrist whose 35-year career has been spent helping those with mental health conditions ranging from delusional disorders to schizophrenia, steroid abuse, drug dependency, depression and more. His new book, What We Fear Most, explores what can be learnt from these often misunderstood illnesses, the people who suffer from them and those, like Ben, who treat them. Our host for this episode is Poppy Damon, senior producer for Blanchard House. Learn more about your ad choices. Visit megaphone.fm/adchoices