Send a text

In this episode of Behind the Stigma, I sit down with Jerome Wakefield, NYU Professor and originator of the influential “harmful dysfunction” theory of mental disorder. We explore what makes something truly pathological, the fuzzy boundary between normal suffering and disorder, and the philosophical foundations shaping modern psychiatry.

We also discuss the DSM and it's removal of the bereavement exclusion in depression, evolutionary perspectives on neurodiversity movements and his work on harmful dysfunction. This conversation asked a central question: when does human distress become a mental disorder, and does that distinction matter?

About Jerome Wakefied

Dr. Wakefield is an NYU University Professor and Professor at NYU Silver, known internationally for his groundbreaking work at the intersection of philosophy, psychiatry, and psychology. He has authored over 300 publications on the conceptual foundations of mental health theory.

He is best known for developing the influential “harmful dysfunction” analysis of mental disorder, the most cited framework for distinguishing true disorder from normal distress. His work has shaped debates on DSM diagnoses, grief, depression, anxiety, and the boundary between pathology and everyday suffering. He is also the coauthor of the award-winning books The Loss of Sadness (2007) and All We Have to Fear (2012), and has contributed major analyses in psychoanalysis, social work theory, and evolutionary perspectives on mental health. 

Google Scholar: https://scholar.google.com/citations?user=NkiWM10AAAAJ&hl=en

Paper on Harmful Dysfunction analysis: https://pmc.ncbi.nlm.nih.gov/articles/PMC2174594/

Paper on the Theory of generativity: https://psycnet.apa.org/record/1998-07139-005

Books: https://www.amazon.com/Loss-Sadness-Psychiatry-Transformed-Depressive-ebook/dp/B001CHRHHO

https://www.amazon.com/All-Have-Fear-Psychiatrys-Transformation/dp/0199793751

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/ 

Send us a text

In this episode of Behind the Stigma, I sit down with Dr. Prince Kouassi, Assistant Professor and Chair of the Psychology Department at the American University of Dubai, to explore the landscape of mental health in the UAE. We discuss whether we are over-diagnosing mental health, the educational psychology market and careers in the UAE, using AI in the classroom and his thoughts on digital mental health apps. Timestamps added!

About Dr. Prince Kouassi
Dr. Kouassi is an Assistant Professor of Psychology and the Chair of the Department of Psychology at the American University of Dubai. He completed his Ph.D. at City, University of London (UK) in computational psychology, and after completing his PhD accepted a Teaching Fellowship in Psychology at Coventry University (UK). Dr. Kouassi has a wide range of active research interests in psychology which include but not limited to cognitive modeling, quantum probability applications, research participation, psychology education, and the practical application of psychological principles in the workplace.

Find him on LinkedIn: https://www.linkedin.com/in/dr-prince-kouassi-phd-0616a71aa/

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/ 

Send us a text

In this episode, I speak with Professor Edouard Machery to explore experimental philosophy and the question of whether morality is truly universal. We discuss why humans need morals in the first place, why we often fail to live up to our own moral ideals. We also look at cross-cultural differences in moral judgments, the limits of relying on intuition in philosophy, and what new technologies like VR reveal about the gap between moral judgment and moral action. Timestamps added!

About Edouard Machery

Professor Machery is the Director of the Center for Philosophy of Science and Professor at The University of Pittsburgh. His research  focuses on the philosophical issues raised by the cognitive sciences, currently focusing on the methodology of experimental psychology. His recent research projects and publications also include the nature and origin of racial categorization, the application of evolutionary theories to human cognition, the nature of culture, and the structure of moral concepts. Finally, he is involved in the development of experimental philosophy, and has used experimental and quasi-experimental methods to study intuitions about reference, folk judgments about intentional action, causation, the folk concept of race, and the folk concept of phenomenal consciousness.

Website: https://www.edouardmachery.com/

Books

Doing without concepts - https://global.oup.com/academic/product/doing-without-concepts-9780195306880?cc=ae&lang=en&

Philosophy within its proper bounds - https://www.amazon.com/Philosophy-Within-Its-Proper-Bounds/dp/019880752X

Book Chapter: Experimental Philosophy of Science: https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118661666.ch33

Bluesky: @edouardmachery.bsky.social

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/ 

Send us a text

In this episode of Behind the Stigma, Seiara speaks with Dr. Carme Isern-Mas about the rise of “therapy-speak”, the popular use of psychological language in everyday life. Together, they explore how these phrases can help us express emotions and foster self-awareness, but also how they risk becoming disingenuous, individualistic, or even weaponized in relationships and society. 

