Interview with Lawrence T. Monocello

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Lawrence T. Monocello is a T32 Postdoctoral Research Scholar in the Department of Psychiatry at Washington University in St. Louis. Lawrence Monocello received his Ph.D. in 2022 from the University of Alabama. His dissertation examined how cultural, social, and political-economic factors shaped disordered eating among South Korean men in Seoul. Currently, he contributes anthropological perspectives to a transdisciplinary team of world-class researchers on preventing/treating eating disorders and childhood obesity.

What is your article “Guys with Big Muscles Have Misplaced Priorities”: Masculinities and Muscularities in Young South Korean Men’s Body Image” about?

“Male body image research only makes up about 1% of the body image literature, and what literature does exist tends to focus on white, Western men’s concerns with muscularity. Using cognitive and biocultural methods, this article examines how young Korean men negotiate and navigate multiple cultural models of ideal male bodies. It not only questions the model of Western masculinity which underlies male body image research but also problematizes the notion of a single kind of “muscularity” to which men may aspire. Drawing on the concept of “masculinities”—the multiple, hierarchized, and increasingly hybridized ways of being male in a given society—this article advances the concept of “muscularities” to account for their multiple, hierarchized, and hybridized models of muscularity, not just as biological traits but as meaningful, embodied engagements with their social and political-economic conditions.”

Tell us a little bit about yourself and your research interests.

“My research interests lie primarily in understanding how individuals’ variable engagement with culture affects health. In non-anthropological health research, culture—if it is considered at all—is usually treated as some sort of monolithic, categorical variable to which causality is attributed. Anthropologists have long challenged this notion, understanding that culture is dynamic, and that the lived experience of culture varies individual-to-individual and in relation with other social, political-economic, and demographic factors. However, connecting rich ethnography with broader models and measures of health has proven difficult. Cognitive anthropological mixed-methods, which combine rigorous ethnography and statistical modeling, have a ton of potential for connecting individuals’ lived experience of their meaning systems on their own terms to health outcomes. As I’ve been recently working in a biomedical context, it’s become increasingly evident to me that there is not only great opportunity, but moral necessity, for medical anthropologists to contribute our expertise and be more active in framing research on topics like social determinants of health.”

What drew you to this project?

“When I was a junior at Case Western Reserve University, I took The Anthropology of Body Image with Eileen Anderson. I remember reading some of the literature on male body image and being confused at how, as a white, cisgender male who struggled with body image, the data presented and conclusions it reached seemed not to apply to me that much. It got me really interested in intracultural variation and how it affected lived experience. Once I got to graduate school, I found that body image was “good to think with” during my theory courses. Around the same time, my Asian-American friends from undergrad started sending me K-Pop videos and I noticed how male idols were presenting in media. I became curious about to whether and to what extent men internalized those images versus those in the global White Western media. I found that there wasn’t much research on it, so I decided to do it myself.”

What was one of the most interesting findings?

“One of the most interesting findings was that, despite a lot of my participants saying that people don’t talk about men’s bodies (at least to the same extent that they do women’s bodies), everyone had opinions about them and everyone’s understandings of social expectations about men’s bodies and their meaning were extremely consistent.”

What are you reading, listening to, and/or watching right now?

“Now that I’ve finished my dissertation I’m trying to get back into reading fiction. I’m in the middle of Moby Dick now. I used to be kind of skeptical of “queer readings” of literature, but I’m convinced that it’s the only way to read Moby Dick.”

If there was one takeaway or action point you hope people will get from your work, what would it be?

“When we’re looking to address difficult phenomena like eating disorders across cultures, it’s extremely important for researchers to (1) unpack how people are really experiencing it (i.e., not just transplanting political-economically powerful white US emic perspectives elsewhere) and (2) for anthropologists to be able to articulate the barriers and disjunctures which emerge during ethnographic fieldwork in ways accessible to the actors who directly interact with people suffering from the phenomena (i.e., clinicians, public health practitioners, policymakers).”

Thank you for your time!


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Interview with Iben Emilie Christensen

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Iben Emilie Christensen is a Danish sociologist and PhD student at the Department of Public Health, University of Copenhagen, and at VIVE, The Danish Center for Social Science Research. She is in the final stage of her PhD project focusing on everyday life among people with severe mental and physical illnesses.

