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American Psychosis
- How the Federal Government Destroyed the Mental Illness Treatment System
- Narrated by: Stephen McLaughlin
- Length: 9 hrs and 48 mins
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Publisher's Summary
In 1963, President John F. Kennedy delivered an historic speech on mental illness and retardation. He described sweeping new programs to replace "the shabby treatment of the many millions of the mentally disabled in custodial institutions" with treatment in community mental health centers. This movement, later referred to as "deinstitutionalization," continues to impact mental health care. Though he never publicly acknowledged it, the program was a tribute to Kennedy's sister Rosemary, who was born mildly retarded and developed a schizophrenia-like illness. Terrified she'd become pregnant, Joseph Kennedy arranged for his daughter to receive a lobotomy, which was a disaster and left her severely retarded.
Fifty years after Kennedy's speech, E. Fuller Torrey's audiobook provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public.
Many now wonder why public mental illness services are so ineffective. At least one-third of the homeless are seriously mentally ill, jails and prisons are grossly overcrowded, largely because the seriously mentally ill constitute 20 percent of prisoners, and public facilities are overrun by untreated individuals. As Torrey argues, it is imperative to understand how we got here in order to move forward towards providing better care for the most vulnerable.
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What listeners say about American Psychosis
Average Customer RatingsReviews - Please select the tabs below to change the source of reviews.
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Performance
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- Kevin
- 07-13-14
Devastating analysis on US mental health policy!
What made the experience of listening to American Psychosis the most enjoyable?
This audiobook starts pretty slow, but the historical preamble sets the stage for the more-concise facts that start pouring in during the 2nd half.
The topic of mental health, de-institutionalization, lack of accountability, and for-profit "solutions" are highly relevant. Just walk in the city and you'll encounter the consequences when you pass the homeless people muttering to themselves. And that's only the portion that are not incarcerated or in for-profit nursing homes (which should be used for the elderly).
What about Stephen McLaughlin’s performance did you like?
Honestly took me a while to get used to, but the story makes up for it.
If you could give American Psychosis a new subtitle, what would it be?
When making public policy, use science/research/evidence over ideology.
In this book, the shutting down of State mental hospitals was based on ideology around society and mental health that sounded good but parts of it were simply not backed by scientific evidence (which admittedly was sparse during that time since psychiatry was still in its infancy). The movement had no chance of evolving during the Nixon/Reagen era: they not only supported privatization, they were hostile to psychiatry!
5 people found this helpful
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- Tish
- 10-21-14
The narration is quite poor.
I mean, maybe this is a good book, but it's not a good audiobook. The narration is halting and unprofessional. Narrators often over-act, which is irritating, but here there is no intonation at all. Couldn't make myself listen through it.
4 people found this helpful
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- Micah Tinkler
- 07-26-19
now I know how much I didn't know about the topic
I heard this book recommended by dr. Drew on a periscope with Scott Adams. I purchased it that same day and have been making my way through the audible book as I drive here and there doing my job. I was unconsciously incompetent on the topic. I did not know how much I did not know. Now I am consciously and confident. At least I know how much more there is that I should educate myself on regarding this topic. I cannot thank the author's enough.
3 people found this helpful
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- Nico
- 09-04-18
Good Overview of the Issue
As someone who has worked been in and out of the mental health system over several decades, I was interested in what a medical professional had to say on the issue of US mental health policy. What the book does well is give a researched account of 65 years of mismanaged mental health systems happened in the US; from state run institutions to the inept federal reform, to the current system that has placed the mentally ill into boarding homes, nursing homes, and the streets. It also discusses how the topic of mental illness has become mandated instruction to law enforcement and prisons. It's a tragic story and I think one that really explains why people are reticent to reach out for help- because you are reaching out to an ill equipped system.
However, there is a bit of bias exhibited by the author as at times he seems uninterested in viewing the mentally ill as people, with rights, dignity, and free will. This comes off as dehumanizing and devaluing. I agree that there is a portion of the mentally ill who truly have nowhere to turn to, who cannot care for themselves, are a danger to themselves or others, and really need involuntary help but that is not everyone with a mental illness.
