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Psychiatric Casualties

Dr. Mark Russell & Dr. Charles Figley

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This podcast is a clinical exploration into the untold truth of military mental healthcare from two insiders. Join Navy Veteran and psychologist, Mark Russell and Marine Veteran and psychologist, Charles Figley as they explore evidence of preventable generational wartime mental health crises, the "dark side" of the military's long-standing strategies to deal with its mental health dilemma, and what is required to truly transform behavioral health both within and outside of military populatio ...
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Editor Lisa Dixon, M.D., M.P.H., and Podcast Editor and Co-Host Josh Berezin, M.D., M.S., discuss key aspects of research recently published by Psychiatric Services (https://ps.psychiatryonline.org/), a journal of the American Psychiatric Association. Tune in to Psychiatric Services From Pages to Practice to learn about the latest mental health services research and why it is relevant. Topics include community-based treatment programs, collaborative care, evidence-based treatment and service ...
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Sylvio Burcescu MD tackles a variety of issues relating to psychiatry in a manner that is accessible to both newly interested and advanced learners. No mystical or spiritual fiction. Only logic, reason and randomization -, double blinding - placebo controlled based conclusions.
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Psychiatric Nurse Practitioner Podcasts

Anna Sanchez, MSN, APRN, PMHNP-BC, FNP-C

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Psych Nurse Practitioner podcasts discuss topics related to mental health. It is important that we continue our advocacy, education, stigma reduction and leadership in the realms of mental health. Listen in weekly for up to date research, conversations and stories. Nurse practitioners are expertise in their field of work.
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Listen to 15-20 minute long interviews of experts on various topics related to mental and general health. The topics will be continuously expanded. The interviews are designed for both professionals and non-professionals. Topics range from climate change issues and the basis of new medication research, COVID-19 issues, the effect of media on girls's self-images, discussions of violence, same-sex marriages, pollution, bullying, divorce, OCD, addictions, borderline personality disorders, menta ...
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Send us a text This week's episode discusses the history of the New Jersey State Insane Asylum from World War I until just before the Great Depression. Find out what circumstances led to the on-the-job death of the superintendent and find out what changes were made after a new superintendent took over. Finally, learn which ward was a favorite among…
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Discover why the military continues to ignore the full cost of war and how a Behavioral Health Corps could be the solution to this pressing issue. With insights from over 214 investigations and comparisons to international military practices, this episode sheds light on the urgent need for change. Don't miss this compelling discussion on the invisi…
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Send us a text This week's episode examines the first couple decades of the State Asylum for the Insane in Morristown, New Jersey. Find out what an average day was like at the asylum, what treatments and entertainments were offered, and how long it took for the massive building to become overcrowded. Primary sources include the Images of America bo…
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In this compelling episode of Psychiatric Casualties, Mark and Charles explore the chronic lack of accountability within the military's mental health system, discussing the failure to learn from past war trauma lessons and the resulting generational crises. The episode highlights the fragmented organizational structure that prevents effective menta…
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Send us a text This week's episode looks at the final decades of Volterra Lunatic Asylum through the lens of three different physicians who each left a lasting impact on the hospital: Dr. Claus Schilling, Dr. Franco Basaglia, and Dr. Gino Basci. Find out which doctor was later tried for war crimes and which one would go on to create the most radica…
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Mark and Charles continue the second part of discussion into the controversial topic of faulty diagnoses and backdoor discharges. They explore the historical and ongoing neglect of veterans suffering from conditions like PTSD, examining how military policies have prioritized expediency over proper care. With insights from congressional investigatio…
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Send us a text This week's episode covers a particularly turbulent time in Italian history: from WWI to WWII and the birth of the Republic. Find out how Volterra Lunatic Asylum fared during wartime and why it began to help feed the surrounding city of Volterra. Learn why the hospital superintendent was forced to retire after 34 years on the job. Di…
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Mark and Charles dig into the dark side strategies of military mental health care, focusing on the systemic issues of faulty diagnosis and backdoor discharges. As they navigate through Chapter 9 of their book, they shed light on how the military's implicit policies have historically neglected the psychiatric needs of service members, leading to unj…
