Andrew's last line of dialogue, and his failure to respond to being called "Teddy," actually proves that he hasn't regressed. He's voluntarily submitting himself to a lobotomy so he doesn't have to live with his sins.
Yeah i think that last bit shows that actually it did work, too well, and he just couldnt live with what had happened. Almost like "you shouldve just left me with my delusions man"
@@deadlymelody27 actually I believe this scene takes place before his lobotomy, his last piece is him making it known that he'd rather live as a husk then to live with knowing what he done.
Yes, he accepted reality, but didn't want to live in that reality anymore, as it was too painful. He decided to pretend that he regressed, so they would lobotomize him. Maybe he did this to punish himself, because he believed that he deserved to be punished for what he did (which is in line with his perspective on crimes driven by mental illness) or more likely, he wanted to "die" on a mental level, to have his awareness dulled by the surgery so he wouldn't have to think about his bleak life anymore.
@MrKeeganimal yeah i mean that the therapy worked too well to wake him up to what had happened. So basically take me for my lobotomy now please but im giving you the clinical reason you need to do that.
To me, the whole "Live as a monster or die as a good man" line was Laeddis' way of telling Dr Sheehan that the role-play treatment worked, but he'd rather have a lobotomy and essentially be zombified than to live with the guilt of killing his wife.
Agree completely, but I don't think it was just the guilt of killing his wife, it's the guilt of never getting her help even though he knew something was wrong, which led to her murdering all of their children, leading to him killing her. It was his guilt about his failure to protect his children and also subsequently killing his wife. This movie is such a roller coaster!
but you're not dying as a good man if you do that, youre just dying as a monster who killed his wife... if jeffery dahmer gets a lobotomy, that doesn't make him a dead good man.
but you're not dying as a good man if you do that, youre just dying as a monster who killed his wife... if jeffery dahmer gets a lobotomy, that doesn't make him a dead good man.
The implication at the end is that the therapy DID in fact work and he hasn't regressed, he's just chosen to get the lobotomy because he can't live with what he's done. Also super cool to know about your specialization!
Amazing video - my all time favourite movie. I really resonate with the line about “Once you’re declared insane anything you do just becomes part of that insanity”. I worked as a nurse in a general ward for a long time and saw time and time again UTIs, sepsis and infections get overlooked due to a persons mental health diagnosis. Infections and fevers can cause a patient to become more irritable and loud obviously because they are in pain. It was honestly disheartening.
Shutter Island has to be one of my favourite movies of all time. It might actually have been the turning point of my curiosity towards the inner workings of the brain and mental illness, which has eventually cascaded me to study mental health nursing at university. As always, an absolutely fantastic, captivating, and interesting delve into the world of psychosis. P.s. I've just shared your channel with my fellow students on my course in the groupchat, because I believe your channel explains mental illness etc very well
I have psychotic depression and I think the nice voices kept me alive and kept me company until I started SSRIs. But the continuing weirdness of having two (or three) internal dialogs isn’t very nice, because it feels like a result of a lonely, isolated childhood
It is a scary idea to think of people coming into your house, taking you away to a hospital and the doctors trying to convince you that what you remember about your life is a lie. Your job, your relationships, even your own name and identity. It is no wonder that it is hard to get people to work through their delusions if that is what they are going through.
There is a moment early on in the film that gave it away to me. Shortly after getting off the boat 'Teddy' is greeted by the security contingent. He makes a motion to grab a pack of cigarettes or something and they all jump, reaching for weapons. Teddy even comments along the lines of 'Geez, little jumpy aren't we fellas?' For them to be that scared of him made me certain that Teddy was an inmate. They were use to being on guard around HIM.
@@heldinahtmlhellcalm down, it is not hurting you that someone is better at guessing plot than most people. I accidentally read spoilers before watching the film but I still enjoyed it immensely, because everyone is different.
@@WandaMaximoff1998 The only one, evidently, not calm here is you, tough guy. I stated simple facts. OP is describing something which happens about 5 minutes into the film, before the plot is even established. It's categorically impossible to have figured "it" out at that point, when what "it" was hadn't even been established. Unless you'd gone into the film knowing what the film was about, and that there was a "twist".
I really need to re-watch this movie properly to see all the little hints that point towards the twist. Like Ben Kingsley's character hesitating and looking at Teddy before saying "drowned" at 3:47
And Teddy has zero reaction, hinting that Cawley is planting the idea of drowning rather than tiptoeing around a sensitive subject that he didn’t even need to bring up.
It blows my mind how good Shutter Island is because it almost starts out cheesy and trite on purpose. A hard and closed off detective who's also a veteran who's tough on crime and wants the truth. It turns out the most violent and dangerous person in the film is him. His pain and trauma are not dismissed but I think the fact that the source of the violence and danger is him make the storytelling and the metaphors hit perfectly. The best scene for me was when he meets the patient he had beat up himself, a character who his delusion said to kill. The patient turned out to be somewhat reasonable calm, if a bit paranoid. Deep down the main character wants to help people and do the right thing, but his brain tricked him into thinking that harming others is how he could save them. I can't help but think of the real people in the world who justify their terrible actions or trick themselves into thinking they're actually helping people with the harm they cause. What an amazing film.
@@heldinahtmlhell he beat multiple characters because they reminded him of his delusion by calling him his real name. They keep those scenes off screen because that would make him less of a sympathetic protagonist and mess with the tone of the movie. He's a violent person who solves his problems with violence which is in the minority of people with mental problems.
@@IbraheemM98 Off-screen things didn't happen, mate lol. You can't make up parts of the film that didn't happen. Great film anyway. I wish Scorsese would do over-the-top, genre type films like this more often. He made this right after The Departed. It felt like he was just having fun in this period. He's so great that he can casually throw out a couple of Tarantino-esque films that are better than anything Tarantino ever made.
@@heldinahtmlhell Maybe watch the movie again, you might like it better the second time. Here's a clip where they explicitly describe the numerous people he violently attacked. ua-cam.com/video/E73iKakkjsk/v-deo.html
As someone who was a pharmacist for over 20 years and has two family members with schizophrenia and delusions - trying to "logic" people out of a delusion is not helpful and ends up not only irritating them, but you as well. From my experience, delusions are almost how the brain treats a dream. It accepts a what a waking mind would consider utterly bizarre and illogical as completely acceptable and logical. The brain of a schizophrenic isn't able to see through that dreamlike veil. One person I know has delusions that echo imposter syndrome. This person will believe, without question, that things have been replaced with fakes. From pictures, to clothes, to mattresses...it all is replaced with an imposter. It is also, in my professional experience, the hardest illness to treat because often people are downright paranoid of doctors and medication. They believe that it will be used to control them or hurt them in some way. It is incredibly sad to watch people struggle with it but always hopeful when you see that glimpse of the veil being lifted - where they are willing to question a once unshakeable belief. It can happen and people can live well with schizophrenia.
The thing with everything being blamed on the diagnosis you already have is very relatable. I am autistic, and in the beginning of this year i made an attempt on my own life. When i was hospital, it was a battle makingthe doctors see that there was a different reason besides my autism. I managed to convince them to start me on anti depressants, and after being released, i got my diagnosis, turns out it was a depressive response to psychological stress.
My mom ended up getting delirium from a lack of sleep and a sneaky UTI. Full on auditory and visual hallucinations. We took her in to the hospital and eventually found out that she had a heart attack at some point (she doesn't know when.) Weird to think if she hadn't had that delirium we may never have known and her heart wouldn't have gotten treatment. Her psychosis in that case came in handy!
