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Mad in America: Rethinking Mental Health

The Mad in America podcast, hosted by James Moore, examines mental health with a critical eye by speaking with psychologists, psychiatrists and people with lived experience.

When you hear such conversations, you realise that much of what is believed to be settled in mental health is actually up for debate. Is mental health a matter of faulty biology or is there more to it? Are the treatments used in psychiatry helpful or harmful in the long term? Are psychiatric diagnoses reliable? With the help of our guests, we examine these questions and so much more. 

This podcast is part of Mad in America’s mission to serve as a catalyst for rethinking psychiatric care and mental health. We believe that the current drug-based paradigm of care has failed our society and that scientific research, as well as the lived experience of those who have been diagnosed with a psychiatric disorder, calls for profound change. 

On the podcast over the coming weeks, we will have interviews with experts and those with lived experience of the psychiatric system. Thank you for joining us as we discuss the many issues around rethinking mental health around the world.

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Mar 21, 2020

This week on MIA Radio, we chat with Paula J. Caplan. Paula is a clinical and research psychologist, author of books and plays, playwright, actor, director, and activist. She was born and raised in Springfield, Missouri, attended Greenwood Laboratory School, received her A.B. with honors from Radcliffe College of Harvard University, and received her M.A. and Ph.D. in psychology from Duke University.

Currently, she is an Associate at the Du Bois Institute, Hutchins Center for African and African American Research, Harvard University. She has been a Fellow at the Women and Public Policy Program of the Kennedy School of Government at Harvard; a Lecturer in Harvard's Program on Women, Gender, and Sexuality in the Psychology Department. She is former Full Professor of Applied Psychology and Head of the Centre for Women's Studies in Education at the Ontario Institute for Studies in Education, and former Lecturer in Women's Studies and Assistant Professor of Psychiatry at the University of Toronto.

Paula is also a passionate and steadfast advocate for service members, veterans and their families. She has written: When Johnny and Jane Come Marching Home: How All of Us Can Help Veterans and has founded the Listen to a Veteran! Project.

In this interview, we discuss Paula’s work to support service members, veterans and their families, and the role psychiatric drugs have played in harming these communities.

We discuss:

  • Paula’s experiences that drove her towards working in mental health and advocating for veterans, which came from her father’s service in World War II. This included combat in the Battle of the Bulge.
  • After hearing her father’s story that had been recorded as part of a history project, she learned her father had been a forward observer, and as result learned he had been on the front lines of the war. This led to her realizing that most American’s don’t understand military service and the only way of doing this, is through hearing veterans’ stories.
  • Prior to the invasion of Iraq, she became concerned about the care of service members of veterans and veterans upon their return from war, and more concerned of the “psychiatrization”, diagnosing and prescribing psychiatric drugs to veterans.
  • To get started in her efforts, she began by listening to a veteran share his experiences with her. The veteran talked for three hours, and Paula just listened. The next day, he called her and thanked her for listening, as he got a good night sleep for the first time in years.
  • This led to her starting Listen to a Veteran, which was originally called “When Johnny and Jane Come Marching Home”. As part of this initiative, a veteran of any era can meet with another person who has volunteered to listen to the veteran share any stories or experiences they’re interested in sharing.
  • Paula has faced barriers in getting this program expanded to the VA or throughout the “mainstream” mental health community because the system has been created to function based upon current “evidenced-based” best practices.
  • How Paula is positive that we are currently causing harm to veterans and that alternative approaches need to immediately be implemented throughout the Department of Defense and Department of Veterans Affairs.
  • How “therapy” needs to be dropped from the terms “art therapy”, “music therapy” and the like, so we can stop pathologizing individual experiences, and instead support people in doing things that improve their overall well-being.
  • Any veterans who want to be a listener as part of Paula’s Listen to a Veteran initiative, or would like to have someone listen to them, they can go to