Raj Persaud in conversation - the podcasts
Electro-Convulsive or 'Shock' Therapy - what is it like to revceive it?

Dr Raj Persaud talks to a lady who received ECT or shock treatment after a prolonged and severe bout of depression. What is it like to be treated with this therapy? What kind of problems lead doctors to consider using it? Are there side-effects? In the long-run is it worth it? Does this treatment work? Is the reality of such a treatment anything like it's portrayal in Hollywood films? All these questions and more are tackled in this rare interview with someone who has actually received ECT. 

 

Follow Dr Raj Persaud on Twitterwww.twitter.com/(link is external)@DrRajPersaud

Raj Persaud and Peter Bruggen are joint podcast editors for the Royal College of Psychiatrists and also now have a free app on iTunes and Google Play store entitled ‘Raj Persaud in conversation’, which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world.

Download it free from these links:

https://play.google.com/store/apps/details?id=com.rajpersaud.android.raj...(link is external)

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id9274662...

Direct download: ect_and_raj.mp3
Category:(3) EXTRAORDINARY EXPERIENCES of severe emotional turmoil -- posted at: 10:26pm UTC

Why do authors write fiction? Professor James Hynes discusses with Dr Raj Persaud

From The Great Courses website:

 

http://www.thegreatcourses.co.uk/courses/writing-great-fiction-storytelling-tips-and-techniques.html

 

Whether you’re huddled around the campfire, composing an email to a friend, or sitting down to write a novel, storytelling is fundamental to human nature. But as any writer can tell you, the blank page can be daunting. It’s tough to know where to get started, what details to include in each scene, and how to move from the kernel of an idea to a completed manuscript.

 

Writing great fiction isn’t a gift reserved for the talented few. There is a craft to storytelling that can be learned, and studying the fiction writer’s techniques can be incredibly rewarding—both personally and professionally. Even if you don’t have ambitions of penning the next Moby-Dick, you’ll find value in exploring all the elements of great fiction.

 

From evoking a scene to charting a plot to selecting a point of view, Writing Great Fiction: Storytelling Tips and Techniques offers a master class in storytelling. Taught by acclaimed novelist James Hynes, a former visiting professor at the famed Iowa Writers’ Workshop and the University of Michigan, these 24 insightful lectures show you the ins and outs of the fiction writer’s craft.

 

Raj Persaud talks to Professor James Hynes on why people write.

 

http://www.thegreatcourses.co.uk/courses/writing-great-fiction-storytelling-tips-and-techniques.html

 

Professor James Hynes is a published novelist who has taught creative writing as a visiting professor at the University of Iowa Writers’ Workshop, the University of Michigan, The University of Texas, Miami University, and Grinnell College. He has a Bachelor of Arts in Philosophy from the University of Michigan and a Master of Fine Arts from the Iowa Writers’ Workshop.

Professor Hynes is the author of five works of fiction: Next, which received the 2011 Believer Book Award from the Believer magazine; Kings of Infinite Space, a Washington Post best book for 2004; The Lecturer’s Tale and Publish and Perish, which were both New York Times Notable Books of the Year; and The Wild Colonial Boy, which received the Adult Literature Award from the Friends of American Writers and was a New York Times Notable Book for 1990. In addition to his work as a novelist, he has also written book reviews and literary essays, which have appeared in the New York Times, The Washington Post, Boston Review, Salon, and other publications.

Professor Hynes has received several literary grants and teaching fellowships, including a James Michener Fellowship from the University of Iowa, a Teaching-Writing Fellowship from the Iowa Writers’ Workshop, and a Michigan Council for the Arts writer’s grant. He currently lives in Austin, Texas, and is writing a new novel.

 

For more information on Professor Hynes and his books:

 

http://www.jameshynes.com/

 

You can listen to the interview via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

 

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

 

 

 

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8

Direct download: james_hynes_rp_Why_writers_write.mp3
Category:(2) General Podcasts -- posted at: 3:48pm UTC

Can philosophy heal a divided world? Raj Persaud talks to Carlos Fraenkel

Raj Persaud Talks to Carlos Fraenkel - an academic philosopher at the University of McGill in Canada about his new book - Teaching Plato in Palestine.​


From the Princeton University Press website: 

http://press.princeton.edu/titles/104...

