﻿WEBVTT

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[Narrator:] Looking for
fascinating conversations

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Want to get the inside scoop

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This is your home

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for the best our university has to offer.

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Welcome to We Are IU.

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[Scott Shackelford:] In the world
of high stakes research,

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we often talk about breakthroughs
in terms of molecules or machines.

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But some of the most profound barriers
to human progress aren't physical.

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They're social.

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Nearly every family in Indiana and across
the globe is touched by mental illness.

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Yet a silent wall of stigma often stands
between suffering and support.

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For decades, one scholar has been leading
the charge to tear down that wall.

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Today, on the We Are IU podcast,
we sit down with Doctor Bernice Pescosolido.

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She's an IU distinguished professor,
a pioneer in socio

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medical sciences, and the visionary
behind the Irsay Institute

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who was recently honored as part of the IU
Bloomington for the Glory initiative.

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Her work doesn't just analyze society,
it re tools it for the better.

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Long before mental health
became a national headline, Bernice was

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studying how stigma forms, how it spreads,
and how it can be dismantled.

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Her research is not just changing
conversations, it's

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changing systems, policies and lives.

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Welcome to the podcast, Bernice.

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[Bernice Pescosolido:] Well thank you Scott.

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It's really great to be here.

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[Scott Shackelford:] The pleasure is all ours.

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Now you've spent decades
researching mental health stigma.

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When when you use the word stigma,

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what does that actually mean
in everyday life?

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I think we have some sense probably.

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But what do you mean by it?

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[Bernice Pescosolido:] Well, usually when
we talk about stigma,

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we're talking about a mark.

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It's it's a societal constructed
mark of difference.

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And the problem with stigma
is that that mark

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then denotes
somebody who should be devalued.

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And the result
of being devalued in society means that

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you there's prejudice
you encounter and discrimination.

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Regarding opportunities,
even even length of

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life is affected by whether or not
you have a stigmatized condition.

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[Scott Shackelford:] And that comes
in just so many different forms, I'm sure.

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[Bernice Pescosolido:] Because
I'm afraid it does.

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There are many things
at this point in our society that,

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that are different,
that we really don't want to embrace.

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But you know,
the human species is incredibly varied.

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And so the idea that we should all fit
one mode really doesn't work for us.

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[Scott Shackelford:] That's fair.

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You know, that's fair.

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And, you know, particularly related
to mental health stigmas.

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I was curious,

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why do you think there's such persistence
there, even as being,

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brought awareness around

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the variety of mental health conditions
that just increased over the years.

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[Bernice Pescosolido:] I think there's still
a fear of contagion,

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and there's a fear of violence.

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And, you know,
mental illness is not contagious.

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There's just no evidence
to suggest that, in fact, even the genetic

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evidence is pretty weak.

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But, you know,

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we it's it's it's
such a mysterious illness that I think

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when we don't understand something,
then we mark it is different.

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And so we have not made the progress
in the science of mental health,

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mental illness, or even addiction that
we have with cancer and heart disease.

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And so it primes us as a species to label
people with mental illness

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as some people to be separated
from or to be wary of.

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I think is the case, which is so untrue
because the prevalence rates are so high

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and many of us will have in our lifetime

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maybe just an episode of mental health
problems

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or, you know, maybe even have
a, you know, a lifetime of,

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you know, low level depression or have,

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you know, anxiety and really not realize

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that this is something
that could be better for you

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if you understood
that anxiety can be treated.

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So it's really a quandary for us
because it's so prevalent.

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And yet people don't recognize

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that they're starting to more
so we have seen change over time.

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But one of the reasons
we haven't made that progress as well,

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the prevalence is the same
as heart disease and cancer.

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The research money that goes into this,

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is about one tenth of those.

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[Scott Shackelford:] Oh, is that right?

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[Bernice Pescosolido:] Yeah.

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[Scott Shackelford:] And oh my gosh,

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[Bernice Pescosolido:]  you know,
if we had a mental health moonshot

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the way that we had a cancer moonshot, we
probably would have gotten a lot farther.

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But even the research is stigmatized.

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I mean, when I tell

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people that I study mental health,
they kind of back away just a little bit,

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and they're like, oh, or,

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you know, they think it's
kind of weirdly interesting.

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But for me, it's really the heart
of where theologies can be of help

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because it really is a situation
where I had a

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this group in Utah did a study using AI

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and large language models,
and they were predicting, you know,

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what are the things associated
with five major mental disorders?

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And they had, you know, every kind of data
you can think of, you know, biological,

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genetic blood work, social factors,
you know, background, etc..

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And in every one of those,
they found that 3 to 5

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characteristics
could predict each mental illness.

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And they were all social factors.

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[Scott Shackelford:] Is that right?

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[Bernice Pescosolido:]  Yeah
[Scott Shackelford:] I see it.

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I don't think a lot of people
really appreciate that, to be honest.

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[Bernice Pescosolido:] And well,
you know,

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where we want to

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believe everything's
mechanical and biological.

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[Bernice Pescosolido:] And be fixed with a pill
[Scott Shackelford:] right

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[Bernice Pescosolido:] Well, I think there
are very effective

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medications for mental health problems.

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And yet, you know,
we haven't had a really new drug.

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In a while.

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[Scott Shackelford:] That's right.

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That's right.

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Where we had, Richard
DiMarchi on the podcast not long ago.

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And, you know, there's been amazing,

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you know, obviously innovations that he's
helped to pioneer in so many ways.

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But to your point, Bernice,
I don't think we're going to see it.

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We're going to be for mental health
anytime soon.

