Psychiatric Hollywood: 

An Audio Collage on Madness

TRIGGER WARNING: mental illness, prescription drug abuse, psychiatric abuse

“It’s about starting a conversation with others about their experiences and their ideas around [institutionalized violence]. Before we do anything, we should always ask where we might be doing more harm than good; where we may be overlooking the experiences of those who have been traumatized, who have been discriminated against, who have been oppressed…”

— Annalissa Crisostomo for Madness Canada

Featured on Madness Canada

Psychiatric Hollywood is an online educational unit for Madness Canada - an activist site that supports academic-community collaborations grounded in critical perspectives of mental health. It is a web-based resource for educators and self-directed learners in mental health-related fields.

This audio project is featured as part of their Oppression and Stigma Module - a collection of critical works that challenge intolerance, inequity and oppression across mental health systems.


About Madness Canada

Madness Canada is your passport to diverse inquiries into the past, present, and future of mental health. We believe that Mad Studies should pay particular attention to the mechanisms of power and social justice issues. We aim to use history to understand the present and illuminate the future.

Our work draws on diverse experiences, skills and perspectives in recognizing the legacy of Mad Pride within Canadian communities. Contributors to the website include community members, academics, educators and policy makers.

To learn more about Madness Canada, visit their website at https://madnesscanada.com/

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A short 5-part creative audio series that takes you through an extended aural journey of psychiatric institutionalization by exploring labelling, diagnosis and historical violence. By deconstructing scripts from film, this piece aims to reproduce a collective narrative that is critical, counter-hegemonic and raises awareness around the institutionalization of ‘madness’.

Check out the full descriptions of each individual piece below:

  • The phenomenon of “internalized sanism” occurs “when psychiatric survivors adopt the same values and perceptions non-survivors use to oppress them” (Corrigan & Watson, 2002, p.106) Part One explores this by interrogating definitions of ‘sanity’ and ‘madness’, while revealing the mind’s battle between self-hatred for one’s own difference and a genuine appreciation for one’s own uniqueness.

    Song: Love Like a Sunset Part 1 by Phoenix

  • Within “Critiques of Post-Traumatic Stress Disorder and the DSM”, Burstow (2005) makes an argument for the arbitrariness of the DSM’s formal categories, revealing the cyclical nature of its definitions and symptoms. Historically the DSM has been weaponized as a way to pathologize affections often associated with women’s behaviour or trauma, including Borderline Personality Disorder and Hysteria.

    Song: Silent Flight, Sleeping Dawn by Mono

  • Part three builds off psychiatry’s categorical ambiguity to interrogate the loose-handed use of prescription drugs and psychiatric ‘advancements’ such as the trans orbital lobotomy. The passive and routine nature of medication is exemplified, while a glimpse of the relationship between violence and treatment is captured.

    Song: Dawn by Cinematic Orchestra

  • Part four attempts to expose the institution’s motive to silence through drugs, apathy and violence. It deceitfully communicates the politics of control to be a matter of survival, while simultaneously revealing man’s sinful desire for endless power.

    Song: Dawn by Cinematic Orchestra

  • Part five challenges subjective beliefs around harm and healing by pitting interpersonal connection up against medication and surgical procedures. It leaves you with an ethical question around psychiatric science for the sake of science and silence: “Which is better - to damage the brain a bit and get them out of the hospital, or do nothing?”

    Song: Dawn by Cinematic Orchestra

“We need to control the narrative around trauma and put the onus on larger institutions to take accountability for how we are responding mentally, emotionally, and physically to our lack, to our injustices and inequalities and to institutional violence and oppression.”

— Annalissa Crisostomo for Madness Canada

Project Background

Political Art & The Aesthetic Dimension

Psychiatric Hollywood uses audio clips from mainstream western film to engage learners in critical thinking regarding dominant ideologies of mental health. The use of various artistic components, including volume and sound, to evoke strong feelings helps initiate conversations around psychiatric issues but also force us to engage with our ‘self’, our own beliefs and how these beliefs are rooted in dominant values. 

