Transcripts For CSPAN2 Book Discussion On Shrinks 20160227 :

Transcripts For CSPAN2 Book Discussion On Shrinks 20160227

President bush invited us down and told us we had to be there at 7 in the morning every tuesday. That inclusion created a chemistry among us that allowed us to deal with a crisis and made a huge difference in a ships that came from it really made a difference in terms of what we were able to get done. Joint caucuses, opportunities for republicans and democrats to sit together and break bread together and listen to the leadership together rather than separately so these joint, maybe separate caucuses dont become pep rallies for your side. Bringing spouses together, and opportunities to get to know one another on an informal bases is the way we used to do things. It made a difference. We dont have that happening today. Several times we face the crisis of acting in the senate we would have a joint conference meeting. Tell him about the Graham Kennedy agreement. We came to terms with the house voting to impeach the president and we would have to have the trial. But we were not sure how to proceed. We had not had one in a hundred years. We came up with the idea of meeting in the Old Senate Chamber and we would have a discussion about the result. But i called on dana kaka from hawaii to open with prayer and ask for guidance on how to tell us the history about our constitutional duties and he did a good job. He opened the session and kennedy made comments, ted kennedy, and phil graham from texas. There are the polls of the parties. Conservativeconservative and liberal line of the democrats. What it sounded like was they were saying the same thing. I looked down at mac, my buddy, and i said we have the kennedygraham solution. Everybody was so excited. We broke up the session, had an agreement on how to proceed and tom said i think we should tell the press the agreement. We are going down the hall and i dont know which one said it but exactly what did we agree to . And i said i dont know either. Lets put kennedy, graham and others in a room to write up what we agreed to. We got the agreement, proceeded and did our constitutional responsibility. We did it in a way we felt was fair to all and we came out on the other side with the ability to then go back to doing legislation for the people. You can watch this and other programs online at booktv. Org. Every day books are reviewed by publications throughout the country. Here is a look at titles premiering this weekend. Jane mayors book dark money about the hidden intersection of money and politics was reviewed in the Washington Post by reporter tom hamburger. He writes, mayor takes readers through decades long efforts by charles and coch and other families to fluence politics. She makes the case antigovernment campaigns have helped wealthy elites block changes on things like climate change. She will be live next sunday at noon. In the usa today we looked at the invisibles and the lives of the africanamerican slaves that lived in the white house. Commenting on the book, it is noted holland had to dig deeply to learn about the people that cooked the president s food and tended to their family needs. There were interviews in newspapers and magazines. Mike bowdon, considered playing to the edge in the york times. It is written he does a good job of making his case. He is particularly strong on nsa data collection. He continues there are practical difficulties created by new technology and data was not being swepted without discretion. Here is a preview with the former cia director iran was the second most discussed topic in the oval office. We didnt talk about other stuff for it to be number three. It was terrorism and then it was iran. President bush and the other question he gave he was how do these guys ask these questions . This is an opec society and hard to penetrate. Watch for that and more this weekend on booktv. Thank you so much. I would like to welcome you to the alexanderia center for life science. It is new yorks first and only life science campus providing the fapharmaceutical, bio tech, and other institutes with state of the art laboratories. Our urban campus is a part of the citys life science eco system that is defined to foster innovative collaborations among new yorks world renowned academics and medical institutions and preimminent talents and top tier investment capital. And it proceeds the translation of new lifetime discovery from bench to bedside. We are the largest and leading developer uniquely focused on collaborative science and Technology Campuses and innovates in cluster locations. We have campuses all over the country and the largest life science hub, cambridge mass, San Francisco and san diego. Ten years ago there was little commercial life science in new york city. Now we are proud to be part of the citys vibrant system. In the past few months over a half dozen new Life Science Companies have been started out of new york institutions. Tr truly amazing how far we have come. Alexandria build Laboratory Buildings that are important but we build collaborative leadership through thought prarm programming events like this. Aimed at bringing the Life Science Community together around issues that have the potential to accelerate developments for lifechanging treatment in patients that need them the most. The chairman and founder of the Real Estate Equity found the summit to bring together Key Stakeholders across the life science continuum to address the most Critical Issues in drug discovery, research, development, and global health. We have had eight alexandria summits including one last january dedicated to neuroscience in which both of our speakers tonight participated. And economic consequences. According to the world health organization, worldwide depression or bipolar disease affects more than 400 million people. The social and economic costs are staggering. Severe mental disorders have been estimated to cost society 2. 