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Suspicious Minds: How Culture Shapes Madness (The Truman Shoe Delusion and Other Strange Beliefs) Hardcover – July 8, 2014

4.6 4.6 out of 5 stars 64 ratings

What if you woke up with the alarming suspicion that you were being watched?

One day in 2003, a patient unlike any other that Dr. Joel Gold had seen before was admitted to his unit at Bellevue Hospital. This man claimed he was being filmed constantly and that 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, Dr. 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, of delusions more generally, and of madness itself.

The current view of delusions is that they are the result of biology gone awry, of neurons in the brain misfiring. In contrast, the Golds argue that delusions are the result of the interaction between the brain and the social world. By exploring the major categories of delusion through fascinating case studies and marshaling the latest research in schizophrenia, the brothers reveal the role of culture and the social world in the development of psychosis—delusions in particular.
Suspicious Minds presents a groundbreaking new vision of just how dramatically our surroundings can influence our brains.

Editorial Reviews

Review

“Incisive [and] insightful. . . . [C]lear, witty, and engaging. . . . [T]he brothers Gold propose an intriguing new hypothesis to account for delusions: a malfunctioning “Suspicion System,” in which the cognitive system that has evolved to alert us to possible danger breaks down, becoming so overloaded by an abundance of real and perceived external threats that it can no longer discriminate between justifiable wariness and paranoia.” ― The Boston Globe

“The book amounts to nothing less than a frontal—or perhaps pre-frontal—challenge to the dominant view of modern psychiatry, which looks to neuroscience to explain disorders of the mind. . . .
Suspicious Minds comes alive with often-provocative notions. [Joel and Ian Gold] pepper the book with often fascinating case histories of the deluded, which provide more proof that no fantasist can hope to match the wonders—and horrors—of the human mind.” ― Washington Post

"A dual broadside: against a psychiatric profession that has become infatuated with neuroscience as part of its longstanding attempt to establish itself as 'real medicine,' and against a culture that has become too networked for its own good." ―
New York Times Book Review

"Suspicious Minds is an important book. It's sharp, compassionate and incredibly well researched. It gives a window into current psychiatric debates, and it builds toward a theory that is at least plausible and definitely thought provoking." ― The Globe and Mail

"Evidently, [the Gold brothers] hypothesize in a droll Oliver Sacksian tone, culture has a great deal of influence on trends in madness." ―
The Village Voice

"A fascinating and intimate portrait of psychosis." ―
Scientific American

"Juxtaposing recent research on schizophrenia with page-turning case studies of these paranoid patients, the Golds argue that psychotic delusions (not to mention mesmeric movie plots) are the result of interactions between the brain and the sociocultural world, and they bring to light the discipline-altering fact that culture has a role to play in the development of psychopathology generally. . . . [A] contrarian, insightful, and important book. . . . [Gold and Gold's] analysis of culture-linked paranoia comprises an effective argument that our seemingly endless struggle to align our society with our more enlightened ideals may be a fight for our very minds." ―
The New Republic

Suspicious Minds offers lessons to anyone interested in the complexity of the mental health field’s future.” ― New York Post

"The Golds reveal how the categories of delusion map onto the social world, and they raise questions about the future of madness in a social world that’s gone global in the age of the Internet. The result is a view that breaks the bonds of contemporary psychiatry by showing that madness is as much a social disease as it is biological." ―
The Philadelphia Tribune

"A provocative new perspective on the diagnosis, and therefore treatment, of mental illness." ―
Kirkus Reviews

“This remarkable book isn’t just a crash course in delusions, which would be interesting enough. It’s a history of psychiatry, a thriller, an expose of dubious brain science, a collection of fascinating and heartbreaking mini-biographies, and a warning about the fragmentation of modern life.” -- A.J. Jacobs, New York Times bestselling author of The Year of Living Biblically

"A compulsively readable and unexpectedly entertaining book that stands as a needed corrective to a purely biological explanation for mental illness. By emphasizing the cultural vector for madness, the Gold brothers reveal their compassionate understanding of both the sick and the sane—and the surprisingly porous border between those two states." -- John Colapinto, author of As Nature Made Him and a staff writer at The New Yorker

"An excellent portrayal of delusions and madness, well written, well researched and exciting to read. Written by experts in the field, I highly recommend this book to all those who want a deeper understanding of the mind and how it works." -- Benjamin Sadock, MD, Menas S Gregory Professor of Psychiatry, NYU School of Medicine

“A powerful and engaging examination of how insanity is molded by culture. Pithy, insightful, and engrossing.” -- Danielle Ofri, MD, PhD, author of What Doctors Feel: How Emotions Affect the Practice of Medicine

“The book provides a bracing insight into the natural hidden camera apprehensions of our era, through the eyes of the most vulnerable among us. Artists, videographers and writers interested in the philosophy of the digital era will want to place
Suspicious Minds on their nightstands.”The Times-Picayune

About the Author

Joel Gold, MD, is Clinical Associate Professor of Psychiatry at the New York University School of Medicine. He is in private practice in Manhattan.

Ian Gold, PhD, is Associate Professor of Philosophy and Psychiatry at McGill University.

Product details

  • ASIN ‏ : ‎ 1439181551
  • Publisher ‏ : ‎ Free Press; 1st edition (July 8, 2014)
  • Language ‏ : ‎ English
  • Hardcover ‏ : ‎ 352 pages
  • ISBN-10 ‏ : ‎ 9781439181553
  • ISBN-13 ‏ : ‎ 978-1439181553
  • Item Weight ‏ : ‎ 1.12 pounds
  • Dimensions ‏ : ‎ 6.25 x 1 x 9.5 inches
  • Customer Reviews:
    4.6 4.6 out of 5 stars 64 ratings

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4.6 out of 5
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Customers find the book's content valuable, well-written, and understandable. They also say it shifts between the scientific and the personal, providing a good insight into paranoid minds.