Psychiatric Hollywood was created under the principles of collage-making, a prominent tool to support meaning-making processes because it takes different parts and forms to make a new whole. By taking different parts of fictional and non-fictional TV shows and films, I string together one collective aural journey through processes of labelling and diagnosis. Although it is extremely important to challenge depictions and false representations found within film and other media, I also saw an opportunity to piece together scenes and quotes that would reflect the reality and experiences of oppressed and marginalized groups who have been psychiatrized throughout history, and still are today.

My project was inspired by the use of political theatre at a book launch event hosted by The Coalition Against Psychiatric Assault (CAPA). Both dramatic readings signified, for me, the importance of the dialogical process and the dialectical method of education- i.e. they not only initiated conversations around the issue of psychiatric institutionalization, but also forced engagements with our ‘Self’ and our own beliefs by making us critically challenge them. This is aligned with Marcuse’s belief about the political potential of art - that is that it can “subvert the dominant consciousness, the ordinary experience” (Marcuse as cited by Brookfield & Holst, p.146) and induce in us “an awareness of other ways of being in the world” (Brookfield & Holst, p.146). Milbrandt (2010) provides that the arts “often challenge dominant ideas, values, and tactics of a society and also social movements” (p.13), while exploring societal tensions and boundaries. Psychiatric Hollywood is aimed at challenging the dominant ideologies of Hegemonic notions of mental health, and its potential as a creative product lies not only within its literal content but the aesthetic dimension of auditory mediums, where the message can speak volumes in both the literal and metaphorical sense.

Audio as an Educational Tool

There is a kind of sensational value inherent in audio alone that differs from film, or written work. For example, Anthony Bates (2017) provided a list of benefits for using audio in teaching. One obvious benefit is that it is ideal for auditory learners, however perhaps not as evident, is its capacity to change learners’ attitudes by presenting information in a novel way or from an unfamiliar perspective - a benefit ideal for counter-hegemonic work. Bates provided results of a study conducted by Nicol Durbirdge that revealed audio to be an intimate medium because it provided feelings of ‘personal closeness’, which may better connect the listener to the product and its content. McLuhan (1964) famously coined the phrase “the medium is the message”, forcing us to question the media we choose to use and its impact on its user and society. Audio is used for this project to lure the listener into an experience that feels intimately close and familiar, while at the same time slightly uncomfortable. because, according to Markova & Ryan (2006) that is where the learning happens - in the uncomfortable stretch zone.

Art in Context: A History of Violence and Oppression

It’s important to provide historical context for why and how Psychiatric Hollywood participates in storytelling and bearing witness, whether the films used are fiction or non-fiction. The history of madness and psychiatry within the western context is feathered with oppression, violence and inhumane treatment. By tracing some of the historical lineages of current diagnoses and treatments, we can recognize how power has been and still continues to be executed over people, especially black folks, indigenous folks, queer folks, women and the poor. This has been demonstrated by Burstow (2015) in her published works, Psychiatry and the Business of Madness:

Like many components of westernized culture, psychiatry can be traced back to Greek theorists who medicalized behaviours by viewing psychic issues as ‘medical’ problems. Hippocrates (460 BC- 370 BC), for example, created the prototype for biological psychiatry by attributing affections and behaviours to an imbalance of bodily fluids or ‘humours’. Various conditions (such as mania, paranoia and melancholia) and treatments (such as bloodletting, purging, and application of hot and cold water) have been and continue to be built under this tradition of disorder. 

The permeation of a bio-medical model of mental health has made it easier for oppressed groups to be controlled, by weaponizing diagnosis to establish dominance and uphold traditional ideologies such as white supremacy, colonialism, and patriarchy. For example, doctors have often associated special types of ‘madness’ with women’s sexual or reproductive anatomy, such as hysteria - which was originally conceived to be caused by the movement of the uterus wandering about and bumping other organs and causing a rise in ‘tumultuous passion’. Such psychiatric stereotyping of the female transcends history. Today, Borderline Personality Disorder (BPD) is a diagnosis more frequently ascribed to women than men, often stigmatizing their affections as ‘wild’ and/or ‘extreme’, and without consideration of social inequalities and routine traumas disproportionately affecting them, such as domestic abuse and sexual violence.

