Tuning in…
Tuning in…
Desert Island Discs
Presented by Lauren Laverne
Psychiatrist and pioneering researcher on chronic fatigue syndrome, military health, and mental health policy; first psychiatrist to hold a Regis Professorship
Eight records
The keepsakes
The luxury
A beautiful Jugendstil or Art Deco chair and a round table
I suppose if you could give me a beautiful Jugendstiela or Art Deco chair and the table, round table.
In conversation
Presenter asks
Simon, today the stigma around mental health and mental illness seems to be breaking down. The concept of the stiff upper lip, which used to be prevalent, seems very out of touch with current thinking. That's got to be progress, hasn't it?
Stigma has gone down, which is a good thing. Many more people are willing to present now with mental disorders, but you don't have to look very far below the surface to realize that it's perhaps not changed as much as we think. And still, misunderstanding, stigma and prejudice is still there. We don't have yet a parity of esteem and equality between the physical and the psychological and the way that we will approach them or fund them. We're not there yet, but it's so much better than when I started, of course.
Presenter asks
And I know that you said about your work, if you're any good at it, it won't be long before somebody tells you something they've never told anyone else before. I mean, that must be an incredible moment. How does it feel when someone shares something like that with you?
The recording
Timestamps play the recording from that turn
Presenter
BBC Sounds, Music, Radio Podcasts. Hello, I'm Lauren Laverne and this is the Desert Island Discs Podcast. Every week, I ask my guests to choose the eight tracks, book, and luxury they'd want to take with them if they were cast away to a desert island. And, for rights reasons, the music is shorter than the original broadcast. I hope you enjoy listening.
Presenter
My castaway this week is Professor Sir Simon Wesley. He's the first ever psychiatrist to be awarded a Regis Professorship, a rare honour bestowed by the Queen, and over the course of his 30-year career, he's earned an international reputation for pioneering research and public engagement. Born in Sheffield, to a father who'd come to Britain in 1939 on the Kindertransport, he says his passion for psychiatry is fired by its blend of the biological, psychological and social. His contribution to his specialism includes plenty of each. He's researched the no-man's land between the brain and mind and led progressive and some might say controversial work on chronic fatigue syndrome. He's also explored the way military life shapes people. He received a knighthood for his work in this area, which includes studies of Gulf War syndrome, compiling a history of shell shock and founding what is now the King's Centre for Military Health Research. More recently, he completed a term as President of the Royal Society of Medicine, the first psychiatrist to occupy the post. And in 2017, he led a long overdue review of the Mental Health Act. He says, in a world given to sound bites, mine would be to ensure that psychiatry is visible, credible and useful.
Presenter
Professor Sir Simon Wesley, welcome to Desert Island Disc.
Professor Sir Simon Wessely
Oh, thank you very much. I'm stunned by the intro.
Presenter
Well, you're very welcome. Simon, today the stigma around mental health and mental illness seems to be breaking down. The concept of the stiff upper lip, which used to be prevalent, seems very out of touch with current thinking. That's got to be progress, hasn't it? Yes, it has.
Professor Sir Simon Wessely
Stigma has gone down, which is a good thing. Many more people are willing to present now with mental disorders, but you don't have to look very far below the surface to realize that it's perhaps not changed as much as we think. And still, misunderstanding, stigma and prejudice is still there. We don't have yet a parity of esteem and equality between the physical and the psychological and the way that we will approach them or fund them. We're not there yet, but it's so much better than when I started, of course.
Presenter
And I know that you said about your work, if you're any good at it, it won't be long before somebody tells you something they've never told anyone else before. I mean, that must be an incredible moment. How does it feel when someone shares something like that with you?
Professor Sir Simon Wessely
Well, depends what they say, of course. And I think that is what psychiatrists do: that they do.
Professor Sir Simon Wessely
Get into that relationship where people can trust you with something that may be frightening or unpalatable, or they're worried that you will hate them for it, or whatever. But something that is so personal, they haven't been able to share it with their family or anyone else.
Speaker 1
No, hate
Speaker 1
But
Professor Sir Simon Wessely
It's a privilege, and I also think that's never going to go away. People worry about, oh, everything will be taken over by computers and AI and digitalization. Quite a lot of medicine will, and a lot of psychiatry will go digital, but nothing will replace that, particularly when people are in the worst moments of their lives, as they sometimes are when we see them.