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[Bernice Pescosolido:] Well, not not
with, you know, I think with

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[Scott Shackelford:] Not with these
funding levels

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[Bernice Pescosolido:] steps as well.

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You know, we director of the NIH, you,
you know,

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got rid of all funding except for looking
at, you know, sort of biomarkers.

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Well, turns out there really aren't any
really good biomarkers for mental health.

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You know, I, I'm really
I mean, I'd be really excited

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to see somebody like Richard DiMarchi
turn his idea about protein

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folding into mental health,
like we really don't have

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we haven't unlocked it
the way he unlocked, you know, GLP-1,

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which is such an exciting thing
and for the longest time, obesity.

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But it still is stigmatized.

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And, you know, but now with GLP-1,
it looks like, you know, the stigma

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which is usually associated with,
you know, sloth, laziness over eating.

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Right now, we know that GL-1
could correct the people's metabolism

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and hopefully that will decrease
the stigma attached.

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But we have to be careful
because there might now

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be a new stigma
to people who don't choose to use it.

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I think that in America we

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tend to think that people don't choose,
but often they don't have access.

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[Scott Shackelford:] That's right,
that's right.

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And I was curious to what,
what does your research tell us about

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how public attitudes toward mental health
have actually changed over time?

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As you say,
we have a long way to go, needless to say.

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But has there been some positive progress?

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[Bernice Pescosolido:]  Absolutly,
So we have good news and bad news.

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We started these studies in 1996,
and at that point, things

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didn't look very good to be honest,
in terms of how people could recognize

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mental health problems, you know, what
they thought they were caused by.

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And in our now 24 years of studying this,

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we have found that Americans
have become much more sophisticated

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about understanding mental health and its

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underlying
biological, chemical, social roots.

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So that's very exciting.

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And we found that both, by 2020
for adults disorders.

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And in our recent study,
which we're still working on, the numbers,

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but it looks like with a 20 year
lag, Americans now have gotten there

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regarding child and adolescent disorders.

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Like,
think they're better at recognizing them.

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They're better at understanding their
biological roots and their social roots.

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And, less likely
to see this as a moral failing.

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So yeah, that's really good.

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The problem
is that those changes in knowledge

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and recognition have not translated
into changes in stigma.

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They exclusion idea is still or that,
you know, the idea that, people

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are unwilling to interact with people
that are described with these disorders.

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We don't even label them.

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We just,

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you know, say, here's a person like,
what do you think is going on

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with this person?

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And why do you think they have that
problem?

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And then, you know, for the child
study would be we would say

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things like, you know, would you
that, you know, would

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would you how willing are you
to have this kid in your kid's class?

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What about in their sports team?

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What about be best friends with them?

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One of the things we found in

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all of our studies, whether it's adults
or kids or what, which disorder?

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The more intimate the setting, right?

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So the closer the contact,
the more rejection, the more stigma,

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the more exclusion.

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And that's really unfortunate
because we now

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know across all areas of health
that connectedness really matters.

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Connectedness helps
us, helps us be healthy.

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As long as there's not too much
connectedness, because then it flips

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the other way.

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So it's sort of that middle ground
of being accepted.

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And having close connections
is really important for all our health

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and mental health is right.

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[Scott Shackelford:] Absolutely.

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Yeah.

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Like you said, that elusive middle ground
can be can be a challenge.

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But, I think we've seen that border
in so many areas of science

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is that those connections,

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that social well-being is
I mean, from longevity,

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like you said, to mental
health, it's just vital.

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I know IU was famous for its work,
you know, on networks.

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Clearly
we have one of the leading sociology

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departments in the nation, frankly,
if not the world.

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A major focus of your work
is how social networks influence

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these mental health outcomes
and the prevalence of, you know,

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friends and family and communities
and how they shape care.

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But I'm kind of curious.

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I'm sure as a part of that,
there's still lots of misconceptions,

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right, about people
and why they're seeking care.

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And, you know, even close family members
who want to help

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but are maybe going about it in a way
that maybe is well-intentioned, right.

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But as the as you say,
the science might not be bearing out.

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So I'm curious
kind of what advice you have there.

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[Bernice Pescosolido:] Well,
I think that one of the things

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that we have been looking at is

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how different people,
that's the different groups

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that surround people, whether or not
they can see mental illness.

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Right.

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So, in the study of Indiana, you,
this, person to person health

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interview study,
which is of an ongoing study of 3000

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people scientifically selected
the state of Indiana,

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we compared whether or not
a state of the art

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diagnostic tool said that
the person had mental health problems,

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whether or not they thought
they had mental health problems,

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and whether or not

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the people around them thought
that they had mental health problems.

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An interesting thing is that

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there's very few cases
in which there's overlap, right?

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And so try to understand, you know,
there are people that we found, people

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who think that that, you know, that
the person has a mental health problem,

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but the diagnostic tool says they don't
and they don't think they do.

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And that's where we end up
getting some coercive care.

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And it's using the resources
that we do have, which are pretty rare.

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So we don't really the worried. Well,

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and so

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that, so sort of getting people aligned,
their understanding

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of a person's problems, I think
is really one of the important things.

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And so it's not about educating
the people that might be suffering,

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but the people around them in terms
of knowing when something's

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like a day to day problem
and knowing when something is,

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or, you know,
really crossed over that threshold.

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And that threshold really is
functionality, right?

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People can have depression
and do very well,

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but it's starts to interfere
with their ability

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to live and work
and be a family member that need help.

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And so, you know,
we said the same thing with addiction.

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We know that there are many high
functioning people with alcohol problems,

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right?

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But that, that, that

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that makes for a very unhappy person
and a very unhappy life.

