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Mad in America: Rethinking Mental Health

228 EpisodesProduced by Mad in AmericaWebsite

Welcome to the Mad in America podcast, a new weekly discussion that searches for the truth about psychiatric prescription drugs and mental health care worldwide.This podcast is part of Mad in America’s mission to serve as a catalyst for rethinking psychiatric care and mental health. We believe that … read more


Kermit Cole - Dialogical Approaches to Extreme States

This week, we interview Kermit Cole. Kermit’s first career was in film and television, directing, amongst others, Living Proof: HIV and the Pursuit of Happiness in 1994.

Kermit has undergraduate and master’s degrees in psychology from Harvard and he has over two decades experience working with people in extreme states. He likes to say that he likes to work with trauma, especially when it’s being called something else – such as “psychosis”. Together with his partner Louisa Putnam, he works with couples and families with members who have been labeled as having a mental illness, seeking other ways to understand their struggles – ways that often lead to better outcomes.

Kermit has been part of the team at Mad in America since it was founded in January 2012.

I was keen to ask Kermit about what led to his interest in therapeutic work, his experiences of supporting those in extreme states and his thoughts on Open Dialogue and dialogical approaches in general.

In this episode, we discuss:

  • How Kermit came to be involved with a photo project that aimed to change the dominant image usually portrayed for those with HIV or AIDS and how that led to his 1994 film: Living Proof: HIV and the Pursuit of Happiness
  • How Kermit came to feel that a persons life should not be appraised based on its duration
  • How Kermit went on to make the transition from film maker to supporting others with their mental health and wellbeing
  • That Kermit came to feel that having a camera got in the way of the connection that he wanted to make with people
  • How he went back to study and developed an interest in trauma and its impact on people and came to develop the skills necessary to be comfortable dealing with extreme states 
  • His experiences working on a helpline for people experiencing suicidal thoughts and in a group home setting
  • How it felt to support those in distress without judgement or control, but just being with them and how not being alone sometimes makes a big difference
  • How sometimes supporting someone means not judging but also not colluding with beliefs that may come across as delusional, and how this is different to the approach of trying to medicate away behaviour that has been classified as aberrant
  • That Kermit feels blessed that he could choose between schooling and study or the risk of depression, diagnosis and hospital, but that many are not so fortunate
  • How Kermit and Louisa work together to support people struggling with their mental health through a family therapeutic approach and based on Open Dialog principles
  • That it is important to respond to a network that is in crisis, such as the family unit, rather than a single individual
  • That this approach used in Tornio, Finland resulted in excellent outcomes for patients and a lowering of municipal expenditure on mental health crises 
  • How Louisa and Kermit approach working together in an open dialog model
  • How, if you can find a way for people to safely do what they would naturally want to do, then it can be helpful
  • How Kermit became involved with Mad in America after reading Robert Whitaker’s books
  • That taking medication could almost be viewed as an act of communion
  • That life, being human, hurts, but by learning to connect we can ameliorate the trauma 

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© Mad in America 2017

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