Presenter
All right, Simon. Well, it's time to dive into your discs. Number one, then, what are we going to hear, and why have you chosen it today?
Professor Sir Simon Wessely
I did two or three years of general medicine up in Newcastle, and those days were quite tough. It was common that you would go to work on Friday and you would finish work on Monday evening. And so the hours were pretty punishing and crippling. And the way we got over that without cracking up, really, was through making very strong, intense friendships very quickly. And so the music is from that. It's from the Blues Brothers, which was very big at that time. And it's Aretha Franklin singing Think. And also, straight in the lyric, she says, I ain't no psychiatrist, I ain't no doctor with a degree. And I was a doctor with a degree, but I wasn't at that time a psychiatrist, but I was thinking about it. And it's just also brilliant.
Speaker 3
You think, sing, sing, sing, sing about, think about what you tryna do to me. Let your mind go, let yourself be free.
Speaker 3
Let's go back, let's go back, let's go and back wing I didn't even know yeah you can demand too much according to I ain't no psychiatrist, I ain't no doctor with greed You don't take too much high cue to see what you're doing
Presenter
Aretha Franklin and Think from the soundtrack to the Blues Brothers.
Presenter
Simon Wesley, it's still, I assume, much too soon to really assess what the impact of COVID nineteen will be on the population's mental health, but the early signs aren't looking good by any measure. Why is the virus taking such a toll on our emotional well being, do you think?
Professor Sir Simon Wessely
All crises create fear and COVID creates fear for all the obvious reasons. But we get by our fear through our social relationships with people. But Covid creates the fear and the threat, but then our reactions to it and how we have to manage it destroy the very things that get us through difficult times at the time when we need them most. And that's why social distancing is such a toxic thing for mental health.
Presenter
You've said before that resilience is somewhat of a common thread in much of the work that you've done, and that people are generally tougher than we might think. But this quality is often underestimated by politicians and policymakers. Why is that?
Professor Sir Simon Wessely
Time and time again, and particularly my dealings with often senior politicians and so on, you find they're really worried. Look, we can't tell the public this because they'll panic.
Professor Sir Simon Wessely
And actually, panic is very, very unusual in the face of threat. It happens in very specific circumstances, and the classic one is a fire in a crowded nightclub where you do get panic. But normally you don't. Next time you see a picture of the aftermath of, let's say, a terrorist incident, and you see people running out of a building towards the camera, if you let the camera run, you will then see behind them are people in uniform telling them to run and get moving. People's often natural instinct is to do the opposite, is to go and lend a hand and to help. So it's not instinctive that we panic.
Presenter
Simon, when you were starting out, a treatment called psychological debriefing was often used to help people who had just experienced a traumatic event, and that meant that counsellors were sometimes on the scene of those events, sent to offer immediate support. But over the years, studies went on to show that that kind of early intervention can actually be harmful. Why?
Professor Sir Simon Wessely
We have defense mechanisms for a reason, and that soon after a terrible event, you know, the best things to do is to think about how you're going to get home, where's the family, how can I communicate with them? Incredibly important, but not dwell on some of the horrible things that you've seen. It's too early. It also sends out a message to people that you've got a professional problem that needs professional help. And it's part of the kind of medicalization of ordinary life that has happened in the last 20 years. And that's not actually helpful to you. You will get better, and you will largely get better through guess what? Talking to your friends, family, colleagues, GP, your vicar, whatever. And people like me should only come in if you're still feeling that way, maybe six, ten, twelve weeks later.
Presenter
Simon, it's time to make some room for the music. Your second disc today. Tell us about this selection.
Professor Sir Simon Wessely
My mother was a professional violinist and she ran a string quartet. One of the pieces they used to play was Smetener quartet. And when my mother died, we organized a memorials concert and we the Dante quartet who my parents knew came and they played this music.
Presenter
Part of Smetener's string quartet number one in E minor, performed by the Dante Quartet. So, Simon Wesley, you were born in Sheffield. Your father, Rudolph, however, was brought up in Prague. He came to the UK on the kinder transport. That was an initiative which rescued Jewish children from the Nazis. And like so many others on those trains, very sadly, he left his family behind and never saw them again. Was he able to find out what happened to them?
Professor Sir Simon Wessely
His mother and his young cousin, who had moved in with his parents, were deported to Auschwitz in September 1943 and murdered on arrival. We're never quite sure at that time what had happened to his father. It turned out later that he had been sent back to the ghetto and then put on the same train with his wife and his niece, and he also had been gassed on arrival at Auschwitz on the same day.
