The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.
Ángela Cifuentes is a transdisciplinary researcher, clinical psychologist and psychoanalyst, holding PhDs in Social Sciences and in Medical Anthropology and Global Health. In recent years, she has focused on exploring experiences of anxiety, forms of affectation, and mental health care practices in contemporary Chilean universities shaped by neoliberal logic.
What is your article “The University Lives Anxiety and De-pression”: Diagnostic Uses and Affective Negotiations in Mental Health Care Services for University Students in Chile” about?
In this article, I explore how mental health problems are experienced and named in Chilean universities, especially in contexts marked by competition, performance, and inequality. Based on interviews I conducted with students and mental health professionals across three types of institutions, I analyze the everyday uses of diagnoses like “anxiety” and “depression.” I show that, both for students and for professionals, these diagnoses do not necessarily reflect clinical illnesses but often serve as ways of naming forms of distress tied to the demands of academic life. In many cases, they allow students to access institutional support or justify difficult decisions, such as taking a break or changing degrees. I argue that these diagnostic uses are also affective negotiations in response to pressures of academic performance and social adjustment, and they open space for imagining alternatives in the face of failure. Mental health in the university thus emerges as a complex, contested, and constantly shifting field.
Tell us a little bit about yourself and your research interests.
My experience as a clinical psychologist and psychoanalyst in various public and private mental health institutions has shaped a critical lens on experiences of suffering, affects, and the modes of management and care within institutions, leading me to focus on their political, cultural, and socio-historical dimensions. I am interested in generating knowledge that enables a deeper understanding of complex phenomena and contributes to social transformation. Currently, I am particularly interested in continuing research on university mental health, especially how global mental health discourses are locally reconfigured in Chilean universities in the post-pandemic context, exploring the affects, interdependencies, and technical mediations that shape students’ everyday care practices.
What drew you to this project?
The article is based on part of the findings from my doctoral research. Initially, the project aimed to study so-called ‘anxiety disorders’ in the context of public health in Chile. However, during the course of my doctoral studies, various expressions of distress erupted in Chilean universities: first, in May 2018, feminist protests against abuse and gender-based violence within universities; and then, in April 2019 (just a few months before the ‘chilean social uprising’), protests demanding greater access to mental health treatment services in universities. In those protests, student banners—echoed in the title of my article—declared that ‘at university we live anxiety and de-pression.’ This shifted my attention toward the use of mental health language in expressions of discontent, the institutional management of anxious affects, and its relationship to performance demands in universities.
What are you reading, listening to, and/or watching right now? (Doesn’t have to be anthropological!)
This year, I’ve immersed myself in the work of Ursula K. Le Guin, fascinated by her ability to imagine alternative forms of life, relationships, and vital persistence. Her literature has become a source of inspiration for rethinking research as a political gesture. After reading several of her science fiction novels, I’ve now begun reading the fantasy saga “The Earthsea Cycle” with my daughter. Musically, I tend to move between very different registers — from dense, dark sounds to fusions that open up to something more hopeful. Lately, while working, I’ve been listening a lot to Tigran Hamasyan, an Armenian jazz pianist whose music helps me stay grounded and focused. On screen, I’m watching the final season of “The Handmaid’s Tale”.
If there was one takeaway or action point you hope people will get from your work, what would it be?
The main conclusion I aim to convey through my work is that mental health in university settings cannot be understood or addressed solely through reductionist and biomedical perspectives—nor can it be fully captured by interpretations that frame it exclusively as a form of inescapable social control. My research shows that while diagnoses and expressions of distress often involve individualized uses, they also function as affective languages and negotiation strategies in response to the demands of neoliberal academia. The key takeaway I propose is to rethink university mental health as a situated, collective, and political issue that reflects structural forms of exclusion, precarity, and inequality. It is urgent that public policies and institutional interventions acknowledge this pragmatic-political dimension of diagnoses, and move toward co-constructed strategies that do not reduce the complexity of student suffering to the private or clinical realm, but instead open up spaces for listening, recognition, and transformation of the structural conditions that produce it.
Other places to connect:
Culture, Medicine, and Psychiatry 