Why Critical Mental Health Knowledge Is Essential for Ethical Practice: An Interview with Jan DeFehr
Mad in America: Rethinking Mental HealthShow Notes
Jan N. DeFehr is an associate professor in the Faculty of Education at the University of Winnipeg and an associate of The Taos Institute and a member of the Faculty for Palestine, Manitoba. She is also a member of the York University Mad Studies Hub. Before entering academia, she spent many years as a clinical social worker, working alongside people who were trying to make sense of their distress within, and often in spite of, the mental health system. Her teaching, research, and course development focus on building public access to critical analyses of that system, drawing on the work of clients and survivors of psychiatry, practitioners, and scholars. Her new book, A Critical Mental Health Primer: Towards Informed Choice in Social Services, Education, and Healthcare(Canadian Scholars, 2025), offers a clear and accessible map of critical mental health scholarship. The book examines scientific critiques of diagnosis, the potential harms of psychiatric labels, the lack of transparency and procedural justice in services, anti-colonial critiques of mental health premises and practices, and the evidence on psychiatric drugs and the DSM. It also gathers non-pathologizing ways of helping that center relational, dialogical, anti-oppressive, and anti-colonial approaches, along with concrete tools for informed choice and everyday support outside of the dominant medical model. In our conversation, we talk about how Jan came to adopt critical perspectives, why she sees access to critical mental health knowledge as a prerequisite for ethical practice, and what it looks like when organizations take informed choice seriously. We move through the key chapters of the book, explore its implications for social workers, educators, and health professionals, and look at how communities can build forms of care that do not depend on diagnosis or coercion. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 © Mad in America 2026. Produced by James Moore https://www.jmaudio.org
More from Mad in America: Rethinking Mental Health
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In this episode of the Mad in America podcast, Brooke Siem speaks with Selma Eikelenboom, a forensic scientist and medical examiner whose career has spanned psychotherapy, medicine, emergency care, surgery, and forensic investigation. Eikelenboom works as a forensic medical examiner investigating cases involving psychoactive medications and acts of violence. In this conversation, Brooke and Selma explore what she has learned from investigating these cases, and the questions her research raises about the relationship between psychoactive drugs, genetic variation, and violent behavior. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 Sign up for our weekly newsletter: https://www.madinamerica.com/newsletter-sign-up/ © Mad in America 2026. Produced by James Moore https://www.jmaudio.org Statement on use of AI The Mad in America podcast does not use generative AI (GenAI) to create its content. All interviews are recorded live, and editing and transcription are carried out by humans. We do use AI-assisted audio processing during the editing stage to achieve the best possible sound quality. This is provided by https://auphonic.com and is used solely to enhance the audio, not to generate or alter the podcast's content.
Alicia Martin is an Australian community pharmacist, a member of the Not Broken Project and founder of TaperMate. Through her work in pharmacy, Alicia saw patients struggling with unusual and severe symptoms when they tried to stop their antidepressants and realized there was little support when people wanted to stop long-term medications. Rather than waiting for the system to catch up, she started building a solution. TaperMate now supports people across the world to track and adjust hyperbolic tapering plans through a simple mobile app and provides personalized tapering plans and advice for patients across Australia through a pharmacist-led telehealth tapering clinic. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 Sign up for our weekly newsletter: https://www.madinamerica.com/newsletter-sign-up/ © Mad in America 2026. Produced by James Moore https://www.jmaudio.org Statement on use of AI The Mad in America podcast does not use generative AI (GenAI) to create its content. All interviews are recorded live, and editing and transcription are carried out by humans. We do use AI-assisted audio processing during the editing stage to achieve the best possible sound quality. This is provided by https://auphonic.com and is used solely to enhance the audio, not to generate or alter the podcast's content.
Gail Hornstein is Professor Emerita of Psychology at Mount Holyoke College. Across a long and influential career, her work has moved between psychology, psychoanalysis, history, qualitative research, and the study of first-person accounts of madness. She is the author of To Redeem One Person Is to Redeem the World: The Life of Frieda Fromm-Reichmann, a biography of the pioneering psychiatrist and psychoanalyst best known for her intensive psychotherapeutic work with people diagnosed with schizophrenia and other psychoses. She is also the author of Agnes's Jacket: A Psychologist's Search for the Meanings of Madness, which explores what first-person narratives, asylum artifacts, patient memoirs, and the Hearing Voices Movementcan teach us about the meanings of madness and the limits of conventional psychiatric explanation. Dr. Hornstein is also the creator of the Bibliography of First-Person Narratives of Madness in English, which lists more than 1,000 books by people who have written about madness from their own experience. More recently, she has conducted extensive research on Hearing Voices Groups in the United States, examining how these groups work, the different functions they serve, and what members find useful about them. In 2019, Gail spoke with Mad in America about first-person accounts of madness and global mental health. In this conversation, we will begin with Gail's own intellectual formation and her early interest in psychological approaches that take subjective experience seriously. We will then turn to Frieda Fromm-Reichmann and the question of whether first-person accounts should be treated as clinical illustrations or as knowledge in their own right. From there, we will move into Agnes's Jacket, the Hearing Voices Movement, and Gail's recent research on what Hearing Voices Groups make possible for people who hear voices, have visions, or experience other extreme states. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 Sign up for our weekly newsletter: https://www.madinamerica.com/newsletter-sign-up/ © Mad in America 2026. Produced by James Moore https://www.jmaudio.org Statement on use of AI The Mad in America podcast does not use generative AI (GenAI) to create its content. All interviews are recorded live, and editing and transcription are carried out by humans. We do use AI-assisted audio processing during the editing stage to achieve the best possible sound quality. This is provided by https://auphonic.com and is used solely to enhance the audio, not to generate or alter the podcast's content.
Merrick Daniel Pilling is an Associate Professor and Interim Co-Director of the School of Disability Studies at Toronto Metropolitan University. He is the author of Queer and Trans Madness: Struggles for Social Justice and the co-editor of Interrogating Psychiatric Narratives of Madness: Documented Lives. His new book, Mad Studies: The Basics, introduces Mad Studies as a field that has emerged from community activism and the perspectives of people who have been psychiatrized, institutionalized, criminalized, and otherwise dehumanized by what Merrick refers to as the psy complex. It organizes itself around two basic questions: What can Mad Studies help us understand? And what can Mad Studies help us do? Those questions will guide our conversation today. We'll begin with Merrick's own path into this work, then move into psychiatric documentation and narrative, and then spend most of our time with Mad Studies: The Basics—its account of some origins of the field, its critique of psychiatric common sense, and its insistence that Mad Studies is simultaneously a way of interpreting the world and a form of critical praxis. *** Thank you for being with us to listen to the podcast and read our articles this year. MIA is funded entirely by reader donations. If you value MIA, please help us continue to survive and grow. https://www.madinamerica.com/donate/ To find the Mad in America podcast on your preferred podcast player, click here: https://pod.link/1212789850 © Mad in America 2026. Produced by James Moore https://www.jmaudio.org