What is your article “Senses of Touch: The Absence and Presence of Touch in Health Care Encounters of Patients with Mental Illness“ about?

“Based on ethnographic fieldwork, the article explores the significance of touch and physical examination in different healthcare encounters among people with severe mental (schizophrenia, bipolar disease, and severe depression) and physical illnesses. We found that touch and physical examination of this patient group is limited in healthcare encounters leaving the patients with feelings of being misunderstood, less socially approved, and less worthy of trust. Despite patients being seen, heard and treated with care and empathy by health care professionals, it was not enough for them to feel recognized or think of the encounter as a pleasant one. Overall, the article shows that when touch and physical examination takes place in healthcare encounters it gives the patients recognition – their bodily sensations and symptoms are taken seriously and not least, they are recognized as patients and human beings, suffering from a somatic disease and not only mental disorders with psychiatric label.”

Tell us a little bit about yourself and your research interests.

“The overall aim of my PhD project is to study the everyday life among people who live with both mental and physical illnesses, and to explore how they experience and navigate within the health care system. My PhD is part of a larger research project at the University of Copenhagen called SOFIA, with the primary aim to reduce the all-cause mortality of patients with severe mental illness and comorbidity in Denmark by improving the treatment of their comorbid physical conditions in general practice. The findings contribute to the SOFIA project regarding the experiences of people with severe mental and physical illnesses, their healthcare-seeking strategies, and their experiences when engaging with the healthcare system.”

What drew you to this project?

“I worked as a researcher at VIVE, The Danish Center for Social Science Research, when I was offered the opportunity to be part of the large research project SOFIA as a PhD student at the University of Copenhagen. The chance to explore a new research field, such as psychiatry, and a particular interest in inequity and inequality in healthcare motivated me to pursue this project. People with severe mental illness die 10-20 years earlier compared to people without mental illness and according to research part of this excess mortality stems from physical illnesses, which are believed to be underdiagnosed and undertreated. The ethnographic fieldwork gained important insight into the interlocutors’ everyday life, which also involved these topics.”

What was one of the most interesting findings?

“In the beginning of the PhD study, I did not anticipate that touch, particularly procedural touch (physically examination of patients), would to be the topic of the first article. However, during fieldwork and when observing the interlocutors as they interacted with different healthcare professionals, I wondered why they never seemed to find the encounter pleasant. This prompted my co-authors and I to focus on what did not take place, what did not occur and what I did not observe, leading us to realize the significance of touch in healthcare encounters.”

What are you reading, listening to, and/or watching right now?

“Since my next article focuses on patients’ experiences of symptoms and the interpretative process when living with mental and physical illnesses simultaneously, I read about bodily sensations and how they transform into symptoms in an everyday life perspective.”

If there was one takeaway or action point you hope people will get from your work, what would it be?

“People with severe mental illness often face vulnerability, social exposure, and stigma, and may live on the edge of society. I believe, that if a doctor’s caring hand and a physical examination during healthcare encounters give this patient group a feeling of being recognized as they are, as patients with potential somatic illness, and as human beings with same rights and possibilities, I think it is a minimal adjustment to incorporate touch as a continuous procedure in healthcare encounters.”

Thank you for your time!


Other places to connect:
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Interview with Omnia El Shakry

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Omnia El Shakry is a professor of history at the University of California, Davis. Her research centers on the history of the human and religious sciences in modern Egypt.

What is your article “The Work of Illness in the Aftermath of a ‘Surpassing Disaster’: Medical Humanities in the Middle East and North Africa” about?

“The article serves as a commentary on new work in the medical humanities in the Middle East, while posing a series of questions. What happens when we question the role of the expert and the idea of the detached rationality of expertise in medicine and psychiatry? How should we account for the cultural specificity of illness and of healing practices in the Middle East, particularly in institutional contexts in which the mental hospital aspired to function as a ‘healing collective’? Given that the Middle East has been at the center of a series of catastrophic events, how can we understand the persistent inability of modern medicine to understand physical anguish, but also spiritual pain, within this context? Middle East studies is, I think, especially well situated to consider these questions, precisely because the region is an arena in which so many of the experiments of group life—both in its traumatism and its healing—model distinct ways of imagining non-materialist understandings of illness, suffering, and healing.”

