The Shape of Dialogue podcast focuses on the foundational principles that make societies function at their best. It initially started with an investigation into free speech, it continues to discuss relevant and interesting topics about our world and how best to navigate through it.
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Join David Puder as he covers different topics on psychiatry and psychotherapy. He will draw from the wisdom of his mentors, research, in-session therapy and psychiatry experience, and his own journey through mental health to discuss topics that affect mental health professionals and popsychology enthusiasts alike. Through interviews, he will dialogue with both medical students, residents and expert psychiatrists and psychotherapists, and even with people who have been through their own ment ...
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Understanding Borderline Personality Disorder (BPD) Medications & Treatment
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Borderline Personality Disorder (BPD) is known for its complexity, but how should clinicians approach treatment? In this episode, Dr. Michael Cummings joins us to explore the role of medications in managing BPD, when to use them, and why psychotherapy remains the cornerstone of treatment. From pharmacotherapy to alternative approaches like exercise…
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Supporting Social Justice with Peter Boghossian in Wellington 10 December at 6PM
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Supporting Social Justice with Peter Boghossian in Wellington 10 December at 6PM at The Loaves and Fishes Hall, Wellington Cathedral of St Paul, 2 Hill St, Wellington, Wellington, New Zealand Buy your Supporting Social Justice ticket here: https://www.eventbookings.com/b/event/supporting-social-justice-dr-peter-boghossian-argues-for-social-justice …
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Managing Weight Gain from Psychiatric Medications with Dr. Michael Cummings
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Join Dr. David Puder and renowned psychopharmacologist Dr. Michael Cummings as they dive deep into the complex relationship between psychiatric medications and weight gain. In this episode, they explore the metabolic challenges posed by antipsychotic medications, focusing on cutting-edge solutions like GLP-1 agonists. Whether you're a mental health…
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Paul Wachtel's Approach to Integrative Psychotherapy: Exploring Attachment, Anxiety, and the Disavowed Self
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In this episode, we explore the innovative work of Dr. Paul L. Wachtel, a leading psychologist known for his integrative approach to psychotherapy. Dr. Wachtel challenges single-framework therapy models, advocating for a flexible approach that draws from cognitive-behavioral, psychodynamic, humanistic, and other modalities. We discuss his concept o…
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Literacy Matters with Dr Melissa Derby - The Shape of Dialogue #34
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Dr Melissa Derby is a Senior Lecturer teaching early literacy and human development at the University of Waikato's Tauranga campus and online. Melissa completed her PhD at the University of Canterbury, and her study was part of A Better Start National Science Challenge. Her primary area of research is early literacy, and in particular, in exploring…
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Losing Women’s Rights with Jill Ovens - The Shape of Dialogue #33
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Jill Ovens is a New Zealand trade unionist, politician, and women's rights advocate. She is the founder, co-leader and National Secretary of the Women's Rights Party. Before founding the Women's Rights Party, Jill Ovens was co-leader of the Alliance Party. In 2006, she resigned from the Alliance party. After being elected the northern secretary of …
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Sauna & Heat Exposure’s Impact on Mental & Physical Health
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Writing to Overcome Trauma and Improve Your Mental and Physical Health
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In this episode, we dive into the fascinating world of expressive writing and explore how turning your trauma into a narrative can lead to real mental and physical benefits. Join us as we break down the science behind the Expressive Writing Paradigm and share groundbreaking research by Dr. James Pennebaker and others. From reducing PTSD symptoms to…
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Eating Disorders: Empathy, Alexithymia, Reflective Function
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Eating disorders are often understood through a medical or behavioral lens, focusing on symptom reduction. But what if we’ve overlooked something deeper—something rooted in the complex emotional lives of our patients? In this episode, Dr. Tom Wooldridge, a psychoanalyst and expert in eating disorders, joins Dr. David Puder to explore the psychoanal…
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Why Study The Classics? with Dr James Kierstead - The Shape of Dialogue #32
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Dr James Kierstead is a Research Fellow with the Initiative and his main focus will be on higher education policy, including academic freedom. James holds a BA in Classics from Oxford, an MA in Ancient History from the University of London, an MA in Political Science from Stanford, and a PhD in Classics from Stanford. He is also the co-host (with M…