Okay, I have to stop at 2:10: This "prisons are focusing on punishment" is not quite the case here in Europe, because our "life"-sentence is (if there's a chance to rehabilitate) only for 25 years. I was in a closed psychiatric hospital for a month two years ago, it was kind of a nice experience. Since then, I started to publish my music finally after years of absence of playing music: ua-cam.com/video/7NmCY0gTKIw/v-deo.html
7:57 this statement @8:02 actually About defense mechanisms It's so deeply profound when it comes to dicaprios character. The levels in this phone is great that doctor says that statement to the camp beyond it's a decaffeine and as the audience we didn't even know that will come into play at the end of the film. Like they're doing this whole exercise for this man who is so delusional who's defensive mechanisms are so great I love this movie
Happy to see this one finally online! Been a while since I watched Shutter Island, but iirc Leo's character also alludes in that last scene with Ruffalo that maybe he is faking his relapse, because he would rather be lobotomized than live on fully aware of what he did. Very very interesting talk, keep up the amazing work!
I really enjoyed this film when I originally saw it at the cinema, I’m not usually a fan of an ambiguous ending but in this case it really stuck with me. My take away was that he hadn’t regressed but didn’t want to live with the reality of what had happened and so chose to act as Teddy knowing the outcome would be a lobotomy. There was a conversation earlier about if it could take away a man’s memories that I think probably highlighted his wants. I’m may not be 100% remembering correctly though as it has been many years since I saw it but I do recall how it made me feel.
I agree. I had to stop watching as I felt myself getting way too anxious. I do have a diagnosis of generalized anxiety/depression and take medicine for it.
@@marcopolo9569 I'm not the only one then! It is wise to turn a film or video clip off if it's bothering us. I used to feel like I had to plow through it, but I don't any more. One film to avoid is Dogville starring Nicole Kidman. Just avoid.
Not a movie, but a game I think you'd adore (even if you're perhaps watching a playthrough rather than playing yourself if you're allergic to video games) is Helblade: Senua's Sacrifice. It was made with strong collaboration with psychological experts and is an extremely intimate look at a celtic woman with severe psychosis. The story is about her journey to deal with her trauma completely alone and unguided among norse mythology. I was reminded of it when you mentioned "running commentary" voices, of which there are numerous all through the game. They vary from mocking, to narrating, to helpful and encouraging, to outright dangerous.
I would love to see you do a video on the musical Next to Normal. It was hailed as THE mental health musical back in 2008, when it opened on Broadway, and also won a Pulitzer prize for drama. It's about a woman with bipolar and her family. There's problematic stuff in it, but I think it would make a great video.
I remember in residency my director treated me almost the same way as in the movie. I would ask what I did wrong when they told me I should have done something different, and then they wouldn't explain what I did wrong, and when I argued that I did nothing wrong, they would say I was "not taking instruction", and when I was evaluated and accused of not taking instruction they asked me what I had to say for myself and I told them, "it doesn't matter what I say, if I try to explain my actions I am doing what you are accusing me of, and if I don't say anything than it appears I am accepting what you are accusing me of". Suffice to say I was sacked not long after.
Oh come on! I watched this all to see your reaction to the final second twist of him not actually having regressed, and you didn't pick up on it...! T.T Love the reacts, man, you're super informative and I really enjoy your commentary
Leonardo Di Caprio had played quite a few roles like this. Inception: A whole host of trauma going on. Revenant - revenge Shutter Island - hallucinations and delusions. Wolf of Wall Street - drug dependency Actors chasing Oscars have a tendency to choose roles around mental health.
This and inception came out around the same time, and have fairly similar premises in my opinion (not the institution, but the whole idea of questioning what of which we perceive is actually true.) But I enjoyed this so much more than inception.
Mental health show you should check out: You're the Worst. Specifically season 2 really dives into a few different aspects of mental health but truthfully you see it throughout the entire show. Please look into it - as a psych nurse who suffers from mental illness, this show really did it for me in accuracy and relatability! Gretchen is a key character to look up, Edgar as well. And Jimmy in his own right.... all three have some pretty extensive mental health storylines in the series. But season 2 hits hard.
the most terrifying aspect of this film is the possibility that people could gaslight you into eventually becoming insane and believing a lie that never happened and so you're trapped, like you're drowning in sand slowly. it's so painful and devastating, like victims of wrongful convictions. its heartbreaking and terrifying. I feel it could happen to anyone. like an induced psychosis?
You'll be very glad to hear that in Massachusetts (where the film is set) we very much still have punitive psych hospitals. Not on paper. But, they're here.
When the wife was talking about a "bug in my brain" it reminded me of a movie titled "bug" starring Ashley Judd and other famous actors...even if you don't review it I would recommend it. A great study on psychosis. (I learned the definition of psychosis from watching you :)
Great video! I do still feel that “Spotlight” would be a really good mental health video, having gone through the same traumas highlighted in that film.
The thing I like about this movie is that it turns the trope of the "Evil Insane Asylum" on its head. We easily buy into Andrew's delusion because we're deluded ourselves. We've seen this trope so many times that we accept that asylums really were like this back then. However, when Andrew comes back to reality, we also see the reality of how kind these doctors were. They were so invested in his recovery that they got the entire island to role-play with him so that he could recover. That's how much they cared. It showed what was closer to reality, that most doctors back then were invested in the well-being of their patients. With their limited knowledge, they really believed things like lobotomies were a way for patients to be well and they were done from that standpoint, not because they wanted to turn them into compliant vegetables. I'm not justifying lobotomies (holy he**) nor am I saying that all doctors cared. There really are some horrible psychiatric healthcare workers, then and now. There have been evil asylums (Willowbrook Hospital). I'm just saying I appreciate showing that the "evil asylum" trope also isn't reality. Most asylums back in the day were built on the French model, as places to heal. Most doctors cared. They just had very poor tools to do so.
I have psychogenic non-epileptic seizure disorder due to functional neurological disorder, and I get very angry at my brain that it does this to cope. But it does it again and again because it does on a basic level "work", I have much less panic attacks and flashbacks and overstimulation meltdowns now because they turn into seizures first. It's not healthy, it's not a good way to cope, it impacts my life hugely and poses a big safety risk, but I can understand it's my brain's way of trying to cope in anyway it can. I do wonder if psychosis is similar in that sense, like dissociative disorders, where it's not healthy or in any way "good" but it is a method that "works good enough"
Apropos of nothing, I'm so sorry for Michelle Williams because she is so beautiful but it is in that really delicate, damaged way and I think she may have gotten typecast. The next thing I remember after "Brokeback Mountain" and after that it was Marilyn Monroe in her latter years. It's like she has that delicate fragile look and no one wanted to cast her in any other type of role. I hope she's doing theater.
My grandmother had nightmares almost every day. Even after 70 or 80 years after the second world war she would dream about the things that had happened in her teenage years. Soldiers were trained how to deal with the stress and death. The civilians didn't have that luxury.
Diagnosis overshadowing was my downfall. I did NOT have bipolar disorder. I was a 11 year old going through puberty in an abusive household. No matter what I said to get help, it all went back to bipolar. If I was in a good mood, manic. Drugged. Frustrated at my lack of power. Manic. More drugs. Crying about this inescapable hell. Depressed. Electric shock. Took me 13 years to get out.