Teaching Plato in Palestine is part intellectual travelogue, part plea for integrating philosophy into our personal and public life. Philosophical toolkit in tow, Carlos Fraenkel invites readers on a tour around the world as he meets students at Palestinian and Indonesian universities, lapsed Hasidic Jews in New York, teenagers from poor neighborhoods in Brazil, and the descendants of Iroquois warriors in Canada. They turn to Plato and Aristotle, al-Ghazālī and Maimonides, Spinoza and Nietzsche for help to tackle big questions: Does God exist? Is piety worth it? Can violence be justified? What is social justice and how can we get there? Who should rule? And how shall we deal with the legacy of colonialism? Fraenkel shows how useful the tools of philosophy can be—particularly in places fraught with conflict—to clarify such questions and explore answers to them. In the course of the discussions, different viewpoints often clash. That’s a good thing, Fraenkel argues, as long as we turn our disagreements on moral, religious, and philosophical issues into what he calls a “culture of debate.” Conceived as a joint search for the truth, a culture of debate gives us a chance to examine the beliefs and values we were brought up with and often take for granted. It won’t lead to easy answers, Fraenkel admits, but debate, if philosophically nuanced, is more attractive than either forcing our views on others or becoming mired in multicultural complacency—and behaving as if differences didn’t matter at all.

Carlos Fraenkel teaches philosophy and religion at the University of Oxford and McGill University in Montreal. He is the author of Philosophical Religions from Plato to Spinoza, and his writing has appeared in the New York Times, the Nation, the London Review of Books, and the Times Literary Supplement, among other publications.

 

You can listen to the interview via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8


Review:

"What unites [the classroom conversations] is [Fraenkel's] skill in the art of posing questions designed to perplex and provoke. He lets us overhear the Socratic form of dialogue that Plato invented and that Mr. Fraenkel practices much to his students’ pleasure, and ours."--Benjamin Balint, Wall Street Journal

"Fresh, iconoclastic, stimulating debates."--Kirkus

"The author urges religious people who aren’t bound by literalism, secularists who don’t dismiss all religion as anachronism, and inquisitive types of all persuasions to try something. First, accept freedom of expression, recognize your fallibility and prepare yourself to revise received assumptions. And then plunge into debates about morality, faith, governance, rights and other matters that divide us . . . the discussions you engage in, as suggested by his and his students’ experiences, will likely broaden your horizons and nourish your intellect."--Rayyan Al-Shawaf, Toronto Star

"If you read one book published this year, then you might make it Teaching Plato in Palestine: Philosophy in a Divided World."--Aminatta Forna, The Independent

Endorsement:

"Carlos Fraenkel thinks that philosophy is essential to a culture of debate that gets us out of our cultural, religious, and intellectual cloisters. We understand ourselves by arguing with others, and understand others by arguing with ourselves. Fraenkel takes these convictions out of the classroom and tests them around the world—from Makassar to East Jerusalem, from Bahia to Brooklyn. The result is a wonderful, engaging, and readable book about the power of philosophy."--Joshua Cohen, coeditor of The Norton Introduction to Philosophy

http://press.princeton.edu/titles/104...

Direct download: Raj_Persaud_talks_to_Carlos_Fraenkel.mp3
Category:(2) General Podcasts -- posted at: 2:29am UTC

Delusions - psychiatrist Dr Matthew Broome takes a philosophical perspective?

Dr raj persaud talks to dr matthew broome on latest thinking about delusions

Dr Raj Persaud talks to Dr Matthew Broome at the Royal College of Psychiatrists Annual Conference and International Congress - Birmingham 2015. Dr Broome was chairing a session on the very latest developments in thinking about delusions and discussed the presentations after the conference session.

are delusions a kind of 'emergency treatment' by which the mind seeks to take care of a crisis but it has unfortunate longer term consequences?

 

FROM http://www.psych.ox.ac.uk/team/PIs/matthew-broome

matthew broome is a SENIOR CLINICAL RESEARCH FELLOW

  • Consultant Psychiatrist
  • Associate College Tutor, Oxfordshire

Research into the early detection of mental illness brings clear benefits as not only may new cases be prevented, but those who do develop the disorder yet are able to receive appropriate early treatment may have better clinical outcomes, including lower rates of admission and suicide, as well as greater function.  Such an approach is not only clinically advantageous, but economically brings cost benefits to the NHS.

