Sep 1, 2026 · 59 min · 13 segments
Lindsay Clancy postpartum psychosis and the insanity defense are examined through a forensic psychiatry lens in this episode. We discuss how psychiatrists distinguish psychosis from malingering…
Greg MalzbergHost
So before we jump in, I kind of want to talk about why I think this case is so big, why it's captured the public's attention.

I think things that capture the public attention are stories that activate our repressed emotions.

Like so much of sports, television, media, it allows us to play out emotions that we have little permission to acknowledge.

And I feel like this case, you know, some of the things that the repressed emotions that I see coming up, ordinary parental aggression and ambivalence.

You know, our culture is inundated with the idea that motherhood is rainbows and sunshine and a good mother is is nurturing, self-sacrificing.

The reality is parenting is full of rage, resentment, fantasies of escape, boredom, regret.

Why do women have to tolerate this kind of stuff? Why didn't the husband do more? So many women are suffering silently.

And I think this case gives them an opportunity to get out some of those emotions.

And then they talk to some practitioner who talks to them for five minutes and throws Zoloft at them.

Our culture now, we're inundated with, you know, I can't do X, Y, Z because I'm depressed.
I'm going to slow you down for a moment there because I think you're bringing up some very good points.
Let's summarize.
On one hand, you're seeing the anger and frustration that relates to gender roles in society
parental expectations and lifestyle, let's call it, in the modern age, right? On another column, we're seeing the dissatisfaction with the physical and mental health system of the United States, I think.
I think that's something that everyone, including physicians who themselves are patients, can experience and see quite handily, right? This comes only a couple years, I think, after the UnitedHealthcare CEO assassination.
This is something that's in the public eye that has gotten no progress in terms of being better.

So before we jump in, I kind of want to talk about why I think this case is so big, why it's captured the public's attention.

I think things that capture the public attention are stories that activate our repressed emotions.

Like so much of sports, television, media, it allows us to play out emotions that we have little permission to acknowledge.

And I feel like this case, you know, some of the things that the repressed emotions that I see coming up, ordinary parental aggression and ambivalence.

You know, our culture is inundated with the idea that motherhood is rainbows and sunshine and a good mother is is nurturing, self-sacrificing.

The reality is parenting is full of rage, resentment, fantasies of escape, boredom, regret.

Why do women have to tolerate this kind of stuff? Why didn't the husband do more? So many women are suffering silently.

And I think this case gives them an opportunity to get out some of those emotions.

And then they talk to some practitioner who talks to them for five minutes and throws Zoloft at them.

Our culture now, we're inundated with, you know, I can't do X, Y, Z because I'm depressed.
I'm going to slow you down for a moment there because I think you're bringing up some very good points.
Let's summarize.
On one hand, you're seeing the anger and frustration that relates to gender roles in society
parental expectations and lifestyle, let's call it, in the modern age, right? On another column, we're seeing the dissatisfaction with the physical and mental health system of the United States, I think.
I think that's something that everyone, including physicians who themselves are patients, can experience and see quite handily, right? This comes only a couple years, I think, after the UnitedHealthcare CEO assassination.
This is something that's in the public eye that has gotten no progress in terms of being better.
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