What podcasts say about Andrew T. Scull
Every statement, with the speaker, the exact quote and the moment it was said.
What Andrew T. Scull has said on podcasts
47 statements · 13 positive · 25 negative · 3 mixed · 6 neutral
Psychiatry currently offers symptomatic treatments rather than cures.
“What we have available to us are symptomatic treatments, not cures.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 10:57
Trauma confrontation during PTSD treatment can worsen symptoms for many patients.
“for many patients, it actually makes things worse.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 12:07
Antipsychotics and antidepressants are partially effective and fail for many patients.
“they're at best partially effective and they don't work for a significant fraction of patients who are given them.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 12:27
DSM-III was created because psychiatrists showed poor diagnostic agreement.
“that diagnostic system came into being because psychiatrists had a very hard time agreeing with one another about what was wrong with somebody.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 14:00
Reliable DSM diagnoses may not validly represent underlying psychiatric reality.
“that conclusion may or may not reflect the underlying reality of things”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 17:25
NIMH-funded neuroscience and genetics research produced no improvement for mentally ill people.
“after spending $20 billion, the lot of the mentally ill has improved not one bit”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 20:04
NIMH increasingly treated mental illness as purely brain disease.
“NIMH increasingly focused on the idea that mental illness was purely a brain disease.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 20:55
Social factors play an important role in developing mental illness.
“there's abundant evidence from epidemiology that social factors play an important role, in the development of mental illness.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 23:13
Traditional psychiatric categories are increasingly viewed as unstable or potentially misleading.
“the categories that we have all become familiar with, that we've been told are real diseases like bipolar disorder, schizophrenia, major depression, are beginning to falter.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 26:47
Community care failed to provide adequate substitutes for psychiatric asylums.
“community care is a shell game without a pea.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 37:10
Early asylums helped some patients and enabled some recoveries.
“I do believe the early asylums actually did good work and that some patients did very well and recovered as a result of their stays.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 45:18
The scientific basis of lobotomy was weak.
“the science behind it was shaky”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 57:46
Claims about malarial treatment curing syphilitic insanity were greatly exaggerated.
“those claims were wildly exaggerated, but they were widely accepted.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:08:57
Insulin coma therapy failed controlled clinical testing.
“when they were subjected to a controlled trial, they failed it.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:25:39
ECT appears effective for severe, especially suicidal, depression.
“it seems to work in cases of depression, suicidal depression particularly.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:32:05
Muscle relaxants largely eliminated fractures associated with ECT.
“you did eliminate the fractures.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:34:47
ECT temporarily alleviates psychiatric symptoms rather than curing them.
“it temporarily alleviates the symptoms”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:35:20
Three hundred genetic variants explain about ten percent of schizophrenia susceptibility.
“if we use 300 small variations in the genome, we can account for about 10% of schizophrenia.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:42:34
Ketamine and psychedelics are being promoted as miracle cures for depression.
“I see ketamine and psychedelics being propounded as a miracle cure for depression”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:45:17
Evidence supporting ketamine and psychedelics as depression cures is very weak.
“the evidence for that is enormously weak”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:45:25
Negative findings are important for scientific progress.
“negative findings are very important in science.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:47:40
ECT was used as a disciplinary tool in many mid-century mental hospitals.
“ECT was used in the '50s and '60s as a tool of discipline in the hospitals.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 1:57:10
Recent controlled trials provide enough evidence that ECT benefits some patients.
“there's enough evidence now that it's hard to say this never works.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 2:01:03
Up to one-quarter of soldiers experienced psychological breakdown in combat conditions.
“In combat conditions, as much as 25% of the soldiers broke down.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 2:44:50
CBT-style therapies can be standardized, reproduced, and empirically tested.
“these therapies could be packaged. They could be reproduced. They could be tested to see whether they worked.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 2:50:37
CBT may outperform antidepressants for milder depression with fewer side effects.
“for the milder forms depression, I think CBT works better than the drugs without some of the side effects that the drugs have.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 2:54:58
CBT substantially improves outcomes for some patients.
“for some patients, this really does seem to improve things quite a lot.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 2:56:22
Psychopharmacology emerged accidentally rather than from planned psychiatric drug development.
“the idea that a drug might be used to actually attack the underlying problem, it emerged by accident”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 2:58:16
Antipsychotics reduce agitation, delusions, and hallucinations for many patients.
“they reduce the agitation, they reduce the delusions and the hallucinations”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 3:07:45
Antipsychotics have limited effect on schizophrenia’s negative symptoms.
“the negative side of things, not so much or not at all.”
Open the episode · #502 – Psychiatry, Insane Asylums, Mental Illness, ECT, Lobotomies, Freud & JungListen at 3:09:19
Statements are attributed to the speaker as said on the episode and reflect their view at the time, not PodLume's. They are not advice.