Current ongoing work involves collaborations with colleagues in the Department of Psychosis Studies at the Institute of Psychiatry using multi-modal imaging techniques to examine those at risk of developing psychosis, funded by the EU and the Wellcome Trust, and, with Stephen Wood in Birmingham, a new MRC-funded study looking at structural brain changes serially over time.  Additionally, with Nick Dale at Warwick, I am working on developing a bedside technique of examining D- and L-Serine, a marker of the NMDA receptor function, dysfunction of which has been implicated in schizophrenia. Together with Steven Marwaha, we are beginning to pilot measures of mood instability in clinical populations with different diagnoses to try and determine whether the experience is the same in different disorders and continue our work examining mood instability in the Adult Psychiatric Morbidity Survey.

Until 2012, I was Chair of the Philosophy Special Interest Group of the Royal College of Psychiatrists and am part of the Maudsley Philosophy Group and have an active interest in the philosophy of psychiatry and neuroscience.  I recently co-edited The Maudsley Reader in Phenomenological Psychiatry and have an ongoing programme of work examining delusions as well as responsibility in mental illness with Lisa Bortolotti at the University of Birmingham.  I am one of the series editors for International Perspectives in Philosophy and Psychiatry and on the editorial board for the British Journal of Psychiatry.

 

You can listen to the interview via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8

photo of matthew broome from http://www.psych.ox.ac.uk/team/PIs/matthew-broome

Direct download: DR-100_0073.mp3
Category:general -- posted at: 12:52am UTC

Prof Richard Bentall - can delusions be explained? Talking to Dr Raj Persaud

Raj Persaud talks to Richard Bentall at the Royal College of Psychiatrists Annual Conference and International Congress - Birmingham 2015. Professor Bentall was taking part in a session on the very latest developments in thinking about delusions and discussed his presentation after the conference session.

The conversation begins with Professor Bentall reminding us that how to understand what a delusion is, and what it isn't, in terms of strange beliefs, is not so straightforward, in certain 'tricky cases'.

Richard Bentall is Professor of Clinical Psychology at Liverpool University and has previously held chairs at Manchester University and Bangor University. He graduated with a BSc and then a PhD in experimental psychology at the University College of North Wales (now Bangor University) and then completed his clinical training at Liverpool University. He also holds an MA in philosophy applied to health care awarded by University College Swansea (now Swansea University). His research interests have mainly focused on psychosis. He has studied the cognitive and emotional mechanisms involved in psychotic symptoms such as hallucinations, paranoid delusions and manic states, using methods ranging from psychological experiments, and experience sampling to functional magnetic resonance imaging. Most recently, his research has focused on why social risk factors (for example childhood adversities such as poverty, abuse, and bullying) provoke the cognitive and emotional changes that lead to these symptoms. In collaboration with colleagues at Manchester and elsewhere he has also conducted large scale randomized controlled trials of psychological interventions for people diagnosed with schizophrenia, bipolar disorder and prodromal psychosis. He has published over 200 peer-review papers and a number of books including Madness explained: Psychosis and human nature (Penguin, 2003) and Doctoring the mind: Why psychiatric treatments fail (Penguin, 2009).

 

You can listen to the interview via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8

 

 

 


Direct Current Stimulation as a treatment in Psychiatry

Dr Philip Wilkinson talks to Dr Raj Persaud about Transcranial Direct Current Stimulation - a new promising treatment in Psychiatry?

from http://www.psych.ox.ac.uk/team/senior-researchers/philip-wilkinson

Dr Philip Wilkinson: I am a consultant old age psychiatrist with Oxford Health NHS Foundation Trust. Related to my work with inpatients, I have an interest in the management of late life depression and am currently working with colleagues in the Neurobiology of Ageing Group on transcranial direct current stimulation (tDCS).

 

I have an interest in psychological treatments with older people. I have recently worked with the Oxford Mindfulness Centre on developing a mindfulness intervention in dementia care and am a Trustee of the Oxford Mindfulness Foundation.

