Cultural Dimensions of Depression in Bangladesh: A Qualitative Study in Two Villages of Matlab

This article reports the results of a qualitative study conducted in two villages of Matlab to explore the cultural dimensions of depression. Participants included adult men and women with and without a history of depressive episode (n=42), formal and informal healthcare providers (n=6), and caregivers (n=2). Adults (n=10) with a history of depressive episode were selected from a 2005 survey conducted by ICDDR,B. A case vignette was used for eliciting local terms for depression, perceived causes, impact, and treatments. Hardly anyone recognized the term bishonnota (literal translation of depression) used in the past survey. The participants thought that the vignette was about chinta rog (worry illness), and they spoke of somatic symptoms in relation to this condition. When explored further, they mentioned sadness and psychological complaints. Men felt that it affected them more while women felt the opposite. They associated chinta rog with poverty and social issues with impacts on marriage, work, and education. From their responses, it seemed that they preferred a psychosocial framework attributing the cause to thoughts and emotions, resulting from social causes. Commonly-suggested treatments were more income, better relationships, and tablets. Former health providers were often the first choice for help-seeking. The study hopes to ‘culturally inform’ the formal healthcare providers and programme planners

Spirit and mind

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Letter from the (un)seen virus: (post)humanist perspective in corona times

Dear humans, you cannot see me with naked eyes,1 and yet you can no longer ignore my existence (Figure 1). My official title is long: Severe Acute Respiratory Syndrome‐Coronavirus‐2 (SARS‐CoV‐2). I am also known as nCoV, the 2019 Novel Coronavirus, or simply Corona. In early December 2019, I was making the usual rounds in a Wuhan food market in Hubei province in China. The market was thick with humans and nonhumans in proximity. I attached myself to a tiny droplet slipping inside ‘patient zero’, who sneezed, coughed, suffered from high temperature and breathing difficulty, and recovered after two weeks. ‘Patient zero’ thought I was an ordinary virus that caused the endemic, seasonal flu. It was not until I had multiplied in hundreds and thousands, and an unusually high number of pneumonia cases had been reported, that the global health authorities took notice (Heymann and Shindo 2020)

Patients and agents

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Learning the Elsewhere of 'Inner Space': The Affective Pedagogy of Post-Secular Sufi Healing in Germany

How is access to the Elsewhere facilitated through affective pedagogy in a contemporary Sufi setting in Germany? This article draws analytical lessons from Inayati healing seminars that took place in the summer of 2013. Participants were instructed to feel the Elsewhere of 'inner space' in the material/corporeal realities by attuning to breath, sonic resonance, collective movement, and attentive listening. The affective pedagogy of the teacher extended the spatial-temporal coordinates of the Elsewhere (as framed by Mittermaier) to include 'fleeting affects' among its unknown elements. These pedagogic tactics entangled religious and secular life-worlds with aesthetic and therapeutic traditions. Learning to feel the unknown affects emanating from the Elsewhere in this setting aimed to provide existential resources to cope with the everyday struggles of post-secular life

Perceptions of mental illness in a Bangladesh village

In this paper, we discuss the perceptions of people from a Bangladeshi village about what they considered to be 'mental illness'. Observations, informal conversations, interviews, focus group discussions, and illness narratives include the perspectives of both the caregivers and the patients in Kakabo. The villagers provided us with local terms (e.g., paglami), their beliefs about illness causation, treatment, and its effects. Some illnesses were believed to be present from birth and mostly incurable. Supernatural causation and local cure were mentioned for some other categories of illness. There were very few instances when they accessed the existing mental health care in the big city. Widespread abuse of various substances was reported. In general, the participants showed broader acceptance of these conditions, excepting certain forms of substance abuse. We discus these findings in relation to defining their perceptions in terms of explanatory model(s). Our analysis is also concerned with the way people 'embody' their 'illness experience', and how this is made relevant for the process of coping with 'mental illness' in the family. Further investigation, however, is required to clarify some of the questions and ambiguities arising from this small-scale exploratory qualitative study

