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What Does Psychiatry Say To Nigerians? Celebrating The Humanity Of Oye Gureje

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What Does Psychiatry Say To Nigerians? Celebrating The Humanity Of Oye Gureje
Prof. Gureje

By Tunji Olaopa
Psychiatry as a discipline and a metaphor might, indeed, be more relevant to the understanding of
some psycho-social dimensions and being-ness of the postcolonial context we call Nigeria than might be obvious. Indeed, the Nigerian post-colony is filled with lots of terrible pathologies occasioned by a state that is existing in denial of its significant responsibilities. And in that denial lies the emergence of all the tragic symptoms of poverty, unemployment, infrastructural decay, underdevelopment, impunity,  criminality, religiosity without spirituality and humanity, and bad governance, that have together turned Nigerians into angry and bitter citizens always demanding better quality of life without getting it. I believe that between legitimate aspirations that the citizens hold and the constant denial and deferral of such expectations by underperforming governments, there is a dark abyss in between that generates unhappiness and debilitations of all kinds.

Carl Jung was critically perceptive: “Show me a sane man, and I will cure him for you.” This implies, I surmise, that there is only a thin line between the sane and the insane. Thus, sanity is not a state of mind that should be taken for granted. And that means psychiatry ought to be taken with the utmost professionalism, patriotism and passion, if we must take Nigeria seriously. With these qualities, I am attempting to describe the humanity of Prof. Oyewusi Gureje— reputed to be Nigeria’s “most influential” researcher, a professor extraordinaire of neuropsychiatry, professional mediator of mental health, and a most unique human. I am referring to a scholar whose intimidating research oeuvre has remarkably inserted Nigeria into the global scientific map deserving of celebration.

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Thomas Szasz, the Hungarian-American psychiatrist, once asked: “Is psychiatry a medical enterprise concerned with treating diseases, or a humanistic enterprise concerned with helping persons with their personal problems? Psychiatry could be one or the other, but it cannot—despite the pretensions and protestations of psychiatrists—be both.” It is definite that Szasz was being precipitate about his judgement, and even more so because the capacity of psychiatry to be both a medical and humanistic enterprise depends on the person and commitment of the psychiatrist.

Prof. Gureje is not only an outstanding researcher—the most cited researcher in Nigeria according to the Web of Science Group, he brings patriotism and humaneness to a discipline that is one of the most vilified, but whose views on mental health is fast becoming very fundamental in the world. Prof. Gureje weaves a brilliant web of research, community service and advocacy that brings psychiatry and mental health into the consciousness of Nigerians. His Mental Health Leadership and Advocacy Programme (MHLAP) has achieved the grand status of a continental initiative that draws together mental health care givers, specialists and civil society to confront the ills of mental health and its relevance. And this is all the more significant because the lack of statistical analysis and impact assessment that correlate incidences of banditry, kidnapping, infrastructural burden and the general insecurity and civil conflicts with the mental health of Nigerians complicates the situation badly. And the predicament is terrible because it implicates both the elderly and the youth.

Let us not forget that Nigeria is a youthful country, with a median age of 18. This means that 53.7% of Nigerian population resides between 15 and 65 years. With the increasing incidence of drug abuse, drugs-induced crimes, money rituals, kidnappings for ransom, etc., that youthful population that ought to be the bedrock of human capital development is compromised. And the elderly that ought to be the repository of tradition and values are equally battling multilayered insecurity as the national economy exits and re-enters depression in equal measure, and have proven to be incapable, as yet, of providing safety net to cushion their old age.

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And so, we are back, undoubtedly to the late Prof. Adeoye Lambo and his call for Nigeria’s political class to be subjected to mental health check before they contest for any political post. This seems logical given the spate of primitive accumulation and corrupt practices that, for instance, sees a person stealing 100 billion naira in a country where about 95 million Nigerians are living below the poverty line. This is further complicated by sociocultural practices by Nigerians themselves, that stretch the curve between the search for money (through money rituals) and the frivolous and wanton display of wealth (through owambe partying). There are also paradoxical incidences of seemingly fulfilled individuals and professional committing suicide. Medical doctors and psychiatrists speak about the revolving-door syndrome whereby an individual is diagnosed of mental health issue, is treated and leaves only to return a few weeks later because such an individual took her healing for granted and thus stopped taking the drugs. And so, Prof. Gureje and his associates and colleagues will keep lamenting a state of national mental health debilitation occasioned by a leadership that itself requires a mental health check.

