Beyond Paternalism or Abandonment in Mental Health Care: An Interview with Neil Gong
07/17/24 • 40 min
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Neil Gong is an assistant professor of sociology at UC San Diego, where he researches psychiatric services, homelessness, and how communities seek to maintain social order. Neil's new book, "Sons, Daughters, and Sidewalk Psychotics: Mental Illness and Homelessness in Los Angeles," published by the University of Chicago Press, offers a detailed look into the starkly different worlds of mental health care in Los Angeles. He contrasts the public safety-net clinics, which strive to keep patients housed and out of jail, with the elite private care centers that cater to the wealthy. He finds that while the public system focuses on survival and containment, often providing only minimal care, the private system aims at rehabilitation and respectability, albeit sometimes at the cost of personal freedom.
Neil’s extensive fieldwork included spending nights in homeless encampments, shadowing social workers, and engaging with patients and families across the socioeconomic spectrum. His work highlights systemic failures and societal indifference but also the humanity of those working and living within these disparate treatment systems. In our conversation, we unpack the critical insights from his book and explore the broader implications of his research. How do these disparate systems reflect our societal values? What can we learn about the intersection of mental health, homelessness, and social policy? And perhaps most importantly, how can we move towards a more equitable and humane approach to mental health care?
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Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow.
To find the Mad in America podcast on your preferred podcast player, click here
© Mad in America 2024. Produced by James Moore
Neil Gong is an assistant professor of sociology at UC San Diego, where he researches psychiatric services, homelessness, and how communities seek to maintain social order. Neil's new book, "Sons, Daughters, and Sidewalk Psychotics: Mental Illness and Homelessness in Los Angeles," published by the University of Chicago Press, offers a detailed look into the starkly different worlds of mental health care in Los Angeles. He contrasts the public safety-net clinics, which strive to keep patients housed and out of jail, with the elite private care centers that cater to the wealthy. He finds that while the public system focuses on survival and containment, often providing only minimal care, the private system aims at rehabilitation and respectability, albeit sometimes at the cost of personal freedom.
Neil’s extensive fieldwork included spending nights in homeless encampments, shadowing social workers, and engaging with patients and families across the socioeconomic spectrum. His work highlights systemic failures and societal indifference but also the humanity of those working and living within these disparate treatment systems. In our conversation, we unpack the critical insights from his book and explore the broader implications of his research. How do these disparate systems reflect our societal values? What can we learn about the intersection of mental health, homelessness, and social policy? And perhaps most importantly, how can we move towards a more equitable and humane approach to mental health care?
***
Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow.
To find the Mad in America podcast on your preferred podcast player, click here
© Mad in America 2024. Produced by James Moore
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The Connection Cure: An Interview with Julia Hotz
Julia Hotz is a solutions-focused journalist based in New York City. She is the author of the forthcoming book, The Connection Cure: The Prescriptive Power of Movement, Nature, Art, Service, and Belonging. Her stories have appeared in The New York Times, Wired, Scientific American, the Boston Globe, Time, and more.
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***
Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow.
To find the Mad in America podcast on your preferred podcast player, click here
© Mad in America 2024. Produced by James Moore
Next Episode
Our Medical System Protects Wrongdoers and Punishes Whistleblowers: An Interview with Carl Elliott
Carl Elliott is a distinguished professor at the University of Minnesota with joint appointments in the Department of Philosophy and the School of Journalism and Mass Communications.
An influential voice in bioethics, Elliott is known for his critical examination of the medical and pharmaceutical industries. His latest book, The Occasional Human Sacrifice: Medical Experimentation and the Price of Saying No,describes the harrowing experiences of whistleblowers who expose corruption and malpractice in clinical trials and psychiatric research.
Originally from South Carolina, Elliott's diverse academic background includes a medical degree and a PhD in philosophy from Glasgow University in Scotland. His extensive postdoctoral work has taken him to institutions such as the University of Chicago, the University of Otago in New Zealand, and the Nelson Mandela School of Medicine in South Africa. Elliott is the author and editor of several influential books, including Better than Well: American Medicine Meets the American Dream and White Coat and Black Hat: Adventures on the Dark Side of Medicine. His articles have been featured in prestigious publications such as The New Yorker, The Atlantic Monthly, Mother Jones, and The New England Journal of Medicine (as well as Mad in America). Elliott's critical work in bioethics has earned him numerous accolades, including the Erikson Prize for Excellence in Mental Health Media and a fellowship at the Safra Center for Ethics at Harvard University.
His investigative work has shed light on numerous scandals, including the tragic case of Dan Markingson, a young man who died during a controversial clinical trial at the University of Minnesota. In this interview, Elliott discusses the systemic issues that protect wrongdoers, the personal and professional toll on those who speak out, and the broader implications for ethics in medical research and practice.
***
Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow.
To find the Mad in America podcast on your preferred podcast player, click here
© Mad in America 2024. Produced by James Moore
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