About Carme Isern-Mas

Dr. Isern-Mas is an Assistant Professor in Moral Philosophy at the University of the Balearic Islands, with a background in Human Evolution and Cognition for her M.A. and Ph.D. Her research interests lie in the field of moral psychology, with a particular focus on topics such as blame, empathy, moral motivation and self-deception. She is also interested in applied ethics, particularly in mental health ethics.

Profile: https://www.uib.eu/personal/ABjIyMjIzNg/

Unmasking Therapy Speak Paper: https://link.springer.com/article/10.1007/s11017-025-09730-5

Recent Paper - Blunting concepts: The double-edged effect of popularizing psychotherapy language: https://www.tandfonline.com/doi/full/10.1080/09515089.2025.2573763

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/ 

Send a text

In this week's episode, academic psychologist Dr. Lucy Foulkes, speaks to us about her book 'Coming of Age' and the importance of our adolescent years, the complexity of mental health awareness in today's society. We explore how rising conversations around mental illness, especially among young people, have reshaped identity, education, and the language we use to describe our inner lives. We also discussed why young adults self-diagnose, the role of social media, and the Netflix series 'Adolescence'. 

About Dr. Foulkes: Dr. Foulkes is an academic psychologist in the Dept of Experimental Psychology at the University of Oxford where her group researches mental health and social development in adolescence. They are most known for their focus on the unintended consequences of mental health awareness in schools and society more broadly. Her first book, What Mental Illness Really Is (…and what it isn’t), focuses on the rise of mental health problems in society, and the possible contributing role of mental health awareness efforts. Her second book, Coming Of Age: How Adolescence Shapes Us, which we will be discussing today, focuses on the power of adolescent memories and the stories we tell ourselves about our formative years. I will be linking both books to this episode description.

Website: https://www.lucyfoulkes.com/

Instagram: https://www.instagram.com/drlucyfoulkes

Coming of Age: https://www.amazon.com/What-Mental-Illness-Really-what/dp/1529113377

What Adolescence Is (And What It Isn't): https://www.amazon.com/Coming-Age-author/dp/1847927297

Paper - Self-Diagnosis of Mental Disorders: A Qualitative Study of Attitudes on Reddit: https://journals.sagepub.com/doi/full/10.1177/10497323241288785

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/ 

Send a text

In this week's episode, I speak with Dr. Mark Ruffalo on Borderline Personality Disorder (BPD), long-term psychotherapy, and the nuances of diagnosis in mental health. We discuss object relations in BPD, the concept of splitting, and how these dynamics shape therapeutic work. We also explore the role of psychoanalytic therapy, the fine line between pathology and normal behavior, and how diagnostic pluralism can improve patient care. Dr. Ruffalo also shares insights into the psychodynamic treatment of schizophrenia and the evolving landscape of mental health. Chapter markers added!

About Dr. Mark Ruffalo

Dr. Ruffalo is a psychotherapist in private practice in Florida, and serves as Assistant Professor of Psychiatry at the University of Central Florida and Adjunct Instructor of Psychiatry at Tufts University. He has broad clinical experience in the psychoanalytic treatment of a range of psychiatric conditions with particular interest in the psychotherapy of schizophrenia and borderline personality disorder. His current research interests include the object relations theory of borderline personality disorder; communication dilemmas, paradoxes, and double binds in personality pathology to name a few. 

Website: https://www.drruffalo.com/

LinkedIn: https://www.linkedin.com/in/mark-l-ruffalo-71929063/

Twitter: https://x.com/marklruffalo?lang=en

Paper - A Clinical Guide to Navigating Diagnostic Pluralism: https://pubmed.ncbi.nlm.nih.gov/39079000/

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/ 

Send a text

In this episode of Behind the Stigma, we delve into the transformative world of lifestyle psychiatry with Dr. Nicholas Fabiano, a third-year psychiatry resident at the University of Ottawa.

We explore the role of exercise in managing mild to moderate depression, its potential as a therapeutic modality alongside traditional treatments, and the broader implications for mental health care.

We also discuss the challenges of publication bias in mental health research, the integration of AI in systematic reviews, and ethical considerations in advancing critical psychiatry. Dr. Fabiano shares insights from his groundbreaking research on exercise, mental health, and even its darker side as a form of self-harm.

