Healing
Our Path from Mental Illness to Mental Health
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Narrated by:
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Thomas Insel MD
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By:
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Thomas Insel MD
About this listen
A bold, expert, and actionable map for the reinvention of America’s broken mental health care system.
As director of the National Institute of Mental Health, Dr. Thomas Insel was giving a presentation when the father of a boy with schizophrenia yelled from the back of the room, “Our house is on fire and you’re telling me about the chemistry of the paint! What are you doing to put out the fire?” Dr. Insel knew in his heart that the answer was not nearly enough. The gargantuan American mental health industry was not healing millions who were desperately in need. He left his position atop the mental health research world to investigate all that was broken - and what a better path to mental health might look like.
In the United States, we have treatments that work, but our system fails at every stage to deliver care well. Even before COVID, mental illness was claiming a life every 11 minutes by suicide. Quality of care varies widely, and much of the field lacks accountability. We focus on drug therapies for symptom reduction rather than on plans for long-term recovery. Care is often unaffordable and unavailable, particularly for those who need it most and are homeless or incarcerated. Where was the justice for the millions of Americans suffering from mental illness? Who was helping their families?
But Dr. Insel also found that we do have approaches that work, both in the US and globally. Mental illnesses are medical problems, but he discovers that the cures for the crisis are not just medical, but social. This path to healing, built upon what he calls the three Ps (people, place, and purpose), is more straightforward than we might imagine. Dr. Insel offers a comprehensive plan for our failing system and for families trying to discern the way forward.
The fruit of a lifetime of expertise and a global quest for answers, Healing is a hopeful, actionable account and achievable vision for us all in this time of mental health crisis.
This audiobook includes a downloadable PDF that contains charts and graphs.
PLEASE NOTE: When you purchase this title, the accompanying PDF will be available in your Audible Library along with the audio.
©2022 Thomas Insel (P)2022 Penguin AudioListeners also enjoyed...
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Critic reviews
“The outcomes for people treated for serious mental illness are often poor.... Why? A psychiatrist and neuroscientist who headed the National Institute of Mental Health in 2002-15 and has since returned to the private sector, Dr. Insel is well-positioned to answer the question...traveling widely to identify the crisis of care and look for solutions. Healing is the product of this odyssey—and a compelling summary of all that he learned along the way.”—Sally Satel, The Wall Street Journal
“[Insel’s] recollections give depth and provide a human face to the problems he articulates and offer hints at possible solutions.... Like a good doctor, Insel identifies symptoms and prescribes solutions to the problems that plague the country’s mental health infrastructure...our country’s soul is in a decidedly bad place. Healing suggests a path toward a better one.”—Benjamin F. Miller, Science
“Insel’s reflective and heartfelt book is an important contribution to the ongoing debate about how to address the current crisis that prevents so many Americans saddled with a serious mental illness from rebuilding their lives.”—Joshua C. Kendall, Undark
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Devastating analysis on US mental health policy!
- By Kevin on 07-13-14
By: E. Fuller Torrey
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The Problem of Alzheimer's
- How Science, Culture, and Politics Turned a Rare Disease into a Crisis and What We Can Do About It
- By: Jason Karlawish
- Narrated by: Jason Karlawish, Jonathan Todd Ross
- Length: 13 hrs and 41 mins
- Unabridged
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In 2020, an estimated 5.8 million Americans had Alzheimer’s, and more than half a million died because of the disease and its devastating complications. Sixteen million caregivers are responsible for paying as much as half of the $226 billion annual costs of their care. As more people live beyond their 70s and 80s, the number of patients will rise to an estimated 13.8 million by 2025. Part case studies, part meditation on the past, present and future of the disease, The Problem of Alzheimer's traces Alzheimer’s from its beginnings to its recognition as a crisis.
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A must read
- By kara kuntz on 05-20-21
By: Jason Karlawish
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Overcoming Opioid Addiction
- The Authoritative Medical Guide for Patients, Families, Doctors, and Therapists
- By: Adam Bisaga MD, Karen Chernyaev - contributor
- Narrated by: Liz Maxwell
- Length: 9 hrs and 51 mins
- Unabridged
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Drug overdoses are now the leading cause of death for Americans under the age of 50, claiming more lives than the AIDS epidemic did at its peak. Opioid abuse accounts for two-thirds of these overdoses, with over 100 Americans dying from opioid overdoses every day. Now Overcoming Opioid Addiction provides a comprehensive medical guide for opioid use disorder (OUD) sufferers, their loved ones, clinicians, and other professionals. Here is expertly presented, urgently needed information and guidance
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Authoritative, compassionate guidance
- By Amazon Customer on 05-20-18
By: Adam Bisaga MD, and others
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Crazy Like Us
- The Globalization of the American Psyche
- By: Ethan Watters
- Narrated by: Patrick Lawlor
- Length: 8 hrs and 57 mins
- Unabridged
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America has been the world leader in generating new mental health treatments and modern theories of the human psyche. We export our psychopharmaceuticals packaged with the certainty that our biomedical knowledge will relieve the suffering and stigma of mental illness. We categorize disorders, thereby defining mental illness and health, and then parade these seemingly scientific certainties in front of the world.