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Send us a text In this week's episode, we head to Tuscany, Italy, to the hilltop town of Volterra. Learn about the early history of the Volterra Lunatic Asylum, the political climate of Italy at the time, and the controversial treatments of the first asylum director, Dr. Luigi Scabia. Finally, hear the stories of two artists who were sent to Volter…
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Dr. Mette Ødegaard Nielsen (Unit for Complicated Schizophrenia, Glostrup, Denmark) joins Dr. Dixon and Dr. Berezin to discuss patient motivations and experiences of antipsychotic medication tapering at a clinic in Denmark. Transcript 01:02 Nielsen interview 02:22 Tapering medication 04:09 Controversies around tapering 07:07 Debilitating effects of …
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This week's episode pivots around the military's tactics of delay and deception in addressing the psychological impact of warfare, exploring how these issues ripple through generations of military families. They discuss the historical context of mental health care in the military, revealing shocking truths about the lack of transparency and account…
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Send us a text This week's episode is perfectly-timed for Halloween! Learn about Rolling Hills Asylum as a haunted attraction and what draws people to the site. Find out about the staff and patients who lived at the poor farm and whose spirits are said to roam the halls still. Discover what is so creepy about the "Christmas Room" and what happens t…
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Mark Russell and Charles Figley explore the military's strategies of delay and deception in addressing psychiatric casualties of war, as detailed in Chapter 8 of their book. Mark highlights the systemic issues that prevent effective mental health care for service members. The discussion sheds light on the historical and ongoing challenges faced by …
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Send us a text This week we discuss the history of Rolling Hills Asylum, which was known as the Genesee County Poor Farm while it was in operation. Learn about the historical context that shows why poorhouses started in New York. Find out about the doctor that exposed the horrific conditions that poor and mentally ill folks were living in. Finally,…
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Send us a text This week's episode tells the stories of six survivors of Ireland's Magdalen laundries and orphanages. Learn what their typical work day was like, what punishments they experienced, and what the long-term consequences were of incarceration at the laundries. My main sources for this episode include the 1998 documentary Sex in a Cold C…
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In this episode, Mark and Charles explore the historical context of psychiatric screenings, the purging of perceived weaknesses, and the staggering rates of psychiatric casualties from the Civil War to modern-day conflicts. The discussion highlights the flawed policies, the stigmatization of mental health, and the hidden PTSD among elite forces. Tu…
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Send us a text This week's episode discusses the history of Magdalen Asylums (also called Magdalen Laundries) in England and Ireland. Focus lies primarily on the history of these laundries in Ireland. Find out how and why these asylums started, how many there were of them in England and Ireland, and what finally brought them to a close. My primary …
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Send us a text This week's episode features the story of "Tammy," a survivor of Goodna/Wolston Park Mental Hospital, in her own words. The focus of her story lies in the aftermath of her time spent in institutions and how her hospitalization has affected the rest of her life. Trigger warnings for this episode include the use of explicit, outdated, …
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Mark and Charles talk about Chapter 7 of their book, "Psychiatric Casualties," focusing on the military's strategy of purging weakness to avoid learning from war trauma. They discuss the historical context of trauma pension debates, the ineffectiveness of psychiatric screenings, and the ongoing struggle to recognize PTSD as legitimate suffering. Th…
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Maggi A. Price, Ph.D., M.A. (School of Social Work, Boston College) joins Dr. Dixon and Dr. Berezin to discuss gender-affirming psychotherapy (GAP), a comprehensive, evidence-informed, and human-centered set of practices focusing on the treatment of transgender youth developed by Dr. Price and colleagues. The training discussed in the podcast is av…
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Send us a text This week's episode tells the story of Jean, who later went by Erin, and her experience at multiple adolescent treatment facilities in Queensland, including Goodna/Wolston Park Mental Hospital. She also discusses the lasting effects her childhood had on her life. Trigger warnings for this episode include mention of sexual abuse, phys…
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Send us a text This week's episode examines the history of Goodna Mental Hospital, which also went by Brisbane Mental Hospital, Brisbane Special Hospital, and Wolston Park Mental Hospital during the years between 1937 and its closure in 2001. Find out what controversial treatments were used there and why the treatments took an almost 10 year hiatus…
