When You Can’t Trust the Stories Your Mind Is Telling

When You Can’t Trust the Stories Your Mind Is Telling

The National Institute of Mental Health estimates that nearly one in five adults in America lives with a mental illness. And we have plenty of evidence — from suicide rates to the percentage of Americans on psychopharmaceuticals — that our collective mental health is getting worse. But beyond mental health diagnoses lies a whole, complicated landscape of difficult, often painful, mental states that all of us experience at some point in our lives.

Rachel Aviv is a longtime staff writer at The New Yorker and the author of the new book “Strangers to Ourselves: Unsettled Minds and the Stories That Make Us.” Aviv has done some of the best reporting toward answering questions like: How do people cope with their changing — and sometimes truly disturbing — mental states? What can diagnosis capture, and what does it leave out? Why do treatments succeed or fail for different people? And how do all of us tell stories about ourselves — and our minds — that can either trap us in excruciating thought patterns or liberate us?

We discuss why children seeking asylum in Sweden suddenly dropped out mentally and physically from their lives, how mental states like depression and anxiety can be socially contagious, how mental illnesses differ from physical ailments like diabetes and high blood pressure, what Aviv’s own experience with childhood anorexia taught her about psychology and diagnosis, how having too much “insight” into our mental states can sometimes hurt us, how social forces like racism and classism can activate psychological distress, the complicated decisions people make around taking medication or refusing it, how hallucinations can be confused with — or might even count as — a form of spiritual connection, what “depressive realism” says about the state of our society, how we can care for one another both within and beyond the medical establishment, and more.

This episode contains a brief mention of suicidal ideation. If you are having thoughts of suicide, text 988 to reach the Suicide & Crisis Lifeline. A list of additional resources is available at SpeakingOfSuicide.com/resources.

Mentioned:

It’s Not Just You,” a series on mental health in America from New York Times Opinion

The Trauma of Facing Deportation” by Rachel Aviv

Ruth Ozeki on The Ezra Klein Show: “What We Gain by Enchanting the Objects in Our Lives

Thomas Insel on The Ezra Klein Show: “A Top Mental Health Expert on Where America Went Wrong

Judson Brewer on The Ezra Klein Show: “That Anxiety You’re Feeling? It’s a Habit You Can Unlearn.

Book Recommendations:

Madness and Modernism by Louis Sass

Of Two Minds T.M. Luhrmann

Wants” by Grace Paley

Thoughts? Email us at ezrakleinshow@nytimes.com. (And if you're reaching out to recommend a guest, please write “Guest Suggestion" in the subject line.)

You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.

“The Ezra Klein Show” is produced by Annie Galvin and Rogé Karma. Fact-checking by Michelle Harris, Mary Marge Locker and Kate Sinclair. Original music by Isaac Jones. Mixing by Sonia Herrero, Isaac Jones and Carole Sabouraud. Audience strategy by Shannon Busta. Special thanks to Kristin Lin and Kristina Samulewski.

Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

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The Trump Campaign’s Theory of Victory

The Trump Campaign’s Theory of Victory

The Trump campaign isn’t just expecting to win this election; it’s expecting to win it in a landslide. And top Trump campaign officials were feeling that confident even before Joe Biden’s disastrous debate performance. So what’s their strategy to achieve the blowout they’re imagining? And is their confidence justified?Tim Alberta is a staff writer at The Atlantic and the author of “American Carnage: On the Front Lines of the Republican Civil War and the Rise of President Trump.” He recently spent months profiling Trump’s campaign managers, Susie Wiles and Chris LaCivita. In this conversation, Alberta offers an inside look at the Trump campaign and their theory of victory. We discuss how the campaign has tailored its messaging to capitalize on Joe Biden’s weaknesses; LaCivita’s and Wiles’s personal backgrounds and approaches to the campaign; what Trump’s vice-presidential pick, Senator J.D. Vance, signals about Trump’s vision for his presidency; and more.Mentioned:“Trump Is Planning for a Landslide Win” by Tim Alberta“How J.D. Vance Won Over Donald Trump” by Jonathan Swan and Maggie HabermanBook Recommendations:Tired of Winning by Jonathan KarlKingdom of Rage by Elizabeth NeumannRomney by McKay CoppinsThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Rollin Hu. Fact-checking by Michelle Harris, with Kate Sinclair and Mary Marge Locker. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota. Our senior editor is Claire Gordon. The show’s production team also includes Annie Galvin, Elias Isquith and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Sonia Herrero. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

