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!



Books Received for Review: May 2017

This week we are featuring previews of three books received for review at Culture, Medicine, and Psychiatry (available here). These previews provide a snapshot of recent publications in medical anthropology, global health, and the history of medicine that we’re excited to discuss in our journal and with our followers on social media. If you would like to review a recently received book, please contact Brandy Schillace, Managing Editor. If you have a book you would like us to review, contact the Managing Editor via email, but please send books to the office of Culture, Medicine, and Psychiatry, care of the Anthropology Department, Case Western Reserve University.


via The University of Chicago Press

Mindful Movement: The Evolution of the Somatic Arts and Conscious Action (2016)

Eddy, Martha

In Mindful Movement, exercise physiologist, somatic therapist, and advocate Martha Eddy uses original interviews, case studies, and practice-led research to define the origins of a new holistic field—somatic movement education and therapy­—and its impact on fitness, ecology, politics, and performance. The book reveals the role dance has played in informing and inspiring the historical and cultural narrative of somatic arts. Providing an overview of the antecedents and recent advances in somatic study and with contributions by diverse experts, Eddy highlights the role of Asian movement, the European physical culture movement and its relationship to the performing arts, and female perspectives in developing somatic movement, somatic dance, social somatics, somatic fitness, somatic dance and spirituality, and ecosomatics. Mindful Movement unpacks and helps to popularize awareness of both the body and the mind.

For more information, check out The University of Chicago Press, available here.


via Routledge

Religion and Psychotherapy in Modern Japan (2015)

Christopher Harding, Iwata Fumiaki, and Yoshinaga Shin’ichi, eds.

Since the late nineteenth century, religious ideas and practices in Japan have become increasingly intertwined with those associated with mental health and healing. This relationship developed against the backdrop of a far broader, and deeply consequential meeting: between Japan’s long-standing, Chinese-influenced intellectual and institutional forms, and the politics, science, philosophy, and religion of the post-Enlightenment West. In striving to craft a modern society and culture that could exist on terms with – rather than be subsumed by – western power and influence, Japan became home to a religion–psy dialogue informed by pressing political priorities and rapidly shifting cultural concerns.

This book provides a historically contextualized introduction to the dialogue between religion and psychotherapy in modern Japan. In doing so, it draws out connections between developments in medicine, government policy, Japanese religion and spirituality, social and cultural criticism, regional dynamics, and gender relations. The chapters all focus on the meeting and intermingling of religious with psychotherapeutic ideas and draw on a wide range of case studies including: how temple and shrine ‘cures’ of early modern Japan fared in the light of German neuropsychiatry; how Japanese Buddhist theories of mind, body, and self-cultivation negotiated with the findings of western medicine; how Buddhists, Christians, and other organizations and groups drew and redrew the lines between religious praxis and psychological healing; how major European therapies such as Freud’s fed into self-consciously Japanese analyses of and treatments for the ills of the age; and how distress, suffering, and individuality came to be reinterpreted across the twentieth and early twenty-first centuries, from the southern islands of Okinawa to the devastated northern neighbourhoods of the Tohoku region after the earthquake, tsunami, and nuclear disasters of March 2011.

Religion and Psychotherapy in Modern Japan will be welcomed by students and scholars working across a broad range of subjects, including Japanese culture and society, religious studies, psychology and psychotherapy, mental health, and international history.

For more information, visit the Routledge website here.


via Johns Hopkins

Still Down: What to do when Antidepressants Fail (2016)

Dean F. MacKinnon

Thirty medications are classified as antidepressants in the United States—and that’s not counting drugs that might prove effective in treating major depressions but aren’t officially designated as antidepressants.

That formulary’s length is not surprising. As veteran Johns Hopkins psychiatrist Dean MacKinnon notes, major depressive disorder is one of the most common and debilitating conditions, annually causing some 1 million people worldwide to commit suicide. In a concise, clearly written and exceptionally helpful book, he provides insights and advice on what to do if those medications don’t work initially.

The brain is a complex organ, and what transpires within it often is mysterious. Every one of the drugs classified as an antidepressant helps in about 60 to 70 percent of cases, MacKinnon writes. They do so by increasing the amount of the neurotransmitters serotonin and/or norepinephrine, and possibly dopamine, in the space between neurons in the brain. Yet it isn’t known why this change in neurotransmitters effectively treats major depressions.

What’s more, when an antidepressant doesn’t work, physicians and psychiatrists often don’t ask why it failed, MacKinnon says. Usually, they just try a different medication. MacKinnon has spent the past two decades trying to determine why some patients do not respond well to antidepressant medications and how to address that treatment failure.

Creating nine patient composites based on many cases he has handled, he uses their stories to describe why an antidepressant treatment “for some unknown biological reason” sometimes “goes awry.” He also tells how he has sought to understand the wide variety of causes for such failure and what to do for those who do not respond to antidepressant treatment.

Brief summaries, case notes and excellent appendices make this a useful book for practitioners and patients alike.

For more information, visit the Johns Hopkins Medicine website, available here.

Conference Feature: “Other Psychotherapies”

2012cover

This week on the blog, we are highlighting an upcoming conference on global psychotherapies across geography and time. This feature was written by our CMP social media intern Sonya Petrakovitz, PhD student in anthropology at Case Western Reserve University.


“Other Psychotherapies – across time, space, and culture”

University of Glasgow

Monday, April 3, 2017 – Tuesday, April 4, 2017

This conference brings contemporary forms of Western knowledge about mental health and well-being into dialogue with psychotherapeutic approaches from ‘other’ geographically, historically, or otherwise ‘distant’ cultures. Specifically, presentations will address ancient and medieval approaches to psychotherapy and how those techniques have become incorporated into today’s approaches. The sessions will also explore the development of psychological practices over time and across changing spatialities of care practices, specifically how post-colonial and indigenous forms of healing influenced the perceived credibility of psychotherapies. They will likewise examine the therapeutic/salutogenic dimensions of subcultures.

Addressing psychotherapy in this way brings together multiple disciplines and expands our understandings of medicine, health, culture, therapies, and pedagogies. The themes of the conference would be of interest to historians, physicians, literary scholars, mental health practitioners, anthropologists, and anyone interested in learning about different perspectives on psychotherapies within a broader global context.

For interested applicants, visit the Call for Papers page at http://otherpsychs.academicblogs.co.uk/. The Conference Committee invites abstracts of up to 300 words for 20-minute presentations, to be submitted by no later than August 31, 2016. Abstracts should be emailed to  arts-otherpsychs@glasgow.ac.uk along with a short biography of 100 words or less.