

Episode 143, ‘The Philosophy of Mental Health’ with Rose Cartwright (Part I - The Maps We Carry)
May 18, 2025
Rose Cartwright, author of 'Pure' and 'The Maps We Carry', dives into the urgent mental health crisis affecting society today. She explores the impact of modern life on mental well-being and critiques traditional biomedical approaches to mental suffering. Cartwright emphasizes the power of storytelling in navigating mental health challenges, advocating for new narratives and frameworks. She also discusses the complexities of psychiatric diagnoses, the role of psychedelics, and highlights how personal experiences shape our understanding of mental health.
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Limits of Biomedical Model
- The UK mental health system largely relies on a biomedical model focusing on brain disorders.
- This model offers a reductive explanation and overlooks social and systemic causes of suffering.
Mental Health Crisis is Social
- Scaling up therapy access can help but won’t address systemic causes like lost community and meaning.
- The mental health crisis reflects deeper social and economic issues, not just individual biology.
OCD's Conflict Between Thought and Feeling
- People with OCD know many intrusive thoughts are irrational but feel the associated emotions intensely real.
- This creates a loop of rational reassurance clashing with gut-level anxiety and bodily signals.