A First-Rate Madness: Uncovering the Links between Leadership and Mental Illness

In A First-Rate Madness, Nassir Ghaemi, who runs the Mood Disorders Program at Tufts Medical Center, draws from the careers and personal plights of such notable leaders as Lincoln, Churchill, Gandhi, Martin Luther King Jr., JFK, and others from the past two centuries to build an argument at once controversial and compelling: the very qualities that mark those with mood disorders¿realism, empathy, resilience, and creativity¿also make for the best leaders in times of crisis. By combining astute analysis of the historical evidence with the latest psychiatric research, Ghaemi demonstrates how these qualities have produced brilliant leadership under the toughest circumstances.

Take realism, for instance: study after study has shown that those suffering depression are better than ¿normal¿ people at assessing current threats and predicting future outcomes. Looking at Lincoln and Churchill, among others, Ghaemi shows how depressive realism helped these men tackle challenges both personal and national. Or consider creativity, a quality psychiatrists have studied extensively in relation to bipolar disorder. A First-Rate Madness shows how mania inspired General Sherman and Ted Turner to design and execute their most creative¿and successful¿strategies.

Ghaemi¿s thesis is both robust and expansive; he even explains why eminently sane men like Neville Chamberlain and George W. Bush made such poor leaders. Though sane people are better shepherds in good times, sanity can be a severe liability in moments of crisis. A lifetime without the cyclical torment of mood disorders, Ghaemi explains, can leave one ill equipped to endure dire straits. He also clarifies which kinds of insanity, like psychosis, make for despotism and ineptitude, sometimes on a grand scale.

Ghaemi¿s bold, authoritative analysis offers powerful new tools for determining who should lead us. But perhaps most profoundly, he encourages us to rethink our view of mental illness as a purely negative phenomenon. As A First-Rate Madness makes clear, the most common types of insanity can confer vital benefits on individuals and society at large¿however high the price for those who endure these illnesses.

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A First-Rate Madness: Uncovering the Links between Leadership and Mental Illness

In A First-Rate Madness, Nassir Ghaemi, who runs the Mood Disorders Program at Tufts Medical Center, draws from the careers and personal plights of such notable leaders as Lincoln, Churchill, Gandhi, Martin Luther King Jr., JFK, and others from the past two centuries to build an argument at once controversial and compelling: the very qualities that mark those with mood disorders¿realism, empathy, resilience, and creativity¿also make for the best leaders in times of crisis. By combining astute analysis of the historical evidence with the latest psychiatric research, Ghaemi demonstrates how these qualities have produced brilliant leadership under the toughest circumstances.

Take realism, for instance: study after study has shown that those suffering depression are better than ¿normal¿ people at assessing current threats and predicting future outcomes. Looking at Lincoln and Churchill, among others, Ghaemi shows how depressive realism helped these men tackle challenges both personal and national. Or consider creativity, a quality psychiatrists have studied extensively in relation to bipolar disorder. A First-Rate Madness shows how mania inspired General Sherman and Ted Turner to design and execute their most creative¿and successful¿strategies.

Ghaemi¿s thesis is both robust and expansive; he even explains why eminently sane men like Neville Chamberlain and George W. Bush made such poor leaders. Though sane people are better shepherds in good times, sanity can be a severe liability in moments of crisis. A lifetime without the cyclical torment of mood disorders, Ghaemi explains, can leave one ill equipped to endure dire straits. He also clarifies which kinds of insanity, like psychosis, make for despotism and ineptitude, sometimes on a grand scale.

Ghaemi¿s bold, authoritative analysis offers powerful new tools for determining who should lead us. But perhaps most profoundly, he encourages us to rethink our view of mental illness as a purely negative phenomenon. As A First-Rate Madness makes clear, the most common types of insanity can confer vital benefits on individuals and society at large¿however high the price for those who endure these illnesses.

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A First-Rate Madness: Uncovering the Links between Leadership and Mental Illness

A First-Rate Madness: Uncovering the Links between Leadership and Mental Illness

by Nassir Ghaemi

Narrated by Sean Runnette

Unabridged — 10 hours, 26 minutes

A First-Rate Madness: Uncovering the Links between Leadership and Mental Illness

A First-Rate Madness: Uncovering the Links between Leadership and Mental Illness

by Nassir Ghaemi

Narrated by Sean Runnette

Unabridged — 10 hours, 26 minutes

Audiobook (Digital)

$19.95
(Not eligible for purchase using B&N Audiobooks Subscription credits)

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Overview

In A First-Rate Madness, Nassir Ghaemi, who runs the Mood Disorders Program at Tufts Medical Center, draws from the careers and personal plights of such notable leaders as Lincoln, Churchill, Gandhi, Martin Luther King Jr., JFK, and others from the past two centuries to build an argument at once controversial and compelling: the very qualities that mark those with mood disorders¿realism, empathy, resilience, and creativity¿also make for the best leaders in times of crisis. By combining astute analysis of the historical evidence with the latest psychiatric research, Ghaemi demonstrates how these qualities have produced brilliant leadership under the toughest circumstances.