The fact that nobody will acknowledge that the cave scene laid out an mk ultra subplot almost better than the main plot ever described itself makes me believe that he was MK Ultra'd
You being a forensic psychiatrist, I'd love to see you analyse Memento. Thank you for this breakdown and analysis, I find you videos fascinating. As someone who has experienced childhood trauma, I love to learn and understand why we are the way we are in certain circumstances.
I loved this episode. Thank you as always for your content! As far as material for another episode is concerned. I think you would have fun reacting to the character of Dr. Wendy Hughes, the clinical psychologist in the TV series S.W.A.T. Several of the episodes involving her talk about shame, PTSD and Grief.
27:35 Perhaps if I were also a forensic psychiatrist like you or someone who works with patients like this on a daily basis, I might feel differently, but rn I tend to believe that features which are solely detrimental to survival are eliminated by evolution pretty quickly. That's not to say that everything which remains is purely good, but at the very least if there is a potential for the development of a given trait that keeps popping up, I would suspect that this potential serves a function. If we are computers, then the body is hardware and the mind is software. If this trend applies to the body, I don't see why it wouldn't also apply to the mind and mental states that we develop. Remember, the context/environment that we have adapted to over the last few decades we have lived is radically different from the majority of human history, not to mention life as a whole. The adaptations needed to survive in our world differ greatly from those needed to survive in medieval times, for example. In times past huge numbers of people would be sent off to kill and die, and watch their allies do the same in bloody wars, not to mention all manner of sickening war crimes perpetuated against soldiers and civilians alike. Having modern sensibilities in that context would be a detriment to your survival. If anything, it is impressive how flexible the mind is to extreme pressures, that rather than shut down, it seeks to adapt to the stressor, reconfiguring itself into all manner of different mental states given different triggers. Then again, this is speculation, I could be completely wrong, but that's what I believe. The mind being flexible enough to develop mental disorders like the ones we see is most likely a beneficial trait to survival, even if many of these specific disorders are not.
I like to believe that our body and our mind try to protect us as much as possible but sometimes fails us or creates unhealthy coping mechanisms and perspectives (such as mental illness and autoimmune disorders, which I believe are also similar) I do believe psychosis is another way that the body can try to protect us, I hope that's true anyway
Whenever I hear you mentioned how some people argue, I would never do that, I often think of the Red Dwarf episode Back to Reality. Krypton provides a great explanation as to how with certain conditions, anyone could end up doing things they thought they would never do.
There an island here just a couple miles from Manhattan that was used for many things, one of them was a mental asylum, it was called North Brother Island.
I think that psychosis occupies the role in the somatic mind that is occupied by the immune system in the body. Its goal is to protect the mind and preserve the function of living, but like the immune system it will throw everything at victory even if it kills what it wants to protect.
i wish i could watch this movie for the first time again, actually i wish i could watch it for the first and second time again, because on a second watch you pick up on soooo much more because from the beginning you know andrew is psychotic, it's such an incredible film
TIme to move on to another film like, "The Prestige." It's a great one. Then, after enough time has passed, you'll know when it's right, you can revisit "Shutter Island." You can then have a somewhat fresh experience.
Would be interesting to hear your thoughts on criminal profiling, particularly of the FBI’s behavioural analysis unit and its history. Because they are utterly scathing about the efficacy of your field.
I have a suggestion THE RIVER'S EDGE. It's an all star cast, critically acclaimed, Mid 80s film. As a teenager I had a hard time processing this film, the characters are mostly teens. And the subject was disturbing. If my memory is correct it's based on a true story.
Even at my most psychotic i always was in enough control to realize if I completely loose it i can really hurt someone i took a vow when i was kid to never hurt anyone again cause as a kid I was triggered so bad I dislocated another kids shoulder, thst kid don't know who i am now but everytime i sew him as an adult i remember that memory, we all are not dangerous not all of us deserve to be on shutter island people do delete people does thst make us Neuro spicy or does thst make us human the big and only question who get to design the line where me not a dangerous pwrsom keeps ending up in mwntal hospitals cause the information just isn't known its there but this still happens today without the lobotomy but i can tell how being strapped to a chair and given thorazine feels when you didn't no criminal act
what the difference between me “hearing” myself practice a speech in my head and those who “hear” voice that tell them to do things? i mean are they the same thing just sane vs insane or is there a bigger or hidden (to the layman) thing at play?
I have a pretty vivid inner monologue at all times, to the point where I get a bit disoriented if it quiets down. I`ve also heard voices on three separate occasions (due to long term insomnia/stress). The "voices" literally sounded like another human in the room, except without any source. One of them yelled my name into my right ear so loudly that I actually startled and spilled my coffee. They sounded entirely present and physical, despite my knowledge that they couldn't possibly be real. It wouldn't surprise me if some people end up building entire delusions just to get around that cognitive dissonance. I probably would have, if it happened to me on a daily basis. In my case the voices didn't even say anything disturbing - the absolute worst was a couple of minutes of mocking commentary, middle school mean girl style - but just the fact that I was hearing unreal things scared the shit out of me. In the long term it would have been difficult to not just go "yep, those are demons trying to undermine me because I have been chosen for some special purpose"
Yes psychosis has a funtion it's a safety mechanism we use to protect yourself from the delusions we see I use movies to describe how my reality is and i can see myself in leo, i see myself as tom riddle cause i can just do stuff
As far as law is concerned, imprisonment serves 3 functions: to rehabilitate the criminal so that they can be better, to protect society from people likely to commit crimes, and yes, also to punish both as a form of compensation to victims, and as a deterrent for others. One can make arguments if this is right or desirable, but legally speaking prisons _are_ supposed to punish.
@@RisqueBisquet Thus the "also" in my comment... believing that prison is different than a mental hospital because one is supposed to be rehabilitative and one isn't is why there is such a systemic problem with prisons in the U.S.
Tennessee's state mental prison is moccicin bend, been there 3 times every key opens every lock in the building i find that easy to over power 1 pwrson to have run of the place til someone finds you, but if you get out your surroundes by forest and highways long long way from anywhere I don't know what i am i really want to learn cause I keep getting arrested for nothing and not hurting anyone
It's really hard for me to ask for help. Older brother who used to beat me up and now asks me for help. He was diagnosed with paranoid schophrenia. And I own my own business now. I've even paid him for work. But I hate him, like an enemy working at my deepest oldest responses.
I always thought that either option is correct, that he either is a guy who had a psychotic break and the doctors are telling the truth, or this random Marshall did get MK ultrad that last shot on the lighthouse will always keep me wondering
Hi. I have Bachelors in Psychology and Masters in both Educational Psych and Correctional Criminology. Having considered both sides, I believe US prison system has fluctuated historically between punishment and rehabilitation. Having worked in prisons in Indiana, I'd say they are, sadly, better at punishment.
Is shellshock and PTSD really the same thing? Because when I watched these old videos of ww1 veterans who don't behave like any normal human beeing anymore. There arms and legs are contracting violentely, I more feel like these are complete and devastating break downs of an entire human beeing, if that makes sense. You could imagine a soldier in older wars getting PTSD but I think these complete break downs of a a human beeing were something that was never seen before in war.
Genuine question: when discussing positive/negative symptoms of schizophrenia, why is disorganized thinking referred to as a positive symptom if it's a lack of coherence while thinking? Shouldn't it be a negative symptom (thinking minus logic or reason)? EDIT: typo
I think the meaning of "positive" and "negative" in this context isn't good and bad, but rather it means traits that are additional to a normal experience, and subtractive to a normal experience.
