This thesis investigates the emergence of an internationally renowned psychiatric community in Uganda. Starting at the beginning of colonial rule in 1894, it traces the changing nature of mental health care both within and beyond the state, examining the conditions that allowed psychiatry to develop as a significant intellectual tradition in the years following Independence in 1962. This ‘golden age’ of psychiatry saw Uganda establish itself as a leader of mental health care in Africa, an aspect of history that is all the more marked for its contrast with the almost complete collapse of mental health care after the expulsion of the Asian population by Idi Amin in 1972. Using a wide range of new source material, including interviews with psychiatrists, traditional healers, and community elders, this thesis pushes the history of psychiatry in Africa beyond the examination of government policy and colonial hegemony. It brings together the history of psychiatry with the histories of missionary medicine, medical education, and international health by asking what types of people, institutions, and organisations were involved in the provision of mental health care; how important the growth of Makerere Medical School was for intellectual and institutional psychiatry; and how ‘African’ mental health care had become by the end of the period. It presents a history of mental health care in a country that has tended to be overshadowed by Kenya in the historiography, yet whose engagement with medical missionaries and efforts to advance medical training meant that the trajectory of psychiatry came to be quite different. Focusing in particular on the significance of western-trained Ugandan medical practitioners for mental health care, the thesis not only analyses African psychiatrists as historical actors in their own right, but represents the first attempt to examine the development of psychiatric education in Africa.

This study aims to account for the high degree of influence and intensity displayed in bi-lateral relations between Russia and the other post-Soviet states - specifically Belarus, Ukraine and Kazakhstan (BUK.) It seeks to do so by employing an analytical framework based around the concept of 'post-Imperialism,' arguing that persistent legacies of the imperial past have both ensured a high degree of intensity in bilateral relationships as well as providing pathways of influence over certain policy areas - primarily for Russia, but in some instances for BUK as well. It also seeks to examine imperial legacy issues as distinct 'types' - from physical economic and military infrastructure, to cross-border constellations of elite personnel to the normative and cognitive inheritances of imperialism amongst both the elite and the population at large. It concludes that Russia has been able to mobilise and employ power resources not available to alternative actors in order to 'punch above its weight' when competing with other powers for influence in the post-Soviet space, and preserve certain Soviet era patterns of relations. It is not the focus of this study, but it is to be hoped that the framework will prove useful for researchers in other former imperial polities in future.

This study considers the history of trauma, both as a psychiatric concept and as a diagnosis, and its social and cultural representation from a transnational perspective after WWII. The intellectual evolution of trauma was determined by various medical, social and cultural variables, institutions, and people who wielded influence in the postwar world order as well as diverse local contexts. This thesis focuses on the globalisation and localisation of such concept and diagnosis shaped by international and local mental health experts at the World Health Organization and the National Taiwan University Hospital. Through the efforts of these experts, trauma not only became one of the most globally diffused psychiatric diagnoses, but also a hyperbole appropriated by Taiwanese psychiatrists to account for extreme forms of social suffering. Studies have criticised the universality and the Anglo-American-centred approach to the history of traumatic psychiatry. Scholars have also begun to explore transnational histories of psychiatry by systematically comparing or tracing the diffusion routes of psychiatric topics. Their methods of enquiry and problems solved, however, differ. My research analyses a disparate collection of evidence at the level of international organisations and from local aspects, allowing not only a critical reconsideration of trauma in the trend of global medicine, but also its reception, contestation and appropriation in the non-Western contexts. Guided by the works of medical historians, literary critics and cultural anthropologists, this project combines archival research with oral history interviews to challenge the existing historical accounts of trauma, and provide evidence of the limited capacity of globalised psychiatric norms and their reception and appropriation beyond the imagination of world citizenship. It argues that such scientific artefacts were not only produced through mutual reference between Eastern and Western experiences, but also measures of instrumental rationality employed by postwar internationalists to engineer their modernity in the Global South.