 FROM:  http://www.hopkinsmedicine.org/psychiatry/specialty_areas/brain_stimulation/tdcs.html

Transcranial Direct Current Stimulation

Transcranial direct current stimulation (tDCS), is a non-invasive, painless brain stimulation treatment that uses direct electrical currents to stimulate specific parts of the brain. A constant, low intensity current is passed through two electrodes placed over the head which modulates neuronal activity. There are two types of stimulation with tDCS: anodal and cathodal stimulation. Anodal stimulation acts to excite neuronal activity while cathodal stimulation inhibits or reduces neuronal activity. 

Although tDCS is still an experimental form of brain stimulation, it potentially has several advantages over other brain stimulation techniques. It is cheap, non-invasive, painless and safe. It is also easy to administer and the equipment is easily portable. The most common side effect of tDCS is a slight itching or tingling on the scalp.

Several studies suggest it may be a valuable tool for the treatment of neuropsychiatric conditions such as depression, anxiety, Parkinson’s disease, and chronic pain. Research has also demonstrated cognitive improvement in some patients undergoing tDCS. Currently, tDCS is not an FDA-approved treatment.

 

You can listen to the interview with Dr Philip Wilkinson via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8

 


How to Explain Delusions

Raj Persaud talks to Phillip Corlett Associate Professor of Psychiatry at Yale University about the latest thinking on delusions.

From http://psychiatry.yale.edu/people/philip_corlett.profile:

Dr. Philip Robert Corlett trained in Experimental Psychology, Cognitive Neuroscience and Psychiatry with Professors Trevor Robbins and Paul Fletcher at the University of Cambridge. He won a Wellcome Trust Prize Studentship and completed his PhD on the brain bases of delusion formation in the Brain Mapping Unit, Department of Psychiatry. After a short postdoc, he was awarded the University of Cambridge Parke- Davis Exchange Fellowship in Biomedical Sciences which brought him to the Yale University Department of Psychiatry to explore the maintenance of delusions with Professors Jane Taylor and John Krystal. He was named a Rising Star and Future Opinion Leader by Pharmaceutical Marketing Magazine and joined the Yale faculty in 2011 where he will continue to explore the cognitive and biological mechanisms of delusional beliefs as well as predictive learning, habit formation and addiction.

From: http://medicine.yale.edu/lab/corlett/

Delusions are odd beliefs. They accompany many psychiatric illnesses, notably schizophrenia. A major challenge is to understand delusions in terms of changes in brain function. 

Our lab attempts to meet this challenge by investigating the neural basis of human associative learning and belief formation, relating these processes to the formation of delusional beliefs. 

Dr. Corlett’s findings have shaped the development of a novel mechanistic model of delusion formation.

 

You can listen to the interview via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8


Brain Inflammation Explains Psychosis?

Dr Paola Dazzan Reader in Neurobiology of Psychosis explains to Dr Raj Persaud the latest theory that psychosis may be related to an inflammation of the brain.

 

Inflammation and metabolic changes in First Episode Psychosis: Preliminary results from a longitudinal study

Contribution to journal › Article

Original language English
Journal Brain Behavior and Immunity
Journal publication date 19 Jun 2015
DOIs
State Published

Bibliographical note

Copyright © 2015. Published by Elsevier Inc.

King's Authors

 

Abstract

Metabolic abnormalities are commonly observed in patients with psychosis, and may confer greater risk of developing cardiovascular disease later in life. Such abnormalities are associated with inflammation in the general population, and there is increasing evidence for elevated inflammation in patients with first episode psychosis (FEP). The aim of this preliminary study is to examine the effect of changes in inflammation, as measured by high-sensitivity C-reactive protein (hsCRP), on metabolic changes in a three-month longitudinal study in a FEP sample. Fifty-three FEP patients from in- and out-patient services in South London, England, were included in this longitudinal study. Social and clinical data were collected, and fasting blood samples and anthropometric measurements (weight, Body Mass Index (BMI), lipid profile and gluco-metabolic parameters) were obtained at baseline and at three-month follow-up. Correlation analyses showed that those with increases in hsCRP over the three-month period also had increases in triglyceride levels (r = 0.49, p = 0.02). No association was observed with other lipid profile, or gluco-metabolic parameters. Increases in weight and BMI were also associated with increases in triglyceride levels (r = 0.33, p = 0.02; and r = 0.31, p = 0.03, respectively); however, a multiple linear regression analysis found that the effects of inflammation on triglycerides were independent from the effect of changes in weight, and from the baseline inflammatory state. Our preliminary findings suggest that those patients experiencing greater increases in inflammation early on in the course of their illness may be at greater risk of developing short-term metabolic abnormalities, in particular dyslipidaemia, independent of weight-gain. Future work should investigate the use of inflammatory markers to identify patients in greater need of physical health interventions.