Tell us a little bit about yourself and your research interests.

“I am an intellectual historian interested in epistemology and ethics within the human and religious sciences. I am currently working on two projects– one is on the work of Sami-Ali, the Arabic translator of Sigmund Freud’s Three Essays on the Theory of Sexuality, author of a large body of original psychoanalytic writings, and translator of the poetry of Sufi masters. The second is on the vibrant movement of intellectual exchange between Muslim and Catholic scholars and religious practitioners in twentieth century Egypt.”

What drew you to this project?

“I was a participant in the conference “Power in Medicine: Interrogating the Place of Medical Knowledge in the Modern Middle East,” organized by Edna Bonhomme, Lamia Moghnieh, and Shehab Ismail in Berlin in April of 2019. The piece is a commentary on the specific articles that came out of that conference and are published in CMP and on the wider issues raised by the workshop. But it is more than that, it is also partly and indirectly a reflection on my own personal experience with illness, my frustration with biomedicine, and my dear friend and colleague Stefania Pandolfo’s inspiration and encouragement to see the ‘wound light.’”

What was one of the most interesting findings?

“I was especially struck by how intellectually generative it was to juxtapose Georges Canguilhem’s observation in the Normal and the Pathological that to be a living organism is to accept “the eventuality of catastrophic reactions,” alongside Jalal Toufic’s theorization of the “withdrawal of tradition past a surpassing disaster.””

What are you reading, listening to, and/or watching right now?

“I am currently reading David Marriott’s brilliant Lacan Noir: Lacan and Afro-pessimism. I am (almost) always listening to The Mountain Goats and I watch a ton of TV, which I affectionately refer to as ‘cheap therapy,’ and have been enjoying The Peripheral and the current season of Bob’s Burgers.”

If there was one takeaway or action point you hope people will get from your work, what would it be?

“That we should work toward imagining the non-West as a site for the production and critique of theoretical knowledge (or ‘theory’) within the human sciences, rather than merely a site for its consumption and circulation.”

Thank you for your time!


Other places to connect:
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Other

Interview with Dr. Edna Bonhomme

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Edna Bonhomme is a historian of science and writer based in Berlin, Germany. Edna’s research critically engages with how people navigate the unsavory and unwieldy states of health—primarily how people contend with contagious outbreaks, medical experiments, reproductive assistance, and illness narratives. Her work has appeared in Al Jazeera, The Atlantic, The Guardian, the London Review of Books and elsewhere. Edna’s forthcoming book examines contagion in confined spaces.

What is your article “Medicine and Politics in the Middle East and North Africa: Transdisciplinary Approaches in Medical Humanities” about?

“I co-edited a special issue that elucidated the intellectual and transdisciplinary approaches to medicine and psychiatry in the Middle East and North Africa (MENA). The journal issue is a compilation of various papers from an interdisciplinary workshop we co-organized in Berlin while I was a Postdoctoral Fellow at the Max Planck Institute for History of Science. The two-day workshop was held in Berlin in April 2019 and generated live interventions and debates about medicine’s connection to colonialism, humanitarianism,  and nationalism in the MENA region. This co-written introduction provides a theoretical framework for articulating the region’s specificities and some universal trends. We argue that the authors engage in broader discussions that not only frame disease, health, and healing in the Middle East and North Africa while also exploring how medical practices in the region dovetail with global trends.”

Tell us a little bit about yourself and your research interests.

“I am a historian of science, culture writer, and editor who explores how people navigate the unsavory and unwieldy states of health—especially subjects that discuss contagious outbreaks, medical experiments, reproductive assistance, or illness narratives. I write cultural criticism, features, book reviews, and opinion pieces. I am especially interested in human driven narratives and to think actively about those who have been excluded from history, which often means thinking actively about a wide range of sources and archives.”

What drew you to this project? 

“In 2017, I graduated with a PhD in History of Science from Princeton University and my dissertation, “Plagued Bodies and Spaces’ ‘ examined the origins and progression of epidemics in North Africa during the eighteenth and nineteenth centuries. As a historian, my research examines contagion, epidemics, and toxicity by asking: what makes people sick? As a writer, I narrate how people perceive modern plagues and how they try to escape from them through critical storytelling. My writing about illness and health draws on my educational training in biology (BA), public health (MPH), and in history of science (PhD), and I invite readers to sit with the messiness of contagion, the discomforts of maladies, and the power of embodied knowledge, while also finding people’s desire to heal.”