This thesis investigates several previously neglected networks of imperial tropical medicine (ITM) in Britain and its tropical colonies at the turn of the twentieth-century. It argues for the need to bring back the ‘imperial’ to the study of medicine in colonial localities; and, in doing so, redefines the ‘imperial’ in relation to tropical medicine during this period. To accomplish this, the first part of the thesis considers largely ignored popular networks of ITM, including the 1900 London Livingstone Exhibition; guidebooks and manuals for tropical travel, health and hygiene; and commodities such as Burroughs Wellcome & Co.’s (BWC) Tabloid brand medicine chests and tropical clothing. The second part of the thesis investigates important, but under researched professional networks of ITM, including the training and experiences of non-medical missionaries educated at Livingstone College, London and the London Missionary School of Medicine (LMSM); and the formation and reform of the West African Medical Staff (WAMS). All of the popular and professional networks discussed in this thesis were, for the most part, a response to the urgency generated by domestic and international high politics to ‘improve’ and ‘develop’ Britain’s tropical possessions. While representing a diversity of individuals and interests, one concern that they all shared was the supposed need to preserve Anglo-Saxon health in tropical climates. Such a disparate set of ‘agents of empire’, connected through a common interest, led to a complex set of ideas and practices of ITM, which were informed as much by the environment and climate, as new disciplines such as parasitology. This thesis also demonstrates that a significant fissure existed — within and outside the imperial state — between ideas of ITM and their practice. Ideas of ITM were often aggressively imperial in rhetoric but in practice they generally were not. Therefore, at the start of the twentieth-century ITM was not always working — directly — as a ‘tool of empire’. Nonetheless, this thesis demonstrates that the ‘imperial’ is still the most useful analytical category and organising principle for understanding Western medicine’s relationship to Britain’s tropical possessions during this period. By focusing on both the colony and the metropole, and the uneven power relationship that existed between them, it demonstrates that ideas and practices of medicine and hygiene intended for Britain’s tropical empire were neither colonial nor metropolitan, but imperial.

This dissertation aims to analyze the transformation of Pusan by examining the social, political, economic, and cultural changes during the open-port period (1876-1910). Prior to annexation, Pusan, as the first open port in Korea, reflected features of the colonial urban development in which alien power achieved and sustained a hegemonic domination on socio-cultural-economic dimensions of people’s lives. Colonial history in Korea has been divided and moving on parallel lines. The ‘nationalist school’ and the ‘socioeconomic school’ have failed to come together and move us into a deeper understanding of the Japanese colonial period. In order to narrow the gap between the two schools of thought, this thesis suggests looking at ‘colonial modernity’ through the analytical lens of the colonial city of Pusan. The approach examines changes in the social, economic, and cultural life of people rather than through the traditional binary construction of ‘victim versus victimizer’ or ‘colonial repression versus national resistance.’ In particular, I pay close attention to the fact that colonization is a process of imperial expansion by means of colonialists. In the end, the process of colonization in Pusan was a process by which the Japanese settlers expanded in wealth, population, influence, and power. The cluster of factors – enlargement of settlement (living space), the expansion of the economy (economic opportunity), improvement of public enterprises, such as transportation infrastructure, water supply and hygiene (improving quality of life) – were catalysts for the Japanese settlers to take up residence in Pusan. Based on the transformation of the urban space of Pusan at this micro level, I discuss a hierarchy of power relations within the spatial boundary of Pusan. In other words, I focus on human aspects of these changes rather than on systemic changes. I attempt to demonstrate how studying a city can offer a useful category of analysis for the question of ‘modernity’ in Korea.

This thesis examines the nature and dynamics of U.S.-Iran relations during the Cold War under the leadership of U.S. President Richard Nixon, his adviser Henry Kissinger, and Shah Mohammad Reza Pahlavi of Iran. This revisionist account critically examines the popular view of Mohammad Reza Shah as a mere instrument of American strategies of containment during the Cold War. Relying on recently declassified American documents, British government papers, and the diaries, memoirs and oral histories of Iranian actors, this thesis restores agency to the shah as an autonomous Cold War actor and suggests that Iran evolved from a client to a partner of the United States under the Nixon Doctrine. This partnership was forged during Nixon’s first term in office between 1969 and 1972, as the United States embraced a policy of Iranian primacy in the Persian Gulf region. Thanks to a long-standing friendship with the president, the shah was able to exercise extraordinary influence in the Nixon White House. This partnership reached its peak during Nixon’s second term as the United States supported Iran’s regional primacy against the challenge from Iraq. The shah drew Nixon and Kissinger into Iran’s secret war against Iraq in Kurdistan in 1972, by portraying Iran’s long-standing regional conflict with Iraq as a Cold War confrontation with the Soviet-backed Ba’th regime in Baghdad. When the shah unilaterally decided to abandon the Kurds in a deal with Iraq’s Saddam Hussein in 1975, Kissinger had little choice but to acquiesce, despite the personal embarrassment and domestic recriminations that followed. The U.S.-Iran partnership declined following Watergate and Nixon’s resignation in 1974. In spite of the best efforts of the shah and Kissinger, between 1974 and 1976 the United States and Iran were unable to reach an agreement on U.S. nuclear exports to Iran. President Gerald Ford tried to impose a discriminatory nuclear agreement on Iran that was rejected by the shah because it violated Iran’s national sovereignty. Under Ford, the United States reverted to treating Iran as a client rather a partner of the United States.