Presenter
So you were an only child. W when you were growing up, how much did your father share with you about his past?
Professor Sir Simon Wessely
I can't say it was the dominant feature of my childhood. The main thing I remember was I wasn't allowed to go to Spain on holiday with some friends, and I got very upset and said, Why? And they said, Well, because it's run by a fascist, and fascists are very bad people, and we don't go to Spain. Now, remember, my father was a child refugee, he's not a Holocaust survivor. The most disturbing thing that happened to him during those years was actually when he was in the Navy when he was sunk twice, and the second time was very dreadful. And he lost all his hair, though the ship had overturned, and he was rescued 24 hours later. And he had nightmares about that for the rest of his life. I mean, he wasn't ill in any way, didn't need any help and didn't have PTSD, but he had a bad war and had nightmares about it.
Presenter
I know that you describe your childhood as very happy.
Professor Sir Simon Wessely
Yes, it was. Um now my parents were o
Professor Sir Simon Wessely
They were an odd couple. Yes. They definitely were.
Presenter
Yeah.
Professor Sir Simon Wessely
For example, my mother couldn't cook, didn't cook, and never did.
Professor Sir Simon Wessely
In my entire life I don't think I ever had a meal that she cooked, ever. So my father did all the shopping, prepacked food at Marks and Spencer's, and we would go to Rudolph's Delicatessen and I would go with him once a week. He was a terrible cook as well.
Presenter
And you've said that your mother Wendy was a talented musician.
Professor Sir Simon Wessely
She was. She was a founder member of the National Youth Orchestra. But she also was, I wouldn't say troubled, but she always knew that her parents were always quite distant to her. I don't think she didn't have a very happy childhood and was rescued by her music. And then she found out that the person she thought was her father was not. And her uncle was actually her father. And no one would tell her, and never did, who her mother was.
Presenter
Oh f
Professor Sir Simon Wessely
And and then I suppose I can say this now, that when my father died and I was looking over I collected his papers, which were all in perfect order as I knew they would be, and there was letters there.
Professor Sir Simon Wessely
From him to my mother
Professor Sir Simon Wessely
And I realized that these were written shortly after I was born. My mother left him and I never knew this ever. And she was gone for four months. And the letters were my father desperate to get her back. And she did come back. And it dawned on me, maybe that's why my father was always, he was so pleased to have her back that he was always would go out of his way to do all the shopping and all the cooking and things like that. I never had any inkling of that at all. And as I say, mum came back when I was six months old. So I clearly, obviously, absolutely no recollection of this at all. And certainly it was never spoken about. I mean, it was just simply, I was never aware of anything difficulties in my parents' relationship.
Presenter
It was just
Presenter
It's time for some more music. Disc number
Professor Sir Simon Wessely
Yeah.
Presenter
Bye.
Professor Sir Simon Wessely
What's it going to be and why have you chosen it? My mother, as I said, was by this time a professional musician, and she made me play an instrument, so I had to play the flute. And when I was 15, I got my first professional gig and I was paid 20 quid to do six nights of Cosi Fantusi. Now, my mother was leading the orchestra, so that's obviously why I got the gig. And there's not much second flute in Cosi, I'm afraid, so I spent much of the time in the pit, so no one could see you doing my homework, except when this came on. And every night I stopped what I was doing and listened.
Speaker 1
Bercy.
Presenter
Suave Sia Ilvento from Mozart's Cozy Fantute, performed by Elizabeth Schwartzkopf, Walter Berry, and Krista Ludwig, with the Philharmonia Orchestra conducted by Carl Berm. Simon Wesley, you read History of Art and Medical Sciences at Cambridge University. How did you settle in once you got there?
Professor Sir Simon Wessely
Well, originally not very well actually. I'd been at a grammar school, but that had changed to being a comprehensive school. And the college I was at was mainly public school. And I didn't really, in that first term, I was lonely and I was certainly homesick. And in fact, I went home at one stage. And my parents kind of put up with me for a few days and then told me to go back. And I went back. And things settled down when I kind of I think it was the exams at the end of that term. And I realized that actually I was just the same as the other students there. And I shouldn't be so slightly nervous of them, I think I was. And after that, it was fine.
Presenter
You went on to complete your clinical studies at Oxford. At what point and why were you drawn to psychiatry?