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And sooner or later,
it can't be maintained.

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And so,
you know, dealing with those disorders,

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even among people
who are highly functional, is good

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for them, good for their family,
is good for our society.

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[Scott Shackelford:] And just just to drive
the point home before we move on,

00:13:22.250 --> 00:13:26.666
if someone listening does want to support
a loved one who may be struggling with

00:13:26.750 --> 00:13:29.750
have some some stigma
or some mental health disorder

00:13:29.750 --> 00:13:31.666
that might be lurking beneath the surface,
maybe

00:13:31.666 --> 00:13:34.875
not quite impacting on functionality,
as you said, Bernice.

00:13:35.500 --> 00:13:36.625
What would be, do you think?

00:13:36.625 --> 00:13:38.541
Just a useful first step,

00:13:38.541 --> 00:13:41.833
that might be even counter-intuitive,
but is borne out by the science?

00:13:42.166 --> 00:13:45.166
[Bernice Pescosolido:] Yeah, I think that
there are probably three things.

00:13:45.250 --> 00:13:47.666
First of all, we have now a emergency.

00:13:47.666 --> 00:13:51.416
An emergency line for mental health
problems is 988.

00:13:51.750 --> 00:13:53.041
And it's very effective.

00:13:53.041 --> 00:13:54.583
I've actually used it myself.

00:13:54.583 --> 00:13:56.958
I get calls, I am not a clinician.

00:13:56.958 --> 00:13:58.500
I cannot tell you whether or not

00:13:58.500 --> 00:14:02.000
you have a mental illness,
but I can't tell you to call 988

00:14:02.333 --> 00:14:06.833
and it will start to guide you
to the right places to do that.

00:14:08.000 --> 00:14:08.750
I think

00:14:08.750 --> 00:14:12.791
the you know, another thing that we can do
is that we can start thinking

00:14:12.791 --> 00:14:17.375
about talking to each other about it,
or find someone who,

00:14:17.416 --> 00:14:20.416
you know, has had that problem
and talk to them

00:14:20.666 --> 00:14:23.666
because they're likely
to have more information.

00:14:24.083 --> 00:14:25.625
And then I think they're there.

00:14:25.625 --> 00:14:30.458
Also, if you're a really, you know,
sort of very modern person and you love,

00:14:31.250 --> 00:14:33.666
you love, you know, the computer

00:14:33.666 --> 00:14:37.708
and you love all these websites,
there are some very reputable websites.

00:14:37.708 --> 00:14:41.458
And particularly regarding stigma
as opposed to just,

00:14:41.708 --> 00:14:44.458
you know, mental illness,
if you want to know about mental illness

00:14:44.458 --> 00:14:47.125
and its symptoms,
you know, go to Mayo Clinic,

00:14:47.125 --> 00:14:49.791
go to the National Institutes
of Health website.

00:14:49.791 --> 00:14:53.541
But if you want to know about stigma,
I would suggest that you go to Project

00:14:53.541 --> 00:14:58.625
Healthy Minds, website in New York,
which is, targeted toward millennials.

00:14:59.125 --> 00:15:00.458
Or if you're looking at kids
and adolescents,

00:15:01.750 --> 00:15:05.041
I would go to the brick change
to mind, website

00:15:05.041 --> 00:15:08.791
and look for that, that all of these
have information and also

00:15:09.000 --> 00:15:12.875
how to start the movement in a direction
you might want to do.

00:15:13.166 --> 00:15:18.291
So, I think it depends on whether or not
you're looking for medical advice

00:15:18.583 --> 00:15:22.791
or you're looking for the larger advice of
how do you live

00:15:23.166 --> 00:15:28.291
with a mental health issue,
because one out of 4 or 5 of us during

00:15:28.291 --> 00:15:32.708
our lifetime is going to have an
episode that it's not easy to

00:15:33.708 --> 00:15:34.250
detect.

00:15:34.250 --> 00:15:37.250
So I've been doing this research
now for a very long time.

00:15:37.791 --> 00:15:42.041
After my husband died, I thought I was
really functioning really well.

00:15:42.041 --> 00:15:44.458
You know, I was all the balls in the air,

00:15:44.458 --> 00:15:47.458
you know, things
where I'm still teaching my large classes.

00:15:47.625 --> 00:15:52.875
But what happened is that,
I realized, when my knees blew out,

00:15:53.458 --> 00:15:56.250
that I was going home after work

00:15:56.250 --> 00:15:59.375
and sitting in a chair, kind of comatose.

00:16:00.083 --> 00:16:04.583
And it was only the physical problem
that led me, who's been doing this

00:16:04.583 --> 00:16:09.208
research for, like, four decades, to say,
hey, maybe I'm depressed

00:16:09.791 --> 00:16:14.625
and, you know, and, you know,
a lot of depressions are, self-remitting

00:16:15.125 --> 00:16:18.916
But even if they are self-remitting because
those are called adjustment disorders,

00:16:19.625 --> 00:16:22.791
which often, you know,
take care of themselves

00:16:22.791 --> 00:16:25.791
at six months, you know,
why would you suffer for six months?

00:16:25.916 --> 00:16:29.000
You know, and so, so it's, it's part

00:16:29.000 --> 00:16:32.000
of the normal fabric of life

00:16:32.250 --> 00:16:36.500
that you're going to have challenges
that might throw you off kilter or not.

00:16:36.500 --> 00:16:37.791
There is help for it.

00:16:37.791 --> 00:16:40.833
Does it mean that you are going to have
a chronic mental illness

00:16:40.833 --> 00:16:42.666
or you're going
to be severely mentally ill?