This dissertation argues that during the nineteenth century, the journey to London revealed a world undergoing systemic change as industrialisation steadily eroded the traditional rhythms of the countryside in favour of urban modernity; indeed, London is regarded as a synecdoche for the forces shaping the wider world. This work uses tourist narratives to London as investigative tools to examine the ways in which individuals comprehend the modern changes occurring around them, as represented by the British capital, and does so in a comparative fashion, investigating the British Empire, the United States, Britain itself, and continental Europe. In so doing, it addresses two questions: first, whether one’s acceptance or rejection of modernity was predicated upon specific social and national preconditions; and second, whether the idea of nineteenth-century modernity was itself a non-universal construction dependent upon a variety of socio-cultural outlooks. The evidence for this study is drawn from the published and unpublished narratives of tourists from the four different contexts mentioned above, and divided into four chapters to focus upon each group. This study is grounded in a theoretical context which establishes a correlation between the methods used to interpret the city’s spaces, and the methods used to interpret modernity more generally. I conclude that the changes occurring from the interaction between global modernity and local culture were regarded with ambivalence and uncertainty, judgments influenced by London’s impact on the visitors mentioned above. The city gives a physical dimension to the travellers’ imagined fears, benefits, or concerns over future progress. Victorian London is thus one focus for a transformation affecting large segments of the nineteenth-century world, illustrating that modern industrial changes were ultimately perceived as being ambiguous and ambivalent forces.

Soviet-Third World relations during the Cold War are still not clearly understood. Largely based on previously unused primary material, this study aims to fill this gap in knowledge by emphasising the interplay between domestic, local, regional, and global dimensions in analysing Moscow’s involvement in the Horn of Africa. By offering a detailed examination of Soviet involvement in Somalia and Ethiopia during the Cold War, this thesis aims to shed light on the factors, shaping Moscow’s policies in the area. While it does not lay any claim of representativeness for other Third World regions, this thesis aims to highlight the intricate interplay between ideology and realpolitik in the making of Soviet foreign policy. Additionally, it tries to determine to what extent the ‘local pull,’ exerted by both Addis Ababa and Mogadishu, as well as by Soviet and other Bloc diplomats, informed the Kremlin’s policy in the area. This thesis shows that the two main strands of Moscow’s foreign policy, the pragmatic statist line and the ideological Cominternist approach, were not in conflict with one another. Instead, they were amalgamated into a flexible tactical approach, designed to maximise Soviet influence by whatever means available, along the path of least resistance. Another strand in the argument is interwoven with the pericentric framework for the study of the Cold War. While accepting recent interpretations of superpower-Third World relations, this research develops a more nuanced account of the centre-periphery interaction. The act of local engagement was Moscow’s initiative, in accord with its wider geo-political plans. Once engaged, the local actors proved instrumental in informing the Kremlin’s exercise of maintaining a presence. As with its entry, Moscow’s disengagement was predicated on strategic considerations. The period of perestroika, assigned the Third World lower priority in the Kremlin’s global agenda, engendering a withdrawal from the Horn.

This thesis is a microhistorical investigation of the dynamics of control and resistance in Pollsmoor Prison and Valkenberg Psychiatric Hospital’s Maximum Security section from 1964 to 1994 in South Africa. It examines the evolution of daily life inside these institutions, both situated in the Western Cape, and the extent to which these institutions were part of the security apparatus developed by the apartheid state. The permeability of Pollsmoor and Valkenberg shed light on the connections between repression, resistance, collaboration and survival inside and outside closed institutions. The division of incarcerated populations according to race, gender, age and behaviour reflected wider logics of governance of the South African society. Similarly, the modalities of resistance and collaboration adopted by ‘political’, ‘common law’ and ‘insane’ prisoners on the inside echoed the processes of popular mobilisation on the outside. The construction of a ‘healthy nation’ through the production and control of deviances was hence far from being a smooth process. The thesis is divided into three parts, each composed of three chapters. The first part analyses the way a system of law and order, based on delineation, the bestowal of privileges and violent repression, was imposed in prisons and psychiatric hospitals’ Maximum Security sections and how this evolved according to the changing social and political imperatives of the apartheid state. The second part shifts the gaze to the level of the courts, where psychiatric and criminological discourses became increasingly entangled throughout the period. The operating modalities of the judicial system reflected the fears and expectatives of the white minority, while providing a racialised image of black populations as both dangerous and childlike. Finally, the third part analyses the links between outside and inside resistances and adaptations to the regime of apartheid. It focuses on the 1994 prison revolts as prisms to understand the processes of subjectivation and politicisation which had emerged in closed institutions during apartheid.

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