Professor Sir Simon Wessely
At medical school, the thing that turned me on, started this possibility, was actually Anthony Clare, the great psychiatrist of that period, indeed of any period. And he wrote a book called Psychiatry and Dissent that came out when I was at medical school. And I found it really exciting that here was a discipline that was not afraid to challenge itself. It was all about the arguments, and there are always arguments in psychiatry. We love an argument. And also, that they were really accessible to other people. So he was talking about when does sadness become depression? And how do we classify mental disorders? Should we classify them at all? And then I liked the consultants, one, because they knew the names of all their patients, which wasn't common always. And second, was because they would ask me a question, and bizarrely, they were actually interested in my answer. Whereas in the rest of medicine, they would ask you what are the nine causes of jaundice to show that you're an ignorant medical student because you only remembered eight.
Professor Sir Simon Wessely
And I like that.
Presenter
When you decided that you wanted to specialize in psychiatry, some of the consultants at medical school actually tried to talk you out of it. Why?
Professor Sir Simon Wessely
We are lower down in the kind of hierarchy of bits of medicine. Sometimes well-meaning people say things like, well, you're too good for psychiatry, that you will be just as mad as your patient. That's sometimes said. Medicine is a tribe as well. And it's about doing things, it's about running around, it's about making instant decisions and using lots of jargon. And psychiatry isn't. We don't run, we kind of walk. Things happen much more slowly in psychiatry. You have to be much more patient.
Presenter
Simon, it's time to take a moment for some more music now. Disc number four. Why have you chosen this?
Professor Sir Simon Wessely
When I was at the well, I'm still at the Maudsley, but when I was at the Maudsley, a junior doctor had called me in because they had a very disturbed patient and they needed a second opinion. And I was the rotor doctor that day for the second opinion. So I came along to the ward, and it was quite a lot of commotion and noise. But I formed a first opinion: the SHO who had called me was uncommonly attractive.
Professor Sir Simon Wessely
And that was Claire, and that was my first meeting with Claire. Probably the least romantic meeting ever in history.
Presenter
I'm glad you said that.
Professor Sir Simon Wessely
Yes. But we went on our first date about two weeks later and we got engaged in about three months at a wedding in Switzerland and we were married later that year.
Professor Sir Simon Wessely
But the first date we had was to see the French jazz classic round midnight.
Presenter
I could cry
Presenter
Salty Teal Uh
Professor Sir Simon Wessely
Oops.
Speaker 1
Yeah.
Professor Sir Simon Wessely
Where
Speaker 1
Where have I been?
Speaker 1
All these years.
Speaker 3
Yeah.
Speaker 3
Uh
Professor Sir Simon Wessely
Bit of wild
Speaker 1
Oh
Professor Sir Simon Wessely
Tell me now.
Professor Sir Simon Wessely
How
Speaker 1
How long has this been going on?
Professor Sir Simon Wessely
There were chills.
Professor Sir Simon Wessely
Up my spine.
Speaker 3
My spine
Professor Sir Simon Wessely
And some thrills.
Professor Sir Simon Wessely
I can't define
Presenter
Uh
Speaker 1
Uh
Professor Sir Simon Wessely
Listen, sweetheart.
Professor Sir Simon Wessely
I repeat, how long has this been?
Speaker 1
Uh
Professor Sir Simon Wessely
Go
Speaker 1
Oh we
Presenter
How long has this been going on? Happily a much more appropriate mood than your initial meeting. Simon Wesley for your wife, Claire, from the soundtrack to Round Midnight, Dexter Gordon and Lynette McKee. So Simon, in the late 80s, you worked as a trainee psychiatrist in the National Hospital for Neurology in London, and that marked the beginning of your research into chronic fatigue syndrome.
Professor Sir Simon Wessely
Uh
Presenter
What interested you in the condition to begin with?
Professor Sir Simon Wessely
It doesn't have a natural home. So, Lauren, if you on your way home start to have a heart attack, you will see a cardiologist. And if I, if this interview is so terrible that I give you post-traumatic stress disorder, you would see a psychiatrist. That's how it works. But if in this condition, it's not clear who you should see. Nobody claims it, and therefore there's no obvious safe place for patients to be. And the backstory comes from these newspaper headlines that were even then saying things like virus research doctors finally prove shirkers really are sick. So the view was that you were going to be considered a shirker, a malingerer, making it all up. And I suppose.
Presenter
Turn it.