What was one of the most interesting findings?

“Rather than look solely at illness as a given or have a universal definition of mental illness, we tried to explore how categories of disease have shifted within the Middle East and North Africa. At least at the level of merchants, goods, and materials potentially being the sites of vectors, but also being a site of control at the level of trade. These ideas and rules have evolved; they have taken on new meanings. This is primarily in the context of the age that we live in and of the rise of the nation-state, specifically, border regimes that made it even more challenging to travel between empires that were far more possible 400 years ago. How we define a disease and how we navigate trauma is also something the special issue explored.”

What are you reading, listening to, and/or watching right now? (Doesn’t have to be anthropological!)

 I am drawn to creative fiction, to the power of imagination and the ways that people conjure new worlds. As such, I have been reading novels and poetry, including the works of Namwali Serpell, Sheila Heti, Tsitsi Dangarembga, Caleb Azumah Nelson, Keorapetse Kgositsile, Deborah Levy, Ada Limón, Claudia Rankine and more. These writers are teaching me to get lost in the page and to escape the world as we know it.

If there was one takeaway or action point you hope people will get from your work, what would it be? 

Most of the labor for this project was done after the workshop and during the pandemic. My collaborator and I went through a pandemic, coordinated from different time zones, and underwent major life changes. We were mourning our past lives while also holding dear to our labor and our commitment to producing scholarship about medicine, disease, and psychiatry. One thing that made this project successful is our tenacity and commitment to collective projects. As such, I highly recommend that people take the time and care to work with other researchers who not only articulate their intellectual interests but who also have a mutual work ethic.

Thank you for your time!


Other places to connect:
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Substack

Interview with Soha Bayoumi

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Soha Bayoumi is a Senior Lecturer in the Medicine, Science, and the Humanities Program at the Johns Hopkins University. She is presently completing two book projects, one (with Sherine Hamdy) on the work of doctors in the Egyptian uprising, and the other on the social and political roles of doctors in relation to health and justice in postcolonial Egypt. 

What is your article “Nationalism, Authoritarianism, and Medical Mobilization in Post-revolutionary Egypt” about?

This article explores the links between medical practice and expertise, on the one hand, and nationalist discourses, on the other, in the context of the 2011 Egyptian uprising and the years that followed, which witnessed a consolidation of political authoritarianism. It investigates how doctors played a significant role in countering political regimes’ acts of violence and denial. It traces the trajectory of the doctors’ mobilization in the 2011 uprising and beyond and demonstrates how the doctors drew on their professional expertise and nationalist sentiment in their struggles against a hypernationalistic military state. It contrasts activist doctors’ idea of nationalism with the state’s and shows how medicine has served as a site of awakening, conversion narratives, and building of bridges in a polarized society where the doctors were able to rely on their “neutral” expertise to present themselves as reliable witnesses, narrators, and actors.

Tell us a little bit about yourself and your research interests.

I work at the intersection of the history of medicine, science and technology studies, and political theory. My work is informed by postcolonial studies, gender studies, and social justice, and centers the ways in which medical expertise is shaped by and deployed in different political contexts.

What drew you to this project?

This research is part of a book-length project that I have been working on for the good part of the last decade with Sherine Hamdy. We were both amazed and intrigued by the different roles played by doctors in the Egyptian uprising and its aftermath and felt compelled to document that episode of the Egyptian revolution and ask questions related to what motivates doctors to engage in politics, especially during such volatile political moments.  

What was one of the most interesting findings?

We were really struck by how doctors reliance on their “neutral” expertise and their attempts to efface the political in their work actually reinscribe the political in different ways, in ways that both allow doctors to either resist state violence or abet it.

What are you reading, listening to, and/or watching right now?

I’m currently watching the Netflix show, Mo, which is, as far as I know, the first mainstream show about a Palestinian-American to ever make it to streaming screens in the US. I’m reading Oliver Sacks’ first memoir, A Leg to Stand On, which is focused on an accident that caused him to lose the use of one of his legs and his reflections on being patient, after a long career of being a doctor. And I’ve just finished listening to the audiobook, Born a Crime: Stories from a South African Childhood, by Trevor Noah. I love Trevor Noah’s style of comedy, and I think his autobiography book, which contains a lot of comedy, is best enjoyed performed by Noah himself.

