Shrinks audiobook cover - The Untold Story of Psychiatry

Shrinks

The Untold Story of Psychiatry

Jeffrey A. Lieberman and Ogi Ogas

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Shrinks
Early Treatments & Asylums+
The Psychoanalytic Era+
Crude Somatic Therapies+
The Psychopharmacology Revolution+
Crisis and Reform+
Modern Biological Psychiatry+

Quiz — Test Your Understanding

Question 1 of 11
What was the primary contribution of figures like Philippe Pinel and Benjamin Rush to early psychiatry?
  • A. Developing the first psychiatric medications
  • B. Introducing humane treatments and improving asylum conditions
  • C. Discovering the role of the unconscious mind
  • D. Inventing electroconvulsive therapy
Question 2 of 11
How did early physicians like Benjamin Rush and Franz Mesmer attempt to explain and treat mental illnesses?
  • A. As a consequence of repressed childhood trauma
  • B. As a chemical imbalance in the brain's neurotransmitters
  • C. As a result of physical or energetic blockages in the body
  • D. As a genetic mutation inherited from parents
Question 3 of 11
According to Sigmund Freud's structural model of the mind, which component is responsible for enforcing moral standards?
  • A. The Id
  • B. The Ego
  • C. The Superego
  • D. The Subconscious
Question 4 of 11
How did Freud primarily explain the root cause of psychiatric illnesses?
  • A. Genetic predispositions combined with environmental stress
  • B. Unresolvable conflicts between the id, ego, and superego
  • C. Insufficient blood flow to the frontal lobes of the brain
  • D. A lack of cosmic energy known as 'orgones'
Question 5 of 11
Why did psychoanalysis eventually face heavy criticism from within the scientific and medical communities?
  • A. It was highly dogmatic, lacked scientific rigor, and unfairly blamed parents for severe illnesses.
  • B. It relied too heavily on dangerous surgical procedures to alter patient behavior.
  • C. It was only effective for treating severe psychosis and ignored milder neurotic conditions.
  • D. It required the use of highly addictive early tranquilizers.
Question 6 of 11
What risky, yet Nobel Prize-winning, treatment did Julius Wagner-Jauregg develop to treat severe psychosis arising from neurosyphilis?
  • A. Surgically damaging the frontal lobes of the brain
  • B. Inducing massive seizures using high doses of insulin
  • C. Infecting patients with malaria parasites to induce a therapeutic fever
  • D. Spinning patients in a rotational chair to increase blood flow
Question 7 of 11
Which of the following statements is true regarding electroconvulsive therapy (ECT) based on the book's content?
  • A. It was banned in the 1950s after the discovery of antipsychotic drugs.
  • B. It was originally developed by Walter Freeman using an ice-pick device.
  • C. It is a completely obsolete practice that was replaced by insulin shock therapy.
  • D. It is still used today as an effective and safe treatment for severe cases of schizophrenia, depression, and mania.
Question 8 of 11
What was the significance of chlorpromazine when it was introduced in the 1950s?
  • A. It was the first antidepressant to successfully treat severe melancholia.
  • B. It was the first drug to effectively calm schizophrenic patients, leading to decreased asylum populations.
  • C. It was a cheap white salt discovered to stabilize mood in bipolar patients.
  • D. It was the first psychotropic blockbuster drug used solely to alleviate mild anxiety.
Question 9 of 11
What was the primary conclusion of David Rosenhan's famous 1973 experiment, 'On Being Sane In Insane Places'?
  • A. Psychiatric hospitals were unable to reliably distinguish sane individuals from insane ones.
  • B. Mental illness is entirely a myth created by psychiatrists to charge for unproven treatments.
  • C. Psychoanalytic therapy is more effective than biological treatments for schizophrenia.
  • D. Most patients in psychiatric wards were suffering from neurological diseases rather than psychiatric ones.
Question 10 of 11
How did the American Psychiatric Association (APA) change the Diagnostic and Statistical Manual (DSM) in 1980 to rescue the field's credibility?
  • A. They mandated that all diagnoses must be confirmed by genetic testing and MRI scans.
  • B. They purged psychoanalytic concepts and shifted to objective, symptom-based diagnostic criteria.
  • C. They officially classified behaviors like aloof parenting as the primary cause of autism and schizophrenia.
  • D. They merged psychiatric diagnoses with traditional neurological diseases to unify the medical field.
Question 11 of 11
What major breakthrough has modern neuroimaging (like MRIs) provided in the field of psychiatry?
  • A. It proved that mental illnesses are purely psychological and have no physical basis.
  • B. It revealed structural differences in the brain, such as a smaller hippocampus in patients with severe depression.
  • C. It allowed doctors to pinpoint the exact location of the id and superego in the human brain.
  • D. It demonstrated that early lobotomies actually improved long-term cognitive function.

Shrinks — Full Chapter Overview

Shrinks Summary & Overview

Shrinks (2015) tells the story of psychiatry’s astonishing development throughout the centuries. These blinks take us on a tour of the discipline’s crude past, its strange and shocking therapies and its great improvements.  

Who Should Listen to Shrinks?

  • History buffs interested in the nature of early psychiatry
  • Individuals wanting to learning more about the methods of psychiatry today
  • Those wondering why psychology sometimes gets a bad rap

About the Author: Jeffrey A. Lieberman and Ogi Ogas

Jeffrey Lieberman, MD, is a former president of the American Psychiatric Association. He is the Lawrence C. Kolb Professor and Chairman of Psychiatry at the Columbia University College of Physicians and Surgeons.

Ogi Ogas is a computational neuroscientist. A former Fellow of the Homeland Security department, he’s contributed to two successful science books about sex, including A Billion Wicked Thoughts. Ogas, a passionate game show contestant, once won $500,000 on Who Wants to Be a Millionaire.

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