Psyched! With Paul Applebaum, MD: The Transformation of Ethics In Psychiatry

Paul Appelbaum, MD

PSYCHED! A PSYCHIATRY PODCAST
with David Carreon, MD and Jessica A. Gold, MD, MS
 

About Psyched!
We answer your call for psychiatry and mental health topics with our new podcast. We are two psychiatrists, David Carreon, 100%-nerd with a side of philosophy, and Jessi Gold, down-to-earth, empathic and, at times, sarcastic.

We're starting a podcast called "Psyched!" aimed to communicate stories in neuroscience and psychiatry to a wider audience. We're targeting psychiatrists as our primary listeners, but we hope to have a program that's accessible, entertaining, and informative for a broader audience.

Basically, we want to be The Economist for psychiatry. We'll cover everything from the foundational to the cutting-edge, from the popular to the weird. We hope to capture and communicate the excitement of psychiatry, and have fun while doing it.

http://psyched.space

Our Conversation This Month
Our discussion this month was with Dr. Paul Appelbaum. It ranged from the history of current settled ethical positions to hot issues in ethics and law in psychiatry today. We discuss the history of involuntary hospitalization, genetics, human freedom, and responsibility and how these issues impact practitioners, patients, the legal system, and the general view of psychiatry in the public.

Also, in the context of recent political events, we discuss the Goldwater Rule, which prohibits psychiatrists from commenting on the mental health of public figures and really try to understand its origins and purposes to the field of psychiatry.

About Paul Appelbaum

Paul S. Appelbaum, MD, is the Elizabeth K. Dollard Professor of Psychiatry, Medicine and Law, and Director, Division of Law, Ethics and Psychiatry at Columbia. Dr. Appelbaum went to Harvard Medical School and his residency at Massachusetts mental health center. Dr. Appelbaum is Past President of the American Psychiatric Association, the American Academy of Psychiatry and the Law, and the Massachusetts Psychiatric Society, and has twice served as Chair of the Council on Psychiatry and Law and of the Committee on Judicial Action for the American Psychiatric Association (APA). Dr. Appelbaum is currently Chair of the DSM Steering Committee for APA, and of the Standing Committee on Ethics of the World Psychiatric Association. Dr. Appelbaum performs forensic evaluations in civil and criminal cases, and treats patients with a broad variety of problems, including depression, anxiety, and adjustment problems. Twitter: @appelbap

About David

David Carreon, MD, studied engineering at UCLA where he developed a love for science working on mechanically probing the rigidity of single cells. He completed his degree and moved on to medical school at Stanford. He took a leave of absence and moved to Kenya for a year to work as the medical lead for a Stanford-launched, anti-poverty startup called Nuru. Upon returning, he developed an interest in psychiatry and neuroscience, with a focus on cognitive control, an interest that has continued as he graduated medical school at Stanford and continued into psychiatry residency at Stanford. His research has involved multiple modalities, including designing one naturalistic project involving experience-sampling method approaches to understand self-control "in the wild." He has used TMS to try to modify inhibition control in an experimental fashion, and had looked at the role of executive function in mental illness via meta-analysis of neuroimaging studies. He is currently working on analyzing objective measures of cognition in post-war psychopathology and studying how these measures relate to subjective symptoms and neurological measurements. He also loves teaching, particularly neuroscience, and has spoken dozens of times to over 8,000 people.

Twitter: @davidcarreon

About Jessi

Jessica ("Jessi") Gold, M.D., M.S. is a fourth-year resident and chief in Psychiatry at Stanford University. She was an undergraduate majoring in Anthropology at the University of Pennsylvania where she was a Benjamin Franklin Scholar and graduated Phi Beta Kappa in 2009. She also received a Masters in Science in Anthropology from Penn at the same time, using qualitative methods to study premedical education for her thesis work. She received her medical degree from the Yale University School of Medicine and graduated in 2014. While at Stanford, her primary interests are medical education, physician wellness, and the media portrayal of psychiatry as it relates to stigma. She enjoys both academic and popular press writing, frequently blogging for the Huffington Post and won the 2016 Psychiatric Times essay contest for her article titled "The Mirror." In her spare time, she spends time with her dog, her friends, playing bar trivia, and her growing extended family of 7 total nieces and nephews.

Twitter: @drjessigold

Acknowledgement

Thanks to Sam Taylor for the intro music. Check out his other original music at youtube.com/samtaylorsound.

Disclosures:

The opinions expressed herein are solely our own as psychiatry trainees and mental health advocates. We receive no support from any pharmaceutical or device company.