Take realism, for instance: study after study has shown that those suffering depression are better than ¿normal¿ people at assessing current threats and predicting future outcomes. Looking at Lincoln and Churchill, among others, Ghaemi shows how depressive realism helped these men tackle challenges both personal and national. Or consider creativity, a quality psychiatrists have studied extensively in relation to bipolar disorder. A First-Rate Madness shows how mania inspired General Sherman and Ted Turner to design and execute their most creative¿and successful¿strategies.

Ghaemi¿s thesis is both robust and expansive; he even explains why eminently sane men like Neville Chamberlain and George W. Bush made such poor leaders. Though sane people are better shepherds in good times, sanity can be a severe liability in moments of crisis. A lifetime without the cyclical torment of mood disorders, Ghaemi explains, can leave one ill equipped to endure dire straits. He also clarifies which kinds of insanity, like psychosis, make for despotism and ineptitude, sometimes on a grand scale.

Ghaemi¿s bold, authoritative analysis offers powerful new tools for determining who should lead us. But perhaps most profoundly, he encourages us to rethink our view of mental illness as a purely negative phenomenon. As A First-Rate Madness makes clear, the most common types of insanity can confer vital benefits on individuals and society at large¿however high the price for those who endure these illnesses.


Editorial Reviews

From the Publisher

A glistening psychological history, faceted largely by the biographies of eight famous leaders… A First-Rate Madness is carefully plotted and sensibly argued.”
—BOSTON GLOBE

“Ghaemi isn’t the first to claim that madness is a close relative of genius, or even the first to extend the idea into politics.  But he does go further than others… His explanations are elegant, too—intuitively accurate and banked off the latest psychiatric research.”
—NEWSWEEK

“A provocative thesis… Ghaemi’s book deserves high marks for original thinking.”
—THE WASHINGTON POST

“Ghaemi is a remarkably disciplined writer, and he examines both psychiatry and history with impressive clarity and sensitivity. A First-Rate Madness will almost certainly be one of the most fascinating books of the year, not just because of the author's lucid prose and undeniable intelligence, but because of his provocative thesis: 'For abnormal challenges, abnormal leaders are needed.'”
—NPR.ORG

“Provocative, fascinating.”
—SALON.COM

Library Journal

Ghaemi (psychiatry, Tufts Univ.) argues that the best leaders in times of crisis are not the most "normal" but those who've allegedly suffered from some sort of mental illness, such as Abraham Lincoln and Winston Churchill (depression), Franklin Roosevelt and John F. Kennedy (hyperthymia—a sort of slightly manic temperament), and Gen. William T. Sherman (bipolar disorder). While it has previously been noted by many historians that Churchill's depressions and (paradoxically) Roosevelt's upbeat demeanor both were instrumental in rallying their countries, Ghaemi also argues that leaders such as Tony Blair, George W. Bush, and Richard Nixon failed precisely because they were so well adjusted. While this book is an intriguing read, it does not satisfactorily answer the many questions it raises, such as "What is normality?" and "What is and isn't a crisis?" VERDICT Readers who want to explore the relationship between mental illness and achievement would be better off with Kay Redfield Jamison's Touched with Fire: Manic-Depressive Illness and the Artistic Temperament.—Mary Ann Hughes, Shelton, WA

Kirkus Reviews

Ghaemi (Psychology, Tufts Univ. Medical School; The Rise and Fall of the Biopsychosocial Model, 2009, etc.) insists that failed leaders are mentally healthy. The best crisis leaders, more or less, are crazy.

The author demonstrates his scary thesis by thumbnail psycho-biographies of successful troubled leaders and a few flops who were, apparently, quite normal. Ghaemi's standard diagnostic indicators include symptoms, genetic history, course of illness and treatment. Available medical history and mostly secondary sources serve as validators of mental illnesses in varying severity. General Sherman and Ted Turner, he finds, were hyper-creators. Churchill and Lincoln were depressive realists. Depressed empathy characterized Mahatma Gandhi and Martin Luther King Jr.FDR and JFK, both chronically ill, were resiliently manic. In hard times, good politics are bipartisan and great politicians are bipolar. The depressed see life realistically, and the deranged are creative. Though readers may question whether the truly normal can achieve leadership, George W. Bush, forexample,is a normal guy, writes the author in proof of his theory. Among the mentally healthy he places Richard Nixon, who failed in a crisis—one of his own making—because he saw the world clearly. For the most part, Ghaemi writes, Nazis, too, were normal folk. For his hypothesis to be taken seriously, the author was obliged to consider the quintessential psychopathic leader, Adolf Hitler, who was a charismatic leader who became crazy to excess. Ultimately, the author provides an unsatisfying diagnosis of the dictator, and he fails to examine, among others, Stalin, Hussein or bin Laden. A diseased mind, Ghaemi candidly admits, attracts stigma, but he insists that the essence of mental illness promotes crisis leadership.

A diverting, exceedingly provocative argument—sure to attract both skeptical and convinced attention.

Product Details

BN ID: 2940169804881
Publisher: Blackstone Audio, Inc.
Publication date: 08/17/2011
Edition description: Unabridged
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