They say that at their hospital they only takk the most dangerous patients.that's kind of weird to me that they think that he is the most dangerous because he killed his wife when he only kills his wife after she killed the kids how is he the most dangerous that's weird that during that time period I guess they thought that was a most dangerous type of person
Great analysis, Doctor! Would love to hear your take on Ari Aster films - Hereditary, Midsommar, Beau Is Afraid! Quite a lot to unpack for mental health on these! 🧑⚕️ thank you for the great and helpful content! 😊
There’s actually more clues that Teddy is sane and made crazy. The storm is the biggest one, teddy only mentions the storm once or twice but almost every other character refers to the storm. Early on in the movie the first interactions with Dr. Cawley mention drowning twice, and teddy should be triggered but barely has any reaction. Dr. Solando gives teddy a bunch of information about drugs he doesn’t already know, and if Teddy is Andrew that whole interaction was a delusion. But the most compelling tell for me is that people are constantly talking over Teddy and never giving him time to think about the ideas they’re planting in his head. They make a statement and assert its validity without letting Teddy process the new information.
I think about the content of psychosis as being a mix of the dysfunctional circuits, and the interpretation of the experiences by the patient (or other parts of their brain, if you want to be reductive). After all, we are all constantly creating a mental framework to interpret the world we experience. So does psychosis serve a function? Not the mental state itself, I don't think so. No more than a seizure does in epilepsy. But the patient's interpretation and how they try to adapt or manage this reality the find themselves in is very functional. So the content of a delusion can have really important meaning to a patient, and clumsy attempts to persuade them otherwise can be harmful. Though I have to say, on an almost daily basis I find myself having parallel, compartmentalised discussions with patients. They may have a delusional belief, but they often can recognise and engage with (to a varying extent) that I don't share that belief or at least that I want to discuss their medical treatment. It's something that surprises medical students, because insight isn't all or nothing. A person may fully believe they're already dead, but they also can believe I'm a doctor trying to help them, and that they would benefit from medication and showering.
Do you feel like the same sort of possible protective feature that psychosis can provide is the same that people talk about when they claim they have multiple personalities? What are your thoughts on this and do you even believe in the dx of DID?
"Try to not take this on a 30 minute pharmacology tangent" Boooooo, no fun! I love tangents 🤣 you need a channel for all the tangents 🤣 minimal editing, just tangent
Whether rational or not the mind will "math out" solutions based on evidence and logic it has access to and a framework to process. I would say psychosis works for a spell, but like a fight or flight state can quickly spiral out of control if there's no safety net to bring one out of the "snit."
I was expecting a little more psychiatric analysis from you Dr. I think this movie is best reviewed after watching it for a second time because upon a second or even third watch you start noticing way more subtle details that help paint a more accurate picture of what's going on with Teddys mind.
Great movie. I have epilepsy and studied human vibration, neurology and psychology in order to understand interpretation and consciousness. It's so interesting to me and I enjoyed all the info you added. Came across a lot of these concepts while researching. Not only a great movie but like the joker gives a good incite into the personal experience of someone with illnesses and hopefully undo some of this stigma out there . 😇
I have a theory that hearing voices is the subconscious brain gaining an internal voice. We have two conciousnesses within us, but the one we are aware of we call the self. The other one is basically trapped inside us, voiceless, not a full being, but the subconscious half of us. Thibk about it for a moment. Do you think of questions before you think them? Why do you suddenly want to go left instead of right?
So I'm really glad you did this film. I've been obsessively watching Shutter Island almost every night for over a year looking for answers (or something) that I just can't find. I have schizoaffective disorder and have been sectioned a few times and For some reason, It just sits in a little spot in my brain, I just cannot scratch the itch no matter how many times I sit and watch it. Maybe it has something to do with the hospital, something to do with the mystery, I really dont know. Any ideas, I'd be grateful.
Psychosis definitely serves a function. Most things do, either intentional or emergent, things that persist, or resist, or return do anyway, especially in opposition to other forces. Functions can be self-destructive or ultimately so-humans are like that-but they can be forms of both escape or refuge. If Shawshank Redemption tells us prisoners can become institutionalized, form dependent mental and psychological states with prisons, or domestic abuse tells us victims can form codependent relationships with abusers (lotta similarities to Stockholm syndrome), then people can form or find themselves in codependent states with mental states and sets of perceptions and beliefs. They may ultimately be bad or self-destructive, but they’re familiar, possibly comfortable, more comfortable than reality like in this film. With Andrew, facing reality = taking away his refuge/coping/retreating space of being Teddy, and there was no other alternative to fill the void. Andrew realized he was the very thing he stated in the beginning as Teddy that he hated and didn’t respect: entertaining violent murderers their delusions. There’s possibly a small part of his choosing “to die a Ms a good man” that is him owning up to his earlier position: he didn’t believe such people deserved empathy from so many others, or at least so many resources expended for such pursuits. He’s kinda most like Dr. Naehring and the Warden in that regard, and I think there might have been some lines partway through when he ran into each of them, that remarked on that similarity. Kingsley, von Sydow, and Levine gave great expressions at the end conveying their characters-you can see Levine’s look as the warden like “Of course this was gonna happen, this was all just a waste of time and unnecessary risk to everyone else”.
Loved this. 😍 It makes sense that psychosis serves a purpose but wondering: does that mean you can recover from it completely when your context improves? 🤔
I speaking to hope no-one will ever have to go what ive went through will happen cause the info is here but not a lot of Drs know maybe it's just where im from cause where im from ranks 45th in the America for mental support and awareness
Andrew's last line of dialogue, and his failure to respond to being called "Teddy," actually proves that he hasn't regressed. He's voluntarily submitting himself to a lobotomy so he doesn't have to live with his sins.
Yeah i think that last bit shows that actually it did work, too well, and he just couldnt live with what had happened. Almost like "you shouldve just left me with my delusions man"
@@deadlymelody27 actually I believe this scene takes place before his lobotomy, his last piece is him making it known that he'd rather live as a husk then to live with knowing what he done.
Yes, he accepted reality, but didn't want to live in that reality anymore, as it was too painful. He decided to pretend that he regressed, so they would lobotomize him. Maybe he did this to punish himself, because he believed that he deserved to be punished for what he did (which is in line with his perspective on crimes driven by mental illness) or more likely, he wanted to "die" on a mental level, to have his awareness dulled by the surgery so he wouldn't have to think about his bleak life anymore.
@MrKeeganimal yeah i mean that the therapy worked too well to wake him up to what had happened. So basically take me for my lobotomy now please but im giving you the clinical reason you need to do that.
Or he was never crazy but he know he will never leave that island.
To me, the whole "Live as a monster or die as a good man" line was Laeddis' way of telling Dr Sheehan that the role-play treatment worked, but he'd rather have a lobotomy and essentially be zombified than to live with the guilt of killing his wife.
Agree completely, but I don't think it was just the guilt of killing his wife, it's the guilt of never getting her help even though he knew something was wrong, which led to her murdering all of their children, leading to him killing her. It was his guilt about his failure to protect his children and also subsequently killing his wife. This movie is such a roller coaster!
but you're not dying as a good man if you do that, youre just dying as a monster who killed his wife... if jeffery dahmer gets a lobotomy, that doesn't make him a dead good man.
but you're not dying as a good man if you do that, youre just dying as a monster who killed his wife... if jeffery dahmer gets a lobotomy, that doesn't make him a dead good man.
but you're not dying as a good man if you do that, youre just dying as a monster who killed his wife...
if jeffery dahmer gets a lobotomy, that doesn't make him a dead good man.