18 Juli 202454min

The Economic Theory Behind J.D. Vance’s Populism

The Economic Theory Behind J.D. Vance’s Populism

When Donald Trump on Monday chose Senator J.D. Vance of Ohio as his running mate it excited populists — and unnerved some business elites. Later that evening, the president of the Teamsters, Sean O’Brien, gave a prime-time speech at the Republican National Convention. “Over the last 40 years, the Republican Party has rarely pursued strong relationships with organized labor,” O’Brien said. “There are some in the party who stand in active opposition to labor unions — this too must change,” he added, to huge applause.There’s something happening here — a real shift in the Republican Party. But at the same time, its official platform, and the conservative policy document Project 2025, is littered with the usual proposals for tax cuts, deregulation and corporate giveaways. So is this ideological battle substantive or superficial?Oren Cass served as Mitt Romney’s domestic policy director in the 2012 presidential race. But since then, Cass has had an evolution; he founded the conservative economic think tank American Compass, which has been associated with J.D. Vance and other populist-leaning Republicans, like Josh Hawley, Marco Rubio and Tom Cotton. In this conversation, we discuss what economic populism means to him, what it looks like in policy, and how powerful this faction really is in the Republican Party.Mentioned:“The Electric Slide” by Oren Cass“This Is What Elite Failure Looks Like” by Oren Cass“Budget Model: First Edition” by American CompassBook Recommendations:The Path to Power by Robert CaroProject Hail Mary by Andy WeirThe Green Ember by S.D. SmithThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Annie Galvin. Fact-checking by Michelle Harris with Kate Sinclair and Mary Marge Locker. Our senior engineer is Jeff Geld with additional mixing by Aman Sahota and Isaac Jones. Our senior editor is Claire Gordon. The show’s production team also includes Rollin Hu, Elias Isquith and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie Rose Strasser. Special thanks to Sonia Herrero. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

17 Juli 20241h 16min

The Real Danger Within the Democratic Party of a Fundamental Crack-Up

The Real Danger Within the Democratic Party of a Fundamental Crack-Up

It was once a fringe opinion to say President Biden should drop his re-election bid and Democrats should embrace an open convention. That position is fringe no more. But when the conventional wisdom shifts this rapidly, there’s always the danger of overlooking its potential flaws.My colleague, the Times Opinion columnist Jamelle Bouie, has been making some of the strongest arguments against Biden dropping out and throwing the nomination contest to a brokered convention. So I invited him on the show to talk through where he and I diverge and how our thinking is changing.Book Recommendations:Into the Bright Sunshine by Samuel G. FreedmanWide Awake by Jon GrinspanIlliberal America by Steven HahnThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Elias Isquith. Fact-checking by Michelle Harris, with Kate Sinclair and Mary Marge Locker. Our senior engineer is Jeff Geld, with additional mixing by Efim Shapiro and Aman Sahota. Our senior editor is Claire Gordon. The show’s production team also includes Annie Galvin, Rollin Hu and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Sonia Herrero. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

9 Juli 202455min

Is Kamala Harris Underrated?

Is Kamala Harris Underrated?

If Joe Biden steps aside for the Democratic presidential nomination — still a very big if — the favorite to replace him is Vice President Kamala Harris. In recently leaked post-debate polling from Open Labs, Harris polled better than Biden in matchups against Trump.In 2019, Dana Goodyear wrote in The New Yorker, “As a Black, female law-and-order Democrat, Harris creates a kind of cognitive dissonance.” The profile Harris inhabited then would be welcome in an election year where disorder is on voters’ minds and the Republicans are nominating a convicted felon. But Harris hasn’t inhabited that political profile for years. And since becoming Biden’s vice president the conventional wisdom on her has shifted: She’s gone from rising star — many thought her “the next Obama” — to political underachiever.So I’ve had a few questions about Harris. What accounted for the fast fall from grace after she took the vice presidency? What happened to the smart-on-crime prosecutor we once saw? What has the White House done — or not done — to build her profile? And are critics of Harris fair, or is she underrated now?I’m joined by Elaina Plott Calabro, a staff writer at The Atlantic who traveled with Harris extensively for a major profile last year. I left this conversation with a very different theory of who Harris is, what her politics are and what led to the confusions of her vice presidency.Mentioned:“The Kamala Harris Problem” by Elaina Plott Calabro“Biden Plunges in Swing States in Leaked Post-Debate Poll” by Peter HambySmart on Crime by Kamala D. Harris, with Joan O'C. Hamilton ·Book Recommendations:Southerners by Marshall FradyThe Sheltering Sky by Paul BowlesThe Company She Keeps by Mary McCarthyThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Elias Isquith. Fact-checking by Michelle Harris, with Kate Sinclair and Mary Marge Locker. Our senior engineer is Jeff Geld, with additional mixing by Isaac Jones and Aman Sahota. Our senior editor is Claire Gordon. The show’s production team also includes Annie Galvin, Rollin Hu and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Carole Sabouraud. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