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Today's episode taps into the discussion of the historical context of denial in military mental health, the consequences of this denial, and the ongoing challenges faced by service members. Mark and Charles also touch on their personal anecdotes, the role of denial in both adaptive and maladaptive forms, and the importance of accountability and sys…
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Send us a text This week's episode discusses the early history of Woogaroo Lunatic Asylum/Goodna Hospital for the Insane. Find out why the asylum had to be moved and rebuilt several times during its early years. Learn about the superintendents that were crucial to shaping the future of the hospital. Discover what "treatments" were offered to return…
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Send us a text This week we head down under to Queensland to learn about Ipswich Mental Hospital, which went by many other names during its 120 year history. Find out which name is the reason this hospital was selected (I promise you'll be able to tell!). Discover how the area went from a formal penal colony to discovering coal to housing a small b…
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In this episode, Charles Figley, along with Mark Russell and Kathy Regan Figley, discuss the chronic neglect of psychiatric casualties and how the military frequently ignores the full cost of war. The conversation touches on a range of topics, including traumatic memories, fear-related symptoms, and the systemic issues that prevent proper mental he…
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Send us a text This week we travel to South Korea to the defunct Gonjiam Psychiatric Hospital, which was once named the third most haunted place in South Korea and one of the freakiest places in the world. Learn about the legends and myths surrounding the facility, as well as the very real history of mental health treatment in 20th century South Ko…
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In this episode, Kathy Figley joins Mark and Charles in focusing on the stigmatization and systemic barriers that prevent service members from seeking necessary treatment. Kathy, who brings her unique perspective as a wife, first responder, and traumatologist works collectively with Mark and Charles as they explore the dark side strategies used to …
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Dr. Sharon Hoover (University of Maryland School of Medicine, Baltimore) joins Dr. Dixon and Dr. Berezin to discuss the provision of mental health services in schools: why it matters, who it touches, how it’s funded, and how it’s doing. 01:15 Background 02:46 Provision of school mental health 09:56 How mental health services differ between ages and…
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Send us a text This week's episode concludes the series on Seacliff Mental Hospital and the story of New Zealand writer Janet Frame. Find out why Frame was sent to Seacliff, how many psychiatric hospitals she would be admitted to, and how her writing actually saved her life. The main source for this episode is Janet Frame's autobiography An Angel a…
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Send us a text This week's episode examines the childhood and young adulthood of New Zealand writer Janet Frame. Learn what it was like for Frame growing up during the Great Depression and World War II, all while hoping to learn to develop and perfect the craft of writing. This episode includes excerpts from very early in her writing career. The ma…
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In this powerful episode, Mark and Charles talk about weaponizing stigma with special guest Kathy, a seasoned mental health professional and disaster responder. Together, they explore the institutional, public, and self-stigma that surrounds mental health in the military, drawing parallels with first responders and disaster workers. Through persona…
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Send us a text This episode features one of Janet Frame's short stories, "Gorse is not People," which was featured in The New Yorker on August 25, 2008. Link here: https://www.newyorker.com/magazine/2008/09/01/gorse-is-not-people References to this work are from part two of Janet Frame's autobiography, An Angel at my Table. Check out our Patreon: h…
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Send us a text This week's episode discusses the life, crime, and escapes of Lionel Terry. Find out what brought him to New Zealand and why he committed this hate crime. Learn about how he escaped from both Sunnyside Mental Hospital and Seacliff Mental Hospital multiple times and who finally convinced him to stay. Trigger warning for strong racist …
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"Less than 1% of our society today decides to join the military, and I think it justifies providing differential treatment towards veterans, particularly combat veterans." ~ Mark Russell In today’s episode, Mark Russell and Charles Figley discuss the weaponization of the criminal justice system against Veterans and share personal anecdotes of post-…
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Send us a text This week's episode examines the history of Seacliff Mental Hospital after the tenure of Sir Truby King until the closure of Seacliff and Cherry Farm. Learn about how people who had been diagnosed as "mentally defective" were treated. Brace yourself for the deadly and devastating event that finally caused administration to call for a…