00:16:44.208 --> 00:16:45.750
I think that's really important.

00:16:45.750 --> 00:16:49.125
I don't think enough resources
go to people with serious and

00:16:49.166 --> 00:16:51.083
chronic mental illness.

00:16:51.083 --> 00:16:54.250
But I do think that
we have a lot of solutions for people

00:16:54.250 --> 00:16:57.666
who are going through these life crises,
and they wouldn't have to suffer so much.

00:16:58.166 --> 00:17:02.208
[Scott Shackelford:] But I would so appreciate
you sharing that more personal story, Bernice,

00:17:02.208 --> 00:17:04.083
because I'm sure that's going to resonate
with a lot of people.

00:17:04.083 --> 00:17:06.333
I mean, you might not realize it, right?

00:17:06.333 --> 00:17:07.583
Yeah, exactly.

00:17:07.583 --> 00:17:08.000
Exactly.

00:17:08.000 --> 00:17:11.416
[Bernice Pescosolido:] Literally in my office,
because we are the Irsay Institute.

00:17:11.416 --> 00:17:12.750
And, you know, inside

00:17:12.750 --> 00:17:16.041
that is the Indiana Consortium
for Mental Health Services Research.

00:17:16.791 --> 00:17:21.083
I will get one call every two weeks
by a IU parent,

00:17:21.916 --> 00:17:25.166
by somebody in the community and say,
you know, I'm calling you.

00:17:25.208 --> 00:17:26.666
Where can I get help? And,

00:17:28.250 --> 00:17:28.916
you know, and,

00:17:28.916 --> 00:17:31.291
we're not the right people to call,
but of course we can,

00:17:31.291 --> 00:17:34.666
because of the research that we've done
and our connection to unity,

00:17:34.916 --> 00:17:36.666
we can tell them where to go.

00:17:36.666 --> 00:17:39.833
But, the services are just not adequate.

00:17:39.833 --> 00:17:43.208
Again, the, the treatment
that people with cancer receive,

00:17:43.250 --> 00:17:47.000
people with heart conditions receive
versus people with mental health problems.

00:17:47.000 --> 00:17:49.791
It's just, it's dismal.

00:17:49.791 --> 00:17:53.833
But there are
there are shining lights, which is

00:17:54.166 --> 00:17:57.041
this is my favorite
of all of these advances

00:17:57.041 --> 00:18:01.791
is that psychiatry residency
is now the hardest residency to get it to.

00:18:02.625 --> 00:18:06.958
And up until the millennial generation,
you couldn’t fill those residencies.

00:18:06.958 --> 00:18:11.000
Nobody wanted to go into psychiatry
because it was so stigmatized.

00:18:11.500 --> 00:18:15.333
But the millennials have changed the world
in more ways than one.

00:18:15.333 --> 00:18:19.625
And one of the good ways they've changed
it is that they acknowledge

00:18:19.625 --> 00:18:23.458
mental health and,
they are not afraid to talk about it.

00:18:23.458 --> 00:18:27.208
And I think that they really are going
to change the world in this area.

00:18:27.625 --> 00:18:30.083
In our studies, we find that

00:18:30.083 --> 00:18:33.916
the younger people in our studies
report the lowest levels of stigma,

00:18:34.875 --> 00:18:36.958
and we hope that that means

00:18:36.958 --> 00:18:40.791
that over time
we will have a slower change,

00:18:40.791 --> 00:18:45.333
but a real change in the levels of stigma
in American society.

00:18:45.750 --> 00:18:50.125
But the other thing we know
is that there's a conservatizing effect of age,

00:18:50.125 --> 00:18:54.000
and people tend to get more stigmatizing
as they get older.

00:18:54.416 --> 00:18:58.000
So one of the reasons
that it's so important for us to continue

00:18:58.000 --> 00:19:02.458
these studies to be the only US
national monitor of stigma,

00:19:02.750 --> 00:19:05.541
is because we need to know whether or not

00:19:05.541 --> 00:19:10.083
there's something that happens
to the aging process, or if really

00:19:10.083 --> 00:19:14.583
this generation is going to change
our whole society with regard to stigma.

00:19:14.833 --> 00:19:16.500
We can't answer that yet.

00:19:16.500 --> 00:19:18.291
[Scott Shackelford:] That that that is
positive at least.

00:19:18.291 --> 00:19:20.333
So I think you're underscoring that to.

00:19:20.333 --> 00:19:23.541
[Bernice Pescosolido:]I feel like IU's
really been at the forefront of this

00:19:23.541 --> 00:19:27.791
because we not only do research,
but we also have, you know,

00:19:27.875 --> 00:19:31.708
I think many people know that Glenn Close
has worked with us to develop,

00:19:32.791 --> 00:19:34.041
bring change to mind.

00:19:34.041 --> 00:19:36.000
She called me when she was trying.

00:19:36.000 --> 00:19:37.500
She was thinking about this.

00:19:37.500 --> 00:19:40.750
Needless to say, I was surprised
and didn't really think it was her.

00:19:40.750 --> 00:19:44.333
But nonetheless,
she was looking for a scientific advisor

00:19:44.333 --> 00:19:47.958
for a group that she wanted
to start about, 12 years ago.

00:19:48.416 --> 00:19:52.125
And I've been her scientific advisor
since then.

00:19:54.000 --> 00:19:56.458
You know, so they do high schools, right?

00:19:56.458 --> 00:19:59.583
And so they bring information
to high schools and it's peer to peer.