If there was one takeaway or action point you hope people will get from your work, what would it be?

I think it is the idea that very few things in life are actually politically “neutral”—that what we take for granted as apolitical or technical or neutral has so many ramifications on politics, writ large. Many of the daily actions we take and the statements we make are inscribed in a political context and often function to reproduce and perpetuate that context or to subvert and change it, if we so choose.

Thank you for your time!


Other places to connect:
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LinkedIn
Academia.edu

Interview With Lamia Moghnieh

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Lamia Moghnieh (Postdoctoral Fellow, University of Copenhagen) is an anthropologist and mental health practitioner. Her research looks at the impact of psychiatry on understandings of self and illness in postcolonial and postconflict societies of the MENA/SWANA. She is interested in exploring the relationship between psychiatry and subject formation in the context of global mental health and patient subjectivities.

What is your article “The Broken Promise of Institutional Psychiatry: Sexuality, Women and Mental Illness in 1950s Lebanon” about?

I am an anthropologist, psychologist, and a social worker, and more recently, I am also a patient of analytical therapy. I try to let my research be informed from all of these positionalities together or provide insights from all of these places (as a researcher, practitioner and from the more intimate and vulnerable position of being a patient). I work in the field of mental health, and I do research on the histories and ethnographies of psychiatry, tracing various discourses on mental health from the Middle East and North Africa/ Southwest Asia and North Africa). I am currently writing my book manuscript provisionally entitled “Psychiatric Afterlives: Narrating Illness, Gender and Violence in Lebanon”. The book builds on multi-disciplinary frameworks from medical humanities to examine the role of psychiatric expertise in shaping patient and social imaginaries of madness and violence in Lebanon.

What drew you to this project?

I always wanted to be a clinical psychologist until I enrolled in the MAPSS program (Masters’ in the Social Sciences) at the university of Chicago. There, I was introduced to the various historical, philosophical and political critiques of psychology and I was drawn to medical anthropology. After I finished my PhD, which focused on trauma, humanitarianism and the politics of suffering in Lebanon, I was interested in learning more about the history of psychiatry in Lebanon and the region. My background and research interests are interdisciplinary. I am lucky to be in an academic position (at the upcoming research center “Culture and the Mind” head by Ana Antić at the University of Copenhagen) that welcomes and values this interdisciplinarity in the study of psy disciplines.

What was one of the most interesting findings?

One of the findings that interest me is the ways in which the family acts as an equal diagnoser of mental illness to psychiatric expertise. As shown in the article, the story of Hala invites more attention to the ways in which women (and maybe non-normative persons) become chronically institutionalized by institutional psychiatry and the family. This is not to dismiss the psychological and financial effects that mental illness might have on family members. The article rather approaches the family as a sociological unit that governs and defines normality, and is interested in the dialogue, tensions and challenges of care and normality between the family and institutional psychiatry, as shown in the story of Hala.

What are you reading, listening to, and/or watching right now?

Audre Lorde’s Zami: A New Spelling of My Name
Roberto Bolaño’s Cowboy Graves
سارة اب وغزال “احلمي يا سيدي
هلال شومان “حزن في قلبي
Couch Fiction: A Graphic Tale of Psychotherapy
Jonathan Sadowsky’s Empire of Depression: A New History

If there was one takeaway or action point you hope people will get from your work, what would it be?

That psychiatry is both a form of governance and a mode of healing whose authority and reach transforms and changes over time. That patient voices and narratives are a crucial part of the history of psychiatry and of its contemporary practices. And that medical humanities, including anthropology, is a field that can offer useful and critical insights on the status of global mental health.

Other places to connect:
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Interview with Michael Galvin

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Dr. Michael Galvin is a Global Psychiatry Clinical Research Fellow and in the Department of Psychiatry at Harvard University and the Department of Psychiatry at Boston University. Dr. Michael Galvin is a global health researcher and psychotherapist.  His primary research interests center on mental health and the role that one’s environment, culture, and belief systems play in mental illness and treatment.  In particular, his work focuses on elucidating cultural models of mental illness and exploring relationships to pathways to care, with the goal of improving cultural adaptation of mental health interventions.  

