The Gordian Knot of Mental Illness (Rachel Aviv)

“I think what one of the things that's interesting to me is like when we think about what causes distress and a life that goes awry, there's so much attention to different causes, but the way that the story, or the diagnosis, or the treatment interacts with our identity, I think, is not thought about as much. Like, the way that the very intervention itself changes our sense of who we are feels like it gets neglected. There's this sense that, you know, the diagnosis is describing something that is always solid and real and less thought given to like, well, how does that diagnosis interact with a mind? And how does the mind change knowing that the mind has been characterized this way?”

You might recognize Rachel Aviv’s name from The New Yorker, where she’s been a staff writer for a decade, covering subjects like medical ethics, psychiatry, criminal justice, and education. She’s been a finalist for the National Magazine Awards twice, and in 2022 she won one for profile writing. In 2022, she also published Strangers to Ourselves: Unsettled Minds and the Stories That Make Us, a recipient of the Whiting Creative Nonfiction Grant and named by The New York Times as one of the ten best books of the year. In It, Aviv tells the story of four people and the treatment they underwent—or not—for their mental illness. It’s a gorgeously told, layered exploration of all that we don’t know about the brain and the mind, and how various treatment modalities restructure our lives—including the stories we tell about who we are. Okay, let’s get to our conversation.

MORE FROM RACHEL AVIV:

Strangers to Ourselves: Unsettled Minds and the Stories That Make Us

Read Rachel in The New Yorker

Follow Rachel on X

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