I think part of why schizophrenia got linked to civil rights protest in the '60s was because mainstream society was coding threats against the smooth running of the state as insanity and treating it as such, and so as that happens you see the evolution of a process in which people with schizophrenia are increasingly feared and our hospitals, particularly the kind of hospital that I look at in the book become to look more and more like prisons, to the point where many of them including the one I talk about actually become prisons.

I'm a practicing psychiatrist and I think that I really believe in the advances of psychiatry. Our diagnoses are more precise.

Depression as one example is an illness that has a chemical basis, but also is deeply embedded in cultural norms about gender, social class, race.

I think part of why schizophrenia got linked to civil rights protest in the '60s was because mainstream society was coding threats against the smooth running of the state as insanity and treating it as such, and so as that happens you see the evolution of a process in which people with schizophrenia are increasingly feared and our hospitals, particularly the kind of hospital that I look at in the book become to look more and more like prisons, to the point where many of them including the one I talk about actually become prisons.

The issue of guns, as president [Barack] Obama mentioned, which is particularly assailant in Colorado, a very complicated gun story, and I think a political climate that urges people to take issues into their own hands.

I think that we're making a mistake if we don't see that there is a cultural basis to many illnesses, not just psychiatric ones. Breast cancer would be one prevalent example right now, different kind of cultures surrounding it. If you don't understand the cultural meaning of an illness like that you're going to miss the boat even if you're a great scientist.

I think that one of the other lessons about what happened here is that open carry laws, even though many police, sheriff departments in Colorado support them, make it much harder for law enforcement to do their jobs.