Professor Sir Simon Wessely
I thought, perhaps naively at that time, that we could do some good here because I thought, well, we can't treat people worse. They weren't getting any treatment at all. But it became what, as I mentioned, the controversies that were there never went away and it became an unpleasant area to be specializing in. Not clinically. The patients were fine. And to this day, I still see them. I must have seen, I don't know, well over a thousand by now. And I wouldn't do that if it wasn't rewarding. But the public side of it.
Professor Sir Simon Wessely
um became very toxic.
Presenter
Yes. I mean, you you never discovered a cure, but certainly pioneered some treatments with with some success. But you received hate mail, even death threats.
Professor Sir Simon Wessely
Well it that's true. Um but that wasn't really the problem. These things happen to lots of people. It was more the constant scrutiny, the pressure, the stalking, the you know, referrals to regulatory bodies. It was that kind of things that was the most difficult to bear. And I just
Presenter
Where was that coming from?
Professor Sir Simon Wessely
It was coming from some groups of people, not, as I say, not from my patients at all, but from the brutes who didn't want you there because of what you represented. And certainly, you can understand why people get very cross and very frustrated and feel denigrated by that kind of dichotomy. That if my problem was remotely psychological or social or psychiatric, it would mean I'm not ill. It would mean I'm actually making it up. And I think it does come down to that fear. And it's a reasonable fear that people had, but it wasn't reasonable, I think, to project it onto myself and my colleagues who were not part of that and who.
Professor Sir Simon Wessely
Ironically, we were the people in the hospital who did believe that this was a genuine illness.
Presenter
It must have been an incredibly stressful time for you going through all that and and your colleagues. I mean, you said there was a moment that you remember clearly that it was time to stop. Yes, it happened.
Professor Sir Simon Wessely
Hmm.
Professor Sir Simon Wessely
It was in 2000 that I was at a meeting in America at NIH, National Institute for Health, which is the epicenter of medical research around the world, certainly the biggest. And it was, you know, unpleasant. The atmosphere was very hostile. And I remember taking the decision there that I just thought, I don't really want to do this anymore. I don't want to have to defend what I do. And so I took that decision.
Professor Sir Simon Wessely
Went back to the airport afterwards, and for the first time in my life, I got upgraded. I thought that must be a sign from heaven that this was meant to be.
Presenter
Time for some more music, Simon. What are we going to hear next, and why have you chosen it?
Professor Sir Simon Wessely
We went to see Hamilton three or four years ago, and I just thought this was just genius. And when we came back we all went out for dinner, the whole family, and all we did was argue about what we'd just seen. And when that happens, you know you're in the presence of great art.
Speaker 1
Yeah.
Professor Sir Simon Wessely
Two Virginians and an immigrant walk into a room diametrically opposed, oes.
Speaker 1
Diametrically a
Professor Sir Simon Wessely
They emerge with a compromise, having opened doors that were previously closed. The immigrant emerges with unprecedented financial power, a system he can shape however he wants. The Virginians emerge with the nation's capital. And here's the piesta resistance.
Professor Sir Simon Wessely
No one else was in the room where it happened, the room, where it happened, the room. Where we have been
Presenter
The Room Where It Happens from the musical Hamilton, composed by Lynn Manuel Miranda and performed by Leslie Odom Jr. and the original Broadway cast. So, Simon Wesley, by the mid-1990s, you turned your professional attention to Gulf War syndrome. Now, this first came to light after soldiers returning from the 1991 Gulf War went on to suffer fatigue, pain, and breathing problems. And in your research, you compared the experiences of these soldiers to soldiers who had served in Bosnia. How receptive, I wonder, were the MOD to your comparison study?
Professor Sir Simon Wessely
Well, at the first, not at all, actually. And one minister I won't name said, I don't want to do research in this. In my opinion, research always makes things worse. I remember that very well. But we went over to America and went to the Department of Defense and said, look, you've got this problem big time. And we think we do too. Wouldn't it be nice if you gave us the money to compare the US and the UK? And they said, yes, that would be nice. So came back with the grant. And then, of course, the military basically had to do the research because questions got asked in Parliament, why weren't they doing this? We never really found out what it was due to. But in the end, we, you know, that's what happens in research. We made sure that measures were taken next time that would reduce the chances of this happening, which they did, and also to monitor outcomes from the start. And then that work continues to this day because obviously now we're focusing a lot on physical and psychological injuries in those who served in both Iraq and Afghanistan. And people have kind of forgotten, you know, the Gulf War story has kind of disappeared a bit, although there are still veterans afflicted by that who, you know, are getting their war pensions, quite rightly so.