00:20:00.000 --> 00:20:03.000
So with students talking to students,

00:20:03.125 --> 00:20:06.416
we're in 500 high schools
in the United States

00:20:06.416 --> 00:20:10.000
now, and I have to say
Indiana's a model, a model state

00:20:10.500 --> 00:20:15.000
because, our Department of Mental Health
and Addiction, our Department of Education

00:20:15.291 --> 00:20:19.041
have paired together
to support over 100 high schools

00:20:19.041 --> 00:20:22.750
in Indiana to have a bring change
to mind, peer to peer club.

00:20:23.750 --> 00:20:24.500
And then,

00:20:24.500 --> 00:20:28.041
you know, at that point, I said to Glenn,
hey, what about colleges, right?

00:20:28.375 --> 00:20:29.458
What do you mean?

00:20:29.458 --> 00:20:31.791
College is my jam?
Why are we doing colleges?

00:20:31.791 --> 00:20:38.000
So we did a four year study here,
to create Ed, evidence base, a program.

00:20:38.041 --> 00:20:43.583
And, it's been going now here for not
quite ten years, probably more like eight.

00:20:43.958 --> 00:20:48.500
And I feel, like
I feel that it's been very positive for us

00:20:48.500 --> 00:20:53.833
because I personally know
that there are at least five psychiatrists

00:20:54.208 --> 00:20:57.208
who came to IU with a lot of,

00:20:57.625 --> 00:21:01.708
from their family backgrounds,
now are practicing psychiatrists

00:21:01.708 --> 00:21:05.500
or they're in medical school
in psychiatric residency.

00:21:05.500 --> 00:21:08.250
So I know that five people,
they'll change the world.

00:21:08.250 --> 00:21:13.083
But if we could bring you bring change
to my to every college and university,

00:21:13.125 --> 00:21:17.250
we could probably do a whole lot
in changing the psychiatric

00:21:17.250 --> 00:21:20.958
that the shortage of psychiatrist
in the United States.

00:21:21.416 --> 00:21:23.416
[Scott Shackelford:] Absolutely.
Yeah, absolutely.

00:21:23.416 --> 00:21:25.916
Well,
this is some great examples of how I used,

00:21:25.916 --> 00:21:28.000
you know, leading
leading the charge nationally.

00:21:28.000 --> 00:21:29.041
And thanks to your work.

00:21:29.041 --> 00:21:32.375
And it reminds me of one of,
Elinor Ostrom quotes,

00:21:32.375 --> 00:21:35.500
which I know she was a mentor
of yours is a little by little bit by bit.

00:21:35.791 --> 00:21:38.541
That's a family by family, community
by community.

00:21:38.541 --> 00:21:40.458
So much good can be done on
so many levels.

00:21:40.458 --> 00:21:42.625
And I think
this is a great example of that.

00:21:42.625 --> 00:21:45.000
[Bernice Pescosolido:] Well,
I think, you know, I think we're ready.

00:21:45.000 --> 00:21:48.625
I think we have done
eight years of, of work on this.

00:21:48.625 --> 00:21:50.791
We have a whole set of materials.

00:21:50.791 --> 00:21:53.625
It's it would be free to colleges
and universities.

00:21:53.625 --> 00:21:56.250
We don't intend to monetize this.

00:21:56.250 --> 00:22:01.166
But it does require,
it does require, an infrastructure

00:22:01.166 --> 00:22:04.583
because there are other college programs
and they're wonderful.

00:22:04.583 --> 00:22:04.916
Right.

00:22:04.916 --> 00:22:08.500
So there's active minds
that, NAMI has a program.

00:22:08.708 --> 00:22:10.416
But when I came here,

00:22:11.458 --> 00:22:13.416
people would
talk to me, students would come to me

00:22:13.416 --> 00:22:16.875
and say, you know,
where's our Active Minds chapter?

00:22:16.875 --> 00:22:19.875
Where's, you know,

00:22:19.875 --> 00:22:23.583
you know, NAMI chapter
because they don't have an infrastructure.

00:22:23.583 --> 00:22:25.916
And I'm not talking
about a massive infrastructure,

00:22:25.916 --> 00:22:28.208
but a basic infrastructure.

00:22:28.208 --> 00:22:30.958
They come and go with student interest.

00:22:30.958 --> 00:22:34.875
And so when you have, a structure
like we do,

00:22:34.875 --> 00:22:38.291
which is literally like a staff
and a half, right?

00:22:39.166 --> 00:22:43.666
You know, we have this is now been almost
a decade that we have been operating.

00:22:43.666 --> 00:22:46.666
And under President Whitten, we,

00:22:47.625 --> 00:22:50.583
she, she helped us
put it on every campus and fund it.

00:22:50.583 --> 00:22:56.291
But, tragically, with the budget cuts,
it it will no longer be funded now.

00:22:56.625 --> 00:23:00.500
No, I can guarantee that
the Bloomington campus you bring change to

00:23:00.500 --> 00:23:04.416
my program will continue
as long as a lot of you know.

00:23:04.416 --> 00:23:07.416
But I can't guarantee that
for the other campuses. So.

00:23:07.458 --> 00:23:11.541
And I think that that I have had
many colleges and universities

00:23:11.541 --> 00:23:16.041
asking for the materials part,
and I would be happy to send them to them.

00:23:16.041 --> 00:23:19.166
But it's the the evidence base depends

00:23:19.166 --> 00:23:22.250
on having this continued contact

00:23:22.708 --> 00:23:27.666
and having this kind of high touch
that those other programs don't have.

00:23:27.958 --> 00:23:30.625
And also, you know, we
we work with active minds.

00:23:30.625 --> 00:23:31.541
We think they're great.