Most unfortunately, Nigeria’s elite nationalism has occasioned morbid symptoms that complicates her developmental trajectory, especially the urgency of birthing a democratic developmental state that will take good governance seriously. The theories and rhetoric of Nigeria’s development failures keep mounting abysmally. We have heard of the wasted generation, the characteristic of Nigeria as a crippled giant, as well as the tragic horror of prebendalism and neo-patrimonialism. And yet, these terrible epithets do not discourage a profligate leadership from its tragic course.

Nigeria’s leadership quotient seems devoid of creative governance initiatives. I should know because I have struggled for many years to champion institutional and governance reforms that could help nudge the country toward a development progress. Nigeria has not been fully integrated into the fourth industrial revolution, not to talk of being ready for the fifth. And the source of the trouble lies in the predilection of the leadership—administrative and political—to favor mediocrity at the expense of meritocracy, and the lack of critical attention to those Nigeria’s human capital development requirements that lead to an uncaring attitude about the state of higher educational development. No wonder the brain drain phenomenon is truly draining the critical mass of competences and skills that could have been deployed for Nigeria’s progress. As Cassius says to Brutus in Shakespeare’s Julius Caesar, “Men at some times are masters of their fates: The fault, dear Brutus, is not in our stars, But in ourselves, that we are underlings.”

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The leadership of the Nigeria state has so far failed to take charge of the fate of Nigeria and Nigerians. And this in itself, from a psychiatric perspective is a mental health issue. And so, we begin to understand the predicament of scholars like Prof. Gureje who are patriotic enough to stand with the task of treating Nigeria’s psychosis. There is a point in scholarship that scholars like Gureje gets to that it becomes clear that more is required beyond research and scholarly visibility. The way Professor Gureje has mediated that relevance is to continually maintain large collaborative networks involving students and colleagues to facilitate broader academic capital and public education. Much more than this, Gureje also ardently curates his research findings and outputs to policymakers across Nigeria and beyond. This is a significant strategy by which he seeks to maintain a firm touch with his environment. In 2009, for instance, he facilitated a meeting of health ministers from across Africa to brainstorm on the relevance of mental health and how to keep increasing the consciousness around mental health services.

Now, Professor Oyewusi Gureje has achieved a septuagenarian pride—he has just added the hoary grace of age, as an àgbàlagbà, to the whole list of his overall excellence. The number seventy carries abundant sociocultural and theological significations. Even as the scripture pegs the normal span of human life at seventy, Prof. Gureje has filled that span with enviable values of being a worthy human blessed with a heart that reaches the very depth of sacred and providential enablement. But then, seventy is just the beginning for a man who is relentless in doing good, from scholarship that bends tradition and orthodoxy to the demands of necessity, to mentorship that raises millions to keep passing the baton of the excellence of outreach, advocacy and patriotic assistance to the nation that made him possible.

One can imagine the pain of someone who has made the diagnosis, epidemiological studies and prevention of mental health crisis his life-long endeavor, now waiting for the government to respond to many years of scholarly research and policy initiative to be backed by the political will that will attend to the psychosis of the Nigerian society. And yet, the Mental Health Bill has still not seen the light of the day, as a sort of crowning patriotic reward for someone who has given so much effort to redeem the mental stress of Nigerians. And by still oscillating over the status of that bill, we arrive at the height of Nigeria’s neurological imbalance—this is a nation that has a host of critical minds and intellects working around her mental health issue, and yet the nation prefers to languish in that situation. Nigeria is deeply enmeshed in the revolving door syndrome!

There is no doubt that, in the mystery of providential wisdom, God has blessed Professor Oyewusi
Gureje, like he blessed Bezaleel in Exodus 31. It remains for the leadership of the Nigerian state to heed the character value and professional excellence that God has deposited in this extraordinary human being, and harness it for national development. The first place to start is to pass the Mental Health Bill as a testimonial to the excellent effort of Prof. Gureje and team to deploy psychiatry to the understanding of Nigeria’s underdevelopment and arrested progress and national health.

