
The Theory of Anything Episode 136: Michael Golding on Mental Illness and Universal Explainers
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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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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.
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.
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.