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Top reviews from the United States

Reviewed in the United States on January 3, 2016
The environment is front and center in this brilliant new theory of delusions as the product of a “Suspicion System” gone amok. Extant research supports the role of environmental factors such as economic inequality and immigration as playing a role in psychosis. But why? The Golds posit “social defeat” -- which occurs when someone is persistently demeaned, humiliated, or subordinated -- as a potent factor in breaking down the vulnerable psyche, The brothers (Joel is a psychiatrist in New York City; Ian is a philosophy professor in Canada) pull together research in neuroscience and evolutionary psychiatry to locate the Suspicion System in the amygdala (evolved to anticipate threat) and connected brain regions. Delusions take hold, they posit, with a breakdown in communication between this early-warning Suspicion System and the more rational, slower-thinking cognitive network that should be dampening the amygdala’s over-enthusiasm. Thorough and well-written, this book is highly recommended to anyone with an interest in understanding psychosis and the thin line separating the "normal" from the "abnormal." (Interested readers can find my in-depth review at my forensic psychology blog, located at forensicpsychologist.blogspot (period) com.)
8 people found this helpful
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Reviewed in the United States on February 10, 2023
This review says it all - can only add that it is VERY accessible to the layperson. Easily the most interesting book I've read this year.

These “page-turning case studies” (New Republic) of delusion “offer a fascinating and intimate portrait of psychosis” (Scientific American). “They provide more proof that no fantasist can hope to match the wonders—and horrors—of the human mind” (The Washington Post).
One person found this helpful
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Reviewed in the United States on November 3, 2014
This book was fantastic! I would recommend this book to anyone interested in learning more about mental health and about schizophrenia or delusions in particular. Lots of valuable information and well-written!
This book shifts between the scientific and the personal - with lots of information from research studies and anecdotes by the authors, telling the stories of various patients, dispersed throughout - making for a creative and stimulating read.
3 people found this helpful
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Reviewed in the United States on July 23, 2014
A great read for anyone who loves the Science section of The New York Times.
2 people found this helpful
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Reviewed in the United States on April 10, 2015
Cross cultural philosophies about mental illness. I needed some grounding for a witness who was delusional. (I am a trial lawyer.) I got a lot out of the book for my case, and frankly, a lot out of it as just a lay reader. I will share this with others, who, like me, need to understand for one reason or another, the study of the mind.
4 people found this helpful
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Reviewed in the United States on March 26, 2015
This is a great book. For too long, the cultural nature of delusions has been ignored. This book delves into the cultural underpinnings of delusions in a fascinating way. It is also an amazing history book, of sorts. For anyone wishing to understand psychiatry or psychology, this book fills in the missing puzzle pieces, which are all too often left out in psych textbooks.
5 people found this helpful
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Reviewed in the United States on September 27, 2014
Schizophrenia is so ubiquitous and so hard to understand. Drs. Gold take you through theories of the cause of mental illness over the centuries and convincing evidence of the many causalities and leaves some hope that through medication and supportive therapy many people can be helped.
4 people found this helpful
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Reviewed in the United States on December 28, 2014
A good insight into the paranoid minds. Those of us with delusions will see we are normal? We all have delusions of some kind. The authors writings are very understandable, not lost in the clinical jargon.
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homecook
5.0 out of 5 stars It is a text with the authors' fresh interpretation of psychiatric approached to good mental health
Reviewed in Canada on October 28, 2014
Helped me understand my mother and that alone makes the book worth reading after purchase. It is a text with the authors' fresh interpretation of psychiatric approached to good mental health. Even if you disagree with their premise, the ensuing discussion is of value. There is enough truth embodied within the pages to satisfy even the naysayers. As for those who agree, a new path to reason opens its gates.
Home cook
Angelica
3.0 out of 5 stars Buen libro
Reviewed in Spain on February 7, 2016
Me encanto las historias de los casos clínicos y como integra la neurociencias con la cotidianidad de la clínica diaria y sin quitar un toque humano al asunto
Alexander the Corrector
5.0 out of 5 stars A compelling natural history of delusions
Reviewed in the United Kingdom on September 7, 2014
How do delusions form, and where do their highly detailed - and sometimes eerily plausible - narratives come from?

Although the neurosciences have located some of the mechanisms involved, notably the dopamine system, they seem as far away as ever from answering these questions. The Gold brothers start from a different point, examining the mind rather than the brain: teasing out the environmental factors associated with delusional disorders and showing how their expression reflects the surrounding culture. They propose a 'suspicion system' of threat recognition that plays a central role in our social functioning, but is prone to hypervigilance and misperception.

Combining theory of mind with intimate case studies and a fascinating round-up of recent researches in clinical psychology, this is a compelling, original and highly readable contribution to an underexplored subject.
3 people found this helpful
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Mr Lemone
5.0 out of 5 stars Very very recommended. Kind of a potted history of some little ...
Reviewed in the United Kingdom on August 9, 2016
Very very recommended.
Kind of a potted history of some little understood areas of madness
John Murphy
5.0 out of 5 stars Five Stars
Reviewed in the United Kingdom on February 12, 2016
Fantastic book. Included it in my masters work on mental health. Very accessible, would recommend to everyone.