Michael Garrett MD is professor emeritus of Clinical Psychiatry at SUNY Downstate Medical Center in Brooklyn, and previously served as medical director of the Department of Psychiatry at North Central Bronx Hospital, and Deputy Director of Psychiatry at Bellevue Hospital Medical Center in Manhattan. He is the author of Psychotherapy for Psychosis: Integrating Cognitive-Behavioral and Psychodynamic Treatment, which won Second Place in the American Journal of Nursing Book of the Year Award, Psychiatric and Mental Health Nursing Category. His clinical and academic work has focused on better understanding the experience of psychosis and how it can be effectively treated with psychotherapy.

In this episode, Bruce talks to Michael about his experience working with clients exhibiting schizophrenia and other psychotic symptoms. Michael explains his understanding of psychosis as originating from a combination of biological predispositions and environmental factors and describes how his integration of both cognitive behavioral and psychodynamic approaches has helped numerous patients who would be considered untreatable by anything other than medication under the previous paradigm. He shares his hopes for the future of psychotherapeutic interventions for psychosis while recognizing that the field is still in the very early stages of understanding how to treat these extremely difficult cases.

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major" http://www.makingtherapybetter.com

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Jerome is a Professor of Social Work at New York University as well as a member of the American Academy of Social Work and Social Welfare, and has sat on editorial boards for the Clinical Social Work Journal and Evolutionary Psychology. He is the author of more than 300 publications appearing in journals in psychology, philosophy, psychiatry, psychoanalysis, and social work, and a number of books, including The loss of sadness: How psychiatry transformed normal sorrow into depressive disorder, which was named Best Psychology Book of 2007 by the Association of American Publishers

In this episode, Bruce and Jerome talk about the history of the DSM and psychiatric diagnosis, and Jerome’s working definition of mental disorder as a harmful deviation from biologically designed functioning. They also touch on the fact that a large portion of people who benefit from psychotherapy are not actually suffering from a diagnosable disorder. Jerome criticizes the current system that requires a diagnosis for insurance reimbursement and the difficult ethical situation this forces clinicians into. Finally, they discuss more generally the problems caused by the medicalization of mental health care and how to move forward.

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

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Making Therapy Better is sponsored by CarePaths https://www.carepaths.com

Nancy McWilliams, PhD is emerita visiting professor of Psychology at Rutgers University and a former president of the American Psychological Association’s Division of Psychoanalysis. She is the author of several books including Psychoanalytic Diagnosis, and Psychoanalytic Psychotherapy: a Practitioner’s Guide. She is the recipient of numerous awards, including the Rosalee Weiss Award, the Laughlin Distinguished Teacher award, and awards for Leadership, Scholarship, and International Academic Excellence from the APA Division of Psychoanalysis. She also maintains a private practice in Lambertville, New Jersey.

In this episode, Nancy talks to Bruce about why she favors a psychoanalytic approach to treatment, and how this perspective informs her thinking about diagnosis and supervision. They discuss why psychoanalytic therapy is relevant to lived experiences of therapists and clients rather than simply an interesting historical artifact, as well as the place it might hold in the evolving landscape of mental health care.

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The intro and outro music is the Borromeo String Quartet performing Beethoven's "String Quartet No. 3 in D Major"

http://www.makingtherapybetter.com

Making Therapy Better is sponsored by CarePaths https://www.carepaths.com