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He is a reporter...
- By Briana on 05-07-18
By: Ethan Watters
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One Nation Under Therapy
- How the Helping Culture is Eroding Self-Reliance
- By: Christina Hoff Sommers, Sally Satel
- Narrated by: Dianna Dorman
- Length: 8 hrs and 30 mins
- Unabridged
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Americans have traditionally placed great value on self-reliance and fortitude. Recent decades, however, have seen the rise of a therapeutic ethic that views Americans as emotionally underdeveloped, requiring the ministrations of mental-health professionals to cope with life's vicissitudes. Today, having a book for every ailment, a counselor for every crisis, a lawsuit for every grievance, and a TV show for every problem degrades one's native ability to cope with life's challenges.
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If you want another perspective
- By Kurt on 03-07-09
By: Christina Hoff Sommers, and others
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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Unbroken Brain
- A Revolutionary New Way of Understanding Addiction
- By: Maia Szalavitz
- Narrated by: Marisa Vitali
- Length: 12 hrs and 35 mins
- Unabridged
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Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality", Unbroken Brain offers a radical and groundbreaking new perspective, arguing that addiction is a learning disorder, and shows how seeing the condition this way can untangle our current debates over treatment, prevention, and policy.
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Not what I expected
- By Jennifer Sader on 08-28-16
By: Maia Szalavitz
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Desperate Remedies
- Psychiatry’s Turbulent Quest to Cure Mental Illness
- By: Andrew Scull
- Narrated by: Jonathan Keeble
- Length: 18 hrs and 38 mins
- Unabridged
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For more than two hundred years, disturbances of the mind—the sorts of things that were once called "madness"—have been studied and treated by the medical profession. Mental illness, some insist, is a disease like any other, whose origins can be identified and from which one can be cured. But is this true? In this masterful account of America's quest to understand and treat everything from anxiety to psychosis, one of the most provocative thinkers writing about psychiatry today sheds light on its tumultuous past.
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A Great History but I Have One Big Reservation
- By Jeffrey Scot Minch on 08-02-22
By: Andrew Scull
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Suspicious Minds
- How Culture Shapes Madness
- By: Joel Gold, Ian Gold
- Narrated by: Joel Gold, Ian Gold
- Length: 9 hrs and 51 mins
- Unabridged
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Mr. A. was admitted to Dr. Joel Gold’s inpatient unit at Bellevue Hospital in 2002. He was, he said, being filmed constantly, and his life was being broadcast around the world "like The Truman Show" - the 1998 film depicting a man who is unknowingly living out his life as the star of a popular soap opera. Over the next few years, Gold saw a number of patients suffering from what he and his brother, Dr. Ian Gold, began calling the "Truman Show Delusion," launching them on a quest to understand the nature of this particular phenomenon and the nature of madness itself.
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Intriguing
- By L. K. on 04-18-16
By: Joel Gold, and others
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How Healing Works
- Get Well and Stay Well Using Your Hidden Power to Heal
- By: Wayne Jonas MD
- Narrated by: Ray Porter
- Length: 11 hrs and 28 mins
- Unabridged
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Drawing on 40 years of research and patient care, Dr. Wayne Jonas explains how 80 percent of healing occurs organically and how to activate the healing process. In How Healing Works, Dr. Wayne Jonas lays out a revolutionary new way to approach injury, illness, and wellness. Dr. Jonas explains the biology of healing and the science behind the discovery that 80 percent of healing can be attributed to the mind-body connection and other naturally occurring processes. Jonas details how the healing process works and what we can do to facilitate our own innate ability to heal.
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AWESOME !
- By Paula on 08-06-18
By: Wayne Jonas MD
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The Book of Woe
- The DSM and the Unmaking of Psychiatry
- By: Gary Greenberg
- Narrated by: David Drummond
- Length: 14 hrs
- Unabridged
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For more than two years, author and psychotherapist Gary Greenberg has embedded himself in the war that broke out over the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (the DSM) - the American Psychiatric Association's (APA) compendium of mental illnesses and what Greenberg calls "the book of woe". Since its debut in 1952, the book has been frequently revised, and with each revision, the "official" view on which psychological problems constitute mental illness has changed.