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Where Psychiatry Meets Politics: The Goldwater Rule
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There is an extensive history of psychiatry and politics intersecting. Perhaps the most visible flashpoint occurred during the 1964 presidential campaign and gave rise to a movement in organized psychiatry that has resulted in issuance of formal ethical guidance (the “Goldwater Rule”). In this episode, Dr. David Puder and Dr. Mark Mullen discuss th…
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Adverse Childhood Experiences - HPA axis & Brain changes: cortisol, amygdala, hippocampus, cytokines, & epigenetics (Part 3 of ACE series)
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In this week’s episode, we continue our series on Adverse Childhood Experiences by delving deeper into the lasting effect of ACEs on the brain and body. We explore the intricate impact of ACEs on the HPA axis, inflammation, and neurobiology, shedding light on their role in various psychiatric disorders. We highlight how these changes may indicate a…
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Do women have rights? with Sall Grover - The Shape of Dialogue #31
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gigglecrowdfund.com Sall's X handle - @salltweets A male named Roxy Tickle, who identifies as a woman, has brought a human rights claim against Sall Grover for not permitting him to use her female-only networking app, Giggle. He initially filed the complaint last year, but withdrew, due to funding reasons. He has now filed again, way out of time an…
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Shrink Next Door: A Psychiatrist’s Analysis
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Listening to The Shrink Next Door elicited a range of emotions in me, including angst, sadness, intrigue, and heartache. For those unfamiliar with the story, it revolves around a psychiatrist named Ike who isolates his patient, Marty, from his family, takes over his business, lives in his house, charges him over a million dollars, and makes him und…
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The Shape of Liberty with Toby Young - The Shape of Dialogue #30
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A discussion about liberty, free speech and threats to liberal societies with British journalist and founder of the Free Speech Union, Toby Young. http://www.tobyyoung.co.uk https://www.spectator.co.uk/writer/toby-young/ https://x.com/toadmeister https://freespeechunion.org https://dailysceptic.org Doc Edge & The UnRedacted with Alex Lee - The Shap…
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A Dialogue On Dialogue with Peter Boghossian - The Shape of Dialogue #29
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https://peterboghossian.com https://linktr.ee/peterboghossian Philosopher Dr. Peter Boghossian's main focus is bringing the tools of professional philosophers to people in a wide variety of contexts. Peter has a teaching pedigree spanning more than 25 years and 30 thousand students - in prisons, hospitals, public and private schools, seminaries, un…
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Understanding Complex PTSD and Borderline Personality Disorder
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The purpose of this episode is to provide a clear and simple guide for clinicians on the diagnosis of complex PTSD (C-PTSD) and how it differs from post-traumatic stress disorder (PTSD) and borderline personality disorder (BPD). It is intended to complement and add to recent episodes on attachment and trauma: 213: Reflective Functioning, 203 and 20…
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Free Speech Diversity? with Michael Johnston & Jonathan Ayling - The Shape of Dialogue #28
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Michael Johnston https://www.nzinitiative.org.nz/about-us/our-people/dr-michael-johnston/ Jonathan Ayling https://www.fsu.nz/meet_the_team The role of Universities in supporting freedom of speech The discussion on the role of universities in supporting freedom of speech held at Te Herenga Waka — Victoria University of Wellington in May 2024. Watch …
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Can we agree to disagree? Free Speech in 2024 with Jonathan Ayling - The Shape of Dialogue #27
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https://www.fsu.nz Jonathan Ayling is Chief Executive of theFree Speech Union. Jonathan has worked in Wellington, the New Zealand capital, for 8 years across roles as a Beehive staffer, senior political advisor, and in the NGO sector. In addition to leading the work at the Free Speech Union, he and his wife own a vineyard in the Wairarapa.…
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The Constitution of Knowledge with Jonathan Rauch - The Shape of Dialogue #26
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https://www.jonathanrauch.com Jonathan Rauch was brought to New Zealand by the Free Speech Union for a speaking tour in May 2025. See here for more information about the Free Speech Union - https://www.fsu.nz Jonathan Rauch is a highly acclaimed American journalist and senior fellow at the Brookings Institution in Washington. He has written eight b…
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In this episode, we welcome back Dr. Michael Cummings to answer questions sent in by podcast listeners. Topics include Valproic Acid, Lithium, Treating Veterans, Restless Leg Syndrome, and much more.
