This dissertation presents an historical overview of the interdependent representations of gender, class, ethnicity, race, nationality, sexuality, and (dis)ability in a selection of films and first-person written autobiographical texts from the 1940s to the early twenty-first century. Cinematic and written autobiographical representations of “mental illness” reflect and shape various models of psychological trauma and wellness. I explore the ways that these two genres of representation underscore, exert influence upon, and interrogate socio-cultural understandings and interpretations of deviance and normalcy, madness and sanity, and pathology and health. Some models of health and illness carry more ideological weight than others, and thus differentially contour public policy formation and the materiality of people’s daily lives. My project is distinct from other kinds of scholarship on the subject of women’s “madness.” Whereas scholarship has been written on “madness” and cinema, and on “madness” and autobiography, this related academic work has not consistently drawn linkages between multiple genres or utilized interdisciplinary methodologies to critically explore texts. Feminist scholars who address the interconnections between autobiographies and cinematic representations often pay only limited attention to psychiatric survivors. I draw parallels and distinctions between these genres, based upon my training in social work, cultural studies, film and autobiography theory, medical and linguistic anthropology, and disability studies. My perspective hinges upon my longstanding involvement with and commitment to the subject of women’s “madness” in both personal and professional arenas.

This thesis explores the subject positions available to users of genetic tests for bipolar disorder in the United States. In advanced liberal societies, tests for genetic susceptibility to complex disorders may be promoted and used as means of performing responsible citizenship through the consumption of health care services. In the context of mental illness, however, key assumptions about the characteristics of consumers may not be met. The research found that because the category of “potential test user” substantially overlaps with the category of “mental health care user,” both the rationality and autonomy of these individuals is subject to question. Test users are framed in relational terms: as family members, as patients, and as consumers – but the last of these relational frames is considered problematic. Therefore, while the tests are framed as tools for proactive health management, responsibilities surrounding their use are largely allocated to family members and doctors.

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This thesis is the result of virtually a year's research conducted in three adjacent villages in northern Zululand, in the district known as KwaNgwanase. This community is distinguished by being subject to historical Zulu conquest, to a continuing influx of migrants fron neighbouring countries and to more recent social and economic transformation. It therefore exhibits a considerable degree of structural variation and cultural complexity, which in divining practice is registered as 'divinatory syncretism'. The theoretical stance adopted to make sense of this complex of variants is praxeological, with an enphasis on understanding divination from within, for which purpose the field method of participant observation is particularly suitable. Built upon close and prolonged interaction with some twenty diviners, the thesis examines divination from two interconnected perspectives; as a mystical performance, in which the inspired diviner endeavours to uncover the truth of a client's condition, and as a professional business in which the econanic motive is pararrount and in which the more successful corrpetitors flourish as entrepreneurs. KwaNgwanase itself emerges as a workshop of experimentation in mystical and syrrbolic forms, while it begins to export its innovative techniques to a broader market. / Thesis (Ph.D.)-University of Natal, Durban, 2002.

This thesis contributes to knowledge in the field of medical anthropology, particularly in Egypt and the Middle East, in two specific ways. First, the thesis demonstrates how a limited focus on kinship and micro social relations precludes a full understanding of the life experiences of people, especially at times of illness. The thesis shows that these conceptual limitations stem from a romanticized view of Egyptian culture---a view that poorly corresponds to the contemporary Egyptian situation. The thesis proposes that social networks And the ground between micro and macro social associations need to be incorporated into future studies of medical anthropology in general, and in Egypt and the Middle East in particular. Second, the thesis demonstrates how cultural values linked to the diversity of social classes and unequal access to social and financial capital shape illness experience. It is argued that access to biomedical services is a social manifestation of culturally constructed subcultures where kinship, social networks, and social hierarchy produce the current inequalities in well-being among inhabitants of modern Egypt. A cultural and social analysis grounded in the history of Egyptian modernity is pursued here to better understand current inequality in social and physical well-being. Space, aesthetics, religion, network affiliation, and other factors constitute essential elements of this analysis. The thesis proposes integrating a study of the cultural manifestations of the production of social inequality into all future studies of illness in Egypt and the Middle East. It is concluded that a culture of social distinctions and discrimination prevails, and that such a culture shapes social relations and illness experience. Unless this culture is understood and addressed, there is little hope for an equal distribution of resources for well-being among Egyptians.

This study analyses the development of health care in Haiti as it has emerged from a syncretic cultural background. The historical bases of the social and cultural practices surrounding health and illness are described as four separately developing but interacting strands--domestic medicine, mercantile medicine, official medicine and Creole medicine. The thesis interprets this heterogeneity of health-care beliefs and practices using the theoretical concept of a disemic culture, in which diverse cultural codes interact, to provide occasions for the situational negotiation of health care. / Case studies of domestic groups suggest that the domestic unit is the determining factor of health status, and the necessary focus for health development policy. The resources of the health care system outside the domestic unit are shown to contribute little to the health status of the population.

