Social Exclusion and Isolation

09/15/21 • 31 min

In Eleanor Rigby, the Beatles lament about loneliness and isolation and challenge us to “look at all the lonely people”. In this episode, Dr. Virani invites Dr. Dolores Malaspina and Dr. Luca Pauselli to explore social exclusion and insolation and its effects on mental health through case studies. Join us on the first episode of a new season of Finding Our Voice covering the social determinants of mental health.

In this episode

Jumbo, the elephant, and isolation of caged animals

DSM-5 code 62.4

Social isolation and exclusion during the pandemic

Loneliness and schizophrenia study published in Psychiatric Research

Loneliness and its effect on the body

Biological pathways and the social determinants of mental health.

Dr. Dolores Malaspina is the chair of the research and education workgroup of the current Presidential taskforce on Social Determinants of Mental Health chaired by Dr. Dilip Jeste. Dr. Malaspina directs the Psychosis Program called Critical Connections at the Icahn SM Mount Sinai where she is a Professor of Psychiatry, Neuroscience, and Genetics & Genomics and the Vice-Chair for DEI. She was previously the Steckler Professor and Chairman of the NYU/Bellevue psychiatry departments, where she founded and directed a multidisciplinary program for research and training (Institute of Social and Psychiatric Initiatives- InSPIRES).

Dr. Luca Pauselli is a PGY3 in the Mount Sinai Morningside/West psychiatry residency program. Luca completed medical school and a residency in Italy.

This podcast is subject to the Terms of Use at www.psychiatry.org. The views and opinions expressed in this podcast are those of the individual speakers only and do not necessarily represent the views of the American Psychiatric Association, its officers, trustees, or members. The content of this podcast is provided for general informational purposes only and is not intended as, and shall not be understood or construed as, medical or any other type of professional advice nor does it represent any statement of the standard of care. We strongly recommend that any listener follow the advice of physicians directly involved in their care and contact their local emergency response number for any medical emergency. The information within this podcast is provided as-is and is not guaranteed to be correct, complete, or accurate.

In this episode

Jumbo, the elephant, and isolation of caged animals

DSM-5 code 62.4

Social isolation and exclusion during the pandemic

Loneliness and schizophrenia study published in Psychiatric Research

Loneliness and its effect on the body

Biological pathways and the social determinants of mental health.

Dr. Luca Pauselli is a PGY3 in the Mount Sinai Morningside/West psychiatry residency program. Luca completed medical school and a residency in Italy.

Previous Episode

Indigenous Peoples

This episode focuses on the Indigenous community, Dr. Virani discusses the systemic racism issues faced by this community with two psychiatrists who have Native American heritage, Dr. Mary Hasbah Roessel, a psychiatrist at the Santa Fe Service Unit in Santa Fe Indian Hospital working in the outpatient Behavioral Health Clinic in Santa Fe, New Mexico. She is Navajo from the southwestern US. Dr. Stefanie Gillson, who is Dakota Sioux and is finishing up her 4th-year psychiatry resident at Yale University and starting her Child & Adolescent Fellowship at Yale.

In this episode Dr. Virani and our guests examine

Indigenous war veterans and the treatment faced when returning from war
PTSD and survivor’s guilt
Tribal heritage as related to a therapeutic relationship
Ethnic matching
Being an indigenous psychiatrist
The effect of white cultural norms on therapy
Religious and spiritual assessment in the therapeutic evaluation
DSM-5 cultural formations
Effects of colonization policy on poor health outcomes of indigenous peoples
Historical intergenerational trauma
The broken promise of Indian health services
Indigenous women’s mental health and the incidence of physical violence
MMIWG report
Tribal government ruling and the US government

More podcasts by the APA including AJPaudio and The Medical Mind

Next Episode

Adverse Early Life Experiences

In this episode, Dr. Virani and her guests, Dr. Qayyum and Dr. Conrad, focus on the impact of Adverse Child Experience (ACE) and Adverse Early Life Experiences (AELEs) on mental health and provide some insights through case discussions about the downstream impact of these experiences.

Subjects discussed

Inability to trust and build safe relations by victims of early childhood experiences

The effect of trauma on the social determinants of mental health as an adult

Post-traumatic growth

Unpredictable behavior of parents

The power of close good relationships for a victim of ACE.

This episode is the second in a series covering the social determinants of mental health.

Dr. Zheala Qayyum is the Training Director for the Child and Adolescent Psychiatry Fellowship Program and the Medical Director of the Emergency Psychiatry Services at Boston Children’s Hospital/Harvard Medical School. She also serves as an officer in the United States Army reserves medical corps

Dr. Rachel Conrad is a Child and Adolescent Psychiatrist at Brigham and Women’s Hospital. She is now director of the Child Psychiatry Track in the BWH/ HMS Psychiatry Residency Program.

Listen to this podcast on your favorite podcast platform or here

Other APA podcasts

Social Determinants of Mental Health book