The implication at the end is that the therapy DID in fact work and he hasn't regressed, he's just chosen to get the lobotomy because he can't live with what he's done. Also super cool to know about your specialization!
Amazing video - my all time favourite movie. I really resonate with the line about “Once you’re declared insane anything you do just becomes part of that insanity”. I worked as a nurse in a general ward for a long time and saw time and time again UTIs, sepsis and infections get overlooked due to a persons mental health diagnosis. Infections and fevers can cause a patient to become more irritable and loud obviously because they are in pain. It was honestly disheartening.
I'm an MD PhD student in the US and you give me so much wonderful inspiration for what can lie at the end of this very long road
Shutter Island has to be one of my favourite movies of all time. It might actually have been the turning point of my curiosity towards the inner workings of the brain and mental illness, which has eventually cascaded me to study mental health nursing at university. As always, an absolutely fantastic, captivating, and interesting delve into the world of psychosis.
P.s. I've just shared your channel with my fellow students on my course in the groupchat, because I believe your channel explains mental illness etc very well
I have psychotic depression and I think the nice voices kept me alive and kept me company until I started SSRIs. But the continuing weirdness of having two (or three) internal dialogs isn’t very nice, because it feels like a result of a lonely, isolated childhood
It is a scary idea to think of people coming into your house, taking you away to a hospital and the doctors trying to convince you that what you remember about your life is a lie. Your job, your relationships, even your own name and identity.
It is no wonder that it is hard to get people to work through their delusions if that is what they are going through.
There is a moment early on in the film that gave it away to me. Shortly after getting off the boat 'Teddy' is greeted by the security contingent. He makes a motion to grab a pack of cigarettes or something and they all jump, reaching for weapons. Teddy even comments along the lines of 'Geez, little jumpy aren't we fellas?'
For them to be that scared of him made me certain that Teddy was an inmate. They were use to being on guard around HIM.
If that moment "gave it away" to you, you didn't go in remotely blind. Nor did you enjoy the film in any way.
@@heldinahtmlhellcalm down, it is not hurting you that someone is better at guessing plot than most people. I accidentally read spoilers before watching the film but I still enjoyed it immensely, because everyone is different.
@@WandaMaximoff1998 The only one, evidently, not calm here is you, tough guy.
I stated simple facts. OP is describing something which happens about 5 minutes into the film, before the plot is even established. It's categorically impossible to have figured "it" out at that point, when what "it" was hadn't even been established.
Unless you'd gone into the film knowing what the film was about, and that there was a "twist".
@@heldinahtmlhell whatever 😂 you’d think on a video like this people would be a little less “Redditor” but you do you
@@WandaMaximoff1998 Why would you think that? The guy in the video is a textbook redditor.
I really need to re-watch this movie properly to see all the little hints that point towards the twist. Like Ben Kingsley's character hesitating and looking at Teddy before saying "drowned" at 3:47
And Teddy has zero reaction, hinting that Cawley is planting the idea of drowning rather than tiptoeing around a sensitive subject that he didn’t even need to bring up.
It blows my mind how good Shutter Island is because it almost starts out cheesy and trite on purpose. A hard and closed off detective who's also a veteran who's tough on crime and wants the truth. It turns out the most violent and dangerous person in the film is him. His pain and trauma are not dismissed but I think the fact that the source of the violence and danger is him make the storytelling and the metaphors hit perfectly. The best scene for me was when he meets the patient he had beat up himself, a character who his delusion said to kill. The patient turned out to be somewhat reasonable calm, if a bit paranoid.
Deep down the main character wants to help people and do the right thing, but his brain tricked him into thinking that harming others is how he could save them. I can't help but think of the real people in the world who justify their terrible actions or trick themselves into thinking they're actually helping people with the harm they cause. What an amazing film.
He's hardly the most violence and dangerous person in the film. All he did was kill his child-murdering, deranged wife.
@@heldinahtmlhell he beat multiple characters because they reminded him of his delusion by calling him his real name. They keep those scenes off screen because that would make him less of a sympathetic protagonist and mess with the tone of the movie. He's a violent person who solves his problems with violence which is in the minority of people with mental problems.
@@IbraheemM98 Off-screen things didn't happen, mate lol. You can't make up parts of the film that didn't happen.
Great film anyway. I wish Scorsese would do over-the-top, genre type films like this more often. He made this right after The Departed. It felt like he was just having fun in this period.
He's so great that he can casually throw out a couple of Tarantino-esque films that are better than anything Tarantino ever made.
@@heldinahtmlhell Maybe watch the movie again, you might like it better the second time. Here's a clip where they explicitly describe the numerous people he violently attacked.
ua-cam.com/video/E73iKakkjsk/v-deo.html
He talked about the ‘truth serum’ and my brain immediately went to the psychic driving from Hannibal
Brilliant video! I loved hearing all your compassionate knowledge and experiences. Thank you and we done! 👏🏻👏🏻
As someone who was a pharmacist for over 20 years and has two family members with schizophrenia and delusions - trying to "logic" people out of a delusion is not helpful and ends up not only irritating them, but you as well. From my experience, delusions are almost how the brain treats a dream. It accepts a what a waking mind would consider utterly bizarre and illogical as completely acceptable and logical. The brain of a schizophrenic isn't able to see through that dreamlike veil. One person I know has delusions that echo imposter syndrome. This person will believe, without question, that things have been replaced with fakes. From pictures, to clothes, to mattresses...it all is replaced with an imposter. It is also, in my professional experience, the hardest illness to treat because often people are downright paranoid of doctors and medication. They believe that it will be used to control them or hurt them in some way. It is incredibly sad to watch people struggle with it but always hopeful when you see that glimpse of the veil being lifted - where they are willing to question a once unshakeable belief. It can happen and people can live well with schizophrenia.
The thing with everything being blamed on the diagnosis you already have is very relatable. I am autistic, and in the beginning of this year i made an attempt on my own life. When i was hospital, it was a battle makingthe doctors see that there was a different reason besides my autism. I managed to convince them to start me on anti depressants, and after being released, i got my diagnosis, turns out it was a depressive response to psychological stress.
My mom ended up getting delirium from a lack of sleep and a sneaky UTI. Full on auditory and visual hallucinations. We took her in to the hospital and eventually found out that she had a heart attack at some point (she doesn't know when.) Weird to think if she hadn't had that delirium we may never have known and her heart wouldn't have gotten treatment. Her psychosis in that case came in handy!
Okay, I have to stop at 2:10: This "prisons are focusing on punishment" is not quite the case here in Europe, because our "life"-sentence is (if there's a chance to rehabilitate) only for 25 years.
I was in a closed psychiatric hospital for a month two years ago, it was kind of a nice experience. Since then, I started to publish my music finally after years of absence of playing music: ua-cam.com/video/7NmCY0gTKIw/v-deo.html
Yay! I've been dying for you to react to this 😁 one of my all time favourite movies.
7:57 this statement @8:02 actually About defense mechanisms It's so deeply profound when it comes to dicaprios character. The levels in this phone is great that doctor says that statement to the camp beyond it's a decaffeine and as the audience we didn't even know that will come into play at the end of the film. Like they're doing this whole exercise for this man who is so delusional who's defensive mechanisms are so great I love this movie
Happy to see this one finally online! Been a while since I watched Shutter Island, but iirc Leo's character also alludes in that last scene with Ruffalo that maybe he is faking his relapse, because he would rather be lobotomized than live on fully aware of what he did. Very very interesting talk, keep up the amazing work!