5 trillion worldwide. Without an understanding of the brain they continue to destroy patients and their families, undermine Health Systems and oppose a great burden to our global economy. It is imperative we Work Together to create new fiscal and regulatory Government Policies to increase public and private funding and develop incentives for innovation and research and Drug Development and to continue to increase emphasis on Public Awareness about these diseases. We bear responsibility for convening conversations and actions that can lead to the solutions. We are honored to host this event tonight and grateful for our Ongoing Partnership with jeff and bob command as we all work to decrease stigma and improve health care for those that have brain disorders. Tonight i would like to introduce bob and jeff. I will start with bob sitting on the far left. The Senior Vice President of the Albright Stonebridge group, a leading diplomacy and Global Strategy Firm based in washington dc. Bob is more than 25 years of experience in private government and nonprofit sectors. He worked at google and public policy,policy, when the National Security program for the center for american progress, the dc think tank, advised and continues to advise fortune 500 executives, serves on the National Security council, treasury, and state departments during the clinton administration. Since 1987, when he was diagnosed with bipolar disease, bob has been an outspoken advocate for people with Mental Illness and has worked closely with leading advocacy groups. In the Clinton White house he helped advance policy to guarantee parity, coverage for Mental Illnesses. I would like to introduce doctor jeff lieberman, chair of the Psychiatry Department at Columbia University in the past president of the American Psychiatric association. Advance the understanding of the geology and treatment of schizophrenia and related psychotic disorders and has authored and coauthored over 600 papers, written or edited 11 books and Mental Illness, psychopharmacology and psychiatry and is the recipient of Many National awards. In 2000 he was elected to the National Academy of Sciences Institute of medicine, and during his term as president of the American Psychiatric association he actively contributed to government policy and legislation including the Mental Health parity and addiction equity act, the Patient Protection and Affordable Care act, the families and Mental Health crises act and was a visible a visible spokesperson for the media on Mental Illness and psychiatry. Recently in this last year he published shrinks, which we will discuss here tonight. One quick word, everyone has a copy of the book in their chair. When we finish the dialogue in here we will move to outside for a book signing and cocktails. I will turn it over to you, i guess, bob and jeff. Okay. Thank you very much. Much. Welcome, ladies and gentlemen. Thank you for coming this evening. It is an honor to host this dialogue tonight. Especially with my colleague, bob boorstin. After a long career in academic psychiatry, someone who treats patients and looking at how the field of Mental Health care is evolving and being perceived in our country, it seems to be incomprehensible that the capacity to help people would mask getting through. And when you think about it, Mental Illness barriers to treatment or lack of knowledge and lack of any affects treatment. 21st century now, the barriers or lack of awareness, shame and lack of access. And so something much more poetic. Pariahs in the palace of medicine. Shrinks is better. [laughter] that is what my editor said. And that may now turn it over to my friend, bob boorstin. One of the most interesting and admirable people that i know. Thank you very much. I am here for two reasons. The 1st is because ii am a big admirer, and you should be, too. Survived a year plus. Those ofthose of you who have any relation to the field of psychiatry should know that is one of the most difficult jobs in the country. To survive the battles on system press. Second thank him 2nd reason i am here as ii could not pass up the opportunity for role reversal. For almost 30 years now i sat and psychiatrists office and asked questions. Now. Now i get to ask the questions, if only for an hour. I promise to not incessantly then say, and how do you feel about that, jeff . We are going to talk about jeffs book, shrinks, and a few of the issues involved in Mental Health right now in american society. But before we cracked the cover of your book, jeff, let me start with the big question. And that is, people talk a lot about the term health and illness. How do you define Mental Illness . What does it really include . It is a set of disorders that are akin to how we think about respiratory disorders, cardiovascular disorders, gastrointestinal disorders. The long, hard, and stomach. Yes. Just translating for the crowd. Any organ of the body. So complex that it requires three special groups to cover it. Surgery, neurology, psychiatry. Psychiatry got the space in the brain that was the most highly evolved. Mediate the mental