5 Juli 20241h 2min

How an Open Democratic Convention Would Work

How an Open Democratic Convention Would Work

After President Biden’s rough performance at the first presidential debate, the question of an open convention has roared to the front of Democratic politics. But how would an open convention work? What would be its risks? What would be its rewards? In February, after I first made the case for an open Democratic convention, I interviewed Elaine Kamarck to better understand what an open convention would look like. She literally wrote the book on how we choose presidential candidates, “Primary Politics: Everything You Need to Know About How America Nominates Its Presidential Candidates.” But her background here isn’t just theory. She’s worked on four presidential campaigns and on 10 nominating conventions — for both Democrats and Republicans. She’s a member of the Democratic National Committee’s Rules Committee. And her explanation of the mechanics and dynamics of open conventions was, for me, extremely helpful. It’s even more relevant now than it was then. Mentioned:The Lincoln Miracle by Ed AchornBook Recommendations:All the King’s Men by Robert Penn WarrenThe Making of the President 1960 by Theodore H. WhiteQuiet Revolution by Byron E. ShaferThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast, and you can find Ezra on Twitter @ezraklein. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Annie Galvin. Fact checking by Michelle Harris, with Kate Sinclair and Kristin Lin. Our senior engineer is Jeff Geld. Our senior editor is Claire Gordon. The show’s production team also includes Rollin Hu. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. And special thanks to Sonia Herrero.This conversation was recorded in February 2024. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

2 Juli 20241h 2min

What Is the Democratic Party For?

What Is the Democratic Party For?

Top Democrats have closed ranks around Joe Biden since the debate. Should they? Mentioned:“This Isn’t All Joe Biden’s Fault” by Ezra Klein“Democrats Have a Better Option Than Biden” by The Ezra Klein Show“Here’s How an Open Democratic Convention Would Work” with Elaine Kamarck on The Ezra Klein ShowThe Hollow Parties by Daniel Schlozman and Sam RosenfeldThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This audio essay was produced by Rollin Hu and Kristin Lin. Fact-Checking by Jack McCordick and Michelle Harris. Mixing by Efim Shapiro. Our senior editor is Claire Gordon. The show’s production team also includes Annie Galvin, Jeff Geld, Elias Isquith and Aman Sahota. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

30 Juni 202417min

After That Debate, the Risk of Biden Is Clear

After That Debate, the Risk of Biden Is Clear

I joined my Times Opinion colleagues Ross Douthat and Michelle Cottle to discuss the debate — and what Democrats might do next.Mentioned:“The Biden and Trump Weaknesses That Don’t Get Enough Attention” by Ross Douthat“Trump’s Bold Vision for America: Higher Prices!” with Matthew Yglesias on The Ezra Klein Show“Democrats Have a Better Option Than Biden” on The Ezra Klein Show“Here’s How an Open Democratic Convention Would Work” with Elaine Kamarck on The Ezra Klein ShowGretchen Whitmer on The Interview“The Republican Party’s Decay Began Long Before Trump” with Sam Rosenfeld and Daniel Schlozman on The Ezra Klein ShowThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com. You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

28 Juni 202451min

Trump’s Bold Vision for America: Higher Prices!

Trump’s Bold Vision for America: Higher Prices!

Donald Trump has made inflation a central part of his campaign message. At his rallies, he rails against “the Biden inflation tax” and “crooked Joe’s inflation nightmare,” and promises that in a second Trump term, “inflation will be in full retreat.”But if you look at Trump’s actual policies, that wouldn’t be the case at all. Trump has a bold, ambitious agenda to make prices much, much higher. He’s proposing a 10 percent tariff on imported goods, and a 60 percent tariff on products from China. He wants to deport huge numbers of immigrants. And he’s made it clear that he’d like to replace the Federal Reserve chair with someone more willing to take orders from him. It’s almost unimaginable to me that you would run on this agenda at a time when Americans are so mad about high prices. But I don’t think people really know that’s what Trump is vowing to do.So to drill into the weeds of Trump’s plans, I decided to call up an old friend. Matt Yglesias is a Bloomberg Opinion columnist and the author of the Slow Boring newsletter, where he’s been writing a lot about Trump’s proposals. We also used to host a policy podcast together, “The Weeds.”In this conversation, we discuss what would happen to the economy, especially in terms of inflation, if Trump actually did what he says he wants to do; what we can learn from how Trump managed the economy in his first term; and why more people aren’t sounding the alarm.Mentioned:“Trump’s new economic plan is terrible” by Matthew Yglesias“Never mind: Wall Street titans shake off qualms and embrace Trump” by Sam Sutton“How Far Trump Would Go” by Eric CortellessaBook Recommendations:Take Back the Game by Linda Flanagan1177 B.C. by Eric H. ClineThe Rise of the G.I. Army, 1940-1941 by Paul DicksonThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Rollin Hu. Fact-checking by Kate Sinclair and Mary Marge Locker. Mixing by Isaac Jones, with Aman Sahota. Our senior editor is Claire Gordon. The show’s production team also includes Annie Galvin, Elias Isquith and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Special thanks to Sonia Herrero, Adam Posen and Michael Strain. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.

21 Juni 20241h 32min

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