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Send us a text This week's episode looks at the history of Seacliff Lunatic Asylum during the tenure of superintendent Dr. Truby King. Find out what improvements he made to the asylum and what clinical interests sidetracked him along the way. Learn some of the reasons why he became infamous in New Zealand and some of the reasons why we should revie…
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A clinical discussion exploring the historical and ongoing neglect of psychiatric issues among military personnel, highlighting the severe consequences of this neglect through various wars, including World War II, Vietnam, and the recent conflicts in Afghanistan and Iraq. Discover the dark side of military discipline, the cruel treatments meted out…
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Send us a text This week's episode examines a lot of history that led to the construction of the Seacliff Lunatic Asylum in New Zealand. Learn why New Zealand had six asylums built within a 20 year span in the mid-1800s and still required more space. Find out why the architect of Seacliff fled to Melbourne following construction of the asylum. My m…
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Some of the content in this episode may be disturbing to some of the listeners. Please be aware. In this raw and revealing episode, Mark Russell and Charles Figley tackle the harrowing subject of military mental health and the cruel punishments historically used to maintain discipline within the ranks. As they dig into the third chapter of their bo…
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Send us a text This week's episode examines the life and crimes of "Jolly Jane" Toppan. Find out why Jane is considered the first female serial killer in the U.S. and how she escaped detection for almost 20 years. The main source for this episode is Pretty Evil New England by Sue Colette. All other sources will be listed at the end of the episode t…
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Join Mark and Charles as they explore the shadows of military history, uncovering the stark reality of psychiatric neglect in the armed forces. In this episode your hosts explore Chapter 3 of their book, "Cruel and Inhumane Handling," shedding light on the military's failure to address the full cost of war on soldiers' mental health. Hear the chill…
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Simon Graham, M.B.Ch.B., M.R.C.Psych., and Kathy Curtis (Spring House Psychotherapy and Personality Disorder Service) join Dr. Dixon and Dr. Berezin to discuss the use of a local case management team and a combined day treatment and crisis service for patients with borderline personality disorder in Liverpool, United Kingdom. Transcript Subscribe t…
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Send us a text This week's episode examines the past century of treatment at Taunton State Hospital and explores the changes that have occurred during that time. This episode borrows heavily from the book A Brief History of Taunton Lunatic Hospital 1854 to 2016 by Joseph Langlois. All other sources will be listed in the episode transcript. Support …
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Mark Russell and Charles Figley unpack the complexities of psychiatric casualties, exploring the full scope of mental health crises and the systemic failures in addressing them. From cultural idioms of distress to the mislabeling of combat veterans, they shine a light on the urgent need for a holistic approach to military mental health care. They n…
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Send us a text This week's episode examines 40 years of the history of Taunton State Hospital. Find out what notorious true crime story may (or may not) have a connection to the hospital. Learn how treatment at Taunton was ahead of its time in so many ways. My primary source for this week's episode is the book A Brief History of the Taunton Lunatic…
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In episode 5 Mark and Charles unravel the complex tapestry of war's psychological toll. They shed light on the broad spectrum of conditions that afflict service members beyond PTSD, including medically unexplained physical symptoms, neuropsychiatric diagnoses, and traumatic grief reactions. This discussion is not just a critique but a call to actio…
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Elizabeth Bromley, M.D., Ph.D. (University of California, Los Angeles) joins Dr. Dixon and Dr. Berezin to discuss the use of outpatient conservatorship in the effort to address mental health disability among unsheltered homeless persons in Los Angeles County, California. 00:00 Introduction 03:04 Homelessness in Los Angeles County, California 09:04 …
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Send us a text This week's episode explores the history of the first three decades of Taunton State Hospital in Taunton, Massachusetts. Find out why people were sent to this hospital and what major world events led to a dramatic increase of patient admissions at asylums around the state. Learn what a "magic lantern show" was and why the asylum had …
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Join Dr. Mark Russell and Dr. Charles Figley as they navigate the complex history of military mental health, uncovering the silent suffering behind the heroism. Their conversation takes a critical look at the evolution of military psychiatry, from the days of the Civil War to our contemporary conflicts, and the often-overlooked psychological trauma…
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