Afflictions: Culture & Mental Illness in Indonesia

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Afflictions: Culture and Mental Illness in Indonesia
Directed by Robert Lemelson
Produced byRobert Lemelson
Music byMalcom Cross
Production
company
Release date
  • 2010 (2010)
Running time
185 minutes
CountryIndonesia
LanguageEnglish

Afflictions: Culture and Mental Illness in Indonesia is a six-part ethnographic documentary film series on the lives of the mentally ill living on the islands of Bali and Java in Indonesia. Each film documents the personal journey of a patient's diagnosis, care and treatment and the impact of culture, family, and community on the course of their illness. The films were directed and produced by ethnographic filmmaker and psychological anthropologist Robert Lemelson.

Contents

The films are based on Lemelson's ethnographic research from 1997 to 2010 on the relationship of psychiatric and neuropsychiatric disorders to culture. It is the first film series on mental illness in the developing world. Some emerging themes include: attitudes of family members, the power of culture in mental health outcomes, the merits of pharmaceutical treatment, and the importance of cultural context in understanding the experiences of the mentally ill.

Films

FilmRelease dateDirected byEdited byRuntime
Volume 1 - Psychotic Disorders
Shadows and Illuminations 2010 Robert Lemelson Wing Ko35 minutes
Memory of My Face2011Sandra Angeline and Chisako Yokoyama22 minutes
Ritual Burdens2011Herbert Bennett and Mike Mallen25 minutes
Volume 2 - Neuropsychiatric Disorders
The Bird Dancer2010Robert LemelsonHerbert Bennett40 minutes
Family Victim2010Sandra Angeline38 minutes
Kites & Monsters2011Chisako Yokoyama22 minutes

Book

Afflictions: Steps Toward a Visual Psychological Anthropology discusses and complements the work presented in Afflictions: Culture and Mental Illness in Indonesia in order to explore issues in the cross-cultural study of mental illness and advocate for the role film can play both in the discipline and in participants’ lives. It integrates psychological and medical anthropology with the methodologies of visual anthropology, specifically ethnographic film. [1]

See also

Related Research Articles

A mental disorder, also referred to as a mental illness, a mental health condition, or a psychiatric disability, is a behavioral or mental pattern that causes significant distress or impairment of personal functioning. A mental disorder is also characterized by a clinically significant disturbance in an individual's cognition, emotional regulation, or behavior, often in a social context. Such disturbances may occur as single episodes, may be persistent, or may be relapsing–remitting. There are many different types of mental disorders, with signs and symptoms that vary widely between specific disorders. A mental disorder is one aspect of mental health.

<span class="mw-page-title-main">Insanity</span> Abnormal mental or behavioral patterns

Insanity, madness, lunacy, and craziness are behaviors caused by certain abnormal mental or behavioral patterns. Insanity can manifest as violations of societal norms, including a person or persons becoming a danger to themselves or to other people. Conceptually, mental insanity also is associated with the biological phenomenon of contagion as in the case of copycat suicides. In contemporary usage, the term insanity is an informal, un-scientific term denoting "mental instability"; thus, the term insanity defense is the legal definition of mental instability. In medicine, the general term psychosis is used to include the presence of delusions and/or hallucinations in a patient; and psychiatric illness is "psychopathology", not mental insanity.

Medical anthropology studies "human health and disease, health care systems, and biocultural adaptation". It views humans from multidimensional and ecological perspectives. It is one of the most highly developed areas of anthropology and applied anthropology, and is a subfield of social and cultural anthropology that examines the ways in which culture and society are organized around or influenced by issues of health, health care and related issues.

The National Institute of Mental Health (NIMH) is one of 27 institutes and centers that make up the National Institutes of Health (NIH). The NIH, in turn, is an agency of the United States Department of Health and Human Services and is the primary agency of the United States government responsible for biomedical and health-related research.

Affliction or Afflicted may refer to:

<span class="mw-page-title-main">Mental health</span> Level of human psychological well-being

Mental health encompasses emotional, psychological, and social well-being, influencing cognition, perception, and behavior. According to World Health Organization (WHO), it is a "state of well-being in which the individual realizes his or her abilities, can cope with the normal stresses of life, can work productively and fruitfully, and can contribute to his or her community". It likewise determines how an individual handles stress, interpersonal relationships, and decision-making. Mental health includes subjective well-being, perceived self-efficacy, autonomy, competence, intergenerational dependence, and self-actualization of one's intellectual and emotional potential, among others. From the perspectives of positive psychology or holism, mental health may include an individual's ability to enjoy life and to create a balance between life activities and efforts to achieve psychological resilience. Cultural differences, personal philosophy, subjective assessments, and competing professional theories all affect how one defines "mental health". Some early signs related to mental health difficulties are sleep irritation, lack of energy, lack of appetite, thinking of harming oneself or others, self-isolating, and frequently zoning out.