00:23:31.541 --> 00:23:34.541
They have this one great event
they do called Post it,

00:23:35.000 --> 00:23:37.583
where kids write on post-it notes.

00:23:37.583 --> 00:23:40.583
You know what what they worry about,

00:23:41.250 --> 00:23:44.333
and they're anonymous
and then they're posted and then there's

00:23:44.333 --> 00:23:47.458
an event that goes with it
and, you know, it's fabulous.

00:23:47.458 --> 00:23:50.458
And to get their postcards cost us 500.

00:23:50.458 --> 00:23:53.250
And that is what we wanted. Their speaker,
it was like 10,000.

00:23:53.250 --> 00:23:57.041
And we were like, you know,
I think we could do this without that. So

00:23:58.250 --> 00:24:00.875
but that but
they have they've maintained a large staff

00:24:00.875 --> 00:24:04.375
and and that's,
but it's a large centralized staff

00:24:04.583 --> 00:24:08.875
where you could get their materials
using science.

00:24:09.625 --> 00:24:13.458
We have found that the principles
on which we base

00:24:13.625 --> 00:24:17.250
you bring change to mind
comes up with a different structure

00:24:17.833 --> 00:24:22.000
that, I think has been very successful
in sustaining what's happening here.

00:24:22.250 --> 00:24:25.083
So I'm very excited about that and,

00:24:25.083 --> 00:24:29.250
very excited about, how Indiana has been
on the forefront of the call.

00:24:29.541 --> 00:24:34.458
High school programs,
so successful that in Indiana,

00:24:34.458 --> 00:24:37.916
they asked bring change to might
to develop a middle school program.

00:24:38.583 --> 00:24:41.458
Now, of course,
not every high school is welcoming.

00:24:41.458 --> 00:24:44.375
But, you know, I think that the

00:24:44.375 --> 00:24:47.375
the people
who are, taking care of that at,

00:24:47.625 --> 00:24:50.916
the high school level are working
very hard for the students.

00:24:50.916 --> 00:24:53.916
And again,
it's not a lot of staff in Indiana.

00:24:53.916 --> 00:24:57.625
I think it's two people
to do that, the whole state,

00:24:57.625 --> 00:25:00.958
because of their connection
to the national infrastructure.

00:25:00.958 --> 00:25:05.666
And I do the same thing for colleges,
but we'll just keep funding for it.

00:25:05.666 --> 00:25:07.916
But, you know, we'll do what we can do.

00:25:07.916 --> 00:25:08.833
[Scott Shackelford:] Absolutely.

00:25:08.833 --> 00:25:12.000
I know you will, Bernice,
just kind of to to.

00:25:12.041 --> 00:25:13.875
[Bernice Pescosolido:] Well I’m like you
in that way Scott. I don't take no.

00:25:13.875 --> 00:25:15.500
very easily.

00:25:15.500 --> 00:25:16.375
[Scott Shackelford:] That's right.

00:25:16.375 --> 00:25:16.791
[Bernice Pescosolido:] Yeah.

00:25:16.791 --> 00:25:19.791
my, my mantra is,

00:25:20.500 --> 00:25:23.250
you know, if you're not going to help,
I could still help you.

00:25:23.250 --> 00:25:25.250
But if you're not going to help.
Get out of my way.

00:25:25.250 --> 00:25:28.708
[Scott Shackelford:] I hear you now, that's
and that's and you've you've shown out.

00:25:28.708 --> 00:25:30.500
But the the power of that,

00:25:30.500 --> 00:25:34.083
that perspective can have throughout
your long and storied career here.

00:25:34.250 --> 00:25:36.083
Just just two final questions.

00:25:36.083 --> 00:25:37.916
If it's okay
before we have to conclude here.

00:25:37.916 --> 00:25:40.916
One is, you know,
we just had the Winter Olympics.

00:25:40.916 --> 00:25:42.416
We're looking ahead to the World Cup.

00:25:42.416 --> 00:25:43.916
And mental health conversations

00:25:43.916 --> 00:25:47.375
have obviously been really visible
in athletics and public life.

00:25:47.666 --> 00:25:48.416
They always are.

00:25:48.416 --> 00:25:51.541
But especially now,
you know, culture plays a role

00:25:51.541 --> 00:25:54.916
in reinforcing and reducing stigmas
and that domain.

00:25:54.916 --> 00:25:59.375
But I know that's broadly an area
at, say, around

00:25:59.375 --> 00:26:03.541
socio medical science and mental health
that you've been really focusing on.

00:26:03.541 --> 00:26:06.541
And I was curious
if you'd like to share any insights there.

00:26:06.750 --> 00:26:10.333
[Bernice Pescosolido:] I think it's very
important because they're it's very important

00:26:10.333 --> 00:26:13.333
and it's very timely because it's not like

00:26:13.541 --> 00:26:17.416
these are the only people coming out
with mental health issues.

00:26:17.916 --> 00:26:21.791
You have people like Patty Duke
and other actors coming out in the 60s.

00:26:22.125 --> 00:26:25.875
But we had reached the tipping point,
and the tipping point

00:26:25.916 --> 00:26:28.875
has been created by the millennials.

00:26:28.875 --> 00:26:32.375
And so, this is really,
I think, a moment for us.

00:26:32.375 --> 00:26:34.791
But I don't think it's enough.

00:26:34.791 --> 00:26:39.250
It's not enough to have the have people
with celebrity status come out,

00:26:39.250 --> 00:26:40.375
but it sure helps.

00:26:40.375 --> 00:26:42.500
And it helps in the following way.