The oppression of individuals and communities by ‘medical doctors’ has taken many forms of management throughout history. Black folks, indigenous folks and queer folks have also been, and still are, victim to ‘diagnosis’ and treatment that deny their identities, experiences and histories. For example, Drapetomania, coined in 1851, was a mental illness attributed to those enslaved who attempted to run away (their desire to escape being the ‘symptom’), where it’s corresponding prescribed ‘treatment’ was physical abuse such as whipping. This diagnosis and treatment was used as a way to justifiably control black folks and their narratives about themselves, including their human need to live freely. Even conversion therapy (that still exists across North America today) pathologizes the experiences of the LGBTQ2+ community, as it seeks to “repair” or change one’s sexual or gender identity/expression through drugs, re-parenting techniques, and negative stimuli. One of the more overtly violent contemporary procedures has been the pre-frontal lobotomy/leucotomy (first performed in the United States by Walter Freeman in 1936), which is a surgical procedure severing the connections in the brain’s frontal lobe that works to make the patients more manageable by altering their personality or incapacitating them. These examples illustrate the swooping power of institutions to oppress marginalized groups and maintain their practices as humane and liberatory.

Countering the Perils of Audio ‘Artivism’

As an ‘artivist’ piece, this product essentially falls within the categorical approach of persuasion, which means that it is dependent on the compassion of others to “effect the changes sought out” (Burstow, 2015). This poses challenges captured within the five perils outlined by Kurasawa (2009): Silence, Incomprehensibility, Indifference, Forgetting, and Repetition (p.95).  Within this understanding, I conceive of my challenges to be the following (though I am sure there are many more):

First, I know that online the quality of the vessel doesn’t necessarily mean the message will go viral; it needs a level of legitimacy, and in many cases popularity,  in order for it to first, move across social groups and then, second, for that momentum to be powerful enough and  sustainable enough to move onward and reach higher levels of power  I also recognize that whether the message is decipherable highly depends on a few things including the listener’s stance on psychiatric issues and their level of cultural literacy with respect to film and sound art. Thirdly, I can identify censorship barriers stemming from copyright laws and the use of free online platforms such as soundcloud, which puts this product at risk of being erased if the product gets popular, or if these companies don’t like my use of their product or the message itself.   Finally, and the most significant of them all is the interconnected institutions such as Psychiatry, the Government, and Corporate Business, such as Bell. These all perpetually establish and enforce the status quo by aggressively promoting biomedical models of mental health and psychiatric consumerism.

Some strategies for countering Kurasawa’s perils for artivist audio projects include:

  1. Since audio can be easily shared, there is potential to create alliances founded on diversity by, for example, including various social actors such as buskers, impressionists, sound design students and mental health workers within production.  Another example could be including a wide range of movies in different languages from various countries across the globe.

  2. A strategy for combating collective amnesia is engaging in historical archiving. Birdsall, Parry & Tkaczyk (2012) engaged in auditory historical archiving while discussing the ways sound could be used to give voice to those that have been silenced. They provided that the voices of medical practitioners dominate the records in medical history, while patients' perspectives have been ignored, erased or filtered. Their creative strategy included “the use of sound to interrogate established narratives, [...], and to foster empathic listening among audiences.” (Birdsall, Parry & Tkaczyk, 2012). For example, recordings of therapy sessions may better demonstrate the condescending nature of the practitioner-patient relationship when there is tone and volume involved in their conception. This project, Psychiatric Hollywood, was produced under similar principles of auditory exploration, archiving and bearing witness. 

  3. Lastly, as a witness, artivist, and ally, the most important thing I can do is show up for those that have been disenfranchised: by continuing to share, to engage in dialogue with others, and to create products (audio or otherwise) that keep people challenging what happens in our front yard and behind closed doors.

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