Presenter
I know that your research with the military took you into the fields in Iraq and Afghanistan. I mean, what was that like and how did you cope?
Professor Sir Simon Wessely
Well, if you're a psychiatrist, you are a bit of a wire. And I love watching people at work, be it policemen or barristers and certainly soldiers. And this was an opportunity to see people on their territory. When you're on their territory, they make it clear that you are useless. They call you sir, because they have to, but they elongate it so it's dripping with contempt.
Professor Sir Simon Wessely
Sir, just to remind you that they are in charge, and that's very good for the soul. Very good.
Presenter
It's time for some more music Simon. Number six, what have you chosen and why?
Professor Sir Simon Wessely
Once a year I used to do something called the Pedal to Paris, which is a cycle ride from London to Paris to raise money for the Royal British Legion. When we get to Paris it's the most exhilarating finish. You cycle through the Bois de Boulogne, the roads is blocked for you, it's 250 verse, you sweep up to the Arc de Triomphe and as you get there the band plays, the French military band plays the Marseillaise and is there a better tune in the world than the Marseillaise?
Presenter
The Marciaz by Ensemble Dumont. Professor Sir Simon Wesley, in twenty seventeen Theresa May asked you to lead a review of the Mental Health Act. Why do you think she approached you to take on the task?
Professor Sir Simon Wessely
Well, that's an excellent question, and the answer is because I didn't know much about it. It's a strange feature of our political culture that if you want to find someone to lead a review or in the old days a Royal Commission, you mustn't have someone who knows a lot about it because they've already got views.
Presenter
And once you began to understand it and decide what what should be changed and what your recommendations would be, what what was the most important change that you wanted to get through?
Professor Sir Simon Wessely
We did conclude that even though mental health acts are necessary, and the only way to prove that is if you go to a country that doesn't have a mental health act, you wouldn't want to be severely mentally ill there. They're there to balance everyone's right to autonomy to make their own decisions, but also a civilized state also wants to protect its most vulnerable, the elderly, the very young, and the people with the most severe mental disorders. So it's that balance and to do it in the safest and shortest way possible. But I think the biggest one was to make sure the voices of the patients were going to be heard and respected and also given teeth by an increased system of protection. So that's probably the biggest thing we did.
Presenter
Looking back over your career as we have been today, Simon, how much drive has it taken to get where you are today, would you say?
Professor Sir Simon Wessely
I don't know really. Um
Professor Sir Simon Wessely
I hate being bored, and I've not been bored in my career. You would have to be somewhat odd not to find, well, I think, obviously, I'm biased, but to find some of the things in psychiatry, some of the things in medicine, some of the things in history that I've been involved with are not intriguing, and you would want to know more. And I've always wanted to know more, and that's still with me. That hasn't gone away.
Presenter
It's time for your next disc. Simon, tell us what we're going to hear and why.
Professor Sir Simon Wessely
When my children both were born in the hospital, they were cesarean, and obviously there's a lot of fuss and things like that. But when that had things had returned to kind of peace and normality, and when I was allowed to hold them, I went to the sluice, a quiet place. And for both of them, I just put this music on. So it makes me think of them. It doesn't make them think of them, by the way. They don't get it. But I do. And it just makes me think of both our boys and just how lucky we have been in terms of family.
Presenter
Mozart's Serenade for Winds in B-flat, the Grand Partita, performed by the German Winds Soloists' Ensemble. So Simon Wesley, you're married to Dame Claire Girarda. She's a former chair of the Royal College of GPs, making you the first couple to have both led royal institutions. Are you able to leave work at the door or do you tend to talk shop at the dinner table?
Professor Sir Simon Wessely
I think the answer is we do talk shop. We do. The kids will tell you that we're actually, they say we're competitive, but I totally deny that. So what do they know? What word would you use? Mutually supportive, occasionally argumentative, but also very respectful of what each other does. But I should add that we are the reason our children don't do medicine. And I don't blame them.
Presenter
Oh really? What were they saying that put them off then, do you think?