<span class="mw-page-title-main">Visual anthropology</span> Subfield of social anthropology

Visual anthropology is a subfield of social anthropology that is concerned, in part, with the study and production of ethnographic photography, film and, since the mid-1990s, new media. More recently it has been used by historians of science and visual culture. Although sometimes wrongly conflated with ethnographic film, visual anthropology encompasses much more, including the anthropological study of all visual representations such as dance and other kinds of performance, museums and archiving, all visual arts, and the production and reception of mass media. Histories and analyses of representations from many cultures are part of visual anthropology: research topics include sandpaintings, tattoos, sculptures and reliefs, cave paintings, scrimshaw, jewelry, hieroglyphics, paintings and photographs. Also within the province of the subfield are studies of human vision, properties of media, the relationship of visual form and function, and applied, collaborative uses of visual representations.

Psychological anthropology is an interdisciplinary subfield of anthropology that studies the interaction of cultural and mental processes. This subfield tends to focus on ways in which humans' development and enculturation within a particular cultural group—with its own history, language, practices, and conceptual categories—shape processes of human cognition, emotion, perception, motivation, and mental health. It also examines how the understanding of cognition, emotion, motivation, and similar psychological processes inform or constrain our models of cultural and social processes. Each school within psychological anthropology has its own approach.

Neuroanthropology is the study of the relationship between culture and the brain. This field of study emerged from a 2008 conference of the American Anthropological Association. It is based on the premise that lived experience leaves identifiable patterns in brain structure, which then feed back into cultural expression. The exact mechanisms are so far ill defined and remain speculative.

Cross-cultural psychiatry is a branch of psychiatry concerned with the cultural context of mental disorders and the challenges of addressing ethnic diversity in psychiatric services. It emerged as a coherent field from several strands of work, including surveys of the prevalence and form of disorders in different cultures or countries; the study of migrant populations and ethnic diversity within countries; and analysis of psychiatry itself as a cultural product.

Clinical ethnography is a term first used by Gilbert Herdt and Robert Stoller in a series of papers in the 1980s. As Herdt defines it, clinical ethnography

is the intensive study of subjectivity in cultural context...clinical ethnography is focused on the microscopic understanding of sexual subjectivity and individual differences within cross-cultural communities. What distinguishes clinical ethnography from anthropological ethnography in general is (a) the application of disciplined clinical training to ethnographic problems and (b) developmental concern with desires and meanings as they are distributed culturally within groups and across the course of life.

Mental distress or psychological distress encompasses the symptoms and experiences of a person's internal life that are commonly held to be troubling, confusing or out of the ordinary. Mental distress can potentially lead to a change of behavior, affect a person's emotions in a negative way, and affect their relationships with the people around them.

The following outline is provided as an overview of and topical guide to anthropology:

The Foundation for Psychocultural Research is a 501(c)(3) nonprofit organization based in Los Angeles that supports and advances interdisciplinary and integrative research and training on interactions of culture, neuroscience, psychiatry, and psychology, with an emphasis on cultural processes as central. The primary objective is to help articulate and support the creation of transformative paradigms that address issues of fundamental clinical and social concern.

Robert Bush Lemelson is an American cultural anthropologist and film producer. He received his M.A. from the University of Chicago and Ph.D. from the Department of Anthropology at the University of California, Los Angeles. Lemelson's area of specialty is transcultural psychiatry; Southeast Asian Studies, particularly Indonesia; and psychological and medical anthropology. He is a research anthropologist in the Semel Institute of Neuroscience UCLA, and an adjunct professor of Anthropology at UCLA. His scholarly work has appeared in journals and books. Lemelson founded Elemental Productions in 2008, a documentary production company, and has directed and produced numerous ethnographic films.

Shadows and Illuminations is a 2010 documentary film that is part of the Afflictions: Culture and Mental Illness in Indonesia ethnographic film series based on material drawn from 12 years of person-centered research by anthropologist Robert Lemelson. The film series was directed by Robert Lemelson and produced by Robert Lemelson and Alessandra Pasquino.

Mental illnesses, also known as psychiatric disorders, are often inaccurately portrayed in the media. Films, television programs, books, magazines, and news programs often stereotype the mentally ill as being violent, unpredictable, or dangerous, unlike the great majority of those who experience mental illness. As media is often the primary way people are exposed to mental illnesses, when portrayals are inaccurate, they further perpetuate stereotypes, stigma, and discriminatory behavior. When the public stigmatizes the mentally ill, people with mental illnesses become less likely to seek treatment or support for fear of being judged or rejected by the public. However, with proper support, not only are most of those with psychiatric disorders able to function adequately in society, but many are able to work successfully and make substantial contributions to society.

Byron Joseph Good is an American medical anthropologist primarily studying mental illness. He is currently on the faculty of Harvard University, where he is Professor of Medical Anthropology at Harvard Medical School and Professor of Cultural Anthropology in the Department of Anthropology.

Laurence J. Kirmayer is a Canadian psychiatrist and internationally recognized expert in culture and mental health. He is Distinguished James McGill Professor and Director of the Division of Social and Transcultural Psychiatry, Department of Psychiatry, McGill University. He is a Fellow of the Canadian Academy of Health Sciences and the Royal Society of Canada


Janis Hunter Jenkins is an American Psychological and Medical Anthropologist. She is Distinguished Professor at the University of California San Diego, on faculty in the Departments of Anthropology, Psychiatry, and the Global Health Program. She is Director for the Center for Global Mental Health at UCSD.

References

  1. Afflictions - Steps Toward a Visual Psychological Anthropology | Robert Lemelson | Palgrave Macmillan.