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Disappointment
- By NYNM on 06-03-13
By: Gary Greenberg
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The Depths
- The Evolutionary Origins of the Depression Epidemic
- By: Jonathan Rottenberg
- Narrated by: Walter Dixon
- Length: 4 hrs and 27 mins
- Unabridged
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Story
Nearly every depressed person is assured by doctors, well-meaning friends and family, the media, and ubiquitous advertisements that the underlying problem is a chemical imbalance. Such a simple defect should be fixable, yet despite all of the resources that have been devoted to finding a pharmacological solution, depression remains stubbornly widespread. Why are we losing this fight?
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Great read for understanding
- By Adam on 02-04-15
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Recover to Live
- Kick Any Habit, Manage Any Addiction: Your Self-Treatment Guide to Alcohol, Drugs, Eating Disorders, Gambling, Hoarding, Smoking, Sex, and Porn
- By: Christopher Kennedy Lawford
- Narrated by: Seth Michael Donsky
- Length: 13 hrs and 42 mins
- Unabridged
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From New York Times bestselling author of Symptoms of Withdrawal and Moments of Clarity Christopher Kennedy Lawford comes a book that will save lives. For most of his early life, Christopher Kennedy Lawford battled life-threatening drug and alcohol addictions. Now in recovery for more than 25 years, he works to effect change and raise global awareness of addiction in nonprofit, private, and government circles, serving as the goodwill ambassador for drug dependence treatment and care for the United Nations.
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I didn't know I was a workaholic
- By wh on 06-17-13
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Doing Harm
- By: Maya Dusenbery
- Narrated by: Dara Rosenberg
- Length: 13 hrs and 33 mins
- Unabridged
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Editor of the award-winning site Feministing.com, Maya Dusenbery brings together scientific and sociological research, interviews with experts within and outside the medical establishment, and personal stories from women across the country to provide the first comprehensive, accessible look at how sexism in medicine harms women today.
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One of the most important books ever written
- By Dresden on 03-18-18
By: Maya Dusenbery
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Counterclockwise
- Mindful Health and the Power of Possibility
- By: Ellen J. Langer
- Narrated by: Sandra Burr
- Length: 7 hrs and 10 mins
- Unabridged
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If we could turn back the clock psychologically, could we also turn it back physically? For more than 30 years, award-winning social psychologist Ellen Langer has studied this provocative question, and now has a conclusive answer: opening our minds to what's possible, instead of clinging to accepted notions about what's not, can lead to better health at any age.
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Surprisingly disappointing
- By Stephen on 06-23-09
By: Ellen J. Langer
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How are you supposed to tell someone that they're not meeting expectations without crushing their spirit? Regular feedback, when delivered skillfully, can turn average performers into the hardest workers and stars into superstars. Yet many see it as an awkward chore: Recent studies have revealed 37 percent of managers dread giving feedback, and 65 percent of employees wish their managers gave more feedback. This trail-blazing new model eliminates the guesswork.
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I took so much from this
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Your Fully Charged Life
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The Fully Charged Life is Murphy's practical guide to bringing your best self to every moment, even when the pressures of daily life leave you feeling overwhelmed, exhausted, and wallowing in negative thoughts (and a pint of your favorite gelato). Spanning health, work, family time, and more, this book reveals small changes in outlook and habits that yield big results, without ever sacrificing who you are.
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Boring
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Above the Line
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In Above the Line, they argue that that the quality of your life flows from the attitudes of your heart. Wise, compassionate, and practical Above the Line explores the deep, fundamental drivers of human behavior that exist within your heart - the seat of your character. It reveals that all of these behaviors can be explained by four heart-based principles - humility, love, pride, and fear - which influence every facet of our life, for better or worse.
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Too many acronyms
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In Exhale, Breathwork coach Richie Bostock shares more than 40 exercises to use your breath to feel and perform at your best. With strategies researched in the lab, along with practices employed by ancient cultures as well as Navy SEALs, Exhale will show you how to find a solution to many of life's everyday challenges. Whether you're hoping to reduce stress and anxiety, increase energy levels, improve sleep, rejuvenate creativity, tackle a hangover, or boost athletic performance, Exhale has the ultimate tools to transform your well-being.
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Algorithms and apps analyze data and tell you how to beat the traffic, what books to buy, what music to listen to, and even who to date—often with great results. But what do you do when you face the big decisions of life—the "wild problems" of who to marry, whether to have children, where to move, how to forge a life well-lived—that can’t be solved by measurement or calculation? In Wild Problems, beloved host of EconTalk Russ Roberts offers puzzled rationalists a way to address these wild problems.
