#99: Mental Health and Neoliberal Capitalism (ft. Anna Zeira)
Aug 3, 2022
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Anna Zeira discusses mental health challenges related to neoliberal capitalism in the United States. Topics include the impact of capitalism on mental health, living in a society of unattainable wealth and status, the negative impact of neoliberal policies on mental health care, and the struggles faced by millennials in today's economy.
Neoliberal capitalism in the United States has contributed to increased rates of mental illness and a decline in life expectancy, due to income inequality, inadequate social services, and an expensive and ineffective healthcare system.
The impact of neoliberal capitalism on mental health extends beyond individual factors, as it has led to the loss of meaningful work, increased class anxiety, and a focus on materialistic values, emphasizing the need to address the wage gap and evaluate society beyond market value.
Deep dives
Neoliberal Capitalism and Mental Health
The episode discusses the impact of neoliberal capitalism on mental health in the United States. The speaker, a psychiatrist in residency, highlights the social determinants of health and the challenges faced by marginalized populations. They explore how neoliberal policies, such as prioritizing the market over government intervention, have led to increased anxiety, depression, and loss of meaning in work. The speaker emphasizes the need for universal healthcare and addressing the wage gap to improve mental health outcomes. They also discuss the role of mental health professionals in rebuilding community connections and advocating for policy changes.
Understanding Neoliberalism
Neoliberalism is defined as an economic and social philosophy that prioritizes the market over government intervention. It emphasizes individualism, meritocracy, and profit-driven policies. The speaker highlights that neoliberalism has led to the privatization of services, resulting in the loss of meaningful work, increased class anxiety, and a focus on materialistic values. The speaker emphasizes the need to evaluate society beyond market value and address the wage gap and class anxiety that perpetuate mental health challenges.
Impact of Neoliberal Policies on Mental Health
Neoliberal policies have had detrimental effects on mental health care in the United States. The speaker discusses how deinstitutionalization and divestment in community welfare programs have created a perfect storm, leading to a lack of support for individuals with severe mental illness. The pharmaceutical industry has also played a role in focusing mental health care on medication, which is more profitable than therapy. The speaker argues that the profit-driven healthcare system and the reliance on pharmaceuticals have negatively impacted mental health care access and outcomes.
Addressing Neoliberalism's Effects and Coping Strategies
The speaker suggests that mental health professionals can start by discussing the evidence of neoliberalism's impact on mental health and advocating for policies that address the social determinants of mental well-being. They highlight the importance of rebuilding community and combating loneliness as ways to improve mental health. They also encourage professionals to challenge societal shame around not meeting societal expectations and focus on systemic factors rather than blaming individuals. Finally, the speaker urges professional associations to advocate for universal healthcare and policies that reduce the wage gap and prioritize human well-being.
Max is back! (Or at least for this one episode, hopefully more in future).
Max talks with Anna Zeira regarding her paper 'Mental Health Challenges Related to Neoliberal Capitalism in the United States'.
"Rates of mental illness have increased dramatically over the past 15 years in the United States. Additionally, life expectancy has fallen over the past several years due to increases in death from suicide, opioid overdose, and alcoholic liver cirrhosis... Over the last decade some have questioned whether these changes are due to neoliberal capitalist policies and ideologies. Neoliberal capitalism incorporates theories of eliminating all restrictions on the market and decreasing government assistance programs... Since then these policies have led to income inequality, disempowerment of workers, outsourcing of manufacturing jobs, inadequate social services, mass incarceration and an expensive and ineffective healthcare system... Studies have shown that the consequences of these policies and ideologies likely have a role in increasing rates of mental illness. This paper will discuss how these factors increase mental distress and postulate ways that mental health professionals can advocate for change."
ATTENTION! This is a Boring Dystopia/Obligatory 'don't sue us' message: This podcast provides numerous different perspectives and criticisms of the mental health space, however, it should not be considered medical advice. Please consult your medical professional with regards to any health decisions or management.
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