00:26:42.500 --> 00:26:45.458
And if it guides the work that we do,
which is,

00:26:45.458 --> 00:26:50.041
you know, if we have some incredibly
famous psychiatrist from Harvard

00:26:50.041 --> 00:26:52.791
come to give a talk,
the people who are going to come

00:26:52.791 --> 00:26:55.250
are the people
who are who care about the issue.

00:26:55.250 --> 00:26:59.458
The key to unraveling
stigma is to get outside the choir,

00:26:59.916 --> 00:27:03.416
to get those people
who think it's not relevant for them,

00:27:03.791 --> 00:27:06.083
that this is never going
to happen to them.

00:27:06.083 --> 00:27:09.083
They don't know anybody with these issues.

00:27:09.291 --> 00:27:10.875
Get them in the door.

00:27:10.875 --> 00:27:15.166
And that's again, why the principles
that underlie bring change to mind

00:27:15.166 --> 00:27:18.875
and you bring change to mind in
particular, takes a very different tact.

00:27:19.166 --> 00:27:22.708
And that's where these people
who are celebrities

00:27:22.708 --> 00:27:26.750
speaking out matters,
because we can use that in a way.

00:27:26.750 --> 00:27:30.750
So for example,
we have a thing called the Elephant Park

00:27:30.750 --> 00:27:33.750
in, you bring change to mind and that is,

00:27:34.208 --> 00:27:38.000
we have these tech foot blow up elephants,
which attract students first thing.

00:27:38.000 --> 00:27:38.833
Right.

00:27:38.833 --> 00:27:43.708
The first elephant is purple, and that is
what's what's your elephant in the room?

00:27:43.916 --> 00:27:44.875
Right.

00:27:44.875 --> 00:27:47.708
And the week that Taylor Swift

00:27:47.708 --> 00:27:51.708
was finishing her concerts in Indy,
we blew up that purple elephant.

00:27:51.708 --> 00:27:54.708
And the purple elephant
had a friendship bracelet.

00:27:54.750 --> 00:27:58.500
Giant friendship bracelet
that said, I'm in my mental health era

00:27:59.333 --> 00:28:02.625
that brought the kids in,
they made friendship bracelets

00:28:02.625 --> 00:28:03.708
a la Taylor Swift.

00:28:03.708 --> 00:28:05.750
But they were mental health affirmative.

00:28:05.750 --> 00:28:08.166
We had 500 students come to that event.

00:28:08.166 --> 00:28:09.291
[Scott Shackelford:] Oh, no doubt.

00:28:09.291 --> 00:28:10.708
[Scott Shackelford:] No doubt
[Bernice Pescosolido:] in the door

00:28:10.708 --> 00:28:13.500
The second part is the Green elephant.

00:28:13.500 --> 00:28:16.625
And the green elephant is introducing them

00:28:16.625 --> 00:28:19.625
to the resources
available for mental health.

00:28:19.833 --> 00:28:24.291
And that is where we do the,
you know, providing information

00:28:24.291 --> 00:28:28.708
about campus services, other services,
these websites we've been talking about.

00:28:29.000 --> 00:28:32.375
Then the final giant
elephant is a multicolor elephant.

00:28:32.750 --> 00:28:35.500
And the multicolor elephant,

00:28:35.500 --> 00:28:38.416
is about
how we need to think about community.

00:28:38.416 --> 00:28:38.791
Right.

00:28:38.791 --> 00:28:42.666
That all different colors
make a better community.

00:28:43.041 --> 00:28:47.333
And, but to get them there, I mean,
the elephants are great to bring them in,

00:28:47.541 --> 00:28:51.166
but there is always a learning thing
that they have to participate

00:28:51.166 --> 00:28:54.791
in to get the swag
because they are into swag.

00:28:55.041 --> 00:28:59.458
And and again, working off of popular
culture helps us a lot.

00:28:59.458 --> 00:29:04.583
So the last thing the purple elephant
we had, was called Unboxing Stigma.

00:29:05.000 --> 00:29:08.750
And the box was a box,
that had a Labooboo in it,

00:29:08.833 --> 00:29:11.791
right,
of which I had no idea what a Labooboo was.

00:29:11.791 --> 00:29:13.708
And if you don't know, look it up.

00:29:13.708 --> 00:29:16.250
They're these ugly little trolls.

00:29:16.250 --> 00:29:18.125
And they're very hot right now.

00:29:18.125 --> 00:29:21.416
And again, we had over
300 students come to that event.

00:29:21.625 --> 00:29:26.916
And so the arc over the semester
really does, think about yourself,

00:29:27.166 --> 00:29:30.500
know that there's help
be part of a community of change.

00:29:30.916 --> 00:29:35.708
And so, our student group right now,
I cannot say how wonderful they are.

00:29:35.708 --> 00:29:39.625
They are planting things around Hunger
games coming out next fall with Glenn

00:29:39.625 --> 00:29:40.916
Close. Be in it.

00:29:42.000 --> 00:29:42.666
They're good.

00:29:42.666 --> 00:29:46.375
They're doing a heated rivalry event,
I think, this Saturday.

00:29:46.708 --> 00:29:49.416
So those are the things that matter

00:29:49.416 --> 00:29:52.416
in terms
of making sure you get to the kids

00:29:52.500 --> 00:29:57.750
who really are not thinking about this,
and they're the ones who crash,

00:29:57.750 --> 00:30:01.500
whether they have a mental health problem
because they have not thought about it.

00:30:01.500 --> 00:30:02.666
They don't think it's them.

00:30:02.666 --> 00:30:04.541
They think it's something else.

00:30:04.541 --> 00:30:08.708
So we're working at every level,
also our workforce development.