You can listen to the interview via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8

 


'The Chimp Paradox' - Professor Steve Peters explains his 'chimp' model of human behaviour

From http://chimpmanagement.com/thechimpmodel.html

The Chimp Model is a Model for understanding and managing the functioning of the mind. The Model is not a hypothesis nor strict scientific fact but based on the neuroscience of the brain. The model is fun but meant to be taken seriously when it comes to applying it.

The model sees the brain as being divided into three teams. The first team is you, the Human (headed up by the dorsolateral prefrontal cortex). You are a conscious thinking analysing being that works with facts and truth and then makes deductions using logical thinking. The second team is the Chimp, an independent thinking brain that is not under your control. It works with feelings and impressions and then puts the ‘information’ together using emotional thinking. The third team is the Computer. This is really a brain that is at the disposal of the Human and Chimp to put information into for reference. It acts as a memory and can also act as an automatic thinking and acting machine that is programmed to take over if the Chimp or Human is asleep or if they allow it to run ahead of them with preformed decisions and beliefs that it can act with.

As the resident psychiatrist at GB cycling, Steve was described as a genius by Dave Brailsford. Working in several sports, he has an unparalleled reputation for giving people an edge – as well as the confidence to overcome defeat. As in his book The Chimp Paradox, Steve shows how to deal with fear and ‘become the person you want to be’. He explains how to visualise and break each challenge into small stages, focusing on the process rather than the outcome.

You can listen to the interview via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8

 


Transcranial Magnetic Stimulation - what you need to know

Dr Lena Palaniyappan qualified as a medical doctor from Stanley Medical College, Chennai, India along with a concurrent BA in Psychology. Since 2004 he has trained as a clinical psychiatrist, initially at the Maudsley Hospital, London and later at Nottingham where he obtained his M.Med.Sci. in Clinical Psychiatry. Between 2007 and 2009 he worked as an Academic Clinical Fellow (NIHR funded) at the Regional Affective Disorders Unit at Newcastle-upon-Tyne. Following a HEFCE funded clinical lecturer post during which he coordinated a MRC funded neuroimaging study in psychosis led by Prof. Liddle, he obtained a Wellcome Trust funded Clinical Research Fellowship in Translational Neuroimaging in Psychiatry.

He recently assumed the role of Associate Director of the Centre for Translational Neuroimaging in Mental Health. He is also a member of the editorial board for Frontiers in Neuropsychiatric Imaging and Stimulation. As a consultant psychiatrist, he works with young people who experience a psychotic episode for the first time in their lives.

My present clinical research aims to apply brain imaging to investigate symptom burden, treatment response and prognostic accuracy in major psychiatric disorders such as schizophrenia, bipolar disorder and depression.

To this end, my work focuses on understanding the intrinsically organized, large-scale brain networks in psychosis using structural, functional and electrophysiological imaging techniques. I am interested in the clinical application of neuroimaging observations made at an individual level (rather than group level) using advanced statistical approaches and mathematical models. I am also interested in developing hypothesis-driven neuromodulatory approaches that target resistant symptoms of depression and psychosis through the manipulation of dysfunctional brain networks (e.g. using magnetic stimulation and cognitive training approaches).

The major goal of my work is to understand the pathways that lead to poor long-term outcome in certain individuals with serious mental disorders.

PLEASE SEE BONUS CONTENT GIFT WRAP ICON AT TOP OF PAGE ON THE APP FOR A DOWNLOAD OF AN ORIGINAL PAPER ON TMS PUBLISHED IN THE BRITISH JOURNAL OF PSYCHIATRY

 

You can listen to the interview via a free app on iTunes and google play store entitled 'Raj Persaud in conversation', which includes a lot of free information on the latest research findings in mental health, plus interviews with top experts from around the world. Download it free from these links

 

https://play.google.com/store/apps/details?id=com.rajpersaud.android.rajpersaud

 

https://itunes.apple.com/us/app/dr-raj-persaud-in-conversation/id927466223?mt=8