Beyond “PTSD”: How stories and artworks that “make strange” can serve as signposts on new maps toward the communalization of military trauma

The psychiatric system, in large part due to its reliance on the Diagnostic and Statistical Manual (DSM), has a tendency to pathologize ordinary human reactions to difficult life events, and to individualize treatments for “mental illness.” This article builds on existing literature that is critical of psychiatry and proposes that art and stories that ‘make strange’ and elude easy interpretation may serve as a powerful counterpoint or complement to the ‘standard way of doing things’ when it comes to mental health care. Using military trauma as an example, this article highlights the inadequacies of Post Traumatic Stress Disorder (PTSD) as a diagnostic category; and, drawing from critical literature in the field and the author’s own experiences working with groups of traumatized veterans, it illustrates how and why ancient mythology and modern art especially may serve as useful tools for those who are having problems with living. The ‘disorienting dilemmas’ and consciousness-raising discussions such works evoke have the potential to touch on vital, nuanced, and philosophical aspects of trauma and suffering that are too often overlooked by the psychiatric profession.Keywords: military trauma; mental health; modern art; theatre; ancient mythology; transformative learning; museums; PTSD

Narratives of resistance: (Re) Telling the story of the HIV/AIDS movement – Because the lives and legacies of Black, Indigenous, and People of Colour communities depend on it

Centering the narratives of the intersectional struggles within the HIV movement for Indigenous sovereignty, Black and People of Colour liberation, and LGBTQ rights tirelessly fought for by Black, Indigenous, and People of Colour communities legitimates their lives and legacies within the movement; and the relevance of a focused response to the HIV epidemic that continues to wreak devastation in these communities. The recent political push for a post-HIV era solely centers the realities of middle-class white, gay men and has genocidal implications for Black, Indigenous, and People of Colour communities.Keywords: HIV/AIDS; Black, Indigenous and People of Colour communities; Social Movements; Narrativ

On the Trail of Paediatric Liver Transplant in South Africa: Social Challenges to Equitable Distribution in Organ Transplantation

This paper tracks the journey of a family from a remote rural area in South Africa – a 2 year old child born with a life threatening liver disease, and his unemployed mother – who, by a series of contingencies, are sent on the trail of organ transplantation to land at the door of a private organ transplant centre. This case brings into focus the dilemmas that social factors present for equitable distribution of organ transplantation. The paper focuses on two interconnected issues: the link between socio-economic status and access to treatment, and existing practices of rationing. The uncritical conjunction of socio-economic status and organ transplantation disadvantages vulnerable sectors of the population. Yet, social circumstances impact the management of specialized medical treatment, which in itself imposes burdens on those with limited resources.  Similarly, although this paper poses questions about indiscriminate practices, it accepts the inevitable rationing of health care

Health Equity, Population Health, and Climate Change Adaptation in Ontario, Canada

Climate change holds the potential to exacerbate existing health inequalities, yet understanding how practitioners conceive health equity and health equality has received little attention in the scholarly literature. This contribution utilizes in-depth interviews with public health practitioners from health units across Ontario, Canada to characterize understandings of equity in relation to on-going climate change adaptation work. Perceptions of health equity and associated public health practices are described before discussing the resulting implications for how and why practitioners take up the equity agenda in relation to climate change. In doing so, this work problematizes existing public health tools and competencies and signals the emergence of new practices capable of simultaneously promoting adaptive capacity to climate change and reducing health inequity in Ontario

Understanding Health Equity: Key Concepts, Debates, and Developments in Canada

Health inequalities exist and persist due to the quality and distribution of the social determinants of health, i.e., the day to day circumstances people live in. These circumstances are determined by governing policies and practices which are influenced by the State’s political ideology and its socio-economic structures. Using a political economy approach, this paper takes a critical review of the literature on health equity in the Canadian context and clarifies key concepts pertaining to health equity and human rights. Findings of this review show that Canada has been performing poorly in addressing growing health inequalities, in part because of Canada’s increasingly neo-liberal stance on public health over the last decade. This paper will argue that a human rights framework can offer a concrete tool for restructuring public policies and for taking action against these inequalities. By placing health equity on the policy agenda, Canada can help reduce social and income inequalities and optimize the health of its populations