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Translated more often than any other book except the Bible, the Tao Te Ching has been a spiritual guide for centuries, helping millions find peace within themselves, with each other, and with the natural world around them. Written in workbook style, complete with exercises, questionnaires, journal-keeping techniques, and affirmations, The Tao of Inner Peace translates the ancient Eastern philosophy into a plan for contemporary Western living.
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Microjoys are a practice of uncovering joy and finding hope at any moment. They are accessible to everyone, despite all else. When we hone the ability to look for them, they are always available. Microjoys are the hidden wisdom, long-ago memories, subtle treasures, and ordinary delights that surround us: A polka-dot glass on a thrift store shelf. A dear friend’s kindness at just the right time. The neighborhood spice shop. A beloved family tradition. The simple quietude of being in love. A cherished chai recipe.
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The Urge
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As a psychiatrist in training fresh from medical school, Carl Erik Fisher found himself face-to-face with an addiction crisis that nearly cost him everything. Desperate to make sense of his condition, he turned to the history of addiction, learning that our society’s current quagmire is only part of a centuries-old struggle to treat addictive behavior.
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Nailed it
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Little Pieces of Hope
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On March 11, 2020, the day the World Health Organization declared the coronavirus a global pandemic and all of our lives began to change in unprecedented ways, Todd Doughty knew he needed to do something to help him stay connected to the everyday joys of daily life. So he wrote down a list of things that make him happy: The musical intro to “All Things Considered”. Someone forgiving you. Someone believing in you. Your foot sticking out from under a blanket in order to find the cool spot. Freshly cut yellow tulips. A really good burger.
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This book is like hanging out with friends (multiple narrators) who love to talk about the best things in life!
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Accountable
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Corporations are broken, reflecting no purpose deeper than profit. But the tools we are relying on to fix them - corporate social responsibility, divestment, impact investing, and government control - risk making our problems worse. With lively storytelling and careful analysis, O’Leary and Valdmanis cut through the tired dogma of current economic thinking to reveal a hopeful truth: If we can make our corporations accountable to a deeper purpose, we can make capitalism both prosperous and good.
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mandatory reading
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That Good Night
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As the American-born daughter of immigrants, Dr. Sunita Puri knew from a young age that the gulf between her parents' experiences and her own was impossible to bridge, save for two elements: medicine and spirituality. Interweaving evocative stories of Puri's family and the patients she cares for, That Good Night is a stunning meditation on impermanence and the role of medicine in helping us to live and die well, arming listeners with information that will transform how we communicate with our doctors about what matters most to us.
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Never needed 1.25x more... GREAT BOOK THOUGH!
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By: Sunita Puri
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Financially Forward
- How to Use Today's Digital Tools to Earn More, Save Better, and Spend Smarter
- By: Alexa von Tobel
- Narrated by: Alexa von Tobel
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- Unabridged
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We live in a new financial world. Our wallets - like every other aspect of our lives - have gone fully digital. From mobile pay to on-demand everything to cryptocurrencies, technology is rewriting the rules for how we earn, save, spend, and invest. Technology has made virtually every aspect of our lives cheaper and more convenient. Shouldn't it do the same when it comes to managing our finances? Alexa Von Tobel says that it can. In this straightforward and jargon-free guide, she shows us how to use the simple tools found on any smartphone to put more money back into our wallets.
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How money have move on to Digital world
- By kee lawi maung on 07-28-19
By: Alexa von Tobel
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DNA Is Not Destiny
- The Remarkable, Completely Misunderstood Relationship Between You and Your Genes
- By: Steven J. Heine
- Narrated by: Stephen R. Thorne
- Length: 10 hrs and 14 mins
- Unabridged
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Overall
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Performance
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Around 250,000 people have had their genomes sequenced, and scientists expect that number to rise to one billion by 2025. Professor Steven J. Heine argues that the first thing we will do on receiving our DNA test results is to misinterpret them completely. Despite breathless (often lightly researched) media coverage about newly discovered "cancer" or "divorce" or "IQ" genes, the prospect of a DNA test forecasting how your life is going to turn out is vanishingly small.
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Skeptics Guide to Genetic Essentialist thinking
- By Chris Avalos on 07-10-17
By: Steven J. Heine
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The Power of Nunchi
- The Korean Secret to Happiness and Success
- By: Euny Hong
- Narrated by: Jackie Chung
- Length: 5 hrs
- Unabridged
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Performance
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The Korean sixth sense for winning friends and influencing people, nunchi (pronounced noon-chee) can help you connect with others so you can succeed in everything from business to love. The Power of Nunchi will show you how. Have you ever wondered why your less-skilled coworker gets promoted before you, or why that one woman from your yoga class is always surrounded by adoring friends? They probably have great nunchi. The art of reading a room and understanding what others are thinking and feeling, nunchi is a form of emotional intelligence.
