A pioneer of psy: The first Ugandan psychiatric nurse and her (different) tale of psychiatry in Uganda.

Abstract:

:In Africa, the emergence of a "modern" mental health regime centered on psychiatry is often portrayed as a unidirectional intervention by "the West." Analyses ranging from medical histories of colonial psychiatry to more recent studies of Global Mental Health focus mostly on the role of external actors and the ways their actions impact(ed) on local populations. Uncritical studies simply reduce the complexity of African therapeutic landscapes to a "treatment gap" and see the introduction of "science-based" mental health approaches as necessary "civilizing" missions. Critical studies emphasize the harms of psychiatric interventions and celebrate local healing practices instead. Both approaches are problematic: they ignore the many interconnections between highly dynamic treatment regimes that cannot be neatly designated as African or western, portray local populations as largely passive, and neglect the multiple ways in which psychiatry has been embraced, adapted, and disrupted by Africans themselves. This article challenges simplistic depictions of "western" psychiatry in Africa by providing a portrait of Rwashana Selina, the first Ugandan psychiatric nurse who-after being sent to the UK in the 1950s for training-became a central figure in Ugandan psychiatry. Based on interview material, I recount her life story and discuss her formative role in the development of psychiatric care in the colonial and postcolonial era. Rwashana's tale of Ugandan psychiatry emphasizes co-operation, mutual acknowledgments and pluralistic leadership and thus breaks with typical images of and dichotomies between white doctors and supposedly inferior African medical staff.

journal_name

Transcult Psychiatry

journal_title

Transcultural psychiatry

authors

Vorhölter J

doi

10.1177/1363461520901642

subject

Has Abstract

pub_date

2020-02-26 00:00:00

pages

1363461520901642

eissn

1363-4615

issn

1461-7471

pub_type

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