Professor Sir Simon Wessely
What would they
Professor Sir Simon Wessely
Well, I think it was the example we set of being just, you know, really bad parents for much of the time. Always working. Yes. And I do remember once coming home, no, going off to work in the morning, and I love cafes and often called in for coffee. And I've been away for a few weeks. So I came in, ordered a cappuccino, and then got a bill for £80. I said, well, that's a lot for a cappuccino. I said, yes, it is a lot. However, and then they gave me a list of all the bacon sandwiches and everything that my children had been unknown to us and been going in to get extra food or essentially foraging. Yes, yes. Is it less than two? Exactly, yeah.
Presenter
Essentially foraging.
Presenter
I'm about to cast you away, of course, Simon. I know that even in the real world you're terrified of being bored. How will you manage on the island? You weren't looking forward to it.
Professor Sir Simon Wessely
I would be awful. I'm completely cackhanded. I ca despite the fact I love cycling, I can't even change a wheel. And also, I'm a very social creature and I can't see that I'd survive for very long without my friends, family, and colleagues. Not necessarily
Presenter
The
Professor Sir Simon Wessely
Order.
Presenter
All right, Simon. Well, the moment is almost upon us, but before we send you off to the island, one more disc from you, please. Number eight, what have you chosen and why?
Professor Sir Simon Wessely
This is just music that I like and cheers me up. Actually the name Wesley is pronounced Veseli in Czech and anyone listening to Czech will know that it means cheerful. And this is really cheerful music and it's the big band sound and they don't come any bigger or better than Jules Holland.
Presenter
Tuxedo Junction, Jules Holland and his Rhythm and Blues Orchestra. So, Simon Wesley, I'm going to send you away to the island now. I'm giving you the Bible and the complete works of Shakespeare to take with you. You can also have another book. What will that be?
Professor Sir Simon Wessely
In the world of Zoom, we see everyone's bookshelves, and if you ever see mine, you'll see that I have an unhealthy obsession with Russian history and Barbara Stalin. And I think I would like to take a teach yourself Russian book. Not because I'm going to be able to read those books in Russian, but because one thing I'd love to do is to give toasts the way that Russians do. Everyone either cheers or they start crying or whatever. And I think I could probably master that.
Presenter
You could also have a luxury item. What would you like?
Professor Sir Simon Wessely
Most days I'll spend time in a cafe, and the best cafes in the world are in Vienna, and I adore them. So I want a Viennese cafe, please, with the surly waiter. I want to have the surly waiter.
Presenter
So I'm gonna have the s
Presenter
Oh well, no, this is going to be proved difficult. It's breaking all kinds of rules for all sorts of reasons, Simon, I'm afraid. No. Definitely not a surly waiter, because I can't give you a living being.
Professor Sir Simon Wessely
Yeah.
Professor Sir Simon Wessely
I suppose if you could give me a beautiful Jugendstiela or Art Deco chair and the table, round table, round table. Okay. If you gave me that, I probably would just about accept that.
Presenter
Yeah.
Presenter
Well, that I can do.
Professor Sir Simon Wessely
Okay.
Presenter
And finally, which one track of the eight that you've shared with us today would you save from the waves if you had to?
Professor Sir Simon Wessely
Then you've shed
Professor Sir Simon Wessely
It's got to be the moment I'm at Clare. So how long has this been going on? To which the answer obviously is 33 years and still going strong. So let's please have round midnight.
Presenter
Professor Sir Simon Wesley, thank you very much for letting us hear your desert island discs.
Professor Sir Simon Wessely
Thank you. I really enjoyed it.
Presenter
I hope you enjoyed my conversation with Simon. We will leave him enjoying his island cafe and possibly making toasts in Russian. Over the years, we've cast many psychiatrists and psychologists away, including Anthony Storr, Baroness Sheila Hollins, Professor Tanya Byron, Dorothy Rowe and Susan Blackmore. You can hear those programmes on the Desert Island Disc's website and on BBC Sounds.
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Hello.
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The podcast is called Seriously. Subscribe now on the BBC Sounds app.
Well, depends what they say, of course. And I think that is what psychiatrists do: that they do. Get into that relationship where people can trust you with something that may be frightening or unpalatable, or they're worried that you will hate them for it, or whatever. But something that is so personal, they haven't been able to share it with their family or anyone else. It's a privilege, and I also think that's never going to go away. People worry about, oh, everything will be taken over by computers and AI and digitalization. Quite a lot of medicine will, and a lot of psychiatry will go digital, but nothing will replace that, particularly when people are in the worst moments of their lives, as they sometimes are when we see them.
