Thursday, October 22, 2015

Karen Nakamura: Cultural Madness: Notes on an Anthropology of Psychosocial Disability


A Talk by Karen Nakamura 

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On October 22nd, 2015, Karen Nakamura spoke on "Cultural Madness: Notes on an Anthropology of Psychosocial Disability" at the Center of Media and Public Affairs at the George Washington University. The event was co-sponsored by the English Department's Crip/Queer Studies programming and Disability Student Services. David Mitchell introduced Nakamura, noting her recent work, Disability of the Soul, and her upcoming project on Transgender in Japanese Culture. Nakamura opened with a call for more disability studies within the field of Anthropology, especially projects focused outside the United States. The speaker subsequently discussed her work with Bethel, an intentional Christian community in Japan that supports a wide variety of peoples with psychosocial embodiments, including schizophrenia and depression. The subject of Nakamura's documentary, "Bethel: Community and Schizophrenia in Northern Japan," was a group of neuro-divergent and neuro-queer persons living in a small town attached to a hospital and university. It was from this population of outpatients that the Bethel intentional community arouse to promote mutual support and dialog. As the name suggests, Bethel was sponsored and founded by a Church group who wanted to affirm non-privatized, non-medical alternative forms of care in order to compliment and contrast the medical practices of the hospital. Modeled on programs such as Alcoholics Anonymous, Bethel members would meet, share stories, offer assistance and accountability, and consider their relations to society and the wider world.

While many academics might be suspicious of non-medical, Christian programs working with disabled communities, Nakamura found numerous positive alternatives that the socio-religious model offers over the privatized medical model. Rather than drug away the power of those with psychosocial illnesses or incarcerating (or otherwise institutionalizing) them in ways that isolate them and limit their agency, Bethel stresses social and cultural methods that reaffirm relationships. After persons with psychosocial traits become alienated from friends and family either by symptoms or by medical and legal agencies, Bethel works with the person to help bring them back into community, reestablish social bonds, and creating a sense of family. Nakamura offered critiques as well. As a "total institution," the Bethel community creates a kind of dependency on its programming. There are few options to take some but not all of the assistance the institution offers. You are either all in or all out. Furthermore, Bethel promoted a world-view of suffering oriented towards a release into oblivion. Also, the Bethel community remains fairly conservative in its view of gender and sexual politics, limiting the forms of relation and embodiment of its members. Finally, Nakamura explained, the Bethel model is difficult to duplicate due to its ready made population drawn from the hospital's outpatients and inpatients.
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