00:30:09.083 --> 00:30:13.125
And so it's just the Irsay
and the Irsay family

00:30:13.125 --> 00:30:17.166
and the Indianapolis Colts
have been such a help for us.

00:30:18.000 --> 00:30:21.416
Your spirit, their willingness
to come out in the shadows

00:30:21.833 --> 00:30:24.833
has just made a huge difference for us.

00:30:25.041 --> 00:30:25.875
[Scott Shackelford:] That's fantastic.

00:30:25.875 --> 00:30:26.291
Bernice.

00:30:26.291 --> 00:30:28.916
And I know, frankly,
I think we just scratched the surface.

00:30:28.916 --> 00:30:32.166
And I'd love to continue this
for some hours, but we're,

00:30:32.208 --> 00:30:35.208
you know, as a as a closing question,

00:30:35.291 --> 00:30:39.625
you know, when we finally, you know, live
in a world where mental health illness

00:30:39.625 --> 00:30:44.625
is treated with the same dignity
and urgency as any other health condition,

00:30:44.875 --> 00:30:45.166
you know,

00:30:45.166 --> 00:30:47.375
what part of that legacy
will have started,

00:30:47.375 --> 00:30:50.125
you know, right here at IU
and frankly, with yourself

00:30:50.125 --> 00:30:53.541
as you look back on your career,
since I know I'm not breaking

00:30:53.541 --> 00:30:57.041
any news here, that you'll be retiring
unfortunately, before too long.

00:30:57.583 --> 00:31:01.333
[Bernice Pescosolido:] Well, yes, I will be
retiring, but that doesn't mean I'm leaving.

00:31:02.125 --> 00:31:05.125
I just think it's very important
to make room for the young.

00:31:05.250 --> 00:31:07.166
And so that is why I'm retiring.

00:31:07.166 --> 00:31:10.958
But, that new
director, whoever she may be,

00:31:12.500 --> 00:31:14.541
has guaranteed
that I get to keep my office.

00:31:14.541 --> 00:31:16.041
I still have research grants.

00:31:16.041 --> 00:31:20.041
I still am connected
to the you bring change to mind program.

00:31:20.041 --> 00:31:22.625
And I will try to be
working on development,

00:31:22.625 --> 00:31:26.458
bringing the community
more into the support for these kinds

00:31:26.458 --> 00:31:29.458
of things, whether it's here at IU
or in their communities.

00:31:30.291 --> 00:31:35.291
And so I think it's the right time,
for me to sort of move away.

00:31:35.291 --> 00:31:40.166
I already miss freshman, but,
I taught my last 200

00:31:40.541 --> 00:31:43.875
kid, intro
class called Medicine in America.

00:31:44.583 --> 00:31:46.666
Last fall, and I already missed them.

00:31:46.666 --> 00:31:50.541
But there is a time when you have to know
it's the right time.

00:31:50.541 --> 00:31:52.791
And we still have a lot of work to do.

00:31:52.791 --> 00:31:55.625
And I'm sure that the Irsay
can carry on.

00:31:55.625 --> 00:31:57.375
But you're not rid of me yet.

00:31:59.458 --> 00:32:00.208
[Scott Shackelford:] That's right.

00:32:00.208 --> 00:32:04.166
And you've left again,
just such an amazing legacy at Irsay.

00:32:04.166 --> 00:32:04.791
and otherwise.

00:32:04.791 --> 00:32:07.791
So just thank you Bernice, for all you've
done.

00:32:08.125 --> 00:32:12.125
To, you know, cast
additional light on the science of stigma

00:32:12.166 --> 00:32:13.041
and the importance

00:32:13.041 --> 00:32:17.458
of treating mental health
just like any other aspect of our health.

00:32:17.875 --> 00:32:19.916
And for all
you do to enrich our community here

00:32:19.916 --> 00:32:21.833
in Bloomington,
around the state and beyond.

00:32:21.833 --> 00:32:23.375
And thanks for being on the podcast.

00:32:23.375 --> 00:32:25.541
[Bernice Pescosolido:] And it it is thanks
to the IU community

00:32:25.541 --> 00:32:27.750
and the people of the state of Indiana

00:32:27.750 --> 00:32:29.333
have been incredible.

00:32:29.333 --> 00:32:31.333
So we continue,

00:32:31.333 --> 00:32:35.125
if you want to help us, give us a call
and, we'll see what we could do.

00:32:36.083 --> 00:32:37.500
[Scott Shackelford:] Thank you so much,
Bernice.

00:32:37.500 --> 00:32:38.000
[Bernice Pescosolido:] Okay.

00:32:38.000 --> 00:32:39.750
[Scott Shackelford:] Oh, it's a pleasure.

00:32:39.750 --> 00:32:41.208
It's an honor and a pleasure.

00:32:41.208 --> 00:32:43.166
So please don't hesitate. Guys.

00:32:43.166 --> 00:32:45.375
Reach out to the Irsay Institute.

00:32:45.375 --> 00:32:48.291
Bernice Pescosolido in particular.

00:32:48.291 --> 00:32:52.791
And thank you for joining us today
on this episode of the We Are IU podcast.

00:32:52.791 --> 00:32:54.083
See you next time.

00:32:54.083 --> 00:32:57.833
[Narrator:] Thanks for joining us for
another episode of We Are IU

00:32:58.916 --> 00:33:02.250
Your home for fascinating conversations
with thought leaders,

00:33:02.375 --> 00:33:06.500
legends, and visionaries
from the university we know and love.

00:33:07.958 --> 00:33:08.708
New episodes

00:33:08.708 --> 00:33:11.500
available monthly at myiu.org.