I really enjoyed this film when I originally saw it at the cinema, I’m not usually a fan of an ambiguous ending but in this case it really stuck with me. My take away was that he hadn’t regressed but didn’t want to live with the reality of what had happened and so chose to act as Teddy knowing the outcome would be a lobotomy. There was a conversation earlier about if it could take away a man’s memories that I think probably highlighted his wants. I’m may not be 100% remembering correctly though as it has been many years since I saw it but I do recall how it made me feel.
Exactly. He was perfectly sane at the end, but he could not live knowing what he had done. He chose to forget.
It wasn't ambiguous.
The music in this film is making me feel really anxious. Don't think I'll be rushing out to see it.
I agree. I had to stop watching as I felt myself getting way too anxious. I do have a diagnosis of generalized anxiety/depression and take medicine for it.
@@marcopolo9569 I'm not the only one then! It is wise to turn a film or video clip off if it's bothering us. I used to feel like I had to plow through it, but I don't any more. One film to avoid is Dogville starring Nicole Kidman. Just avoid.
Not a movie, but a game I think you'd adore (even if you're perhaps watching a playthrough rather than playing yourself if you're allergic to video games) is Helblade: Senua's Sacrifice. It was made with strong collaboration with psychological experts and is an extremely intimate look at a celtic woman with severe psychosis. The story is about her journey to deal with her trauma completely alone and unguided among norse mythology.
I was reminded of it when you mentioned "running commentary" voices, of which there are numerous all through the game. They vary from mocking, to narrating, to helpful and encouraging, to outright dangerous.
I would love to see you do a video on the musical Next to Normal. It was hailed as THE mental health musical back in 2008, when it opened on Broadway, and also won a Pulitzer prize for drama.
It's about a woman with bipolar and her family. There's problematic stuff in it, but I think it would make a great video.
I remember in residency my director treated me almost the same way as in the movie. I would ask what I did wrong when they told me I should have done something different, and then they wouldn't explain what I did wrong, and when I argued that I did nothing wrong, they would say I was "not taking instruction", and when I was evaluated and accused of not taking instruction they asked me what I had to say for myself and I told them, "it doesn't matter what I say, if I try to explain my actions I am doing what you are accusing me of, and if I don't say anything than it appears I am accepting what you are accusing me of". Suffice to say I was sacked not long after.
Oh come on! I watched this all to see your reaction to the final second twist of him not actually having regressed, and you didn't pick up on it...! T.T Love the reacts, man, you're super informative and I really enjoy your commentary
Leonardo Di Caprio had played quite a few roles like this.
Inception: A whole host of trauma going on.
Revenant - revenge
Shutter Island - hallucinations and delusions.
Wolf of Wall Street - drug dependency
Actors chasing Oscars have a tendency to choose roles around mental health.
This and inception came out around the same time, and have fairly similar premises in my opinion (not the institution, but the whole idea of questioning what of which we perceive is actually true.) But I enjoyed this so much more than inception.
YES YOU MANAGED TO FIND A WAY! Great video as always Dr. Ellliott!
Mental health show you should check out: You're the Worst. Specifically season 2 really dives into a few different aspects of mental health but truthfully you see it throughout the entire show. Please look into it - as a psych nurse who suffers from mental illness, this show really did it for me in accuracy and relatability!
Gretchen is a key character to look up, Edgar as well. And Jimmy in his own right.... all three have some pretty extensive mental health storylines in the series. But season 2 hits hard.
Max Richter made some amazingly beautiful music for this movie that always makes me emotional.
the most terrifying aspect of this film is the possibility that people could gaslight you into eventually becoming insane and believing a lie that never happened and so you're trapped, like you're drowning in sand slowly. it's so painful and devastating, like victims of wrongful convictions. its heartbreaking and terrifying. I feel it could happen to anyone. like an induced psychosis?
Psychodynamic Infection is a great name for a band.
DiCaprio at his best here. He and Scorsese created a beautiful piece of cinema that talks about mental illness in a very different way
So excited to hear your thoughts on this film!! This is one of my favorite movies
this is my favorite movie ever, watched it like 10 times, its so good! i was waiting for you to cover this one.
You'll be very glad to hear that in Massachusetts (where the film is set) we very much still have punitive psych hospitals. Not on paper. But, they're here.
The only difference is the care you get, punitive vs. rehabilitative, depends on whether or not you're rich.
When the wife was talking about a "bug in my brain" it reminded me of a movie titled "bug" starring Ashley Judd and other famous actors...even if you don't review it I would recommend it. A great study on psychosis. (I learned the definition of psychosis from watching you :)
Great video! I do still feel that “Spotlight” would be a really good mental health video, having gone through the same traumas highlighted in that film.
The only ones who I feel don't deserve help are pedophiles and sexual predators...
I was so looking forward to this one and it did not disappoint!
The thing I like about this movie is that it turns the trope of the "Evil Insane Asylum" on its head. We easily buy into Andrew's delusion because we're deluded ourselves. We've seen this trope so many times that we accept that asylums really were like this back then. However, when Andrew comes back to reality, we also see the reality of how kind these doctors were. They were so invested in his recovery that they got the entire island to role-play with him so that he could recover. That's how much they cared.
It showed what was closer to reality, that most doctors back then were invested in the well-being of their patients. With their limited knowledge, they really believed things like lobotomies were a way for patients to be well and they were done from that standpoint, not because they wanted to turn them into compliant vegetables.
I'm not justifying lobotomies (holy he**) nor am I saying that all doctors cared. There really are some horrible psychiatric healthcare workers, then and now. There have been evil asylums (Willowbrook Hospital). I'm just saying I appreciate showing that the "evil asylum" trope also isn't reality. Most asylums back in the day were built on the French model, as places to heal. Most doctors cared. They just had very poor tools to do so.
I have psychogenic non-epileptic seizure disorder due to functional neurological disorder, and I get very angry at my brain that it does this to cope. But it does it again and again because it does on a basic level "work", I have much less panic attacks and flashbacks and overstimulation meltdowns now because they turn into seizures first. It's not healthy, it's not a good way to cope, it impacts my life hugely and poses a big safety risk, but I can understand it's my brain's way of trying to cope in anyway it can. I do wonder if psychosis is similar in that sense, like dissociative disorders, where it's not healthy or in any way "good" but it is a method that "works good enough"
I also have FND and know what you mean.
I know it's off topic, but the reflection of your ring light in your eyes gives mad Galadriel energy and I'm here for it
Quetiapine withdrawal is horrific. The nausea and stomach cramping is non stop. Its nice to see someone Actually talk about this in a video
These videos are always so interesting!
If you're going to do another film in the future, might I recommend The Cell?
The Cell. Now _that's_ a mind frak of a film.
Yessss you got this up! So excited before I have even watched 😁
Apropos of nothing, I'm so sorry for Michelle Williams because she is so beautiful but it is in that really delicate, damaged way and I think she may have gotten typecast. The next thing I remember after "Brokeback Mountain" and after that it was Marilyn Monroe in her latter years. It's like she has that delicate fragile look and no one wanted to cast her in any other type of role. I hope she's doing theater.
When you were discussing if psychosis could be helpful, that reminded me of a quote I heard, "Better the lies that exalt us than 1000 truths."
