Mad in America: Rethinking Mental Health

Brent Dean Robbins is a psychologist, scholar, and all-around thoughtful human whose work has profoundly shaped existential and humanistic psychology.

He is one of those rare thinkers who makes psychology feel alive—not just a collection of theories and data, but a field full of urgent, deeply human questions. He’s a professor of psychology and the director of the Psy.D. in Clinical Psychology program at Point Park University, where he’s helped create one of the most distinctive training programs in the country. He earned his Ph.D. in Clinical Psychology from Duquesne University—home to some of the most beautifully dense phenomenological work you'll ever have to read twice—and is a licensed psychologist in Pennsylvania.

In this two-part conversation, we’ll explore Brent’s career—from his early work critiquing the overmedication of children to his scholarship on metabletics and cultural therapeutics. We’ll also discuss how he’s navigating his current health journey and cancer diagnosis as an existential psychologist and his hopes for the future of the field—how we might reimagine mental health care in ways that embrace the messy, wondrous, irreducible nature of being human.

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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. https://www.madinamerica.com/donate/

To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850

© Mad in America 2025. Produced by James Moore https://www.jmaudio.org

Brent Dean Robbins is a psychologist, scholar, and all-around thoughtful human whose work has profoundly shaped existential and humanistic psychology.

He is one of those rare thinkers who makes psychology feel alive—not just a collection of theories and data, but a field full of urgent, deeply human questions. He’s a professor of psychology and the director of the Psy.D. in Clinical Psychology program at Point Park University, where he’s helped create one of the most distinctive training programs in the country. He earned his Ph.D. in Clinical Psychology from Duquesne University—home to some of the most beautifully dense phenomenological work you'll ever have to read twice—and is a licensed psychologist in Pennsylvania.

In this two-part conversation, we’ll explore Brent’s career—from his early work critiquing the overmedication of children to his scholarship on metabletics and cultural therapeutics. We’ll also discuss how he’s navigating his current health journey and cancer diagnosis as an existential psychologist and his hopes for the future of the field—how we might reimagine mental health care in ways that embrace the messy, wondrous, irreducible nature of being human.

***

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. https://www.madinamerica.com/donate/

To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850

© Mad in America 2025. Produced by James Moore https://www.jmaudio.org

In March 2022, a new grief-related disorder was officially adopted into mainstream mental health diagnosis nomenclature. Prolonged Grief Disorder (PGD) is a recent addition to the Diagnostic and Statistical Manual fifth edition text revision (DSM-5-TR). A PGD diagnosis is to be used when a person is grieving too long and too intensely.

In this interview, Kaori Wada, Psychologist, grief researcher, and Associate Professor and Director of Training at the University of Calgary, builds upon her recent paper on the Medicalization of Grief in conversation with MIA Science News Writer and Psychologist Zenobia Morrill. Wada articulates a history of institutional tensions and financial conflicts behind the creation of this new PGD diagnosis. She also discusses the ways PGD could shape how we collectively understand and respond to those grieving.

Wada’s work demonstrates that the creation of PGD was not based on scientific findings but appears to be entangled in long-standing arguments between camps of mental health professionals with different stakes in whether the diagnosis became legitimized. Further, PGD, as with other diagnoses, represents elements of mainstream psychological theory that tend to render deviations from Western cultural norms as “unhealthy.” Is diagnosis needed to provide support and care? If so, those most likely to experience marginalization, violence, and unjust loss are also most likely to be classified as having PGD, a mental illness.

At a time when the world is fraught with tragic loss—owing to causes ranging from political failures, state violence, and the COVID-19 pandemic—grieving has been transformed into a mental health disorder. But the complicated question of what a mental disorder is continues to be glossed over. The opportunity for psychiatric professionals to embrace humility seems to have reverted to the familiar “diagnose-and-treat” response. Will pharmacological intervention become the dominant “treat” response to a diagnosis of PGD?

A new grief disorder is a clear departure, however, from the way grief used to be described in the field as an example of something that is clearly not a mental health disorder, Wada shared. She exclaims: “To me, the medicalization of grief is controversial because it may fundamentally shake up the concept of a mental disorder, [how it has] been defined and understood.”

Wada and Morrill explore what this new PGD diagnosis may mean, reflecting on the ways the “diagnose-and-treat” logic seems to of experiences formerly considered part of the territory of being human. The need to pathologize experiences in order to address them represents a paradox. A new ethical and moral quandary befalls professionals tasked with determining when grief is an illness and when expressions of grief are inappropriate.

Will the public embrace this new disorder? Will the medicalization of grief be resisted? Will a pandemic of PGD diagnoses follow a global pandemic? Wada speaks to the personal and professional influences that shaped these curiosities and her approach to researching how grief is being construed in the mental health field.

Becky Brasfield has emerged as a formidable advocate for change in the complex landscape of mental health care. A certified recovery support specialist and policy researcher at the Human Services Research Institute, Ms. Brasfield has dedicated her career to elevating the voices of service users and dismantling systemic inequities. Her lived experience with psychosis, combined with her leadership in peer support, has made her a powerful critic of traditional psychiatric models that often marginalize those they aim to help.

Her resume includes service as president of the NAMI Illinois Alliance of Peer Professionals, the state’s first peer professional association, and recognition as one of Crain’s Notable Black Leaders and Executives. She has been a fellow with both the IL Care and HSRI Behavioral Health Policy programs and was appointed Commissioner of the Southeast Expanded Mental Health Services Program.

But Ms. Brasfield’s work is as personal and political as it is professional. In this interview, she speaks with Mad in America’s Ayurdhi Dhar about her path to recovery, the harmful impacts of medical gaslighting, and why the future of mental health justice depends on centering the expertise of those with lived experience.

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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. https://www.madinamerica.com/donate/

To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850

© Mad in America 2025. Produced by James Moore https://www.jmaudio.org

Rose Cartwright is a screenwriter and the author of Pure, a hugely successful memoir which was then turned into a series for Channel Four. She is also a writer and producer on Netflix’s 3 Body Problem. Pure portrayed Rose’s autobiographical account of finding that she had OCD, a “mental illness”, and the breakthrough that this medical framework provided her. This was short-lived. In her new book The Maps We Carry, she writes about the dawning realization that the “illness” story she had believed in and publicly advocated for, was wretchedly incomplete and often dangerous.

In this interview, Cartwright charts her journey of painful and lonely disillusionment with the “mental illness” framework. She talks about understanding the place of her own childhood trauma and also the limitations of simplistic trauma narratives. She speaks about the place of psychedelics and meditation in helping her uncover her disconnection, eventually to realize the importance of trusting relationships and communities. In this brutally honest book and interview, Cartwright reflects on the importance of holding all our understandings around mental health and suffering, lightly.

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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. https://www.madinamerica.com/donate/

To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850

© Mad in America 2024. Produced by James Moore https://www.jmaudio.org