2 people found this helpful
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- B. Jobe
- 07-31-16
Very important book for America
The book details the reason that mental healthcare in America is so dismal. This is a major reason for high costs for such poor return on healthcare dollars and it affects so many things like the acts of violence committed by some of the most seriously mentally ill. The world we live in is a dystopic future brought on in part by decisions made regarding the care of the mentally ill in this country and the ongoing poor utilization of our resources.
2 people found this helpful
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- Lefford
- 07-13-16
Very Imformative
Loved this book. I learned a great deal. I believe every civic leader and Healthcare professional dealing with those struggling with mental illness must read this book.
2 people found this helpful
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- ricky
- 06-28-16
very educational
I work as a tour guide at the old trans Allegheny lunatic asylum in Weston wv. I loved this book and found it very interesting and educational.
2 people found this helpful
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- rick ewart
- 01-12-15
An exhaustive lesson in bureaucratic blunder!
What did you love best about American Psychosis?
An honest inside view of an enormously fractured social service institution! The picture could not be made any clearer!
What was one of the most memorable moments of American Psychosis?
The depiction of the suffering endured by so many mental health patients.
Which scene was your favorite?
The portrayal of Joe Kennedy's struggle for acceptance by the societal elite and the effect his deep seeded insecurity had on his decisions.
Was this a book you wanted to listen to all in one sitting?
Yes! I am now on my second listening and intend to engage for a third to assure I have grasped as much as possible!
Any additional comments?
The burden of knowing this truth is a weight that will change the reader. Hopefully, for their betterment. American Psychosis should be mandatory reading for all public servants in all levels of public service. A tremendously comprehensive study of an ailing nation that seemingly has lost it's incentive to seek effective treatment. The beginning of healing is the knowledge of it's need! Here in AMERICAN PSYCHOSIS that need is clearly spelled out!
2 people found this helpful
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- Amazon Customer
- 10-07-19
Really Interesting and Educational
This offers a fascinating journey through the history of U.S. treatment of Serious Mental Illness since the early 1950’s, the problems facing the US today and possible solutions for treatment, homelessness, imprisonment, and community centers that have been ineffective. The author brings up some important considerations and I think it’s something that many more people need to take the time to better understand.
1 person found this helpful
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- Alisha M. Wright
- 12-17-15
Educational, but Slow Narration
Did the narration match the pace of the story?
Although the book is very educational, I find it intriguing. However, the narration is slow and monotone. I could barely tell where one sentence ended and another began. Otherwise, I am very fond of the book.
Was this a book you wanted to listen to all in one sitting?
I didn't even want to listen to it between stop lights while driving. Very slow and monotone narration. I found myself having to concentrate just to understand the point made with each sentence.
1 person found this helpful
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-
Story
A fast-paced, rollicking account of how the GOP since the 1950s has constantly encouraged and exploited extremism and paranoia to gain power, AMERICAN PSYCHOSIS offers listeners a brisk can-you-believe-it journey through the netherworld of far-right irrationality and the Republican Party’s interactions with the darkest forces of America—which culminated in Donald Trump’s triumph. It tells the hidden history of how the Party of Lincoln forged alliances with extremists, kooks, racists, and conspiracy-mongers and fueled fear, anger, and resentment to win elections.
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Important history poorly read
- By A. Hawley on 09-16-22
By: David Corn
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Crazy
- A Father's Search Through America's Mental Health Madness
- By: Pete Earley
- Narrated by: Michael Prichard
- Length: 11 hrs and 45 mins
- Unabridged
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Overall
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Performance
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Story
Pete Earley had no idea. He'd been a journalist for over 30 years, and the author of several award-winning, even best-selling, nonfiction books about crime and punishment and society. Yet he'd always been on the outside looking in. He had no idea what it was like to be on the inside looking out until his son, Mike, was declared mentally ill, and Earley was thrown headlong into the maze of contradictions, disparities, and catch-22s that is America's mental health system.