Olaopa is a retired Federal Permanent Secretary, and  Professor, National Institute for Policy and Strategic Studies 

(NIPSS), Kuru, Jos .

tolaopa2003@gmail.com

 

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Opinion

Fear Of Witchcraft And Politics In Zambia

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Witch Burning, Impunity And Abuses Linked to Witchcraft Beliefs In Benue State
Dr Leo Igwe

By Leo Igwe

The Advocacy for Alleged Witches (AfAW) is concerned over the reported arrest of two men accused of being ‘witchdoctors’ in Zambia. The arrest underscores the potency of witchcraft fears and the connection between occult anxieties and the country’s politics. These individuals were accused of trying to bewitch the Zambian president, Hakainde Hichilema. The police claimed that they had charms. They planned to use the charms to harm the president. The report says the two persons have been charged under Zambia’s Witchcraft Act. The Act criminalizes “possession of charms”, “professing knowledge of witchcraft”, and “cruelty to wild animals”. The police found the two with assorted charms, including a live chameleon.

This development is utterly embarrassing and shows that the Zambian government is slowly losing its focus and bearing.The country has many socio-economic challenges. Suspicion of bewitchment or possession of charms should be the least of its worries at this time. There should be no place for witchcraft and possession of charms in modern politics because there is no evidence for these beliefs and practices. Zambian authorities should not weaponize the Witchcraft Act or use it to justify this incident. Zambian law does not recognize witchcraft. Zambia’s Witchcraft Act criminalizes naming or imputing witchcraft. It prohibits accusing or threatening to accuse any person of being a witch or a wizard. In this case, it is the police who are breaking the law.

Otherwise, how did they know the two individuals were ‘witchdoctors’? Did these persons identify as witch doctors? If not, the police are liable because they named and imputed witchcraft and have to prove that these individuals have witch-doctoring powers. The police claimed to have charged these individuals for possessing “assorted charms”, including a chameleon. Really?

The police in Zambia have questions to answer: What are charms? How did they know that what was in their possession were charms, not pets? Is a chameleon a form of charm? What makes possession of a chameleon possession of a charm? When and how does a chameleon become a charm? The police need to answer these questions and more before one takes them seriously.

Again, did the individuals describe what was in possession as ‘charms’? If they did, does confessing or designating something as a charm make it a charm? And if they did not, the police are liable because they need to prove how those possessions translated into charms.

In addition, the police claimed that the duo wanted to bewitch the president. What does that mean? How did they know? Are the police not contravening a provision under the Witchcraft Act by professing knowledge of witchcraft? Can one harm another person using a chameleon? They claimed that the two persons wanted to use the charms in their possession, including the chameleon to harm the president. How did they know that? What is the evidence for that?

The Advocacy for Alleged Witches calls for an end to this state-sponsored witch hunt. There is no evidence of harm through witchcraft or charms. The Zambian government should desist from witchcraft- related infractions and violations including arbitrary arrest, and detention of innocent citizens. These allegations are baseless and absurd. The arrest was politically motivated. This development demonstrates that Zambian authorities are out of sync with their duty and obligation to uphold the rule of law and protect accused persons.

Zambian authorities need to act in compliance with the 2021 UN resolution, which urged states to take measures to combat abuses linked to witchcraft beliefs and ritual attacks. End witchcraft allegations in Zambia. End witch hunts in Africa now!

Dr Igwe directs the Advocacy for Alleged Witches.

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Opinion

Burning Issues: (FCT Minister And Paulosa) (2)

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Readers’ Showers Of Encouragement
Prof. Tony Afejuku

By Tony Afejuku

The other burning issue, apart from Farotimi and Babalola’s, which I wish to take a look at – and which I am taking a look at now – relates to what is happening in our capital territory. What is this burning issue – which our human rightists and civil society organisations and personages are surprisingly and un-satisfactorily not inclined to focus attention on and examine as they should? I may be wrong, but it surely seems to me that this issue, this burning issue, which is of more importance than Farotimi and Babalola’s – which has been given undue adulation – is deliberately being neglected and depreciated by proclaimers and heroes and heroines of human rights, justice, equity and equality of rights in your country my country our country. Why, why, why and why, why, why? Anyone who has any iota of patriotic sensibility, feeling and judgment well watered and buttressed by a very great influence upon his or her critical judgment will keep on asking the question I am asking.

