The Theory of Anything

Episode 136: Michael Golding on Mental Illness and Universal Explainers

10 snips
Mar 31, 2026
Michael Golding, a board-certified psychiatrist with 25 years in hospitals, prisons, and homelessness services, discusses mental illness through a Popperian lens. He explores whether universal explanation capacity negates mental disorder. Short, lively conversations cover psychosis, error-correction failures, developmental learning differences, medication tradeoffs, and practical, iterative care approaches.
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INSIGHT

Deutsch Shaped A Popperian Psychiatry

  • Michael Golding credits David Deutsch's ideas for shaping his Popperian approach to psychiatry and mentorship over two decades.
  • He describes meeting Deutsch through a friend who revised her views on mental illness after direct hospital exposure, showing theory must face reality.
ANECDOTE

How Long Term Hospitals Cut Readmissions

  • Golding recounts long-term state hospital work where iterative discharge trials reduced 2-year readmissions to nearly zero.
  • They trialed patients in group homes, called frequently, and brought them back if placements failed until a stable fit was found.
INSIGHT

Universal Explainer Doesn’t Mean Equal Minds

  • Universal explainer status doesn't imply equal ability; creativity and knowledge require memory, speed, and meta-knowledge about how to improve ideas.
  • Golding stresses compressed deeper algorithms (like chess) and evolved mutation-selection efficiency explain individual differences.
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