My grandmother had nightmares almost every day. Even after 70 or 80 years after the second world war she would dream about the things that had happened in her teenage years. Soldiers were trained how to deal with the stress and death. The civilians didn't have that luxury.
I have been waiting for this. So excited for your thoughts.
Diagnosis overshadowing was my downfall. I did NOT have bipolar disorder. I was a 11 year old going through puberty in an abusive household. No matter what I said to get help, it all went back to bipolar. If I was in a good mood, manic. Drugged. Frustrated at my lack of power. Manic. More drugs. Crying about this inescapable hell. Depressed. Electric shock. Took me 13 years to get out.
The fact that nobody will acknowledge that the cave scene laid out an mk ultra subplot almost better than the main plot ever described itself makes me believe that he was MK Ultra'd
i like how you're in the verge of tears the whole 32 minutes straight
You being a forensic psychiatrist, I'd love to see you analyse Memento. Thank you for this breakdown and analysis, I find you videos fascinating. As someone who has experienced childhood trauma, I love to learn and understand why we are the way we are in certain circumstances.
I loved this episode. Thank you as always for your content! As far as material for another episode is concerned. I think you would have fun reacting to the character of Dr. Wendy Hughes, the clinical psychologist in the TV series S.W.A.T. Several of the episodes involving her talk about shame, PTSD and Grief.
27:35 Perhaps if I were also a forensic psychiatrist like you or someone who works with patients like this on a daily basis, I might feel differently, but rn I tend to believe that features which are solely detrimental to survival are eliminated by evolution pretty quickly. That's not to say that everything which remains is purely good, but at the very least if there is a potential for the development of a given trait that keeps popping up, I would suspect that this potential serves a function. If we are computers, then the body is hardware and the mind is software. If this trend applies to the body, I don't see why it wouldn't also apply to the mind and mental states that we develop.
Remember, the context/environment that we have adapted to over the last few decades we have lived is radically different from the majority of human history, not to mention life as a whole. The adaptations needed to survive in our world differ greatly from those needed to survive in medieval times, for example. In times past huge numbers of people would be sent off to kill and die, and watch their allies do the same in bloody wars, not to mention all manner of sickening war crimes perpetuated against soldiers and civilians alike. Having modern sensibilities in that context would be a detriment to your survival. If anything, it is impressive how flexible the mind is to extreme pressures, that rather than shut down, it seeks to adapt to the stressor, reconfiguring itself into all manner of different mental states given different triggers.
Then again, this is speculation, I could be completely wrong, but that's what I believe. The mind being flexible enough to develop mental disorders like the ones we see is most likely a beneficial trait to survival, even if many of these specific disorders are not.
Wait, at 1:03 or thereabouts- those look like tactile pavers on the ground. Very progressive for a 1950s asylum.
I like to believe that our body and our mind try to protect us as much as possible but sometimes fails us or creates unhealthy coping mechanisms and perspectives (such as mental illness and autoimmune disorders, which I believe are also similar)
I do believe psychosis is another way that the body can try to protect us, I hope that's true anyway
Whenever I hear you mentioned how some people argue, I would never do that, I often think of the Red Dwarf episode Back to Reality. Krypton provides a great explanation as to how with certain conditions, anyone could end up doing things they thought they would never do.
There an island here just a couple miles from Manhattan that was used for many things, one of them was a mental asylum, it was called North Brother Island.
I think that psychosis occupies the role in the somatic mind that is occupied by the immune system in the body. Its goal is to protect the mind and preserve the function of living, but like the immune system it will throw everything at victory even if it kills what it wants to protect.
i wish i could watch this movie for the first time again, actually i wish i could watch it for the first and second time again, because on a second watch you pick up on soooo much more because from the beginning you know andrew is psychotic, it's such an incredible film
TIme to move on to another film like, "The Prestige." It's a great one. Then, after enough time has passed, you'll know when it's right, you can revisit "Shutter Island." You can then have a somewhat fresh experience.
Would be interesting to hear your thoughts on criminal profiling, particularly of the FBI’s behavioural analysis unit and its history. Because they are utterly scathing about the efficacy of your field.
That was a very intellectual, interesting and do I dare say, fun journey. Thank you.
I have a suggestion THE RIVER'S EDGE. It's an all star cast, critically acclaimed, Mid 80s film. As a teenager I had a hard time processing this film, the characters are mostly teens. And the subject was disturbing. If my memory is correct it's based on a true story.
Even at my most psychotic i always was in enough control to realize if I completely loose it i can really hurt someone i took a vow when i was kid to never hurt anyone again cause as a kid I was triggered so bad I dislocated another kids shoulder, thst kid don't know who i am now but everytime i sew him as an adult i remember that memory, we all are not dangerous not all of us deserve to be on shutter island people do delete people does thst make us Neuro spicy or does thst make us human the big and only question who get to design the line where me not a dangerous pwrsom keeps ending up in mwntal hospitals cause the information just isn't known its there but this still happens today without the lobotomy but i can tell how being strapped to a chair and given thorazine feels when you didn't no criminal act
Still hoping that you do 'Copycat', the movie with Sigourney Weaver.
what the difference between me “hearing” myself practice a speech in my head and those who “hear” voice that tell them to do things? i mean are they the same thing just sane vs insane or is there a bigger or hidden (to the layman) thing at play?
It can be someone else’s voice outside your body or in your head that isn’t yours rather than your own monologue
I have a pretty vivid inner monologue at all times, to the point where I get a bit disoriented if it quiets down. I`ve also heard voices on three separate occasions (due to long term insomnia/stress). The "voices" literally sounded like another human in the room, except without any source. One of them yelled my name into my right ear so loudly that I actually startled and spilled my coffee. They sounded entirely present and physical, despite my knowledge that they couldn't possibly be real.
It wouldn't surprise me if some people end up building entire delusions just to get around that cognitive dissonance. I probably would have, if it happened to me on a daily basis. In my case the voices didn't even say anything disturbing - the absolute worst was a couple of minutes of mocking commentary, middle school mean girl style - but just the fact that I was hearing unreal things scared the shit out of me. In the long term it would have been difficult to not just go "yep, those are demons trying to undermine me because I have been chosen for some special purpose"
@@zprouk3091 that’s so interesting, im sorry you’ve had to go through that but thank you so much for the info, i’ve always wondered
Yes psychosis has a funtion it's a safety mechanism we use to protect yourself from the delusions we see I use movies to describe how my reality is and i can see myself in leo, i see myself as tom riddle cause i can just do stuff
I'd like a 30 minute video on psychopharmacology
been waiting for this one !
2:00 Prison isn't supposed to be about punishment, it's also supposed to be rehabilitative
As far as law is concerned, imprisonment serves 3 functions: to rehabilitate the criminal so that they can be better, to protect society from people likely to commit crimes, and yes, also to punish both as a form of compensation to victims, and as a deterrent for others. One can make arguments if this is right or desirable, but legally speaking prisons _are_ supposed to punish.
@@RisqueBisquet Thus the "also" in my comment... believing that prison is different than a mental hospital because one is supposed to be rehabilitative and one isn't is why there is such a systemic problem with prisons in the U.S.
He also does a really good job in the Aviator!!
Thank you. I sent them in the hospital was very abusive. Great movie with interesting twist. I wish people with schizophrenia were treated better.