Mr. Nyesom Wike, as almost everybody who can read and write a little knows, is the current minister of your, my and our Federal Capital Territory. His post or office is akin to that of a governor of a state. As the immediate past governor of Rivers State who was drafted, after his two terms there expired, to continue in the FCT as its new minister-governor or governor-minister under the auspices of a party he is not a true member of, Mr. Wike cannot but be seen as a lucky man. He is in every possible and impossible way. Minister-Governor Wike is a lucky man and a very fortunate one indeed. No former governor of Rivers State (or of any Nigerian state), as far as I know, has achieved what the famed political rouser of rabbles has achieved in one short gubernatorial life-time, and at a relatively young and fertile age. His dual achievement with and in two different political parties at this delicate point of Nigerian politics indicates to our politicians and us all that there is always time for a reminder that there are ready-made high rewards for arch-angels of betrayals. And Mr. Wike may go down in Rivers and Nigerian history as both an arch-angel and an emperor of betrayal of us all if we attempt to indicate what I have defined here as his dual achievement.

We can roughly divide, briefly, Wike’s political development into two periods. During the first, excluding his lower political positions before he became the governor of Rivers State, he quickly adapted his style to that of an emperor who became a rabble-rouser of rabble-rousers whose gubernatorial efficiency moved from stiffness to stiffness. He did not at any time feel that he needed suppleness to govern Rivers State. “Let the heavens fall if they must fall!” We are not there yet in this attempted analysis of the stiff-hearted and stiff-minded one. True? But he is already demonstrating this characteristic in Abuja. False? Judge and give the answer yourself.

Even after he left Rivers State a short while ago as governor, he is still trying to control happenings there to the political discomfiture of his hand-picked successor, his erstwhile “boy” and “son” – with whom he has fallen out. As the minister-governor or governor-minister of the FCT, Wike is occupied with the other taste of the emperor-juggernaut formulator – doing the work of two key political masters in one room and desk of political jugglery. Since his appearance in the FCT, minister-governor or governor-minister Wike has allegedly attempted to recover or transform for Abuja what is not traditionally or socially Abuja’s, for example, the city’s social idiom and landscape and terrain as well as its environs. In doing this he sometimes over-steps his bounds and mark of human/inhuman decency/indecency and psychological understanding of human nature, if you follow well what I am saying; he has so far become at best not really better than a typical pedestrian Nigerian lawyer and officer of political power: in his explorations so far in the Federal Capital Territory we have come to the realization, as T. S. Eliot would say, that “it is so often true that only by going too far can we find out how far we can go.” But one has to be a very negatively obstinate and self-serving emperor and a thorough-bred arch-angel of betrayal of the people and masses to justify such perilous and perfidious expeditions and adventures.

Last week, I saw on Arise Television “The Morning Show” Chief Rita Lori-Ogbebor, the dutiful widow of the late Nigerian supreme patriot and soldier, Colonel Ogbebor (of Benin stock) battling, so to say, to wrest the legacy of her late husband from the tight grip of the adventurous FCT minister-governor who has registered his name and signature in the hearts and consciousness of the people as the depriver of their possessions. The three anchors of “The Morning Show” were in their respective ways splendid in their structures of remarks and questions to Chief (Mrs.) Rita Lori-Ogbebor whom I have had occasions in times past to call patriotically Rita A-K 47 on account of her natural right to fire her beautiful tongue at any person, usually an enemy, of just actions. When she made the case she made to protect the estate of Paulosa Nigeria Limited, her late husband’s aforesaid legacy in the FCT, she was in her natural territory, habitat and element where even at age eighty-four, she never ever loses her stability – although she unusually restrained herself in the Arise Television appearance. Dr. Reuben Abati, Rufai Oseni, and Ayo Mairo-Ese clearly explored seriously but delightfully the mind of the mother-hen of Warri – my other coinage and appellation I gave her in my poetry. Her “The Morning Show” appearance enabled me to see the poignant cry de profundis of the FCT inhabitants whose property and residences in different guises have been demolished. She did not say anything that was out of joint. She spoke and came out as a mother, protector and symbol of the people who have suffered – and are suffering – from the state of affliction and anguish Wike’s demolitions have placed – and are placing – the people.