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Reflective Functioning: The Key to Attachment with Dr. Howard Steele
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In this episode, we discuss “reflective function,” which is a precursor to the concept of mentalization. Reflective function is best understood not as synonymous with mentalization, but as a scale from -1 to 9, based off certain adult attachment interview questions that measure the person’s ability to describe their own and others’ internal states,…
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Bruce Perry on the Healing Power of Human Connection and Resilience in Trauma
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In today’s episode, we talk with Dr. Bruce Perry who co-authored, The Boy Who Was Raised As A Dog, Born For Love: Why Empathy is Essential and Endangered, and What Happened to You? Conversations on Trauma, Resilience, and Healing (2021). We are also joined by Megan White Zappitelli, M.D., a child and adolescent psychiatrist, and Maddison Hussey, M.…
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TRANS - Biology or Ideology? with Helen Joyce - The Shape of Dialogue #25
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Helen Joyce is a journalist and was a staff writer for The Economist between 2005 and 2022. Helen held various leading positions at The Economist, including education editor, Brazil correspondent, International editor, Finance editor and Britain editor. Helen's first book, "Trans: When Ideology Meets Reality," was published by OneWorld in July 2021…
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Early Psychosis: Detection and Treatment
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In this episode, we are joined by a panel of experts to discuss treatment of psychosis. Experiences of psychosis are common. When these experiences lead to interference in achieving life goals and/or distress, individuals can benefit from seeking evidenced-based care. The earlier individuals experiencing psychosis come to treatment, the better the …
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In this episode, we welcome back fan favorite Dr. Michael Cummings and ask questions sent in by listeners. Topics include Schizophrenia, Social Media Trends, and the SSRI controversy. We are thrilled to dedicate an episode that allows individuals to ask pointed questions and glean from Dr. Cummings' expertise.…
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Richard Dawkins in New Zealand - Auckland - The Shape of Dialogue Podcast #24
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Richard Dawkins - https://richarddawkins.com/ In February 2023, Richard Dawkins asked me to host his New Zealand speaking tour. Today's podcast is the Auckland event, in which Richard discusses the scientific method, his recent book Flights of Fancy, and the debate surrounding the inclusion of non-scientific Māori mythological concepts in the New Z…
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PTSD and Cognitive Processing Therapy with Patricia Resick
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Learning how to approach patients with PTSD and severe trauma is necessary to help long term. Dr. Patricia Resick has plenty of experience in dealing with PTSD and is on the podcast today, sharing her wisdom so that we may better serve patients suffering from trauma.
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What People Want From Therapy with Linda Michaels
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Therapies of depth, insight, and relationship have been missing from, if not pushed out of, the public conversation on mental health treatment. After decades of attack from multiple fronts, these therapies are misunderstood, undervalued, and overlooked by the general public. In order to address this challenge and change this trajectory, we must sta…
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5 Factors and Domains of Psychiatric Care
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In this Episode, Dr. David Puder, Dr. Adam Borecky, and Joanie Burns discuss the 5-factor approach to holistic, patient-centered psychiatric care. This approach takes into account that each individual who seeks care is unique in their physiological and psychological make-up and that multiple factors influence both physical and mental health (for be…
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Mentalization Based Therapy (MBT), with Dr. Anthony W. Bateman, MA, FRCPSYCH and Dr. Peter Fonagy, Ph.D., FBA
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In this episode, we are joined by Dr. Anthony W. Bateman and Dr. Peter Fonagy to discuss their expertise on Mentalization. Mentalization refers to the capacity to reflect upon and understand one's own state of mind and the states of mind of others. This involves recognizing and making sense of one's own and others’ emotions, beliefs, needs and desi…
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