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Harrowing, Heart-Breaking
- By C. Anne on 01-28-07
By: Pete Earley
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Anatomy of an Epidemic
- Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America
- By: Robert Whitaker
- Narrated by: Ken Kliban
- Length: 13 hrs and 57 mins
- Unabridged
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Overall
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Performance
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Story
In this astonishing and startling book, award-winning science and history writer Robert Whitaker investigates a medical mystery: Why has the number of disabled mentally ill in the United States tripled over the past two decades? Every day, 1,100 adults and children are added to the government disability rolls because they have become newly disabled by mental illness, with this epidemic spreading most rapidly among our nations children. What is going on?
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The author does not use a fair scientific approach
- By Michael on 08-15-10
By: Robert Whitaker
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Insane
- America's Criminal Treatment of Mental Illness
- By: Alisa Roth
- Narrated by: Tavia Gilbert
- Length: 10 hrs and 9 mins
- Unabridged
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Overall
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Performance
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Story
America has made mental illness a crime. Jails in New York, Los Angeles, and Chicago each house more people with mental illnesses than any hospital. In this revelatory book, journalist Alisa Roth goes deep inside the criminal justice system to tell how and why it has become a warehouse where inmates are denied proper treatment, abused, and punished in ways that make them sicker. Through intimate stories of people in the system and those trying to fix it, Roth reveals the hidden forces behind this crisis and suggests how a fairer and more humane approach might look.
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Great required reading
- By K. C. H on 01-16-19
By: Alisa Roth
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No One Cares About Crazy People
- The Chaos and Heartbreak of Mental Health in America
- By: Ron Powers
- Narrated by: Ron Powers
- Length: 14 hrs and 49 mins
- Unabridged
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Overall
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Performance
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Story
New York Times-best-selling author Ron Powers offers a searching, richly researched narrative of the social history of mental illness in America paired with the deeply personal story of his two sons' battles with schizophrenia. From the centuries of torture of "lunatiks" at Bedlam Asylum to the infamous eugenics era to the follies of the anti-psychiatry movement to the current landscape in which too many families struggle alone to manage afflicted love ones, Powers limns our fears and myths about mental illness and the fractured public policies that have resulted.
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Could Have Been Better
- By Laurie on 06-18-18
By: Ron Powers
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Mad in America
- Bad Science, Bad Medicine, and the Enduring Mistreatment of the Mentally Ill
- By: Robert Whitaker
- Narrated by: Chris Kayser
- Length: 13 hrs and 15 mins
- Unabridged
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Overall
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Performance
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Story
Schizophrenics in the United States currently fare worse than patients in the world’s poorest countries. In Mad in America, medical journalist Robert Whitaker argues that modern treatments for the severely mentally ill are just old medicine in new bottles, and that we as a society are deeply deluded about their efficacy. The widespread use of lobotomies in the 1920s and 1930s gave way in the 1950s to electroshock and a wave of new drugs.
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Essential Reading to Understand Modern Psychiatry
- By James H. Walter on 10-15-16
By: Robert Whitaker
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American Psychosis
- A Historical Investigation of How the Republican Party Went Crazy
- By: David Corn
- Narrated by: Steven Jay Cohen
- Length: 17 hrs and 32 mins
- Unabridged
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Overall
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Performance
-
Story
A fast-paced, rollicking account of how the GOP since the 1950s has constantly encouraged and exploited extremism and paranoia to gain power, AMERICAN PSYCHOSIS offers listeners a brisk can-you-believe-it journey through the netherworld of far-right irrationality and the Republican Party’s interactions with the darkest forces of America—which culminated in Donald Trump’s triumph. It tells the hidden history of how the Party of Lincoln forged alliances with extremists, kooks, racists, and conspiracy-mongers and fueled fear, anger, and resentment to win elections.
-
-
Important history poorly read
- By A. Hawley on 09-16-22
By: David Corn
-
Crazy
- A Father's Search Through America's Mental Health Madness
- By: Pete Earley
- Narrated by: Michael Prichard
- Length: 11 hrs and 45 mins
- Unabridged
-
Overall
-
Performance
-
Story
Pete Earley had no idea. He'd been a journalist for over 30 years, and the author of several award-winning, even best-selling, nonfiction books about crime and punishment and society. Yet he'd always been on the outside looking in. He had no idea what it was like to be on the inside looking out until his son, Mike, was declared mentally ill, and Earley was thrown headlong into the maze of contradictions, disparities, and catch-22s that is America's mental health system.