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Very disappointing
- By Pierre on 12-03-19
By: Euny Hong
What listeners say about Healing
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Amazon Customer
- 10-15-22
Great insights and historical context
I really enjoyed all of the context that Dr. Insel provides to illustrate how the mental health care system has become what it is. He outlines several aspects or challenges of our current system, such as medication efficacy, therapy, bed shortages, insurance, care models etc. His insight into these topics is greatly appreciated. I am a psychiatric resident and am very glad to have read this book as it helped me to better concetualize many of my own concerns with our care system. It also gave me hope that we can make progress towards a solution.
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- Joann Landstrom
- 08-12-24
the hope
such an important topic. We in the US are experiencing so much suffering and there are pathways to improve our care. we need to institute systems to take care of all of our nation.
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- Amazon Customer
- 09-17-22
Outstanding analysis and roadmap forward for mental health systems improvement
Great historical context for how we got here and have great personal stories to illustrate the voice of so many with serious mental illness and their families. Not only that, real solutions that I know will work if we have the political will to care!
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- Kamee
- 11-24-23
Absolutely beautiful, HOPE
Dr. Insel’s book is not only informative and insightful, he offers actual solutions to bring about hope and healing. I have used his teachings in my Practice. I am grateful for this book and highly encourage anyone who wants to be a part of the social change on mental illness/health to listen carefully to the insights of his teachings.
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- SL
- 06-24-22
Wide Ranging Insights from a Psychiatric Pioneer
This illuminating book by the former Director of NIMH is a superb overview of what “ails” the American mental healthcare system - hardly a “system”, because it is so fragmented - and a set of “prescriptions” for improving it. Dr Insel shares his vast fund of knowledge and experience, weaving together the history of mental healthcare policies, the history of major psychiatric and psychological theories and practice patterns, numerous stories of individual patients, and examples of best practices that deserve close attention from health system leaders and government officials; yet all the while he maintains a humble tone, demonstrating a consistent willingness to update his thinking and set aside his own past convictions. It is clear that Dr Insel has had a lifelong interest to raise mental health care standards and accountability to be comparable to medical conditions such as heart disease or pediatric cancer. The book further benefits from his sharing about being California’s mental health czar for a year. During that time he learned from the homeless, skid row psychiatrists, law enforcement, and many others. Dr Insel’s many faceted background in psychoanalysis, clinical research, the neurobiology of attachment, administration, technology, being a parent of two children with mental health challenges, all combined with a keen eye and the warmth of a caring clinician, make this book a gem and must-read for anyone who cares about advancing the future of mental health. Make sure to listen or read through to the end; I personally found the FutureProof program for youth mental health promotion in Australia to be particularly inspiring. Thank you Dr Insel!
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- Amy
- 11-23-22
Mental health care in the US
An eloquent analysis of the current mental healthcare system in the United States with tangible thoughts and constructs for improving care and outcomes.
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- Heather S
- 12-25-22
PMHNP -Enjoyed it
I’m a psych mental health nurse practitioner. Selected this book on whim and thoroughly enjoyed it.
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- John Weber
- 10-21-22
Extraordinary insight Into mental health care as it exists today and what is needed to fix it
Dr. Insel explains how our nation is failing those living with serious mental illness and offers solutions to improving this utilizing techniques and programs that have been proven to produce good results. The challenges for treating mental illness equally with physical illness are clear, but there is hope in realizing we know what to do if we can only find the will to do it. This is a must read for anyone with an interest in improving life for people living with serious mental illness, including healthcare providers, policy makers, healthcare academics, politicians, and families dealing with the issue.
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- MCM
- 07-01-22
Forward-looking. Hopeful. Helpful.
For families of loved ones in the throes of mental illnesses, Dr Inslee is a credible prophet of hope. For other fellow citizens, please don't wait till mental illness breaks your heart. Join the fight to support practical changes that can save and change lives.
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- Mark S
- 03-04-22
This book is a Game Changer
Dr. Insel's book is a game changer. In it he combines his expertise, personal lived experience, powerful stories, and the breadth of the history of mental health care and couples all that with a vision of the future of care in a compelling narrative that gives hope and a new paradigm of the need for the 3 P's: People (connection) Place (safety/shelter) and Purpose. It should be read by anyone in the field or anyone needing support for mental health--which means everyone!
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