What is your article “Examining the Etiology and Treatment of Mental Illness Among Vodou Priests in Northern Haiti“ about?

This article is about the way that traditional healers (ougan) conceptualize and treat mental illness in rural Northern Haiti.  While the vast majority of people with mental illness seek treatment from ougan in this region – as few biomedical services exist – very little research has examined what ougan actually do when treating patients.  The article also tries to understand how mental illness is viewed from the healer’s perspective, delving into the broader Vodou cosmology which remains very influential in rural parts of Haiti.

Tell us a little bit about yourself and your research interests.

My interests mostly center around mental illness and how we conceptualize it in different cultures and settings.  Historically, mental illness has always been hard for people to understand, getting wrapped up in ideas of spirit and demon possession.  Rarely have people thought it was something to treat like a broken leg or even a bacterial infection.  This is partly because there are no biomarkers to test for it thus patients recount what they are experiencing solely via self-report.  But it’s also because mental illness affects the basic ways in which people act and simply exist in the world.  When our loved ones have significant behavioral changes without physical symptoms of illness or infection it can often lead us to suspect the supernatural.

What drew you to this project?

I have been working and living in Haiti on and off since 2012 and knew I wanted to focus my dissertation research in Cap-Haïtien.  I found out about the Mental Health Center at Morne Pelé in 2018 and spent the entire summer of 2019 volunteering with them so we could get to know each other, for me to better understand what their work was like, and to start exploring different angles for my dissertation research which I conducted in the second half of 2020.  It was during the summer of 2019 that I learned about the extent to which patients held explanatory models based in Vodou and I knew that had to become a significant part of my research there.  I’m currently the director of the Mental Health Center at Morne Pelé’s new Research Laboratory so it’s very exciting to continue to collaborate together.

What was one of the most interesting findings?

One of the most interesting findings was this treatment called fiksyon that almost all the healers I interviewed used.  Barely anything has been written about these concoctions so this was really one of the first times they’ve been explored.  Fiksyon are different liquids – usually rum mixed with ground plants and animals – that are kept in large unmarked semi-transparent plastic bottles.  There’s a lot of mystery surrounding fiksyon with many people saying they have mystical properties.  It would be interesting to explore more about what is actually in them and the places where they are manufactured

What are you reading, listening to, and/or watching right now?

I’m reading a really interesting book that was written in the 1970s called Plagues and Peoples.  It’s a great dive into the history of pandemics over the centuries.  It’s not a hard read at all, very enjoyable and easy to understand with lots of nice anecdotes.  Apparently the findings have held up really well over the last 50 years too.

If there was one takeaway or action point you hope people will get from your work, what would it be?

That religion and culture have deep impacts in the way we conceive of mental illness.  That we still know relatively little about how mental illness develops, manifests, and is best treated.  That the relationship between our minds and our bodies is exceedingly complex and there are often no easy solutions.

Thank you for your time!



Interview with Katarzyna Szmigiero

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Katarzyna Szmigiero is a graduate of the University of Łódź, Poland. She is an Associate Professor at the Institute of Literary Studies and Linguistics of the of University of Jan Kochanowski, Poland (Branch in Piotrków Trybunalski). Her research interests concentrate on medical humanities, especially cultural representations of psychiatry and gender, and genre fiction.

What is your article ““We All Go a Little Mad Sometimes:” Representations of Insanity in the Films of Alfred Hitchcock“ about?

The article deals with the way motifs connected with psychiatry (doctors/treatment/people diagnosed with mental illness or individuals displaying disturbing behavior/attitudes to mental psychopathology) are used in the films of Alfred Hitchcock. First of all, it tries to answer the questions why the director so often presented mentally unstable characters in his works. It also looks at how Hitchcock gently questioned the assumptions about mental illnesses and its origins that were dominant in his times. Finally, it briefly mentions the legacy of Hitchcock if the cinematic portrayals of insanity are concerned.

Tell us a little bit about yourself and your research interests.

I am interested in cultural representations of madness, gender studies, and popular literature.

What drew you to this project?