-
-
Harrowing, Heart-Breaking
- By C. Anne on 01-28-07
By: Pete Earley
-
Anatomy of an Epidemic
- Magic Bullets, Psychiatric Drugs, and the Astonishing Rise of Mental Illness in America
- By: Robert Whitaker
- Narrated by: Ken Kliban
- Length: 13 hrs and 57 mins
- Unabridged
-
Overall
-
Performance
-
Story
In this astonishing and startling book, award-winning science and history writer Robert Whitaker investigates a medical mystery: Why has the number of disabled mentally ill in the United States tripled over the past two decades? Every day, 1,100 adults and children are added to the government disability rolls because they have become newly disabled by mental illness, with this epidemic spreading most rapidly among our nations children. What is going on?
-
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The author does not use a fair scientific approach
- By Michael on 08-15-10
By: Robert Whitaker
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The Myth of Mental Illness
- Foundations of a Theory of Personal Conduct
- By: Thomas S. Szasz MD
- Narrated by: Tom Parks
- Length: 11 hrs and 45 mins
- Unabridged
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Overall
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Performance
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Story
Thomas Szasz's classic book revolutionized thinking about the nature of the psychiatric profession and the moral implications of its practices. By diagnosing unwanted behavior as mental illness, psychiatrists, Szasz argues, absolve individuals of responsibility for their actions and instead blame their alleged illness. He also critiques Freudian psychology as a pseudoscience and warns against the dangerous overreach of psychiatry into all aspects of modern life.
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Good format for initial exposure to the material.
- By Anonymous User on 11-29-21
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Surviving Schizophrenia, 6th Edition
- A Family Manual
- By: E. Fuller Torrey MD
- Narrated by: Matthew Josdal
- Length: 15 hrs and 30 mins
- Unabridged
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Overall
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Performance
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Story
Since publication in 1983, Surviving Schizophrenia has become the standard reference book on the disease and has helped thousands of patients, their families, and mental health professionals. In clear language, this much-praised and important book describes the nature, causes, symptoms, treatment, and course of schizophrenia and also explores living with it from both the patient's and the family's point of view. This new, completely updated sixth edition includes the latest research findings on what causes the disease, as well as information about the newest drugs for treatment.
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Bad narrator
- By Amazon Customer on 04-10-18
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Healing
- Our Path from Mental Illness to Mental Health
- By: Thomas Insel
- Narrated by: Thomas Insel
- Length: 9 hrs and 11 mins
- Unabridged
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Overall
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Performance
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Story
The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken - and what a better path to mental health might look like.
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What is the Point Doubting Thomas?
- By Wild on 02-25-22
By: Thomas Insel
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Saving Normal
- An Insider’s Revolt Against out-of-Control Psychiatric Diagnosis, DSM-5, Big Pharma, and the Medicalization of Ordinary Life
- By: Allen Frances MD
- Narrated by: Paul Boehmer
- Length: 11 hrs and 53 mins
- Unabridged
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Overall
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Performance
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Story
In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: Stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation.
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Right on the money
- By Mentecuerpo on 03-29-19
By: Allen Frances MD
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Waiting for an Echo
- The Madness of American Incarceration
- By: Christine Montross
- Narrated by: Christine Montross
- Length: 10 hrs and 8 mins
- Unabridged
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Overall
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Performance
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Story
Dr. Christine Montross has spent her career treating the most severely ill psychiatric patients. Several years ago, she set out to investigate why so many of her patients got caught up in the legal system when discharged from her care - and what happened to them therein. Waiting for an Echo is a riveting, rarely seen glimpse into American incarceration. It is also a damning account of policies that have criminalized mental illness, shifting large numbers of people who belong in therapeutic settings into punitive ones.
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life changing
- By Diana Kiesel on 08-05-20