functions of cognition, perception, and emotion. Based on Mental Illness and the purview of psychiatry or neural psychiatry, it accomplishes what is traditionally thought of as Mental Illness, depression, bipolar disorder, schizophrenia, anxiety, eating disorder, dementia in the intellectual and mental disorders. In the addictions, alcohol and drugs. These are all effectiveness same real estate in the brain and are disturbing by varying degrees these method functions. Very expansive definition. Keeping your definition in mind, i picked up the newspaper this morning, for the young people here, this here, this is a newspaper. You might not have seen one before. Panel urges screening for maternal depression. Very interesting to me. For several several reasons, but the reason i want to ask you about it is, this is the kind of headline where people say, zero, maternal depression is now Mental Illness. And what i want to ask you, are we perhaps experiencing a little definition creep when it comes to Mental Illness . Everyone being diagnosed. In washington we talk about Mission Creep in the military. And it can be a real problem. A real problem. Do you think that it is a problem right now . It is not Mission Creep and that are apologizing for normal behavior. Dsm five came out with a book that my former friend and colleague once called saving normal. Greedy psychiatrists were coming up with a diagnosis for everything. Hangnail disease. And so that is actually untrue. The reality is the notion that everyone is so crazy and needs to shrink which is popular in the heyday of psychoanalysis from the 1950s, being analyzed with Plastic Surgery today, you know, trending. Is this dispelled . There is a bright line between the list. Everyone has problems in living in socalled issues. To find the service. Going talk about screening for depression my answer is, what took us along. Depression is the most common mental disorder in terms of population frequency. The World Bank Says that by 2020 depression will be the 2nd most expensive illness in terms of global illness. By 2030 will be the 1st. So why wouldnt we . Particularly when one in four women, pre or postpartum well have a psychiatric condition, most commonly depression. Why would we try normal prenatal care . The other group that is recommended for routine screening is the elderly. The reason for that is that geriatric depression is common in the highest suicide rate of every Demographic Group is elderly males. Tb screening, diabetes screening. This is a book that i like a lot. Not only because it is about something close to my mind and heart but also because that is one of the few non memoirs and psychiatry that is approachable and is approachable he written. Absolutely. Stalin was not too young when he wrote his command there have been others that i just terrific. But this book has both, i think, the medical and the personal. One of the reasons that it appeals. The other thing i like about it is that you do not pull your punches. You tell it like it is. End lets start with that talking about the biggest name in Mental Illness, sigmund freud. In the book you say that reading the interpretation of dreams got you thinking about having a career in psychology. But at the same time you by no means go easy on freud. In fact, at certain points in the book he seems like a villain. You write, freud ended up stranded in psychiatrys in an intellectual desert for more than half a century before eventually pushing a profession and one of the most dramatic in public crises endured by any medical specialty. So i guess my question is, what did forget right . Freud got a lot right. You know, a lot of inventors or discovers a great ideas produce works that in some ways are going to produce problems. To darwin by evolution create problems . Well, for the creationist, he did. Freud was a neurologist, by the way. He studied disorders that were ostensibly related to the grain. And at the time there was virtually no Scientific Understanding of the brain and the conditions that were associated with it ranging from stroke to brain tumors to anorexia, to psychosis, to depression. And the Research Methodology that was available to people at the time was basically digging up cadavers and dissecting them and looking for the the organs corresponded to the Homeless People have before they died. And just by his own powers of observation people coming into his office say i feel this or that and his imagination, he invented the theory of the mind. Psychology had not been invented then. And his theory of the mind was that the mind was involved at various components, not like some phenomenon. Components of the mind and that there was a process and some disturbances in the process because you feel like you are paralyzed, nothing physically wrong with you. A lot of the things that we find they still used today, the idea of the conscious and unconscious. The conscious minds. The themind. The idea of Defense Mechanisms to be rationalized, denying things. The idea of being able to have conflicts with conflicting sort of impulses or desires with moral or legal constraints. So these were seminal, not just on the order of einstein and on. Situated to problems. You never allowed his theory to be submitted to testing. He was controlling and insisted on his acolytes loyalty and obedience. And the 2nd thing that he did is that he began to applies theory to psychoanalytic and talking to severe Mental Illness. Although there are many as

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