I have always loved Hitchcock’s films and saw Frenzy in my early teens, as it was my dad’s favourite. It was one of the most unpleasant and, simultaneously, hilarious film I have ever seen since.

What was one of the most interesting findings?

On the surface, Hitchcock appears to be following the psychoanalytic approach, especially in his American movies. However, he always undermines the official discourse on madness, proving that we are all, sometimes, a little mad and there’s nothing wrong about it.

What are you reading, listening to, and/or watching right now?

I am currently an avid reader of the retellings of the Medusa myth (as well as other chick lit fantasy books about antiquity).

Watch Hitchcock! Old films may seem dated, especially if you are not used to them. But his dialogues, designs, cast is often genius.

Thank you for your time!



Interview with Sandrine Vollebregt

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Sandrine Vollebregt, MD, is affiliated with Doctors of the World in Amsterdam, the Netherlands. Sandrine is a 30-year old medical doctor from the Netherlands, based in Amsterdam. She has worked in a primary health clinic for refugees on the Greek island Samos, and in acute psychiatry and the emergency department in the Netherlands. In her free time, she likes to listen to podcasts, cycle and write. 

What is your article “Help-Seeking Undocumented Migrants in the Netherlands: Mental Health, Adverse Life Events, and Living Conditions” about?

In this article we looked at how many undocumented migrants visiting a low-threshold free non-governmental health service had mental health problems. Undocumented migrants are a diverse group comprised of amongst others rejected asylum seekers or labor migrants without a visa. They do not exist officially, cannot work legally, often have poor and uncertain housing conditions, and have in practice a restricted access to health care due to logistical and cultural barriers.

Tell us a little bit about yourself and your research interests.

I am 30 years old and I live in Amsterdam, the Netherlands, in a living community. I am a medical doctor and I have a specific interest in psychiatry. Currently, I am doing a course on global health and tropical medicine at the Royal Tropical Institute. I am very interested in migrant and refugee health, as I believe dealing with migration in a way that respects human rights is one of the great issues of our time. I hope that studying the health of migrants, and looking at how this connects to migration policies, can contribute to this discussion in a positive way by providing evidence based arguments.

What drew you to this project?

I was still a medical student when I saw a call for a student to analyze data on mental health of undocumented migrants in the Netherlands. At the time I just came back from volunteering for the first time in a refugee camp on the island Lesbos in Greece, and I was shocked by the conditions that refugees live in at the borders of Europe. I wanted to learn more about the situation of refugees and undocumented migrants in the Netherlands, my own country. When I started working on this study, I also became a volunteer doctor in a mobile clinic for undocumented migrants that visits certain neighborhoods, squats and shelters. By doing this, I gained deeper connection to and understanding of the people I was studying.

What was one of the most interesting findings?

Mental health problems are very common amongst the group of undocumented migrants we studied. In our study, 81% of the people scored above a threshold for common mental disorders. Common mental disorders are anxiety disorder, depression and psychosomatic disorders. We saw that having traumatic experiences was strongly linked to mental health issues and also to psychotic phenomena, like hearing voices. The traumatic experiences that were documented in the medical files were often severe, like torture and rape.

What are you reading, listening to, and/or watching right now?

I am currently reading a Dutch book of Lieke Marsman which would in English be called ‘The opposite of a human being’, a poetic novel on climate change. I just started the podcast ‘Burn It Down’, an American podcast about a discriminatory and masculine culture at the Amsterdam Fire Department.

If there was one takeaway or action point you hope people will get from your work, what would it be?

Mental health problems are common in undocumented migrants. Health care professionals should be aware of this, explore problems actively and refer to psychological help when necessary. But on a deeper level, I hope that we start asking each other critical questions about how our policies shape the health of undocumented migrants.

Thank you for your time!


Other ways to connect:
LinkedIn

Interview with Clare Killikelly

The next few months we’ll be highlighting authors who have published in Culture, Medicine, and Psychiatry.

Dr. Clare Killikelly is a Post-Doctoral Research Fellow in the Department of Psychiatry, University of British Columbia, and Department of Psychology, University of Zurich. Dr. Kilikelly’s research group examines the clinical utility and global applicability of the new Prolonged Grief Disorder. Her research seeks to better understand the nature of suffering and distress in different communities to develop accessible and culturally informed assessments and interventions.