About Nicholas Fabiano
Nicholas Fabiano is a third year psychiatry resident in the University of Ottawa, in Canada. His research interests encompass diagnostic imaging, meta-research, mental health (particularly the role of exercise and physical activity), suicide prevention, systematic reviews, and the intersection of psychiatry with broader health and social issues.
Twitter: https://x.com/NTFabiano
LinkedIn: https://www.linkedin.com/in/ntfabiano/?originalSubdomain=ca
Website: https://scholar.google.ca/citations?user=Ph8ryrMAAAAJ

Papers:
- How to prescribe physical activity for depression.
- Is exercise a form of self-harm?
- Reporting bias in imaging diagnostic test accuracy studies: are studies with positive conclusions or titles submitted and published faster?

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/ 

Send a text

In this week's episode of Behind the Stigma, we are joined by Clinical Psychologist Dr. Summer Fakhro with a discussion on Colonization and Mental Health.

We define Colonialism and explore the deep and lasting psychological effects of colonization on different communities. We discuss how historical trauma, displacement, and cultural erasure continue to shape the mental well-being of individuals today, particularly with the focus on oppression happening in Palestine.

From intergenerational trauma to the modern-day struggle for identity and healing, we delve into the psychological scars left by colonial systems, resilience stories and how to move toward de-colonization in Western therapeutic practices. Chapter Markers Added!

About Summer Fakhro
Dr. Fakhro is a Clinical Psychologist at The Lighthouse Arabia UAE. She completed her master’s and doctoral training in Clinical Psychology at UCL in the UK. She has 10 years of clinical experience working with people of all ages, and a particular expertise in understanding primary attachment relationships (parent-child) and broader family dynamics. Currently she is focused on better contextualizing her psychological practice to the history & culture of the region, and supporting clients through the current context of regional instability and trauma.
Website
Instagram

Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/

Send a text

In this compelling episode of Behind the Stigma, we are joined by award-winning clinical psychologist, psychotherapist, and activist Dr. Jay Watts to explore critical perspectives on mental health. 

We delve into the impact of neoliberalism on mental health services, the challenges of Personality Disorders with a focus on Borderline Personality Disorder (BPD), and the rise of trauma-informed care. Dr. Watts shares her insights on epistemic injustice in mental health care, and the importance of amplifying patient voices.

Drawing on her lived experiences as a psychiatric survivor, Dr. Watts offers a powerful critique of traditional frameworks while envisioning a more compassionate and equitable future for mental health. This episode is a must-listen for anyone interested in the intersection of mental health, society, and systemic change. Chapter markers added!

About Dr. Watts
Dr. Watts is an award winning clinical psychologist, psychotherapist, and activist based in the UK. She is known for her work in critical mental health and her critiques of psychiatric diagnoses and treatment practices. She advocates for a more compassionate and socially aware approach to mental health care, often focusing on the social and political factors that contribute to mental distress.

Dr. Watts has written extensively on topics like trauma, the medicalization of distress, and the mental health impacts of inequality. She is also a public speaker and has contributed to various publications and media outlets to raise awareness about mental health from a more humanistic and intersectional perspective.

Website: https://jaywatts.co.uk/
Twitter: https://x.com/Shrink_at_Large
Paper:  The epistemic injustice of borderline personality disorder 

 
Subscribe to the Behind the Stigma podcast on YouTube, Apple Podcast or Spotify. Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/

Send a text

In this episode of Behind the Stigma, we discuss what Positive Psychology is with Dr. Louise Lambert, a leading expert in happiness and wellbeing across the GCC.
We discuss the science behind Positive Psychology Interventions (PPIs), the balance between stress and strength-based approaches, and the importance of meaning over happiness in life. Dr. Lambert also shares practical exercises to boost wellbeing and insights of how positive psychology can vary based on culture, discussing her studies in Canada and the Middle East.
Chapter Markers Added!

About Dr. Louise Lambert
Dr. Louise Lambert, a psychologist, researcher and professor. She  is a registered psychologist with 20 years’ experience in counseling, mental health, higher education research, and primary healthcare. She specializes in positive psychology and is a leading expert in the development and delivery of happiness and wellbeing programs across the GCC. She is also the founder and Editor-in-Chief of the Middle East Journal of Positive Psychology, a peer-reviewed academic journal dedicated to happiness and wellbeing in the GCC region.

LinkedIn: https://www.linkedin.com/in/dr-louise-lambert-89434927/?originalSubdomain=ae
Website: https://www.happinessmatters.org/
Instagram: https://www.instagram.com/dr_louise_lambert/
 
Subscribe to the Behind the Stigma podcast on Apple Podcast or Spotify.
Follow us on Instagram: https://www.instagram.com/behindthestigmapodcast/