Perceptions of mental illness in a Bangladesh village

In this paper, we discuss the perceptions of people from a Bangladeshi village about what they considered to be 'mental illness'. Observations, informal conversations, interviews, focus group discussions, and illness narratives include the perspectives of both the caregivers and the patients in Kakabo. The villagers provided us with local terms (e.g., paglami), their beliefs about illness causation, treatment, and its effects. Some illnesses were believed to be present from birth and mostly incurable. Supernatural causation and local cure were mentioned for some other categories of illness. There were very few instances when they accessed the existing mental health care in the big city. Widespread abuse of various substances was reported. In general, the participants showed broader acceptance of these conditions, excepting certain forms of substance abuse. We discus these findings in relation to defining their perceptions in terms of explanatory model(s). Our analysis is also concerned with the way people 'embody' their 'illness experience', and how this is made relevant for the process of coping with 'mental illness' in the family. Further investigation, however, is required to clarify some of the questions and ambiguities arising from this small-scale exploratory qualitative study

Cultural Dimensions of Depression in Bangladesh: A Qualitative Study in Two Villages of Matlab

This article reports the results of a qualitative study conducted in two villages of Matlab to explore the cultural dimensions of depression. Participants included adult men and women with and without a history of depressive episode (n=42), formal and informal healthcare providers (n=6), and caregivers (n=2). Adults (n=10) with a history of depressive episode were selected from a 2005 survey conducted by ICDDR,B. A case vignette was used for eliciting local terms for depression, perceived causes, impact, and treatments. Hardly anyone recognized the term bishonnota (literal translation of depression) used in the past survey. The participants thought that the vignette was about chinta rog (worry illness), and they spoke of somatic symptoms in relation to this condition. When explored further, they mentioned sadness and psychological complaints. Men felt that it affected them more while women felt the opposite. They associated chinta rog with poverty and social issues with impacts on marriage, work, and education. From their responses, it seemed that they preferred a psychosocial framework attributing the cause to thoughts and emotions, resulting from social causes. Commonly-suggested treatments were more income, better relationships, and tablets. Former health providers were often the first choice for help-seeking. The study hopes to 'culturally inform' the formal healthcare providers and programme planners

a collaboration among refugee newcomers, migrants, activists and anthropologists in Berlin

In 2015, Germany entered what would later become known as the ‘refugee crisis’. The Willkommenskultur (welcoming culture) trope gained political prominence and met with signifi cant challenges. In this article, we focus on a series of encounters in Berlin, bringing together refugee newcomers, migrants, activists and anthropologists. As we thought and wrote together about shared experiences, we discovered the limitations of the normative assumptions of refugee work. One aim of this article is to destabilise terms such as refugee, refugee work, success and failure with our engagements in the aftermath of the ‘crisis’. Refugee work is not exclusively humanitarian aid directed towards the alleviation of suff ering but includes being and doing together. Through productive failures and emergent lessons, the collaboration enhanced our understandings of social categories and the role of anthropology

The Politics of Breathing Troubles in COVID-19: Pandemic Inequalities and the Right to Breathe across India and Germany

‘Breathing trouble’ refers both to a biopolitical process and a metaphor for the current global condition. This Position Piece draws inspiration from the ‘universal right to breathe’ frame suggested by Joseph-Achille Mbembe (2021a) to discuss pandemic inequalities in Kolkata (India) from a location in the global north, Berlin (Germany), where the author currently lives and works. Drawing from the circumstances surrounding the interruption of my fieldwork in urban India, I argue how the border-crossing pandemic and the choking politics of the ruling governments in India and Germany are entangled in the production of pandemic inequalities. The coeval discussions of lived experiences and political grievances ‘there’ (India/Kolkata) and the critical questioning of the image of India from ‘here’ (Germany/Berlin) invite an understanding of breathing beyond its purely biological function to what we have in common, as the universal right to breathe. Such framing may help anthropologists to reattune to spatial, temporal, and ethical dimensions of excess empirical events in the constantly changing yet simultaneous pandemic realities