What is your article “The New ICD-11 Prolonged Grief Disorder Guidelines in Japan: Findings and Implications from Key Informant Interviews” about?

Symptoms of mental disorder, including grief reactions, are found to differ across cultures. There are several examples where misdiagnosis of mental disorders, treatment gaps, and reduced help seeking occurs when culturally sensitive assessments are lacking. The identification of culturally unique symptoms of grief can improve the validity of mental health assessment.

We are the first to explore PGD symptoms in Japan from the perspective of frontline health care workers. We conducted in depth key informant interviews with cultural brokers (e.g. individuals who are part of the health care system but also have lived experience of the cultural group).

We had two main aims: first to explore experiences of grief to define both normal and abnormal reactions. Secondly, we assessed the acceptability of the ICD-11 guidelines to identify areas where cultural information is lacking. This would provide a unique viewpoint that is often overlooked in larger qualitative studies.

Tell us a little bit about yourself and your research interests.

I am interested in the role of culture in the presentation and treatment of mental health disorders. I believe that there may be cultural concepts that when unlocked can provide a key to better therapeutic outcomes.

After completing a PhD in Cognitive Neuroscience at the University of Cambridge, UK, I became interested in the core cognitive processes underlying psychopathology and the development of targeted psychotherapeutic interventions. I completed a Doctorate in Clinical Psychology at the Institute of Psychiatry, Psychology and Neuroscience, UK and explored the use of innovative mobile technologies to improve the acceptability and efficacy of therapeutic interventions for people with psychosis. Working as a psychologist with refugees in South London I became interested in the different cultural experiences and presentations of distress.

Currently, I have been awarded a Swiss National Science Foundation (SNSF) Post-Doc Mobility grant to work at the University of British Columbia to examine the relationship between grief, indicators of mental health and post migration living difficulties in refugees in Canada in comparison with Swiss, Dutch and German cultural contexts.

If you are interested in learning more about this research project, or possibly participating please check out the website.

What drew you to this project?

Prolonged grief disorder is the only mental disorder where people are expected to suffer. However, the intensity and duration of this suffering is bound by different cultural norms. For example, in German speaking countries it is common to observe a Trauerjahr (year of mourning) whereas in Syria there are 40 days of mourning. The new ICD-11 definition of PGD states that individuals must experience intense and prolonged symptoms of grief for over 6 months. Although there is robust research evidence that supports this time criteria in the Global North (e.g. North America and Europe), the current definition of PGD may be missing key symptom items and features that are more representative in different cultures.

Ultimately, we would like to develop a catalogue of culture concepts of distress (CCD) that could be accessed worldwide to help clinicians more accurately assess and diagnose PGD in different cultural groups.

What was one of the most interesting findings?

Part of the analysis focused on establishing common grief symptoms for disordered grief in Japanese bereaved. Participants described a range of emotional responses that are associated with both normal and abnormal grief responses. One unique emotional response was identified related to sadness: The sense of loss was described using a metaphor for distress ‘as a hole opening up inside the kokoro (heart).’

The in-depth qualitative analysis provided insight for clinical application, for example, due to

prominent values of emotional control, stigma towards mental illness, or lack of somatic items in the assessment measure, PGD may be underestimated in Japanese culture with the current ICD-11 PGD guidelines.

What are you reading, listening to, and/or watching right now?

I am currently re-reading ‘Snow Falling on Cedars’ by David Guterson which takes place on the islands neighbouring Vancouver and UBC. It is an excellent book but a harrowing story about the Japanese internment camps during World War II. This is also an often overlooked part of Canadian history.

If there was one takeaway or action point you hope people will get from your work, what would it be?

We were able to identify new symptoms that are very relevant for the Japanese context that are currently missing from the ICD-11 PGD definition. For example, somatic symptoms are robustly endorsed in the Japanese context, however, these are largely missing from the PGD ICD-11 definition. On the other hand, yearning and longing for the deceased (a core symptom of PGD ICD-11) is considered a normal and encouraged process, related to the emphasis on continuous bonds. Clinicians will need to consider these possible cultural differences before diagnosing PGD in the Japanese context. Considering the deeper beliefs and values of a culture and how this may impact on the assessment of grief is of great importance.

Thank you for your time!


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