The thesis was designed to gain insight into how Alzheimer’s disease influences selfhood from first-personal accounts of illness. The focus of the study was narrowed further by concentrating on the autobiographies of individuals diagnosed with Early-Onset Alzheimer’s disease (EOAD). The purpose of this thesis was to analyze the autobiographies of individuals with EOAD with the aim of understanding their selfhood. In this thesis I argue that, Alzheimer’s disease may influence a change in self, however, the self is not lost entirely. This thesis draws on the philosophical conception of narrated self as it allows for one perpetually constructed self, whereby a change in self does not necessarily mean the self is lost entirely. Through an interpretive analysis of six autobiographical accounts of Alzheimer’s, this thesis demonstrates that Alzheimer’s disease influences a loss of sense of self but that autobiography enables individuals with Alzheimer’s to (re)construct self.

Immigrant youth face uncertainty in many aspects of their lives. Most have little control over their family’s decision to immigrate and once they arrive, many encounter challenges. The Navigating Multiple Worlds project worked with a group of youth researchers to explore the relationship between stress, resilience and expressions of subjectivity among immigrant youth. Moving beyond the negative conceptualizations of stress and acculturative stress that dominate the literature, this research gathered youth perspectives on stress and what could be done to enhance supports for immigrant youth in Victoria. Through our participatory approach, the youth research team was involved in the design and implementation of interviews, focus groups and finally a photovoice exercise. Our methodology sought to highlight narrative complexities and the fluidity of experiences, with the research team reflecting on their own experiences while gathering perspectives on stress from other immigrant youth. The benefits and challenges of working in participatory paradigms with youth and the value of arts based methods for capturing youth voices and creating ‘thinking spaces’ for community engagement are highlighted. Historically, research has problematized immigrant youth identities. A focus on immigrant youth perspectives reveals that while many youth face challenges after immigration, they also emphasize the value of flexibility in self-definition. The combination of our methods, participatory approach, our focus on youth voices and taking an ethnographic approach to documenting experiences of stress, contributed to the distinctiveness of our findings. Considering stress as an idiom of narrative expression rather than an index of negative experience, acknowledges its place as part of the worldview of the participants, who use the term in multiple ways. The physicality of stress, the spatial and temporal dimensions of stress and ‘everyday stressors’ emerged from our analysis as thematic categories that describe the ways that youth experience ‘stress’. The findings of the Navigating Multiple Worlds project speak to the value of conceptualizing stress as a narrative idiom. Over the course of our research it became apparent that youth were talking about stress in ways that allowed them to discuss and normalize negative experiences, re-framing experiences of ‘stress’ in positive terms. For many, this facilitated fluid movement from a focus on challenges to a focus on coping and resilience. Our research suggests that while conflicting expectations in the lives of immigrant youth are sources of ‘stress’ for many, they can also be understood as key ‘sites of flexibility’. The processes of negotiation that occur in these ‘sites of flexibility’, as youth use the language of stress to name challenging experiences and overcome them, contribute to the resilience of youth. Although our findings are specific to a small group of immigrant youth in Victoria, BC, considering stress as an idiom of resilience as well as distress creates opportunities to recognize and enhance the strengths of immigrant youth and the supports available to them. Recommendations from our research in terms of service provision, supports, and participatory research with youth are provided, as well as suggestions for future research in anthropology related to immigrant youth and stress. / Graduate / 0339 / 0326 / 0347 / sarah.fletcher@gmail.com

This thesis concerns the cultural construction and mechanics of violence, domination, and survival under a Southeast Asian totalitarian regime. It entails an examination of the modern character of violence and domination in Myanmar (Burma) through the inscription of State power upon the bodies of Burmans and via the ramifications of the regime's alliance with the drug lords upon the urban struggle for survival. At times of extreme domination, fear, and degradation, very little space exists for psychological and physical resistance. Burmans seek escape from this situation by withdrawing into domains characterized by denial, numbness, and temporary madness. My concern is with the lived experience of totalitarianism, the way that individuals respond differently according to a prior series of lived experiences, and the particular idioms drawn upon to construct survival strategies. / An important culturally constructed strategy of survival in Myanmar entails the detaching of agency from the body while the mind "flies" to freedom. This strategy has a long history not only in Burmese, but also in other Southeast Asian histories, myths, and legends. Just as Burmese wizards fly to a mythical landscape in the foothills of the Himalayas when released from their physical bodies, so too do heroin addicts, prostitutes, psychiatric patients, and the urban poor flee to Burmese fantasylands to escape the domination of the military regime. This strategy, one of many adopted by urban residents, denies the State the final prize it so desperately craves: the willing participation of Burmans in a military society, the complete internalization of totalitarian ideology such that no other ideologies can exist and no space is left for their creation and negotiation. In the conclusion I argue that the regime is aware that it has faded in this task. / I also examine the possibility that the existence of multiple Burmese worlds or realities, in conjunction with a strong belief in the miraculous may offer new ground for research into the trauma of survivors of violence and terror. The construction of madness, death, and reanimation in Burmese culture, grounds particular survival strategies in logical, hopeful, and perhaps curative, rationalities.