Presenter asks
Simon Wesley, it's still, I assume, much too soon to really assess what the impact of COVID-19 will be on the population's mental health, but the early signs aren't looking good by any measure. Why is the virus taking such a toll on our emotional well being, do you think?
All crises create fear and COVID creates fear for all the obvious reasons. But we get by our fear through our social relationships with people. But Covid creates the fear and the threat, but then our reactions to it and how we have to manage it destroy the very things that get us through difficult times at the time when we need them most. And that's why social distancing is such a toxic thing for mental health.
Presenter asks
Simon, when you were starting out, a treatment called psychological debriefing was often used to help people who had just experienced a traumatic event, and that meant that counsellors were sometimes on the scene of those events, sent to offer immediate support. But over the years, studies went on to show that that kind of early intervention can actually be harmful. Why?
We have defense mechanisms for a reason, and that soon after a terrible event, you know, the best things to do is to think about how you're going to get home, where's the family, how can I communicate with them? Incredibly important, but not dwell on some of the horrible things that you've seen. It's too early. It also sends out a message to people that you've got a professional problem that needs professional help. And it's part of the kind of medicalization of ordinary life that has happened in the last 20 years. And that's not actually helpful to you. You will get better, and you will largely get better through guess what? Talking to your friends, family, colleagues, GP, your vicar, whatever. And people like me should only come in if you're still feeling that way, maybe six, ten, twelve weeks later.
Presenter asks
So you were an only child. When you were growing up, how much did your father share with you about his past?
I can't say it was the dominant feature of my childhood. The main thing I remember was I wasn't allowed to go to Spain on holiday with some friends, and I got very upset and said, Why? And they said, Well, because it's run by a fascist, and fascists are very bad people, and we don't go to Spain. Now, remember, my father was a child refugee, he's not a Holocaust survivor. The most disturbing thing that happened to him during those years was actually when he was in the Navy when he was sunk twice, and the second time was very dreadful. And he lost all his hair, though the ship had overturned, and he was rescued 24 hours later. And he had nightmares about that for the rest of his life. I mean, he wasn't ill in any way, didn't need any help and didn't have PTSD, but he had a bad war and had nightmares about it.
Presenter asks
You went on to complete your clinical studies at Oxford. At what point and why were you drawn to psychiatry?
At medical school, the thing that turned me on, started this possibility, was actually Anthony Clare, the great psychiatrist of that period, indeed of any period. And he wrote a book called Psychiatry and Dissent that came out when I was at medical school. And I found it really exciting that here was a discipline that was not afraid to challenge itself. It was all about the arguments, and there are always arguments in psychiatry. We love an argument. And also, that they were really accessible to other people. So he was talking about when does sadness become depression? And how do we classify mental disorders? Should we classify them at all? And then I liked the consultants, one, because they knew the names of all their patients, which wasn't common always. And second, was because they would ask me a question, and bizarrely, they were actually interested in my answer. Whereas in the rest of medicine, they would ask you what are the nine causes of jaundice to show that you're an ignorant medical student because you only remembered eight. And I like that.
“It's a privilege, and I also think that's never going to go away.”
“All crises create fear and COVID creates fear for all the obvious reasons. But we get by our fear through our social relationships with people. But Covid creates the fear and the threat, but then our reactions to it and how we have to manage it destroy the very things that get us through difficult times at the time when we need them most. And that's why social distancing is such a toxic thing for mental health.”
“Time and time again, and particularly my dealings with often senior politicians and so on, you find they're really worried. Look, we can't tell the public this because they'll panic. And actually, panic is very, very unusual in the face of threat. It happens in very specific circumstances, and the classic one is a fire in a crowded nightclub where you do get panic. But normally you don't. Next time you see a picture of the aftermath of, let's say, a terrorist incident, and you see people running out of a building towards the camera, if you let the camera run, you will then see behind them are people in uniform telling them to run and get moving. People's often natural instinct is to do the opposite, is to go and lend a hand and to help. So it's not instinctive that we panic.”
“We have defense mechanisms for a reason, and that soon after a terrible event, you know, the best things to do is to think about how you're going to get home, where's the family, how can I communicate with them? Incredibly important, but not dwell on some of the horrible things that you've seen. It's too early.”
“I hate being bored, and I've not been bored in my career.”
“I would be awful. I'm completely cackhanded. I ca despite the fact I love cycling, I can't even change a wheel. And also, I'm a very social creature and I can't see that I'd survive for very long without my friends, family, and colleagues. Not necessarily [in that] order.”