Wednesday, 20 December 2023

Strangers to Ourselves by Rachel Aviv – Book Review

 


Publisher’s write-up:

‘Strangers to Ourselves is a compassionate, courageous and deeply researched look at the ways we talk about and understand ourselves in periods of crisis and distress. Drawing on conversations as well as unpublished journals and memoirs, it follows people who have found that psychiatric language has limitations when it comes to explaining who they are, or that a diagnosis, while giving their experience a name, creates a sense of a future life they wish to question or resist.

Rachel Aviv is known for her radical empathy: she excels at seeing the world through the eyes of her fellow human beings. Writing first about her own experience of being institutionalized at the age of six, she introduces, among others, a mother recovering from psychosis and rebuilding her relationship with her children; a woman who lives in healing temples in Kerala, where she is celebrated as a saint; and a young woman who, after a decade of defining herself through her diagnosis, decides to stop her medication because she doesn't know who she is without it.

Through startling connections, intimate testimonies and diverse cultural perspectives, Aviv opens up fresh ways of thinking about illness and the mind, in a book which is curious, transformative, and above all, profoundly human.’

Strangers to Ourselves is a book written by writer and author Rachel Aviv. The book comprises accounts of five individuals going through severe mental illnesses and there is also a personal touch from the author herself, given she herself was diagnosed with anorexia at a young age.

The book talks about the starts the book with her own story and her struggles over the years and then moves on to the story of Ray, a person who is unable to accept the failure of his business which leads him to an identity crisis and eventually, ends up suing his doctor and other mental health professionals. The next is the story of Bapu – a woman from an affluent family in India who frequently abandons her family to seek refuge in religious institutions, and has schizophrenic visions of interacting with god and the divine. The next is the story of Naomi – a woman of African descent in the US, and the impact the societal circumstances has on her, and the people around her (including the youngest of her family).

I appreciate the author trying to narrate these complex mental situations through stories of people in the real world than citing multiple research papers (I am not demeaning the latter, but it is difficult for someone to relate to them from outside the field). She also spoke of multiple approaches that were used in these situations, including taking into account cultural considerations when talking of treatment. However, there were also some very far-reaching claims, such as on the Zoroastrian community in India having ‘westernised’ too fast which led to impacts on their mental health.

On the whole, while the stories themselves were interesting, I was not sure what was the point that the author was trying to drive home. If it was that there are different mental health diagnoses which could have dire impacts on people and also their entourage, we are already aware of that. I did like the approach of the author of discussing these people as individuals than ‘medical cases’, especially the detailed interviews with people around these patients, such as the children of Bapu, the ex-partner of Naomi, etc.

While I got to know some interesting case studies, I was unsure of the title or the purpose of this book and they often had very dire conclusions given their premise. On that note, I would aware this book a rating of four on ten.

Have a nice day,
Andy

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