Tennessee's state mental prison is moccicin bend, been there 3 times every key opens every lock in the building i find that easy to over power 1 pwrson to have run of the place til someone finds you, but if you get out your surroundes by forest and highways long long way from anywhere I don't know what i am i really want to learn cause I keep getting arrested for nothing and not hurting anyone
I would totally be interested in the 30 minute psychopharmacology tangent
It's really hard for me to ask for help. Older brother who used to beat me up and now asks me for help. He was diagnosed with paranoid schophrenia. And I own my own business now. I've even paid him for work. But I hate him, like an enemy working at my deepest oldest responses.
I always thought that either option is correct, that he either is a guy who had a psychotic break and the doctors are telling the truth, or this random Marshall did get MK ultrad that last shot on the lighthouse will always keep me wondering
Hi. I have Bachelors in Psychology and Masters in both Educational Psych and Correctional Criminology. Having considered both sides, I believe US prison system has fluctuated historically between punishment and rehabilitation. Having worked in prisons in Indiana, I'd say they are, sadly, better at punishment.
Is shellshock and PTSD really the same thing? Because when I watched these old videos of ww1 veterans who don't behave like any normal human beeing anymore. There arms and legs are contracting violentely, I more feel like these are complete and devastating break downs of an entire human beeing, if that makes sense. You could imagine a soldier in older wars getting PTSD but I think these complete break downs of a a human beeing were something that was never seen before in war.
Well sir intresting I can't read lips what doctor said last to discharge or keep him in asylum
Genuine question: when discussing positive/negative symptoms of schizophrenia, why is disorganized thinking referred to as a positive symptom if it's a lack of coherence while thinking? Shouldn't it be a negative symptom (thinking minus logic or reason)?
EDIT: typo
I think the meaning of "positive" and "negative" in this context isn't good and bad, but rather it means traits that are additional to a normal experience, and subtractive to a normal experience.
They say that at their hospital they only takk the most dangerous patients.that's kind of weird to me that they think that he is the most dangerous because he killed his wife when he only kills his wife after she killed the kids how is he the most dangerous that's weird that during that time period I guess they thought that was a most dangerous type of person
Great analysis, Doctor! Would love to hear your take on Ari Aster films - Hereditary, Midsommar, Beau Is Afraid! Quite a lot to unpack for mental health on these! 🧑⚕️ thank you for the great and helpful content! 😊
I’ve always loved Shutter Island. It was a good book and a solid movie. Then I found out that the author went to my alma mater, FIU. I’m a fan.
There’s actually more clues that Teddy is sane and made crazy. The storm is the biggest one, teddy only mentions the storm once or twice but almost every other character refers to the storm.
Early on in the movie the first interactions with Dr. Cawley mention drowning twice, and teddy should be triggered but barely has any reaction.
Dr. Solando gives teddy a bunch of information about drugs he doesn’t already know, and if Teddy is Andrew that whole interaction was a delusion.
But the most compelling tell for me is that people are constantly talking over Teddy and never giving him time to think about the ideas they’re planting in his head. They make a statement and assert its validity without letting Teddy process the new information.
I think about the content of psychosis as being a mix of the dysfunctional circuits, and the interpretation of the experiences by the patient (or other parts of their brain, if you want to be reductive). After all, we are all constantly creating a mental framework to interpret the world we experience.
So does psychosis serve a function? Not the mental state itself, I don't think so. No more than a seizure does in epilepsy. But the patient's interpretation and how they try to adapt or manage this reality the find themselves in is very functional. So the content of a delusion can have really important meaning to a patient, and clumsy attempts to persuade them otherwise can be harmful.
Though I have to say, on an almost daily basis I find myself having parallel, compartmentalised discussions with patients. They may have a delusional belief, but they often can recognise and engage with (to a varying extent) that I don't share that belief or at least that I want to discuss their medical treatment. It's something that surprises medical students, because insight isn't all or nothing. A person may fully believe they're already dead, but they also can believe I'm a doctor trying to help them, and that they would benefit from medication and showering.
Do you feel like the same sort of possible protective feature that psychosis can provide is the same that people talk about when they claim they have multiple personalities? What are your thoughts on this and do you even believe in the dx of DID?
What’s the psychology behind wearing a scarf indoors?
"Try to not take this on a 30 minute pharmacology tangent"
Boooooo, no fun! I love tangents 🤣 you need a channel for all the tangents 🤣 minimal editing, just tangent
Whether rational or not the mind will "math out" solutions based on evidence and logic it has access to and a framework to process. I would say psychosis works for a spell, but like a fight or flight state can quickly spiral out of control if there's no safety net to bring one out of the "snit."
Im 42 just found out what the autism spectrum is always heard the word didn't know anything other than what we called sevonts is Leo on the specrum?
I was expecting a little more psychiatric analysis from you Dr. I think this movie is best reviewed after watching it for a second time because upon a second or even third watch you start noticing way more subtle details that help paint a more accurate picture of what's going on with Teddys mind.
Great movie. I have epilepsy and studied human vibration, neurology and psychology in order to understand interpretation and consciousness. It's so interesting to me and I enjoyed all the info you added. Came across a lot of these concepts while researching. Not only a great movie but like the joker gives a good incite into the personal experience of someone with illnesses and hopefully undo some of this stigma out there . 😇
I have a theory that hearing voices is the subconscious brain gaining an internal voice. We have two conciousnesses within us, but the one we are aware of we call the self. The other one is basically trapped inside us, voiceless, not a full being, but the subconscious half of us.
Thibk about it for a moment. Do you think of questions before you think them? Why do you suddenly want to go left instead of right?
So I'm really glad you did this film. I've been obsessively watching Shutter Island almost every night for over a year looking for answers (or something) that I just can't find. I have schizoaffective disorder and have been sectioned a few times and For some reason, It just sits in a little spot in my brain, I just cannot scratch the itch no matter how many times I sit and watch it. Maybe it has something to do with the hospital, something to do with the mystery, I really dont know. Any ideas, I'd be grateful.
Psychosis definitely serves a function. Most things do, either intentional or emergent, things that persist, or resist, or return do anyway, especially in opposition to other forces.
Functions can be self-destructive or ultimately so-humans are like that-but they can be forms of both escape or refuge. If Shawshank Redemption tells us prisoners can become institutionalized, form dependent mental and psychological states with prisons, or domestic abuse tells us victims can form codependent relationships with abusers (lotta similarities to Stockholm syndrome), then people can form or find themselves in codependent states with mental states and sets of perceptions and beliefs. They may ultimately be bad or self-destructive, but they’re familiar, possibly comfortable, more comfortable than reality like in this film.
With Andrew, facing reality = taking away his refuge/coping/retreating space of being Teddy, and there was no other alternative to fill the void. Andrew realized he was the very thing he stated in the beginning as Teddy that he hated and didn’t respect: entertaining violent murderers their delusions. There’s possibly a small part of his choosing “to die a Ms a good man” that is him owning up to his earlier position: he didn’t believe such people deserved empathy from so many others, or at least so many resources expended for such pursuits. He’s kinda most like Dr. Naehring and the Warden in that regard, and I think there might have been some lines partway through when he ran into each of them, that remarked on that similarity.
Kingsley, von Sydow, and Levine gave great expressions at the end conveying their characters-you can see Levine’s look as the warden like “Of course this was gonna happen, this was all just a waste of time and unnecessary risk to everyone else”.
Loved this. 😍 It makes sense that psychosis serves a purpose but wondering: does that mean you can recover from it completely when your context improves? 🤔
I speaking to hope no-one will ever have to go what ive went through will happen cause the info is here but not a lot of Drs know maybe it's just where im from cause where im from ranks 45th in the America for mental support and awareness