Ojy Okpe in her delicious and delectable “What is Trending” slot on the same show, showed without exaggeration but with further elaboration what people in and outside Abuja/FCT think of the mighty Wike’s demolitions, a burning issue that the Senate has asked “Let Heaven Fall” minister-governor Wike to halt as the committee the Senate set up on the issue starts its work. Of course, we cannot but assume that Chief Rita Lori-Ogbebor, Mrs. Natasha Akpoti-Uduaghan as well as Mrs. Ireti Kingigbe, the senator representing the FCT in the Senate and other patriotic senators diligently did what they did on the floor of the Senate when the burning issue was tabled for debate with the gracious understanding and authorization of the Senate President.

I need to state further that the “The Morning Show” anchors did well and extremely so by giving the minister-governor the opportunity to air his anti-Paulosa story. His senior special assistant on public communication and social media, Mr. Olalere Olayinka, stood in for him. After he gave the reasons for the clamp-down, his responses to the questions the anchors put to him followed the usual pattern of denials by artificial men in power – denials that they always use to intimidate and betray the people. In fact, Mr. Olayinka’s ploy to ride easily over our dear Rufai Oseni, a wholesome representative of the deprived, that the chap (or is it guy?) and his boss always employ their colloquial speeches and remarks to dishonor, failed. Yes, the ploy failed woefully. In stanza after stanza of the exchanges between Mr. Olayinka and the Arise anchors, he deteriorated – and his deterioration was hall-marked when he unwittingly revealed that the Paulosa land had been acquired by his minister-governor’s close cohort, an act that was nothing short of gross abuse of power and authority.

Because the Senate is already using its authority, power and privilege to resolve the burning issue, hopefully, in a way that the late Colonel Ogbebor’s legacy and family will not be subjected to any kind of degradation, I will utter no more words for now. I trust, however, that the liberties the Senate is taking – or has taken – are for the sake of order to favour the down-trodden.

As for the minister-governor, the PDP emperor at large, here is an immortal quote from Marcus Aurelius, the magnificent and authentic Roman Emperor and philosopher (A.D. 121-180): “If it is not right, do not do it; if it is not true, do not say it.” You lose nothing by giving us a slice of your humanity by your right acts and correct words. Everything changes and passes. Be humane as a human being.

Afejuku can be reached via 08055213059.

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Opinion

Questionstorm As A Method Of Teaching

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Witch Burning, Impunity And Abuses Linked to Witchcraft Beliefs In Benue State

By Leo Igwe

Recently, I facilitated a critical thinking workshop at the Bay Wreath Schools in Lagos. The theme was critical thinking and teacher development. As the theme stated, the workshop was on teaching, about teaching, and for teachers. It highlighted the pedagogical value of critical and reflective inquiry. The workshop exposed teachers to critical mental habits and skills. It emphasized how critical thinking would enhance expertise in the learning and delivery of subjects in classrooms.

I used the opportunity to discuss questionstorm as a method of teaching and learning. Questionstorm is a way that I operationalized critical thinking for primary and elementary schools. Questionstorm is the ability to interrogate all objects and materials. It is a habit of questioning ideas and experiences in all areas of human endeavor. Simply put, questionstorm is a question-driven inquiry. Children are naturally curious. They thirst for knowledge and understanding. Unfortunately, the school system kills children’s curiosity and dampens their interrogative appetite. The school system places much emphasis on rote learning and memorization. It makes the generation of answers not questions or problems the test of knowledge, and the determinant of intelligence. Teaching is largely a drudgery, a monotonous exercise, and a process of depositing knowledge on passive recipients, the students. Teaching entails dumping information on learners whose duty is to cram and reproduce during tests or examinations.

This teaching praxis has been criticized and blamed for the poor performance of students post-school (college and university) and their inability to think independently, creatively, and innovatively. Other teaching methods have tried to address these gaps and limitations. There have been suggestions to make teaching and instruction more active, and more student/learner/child-centered. One such method is the Montessori method. The Montessori method discourages grades and tests as ways of measuring achievement or determining intelligence and excellence. It emphasizes hands-on learning and the development of real-world skills. While the Montessori method stresses the practical approach to learning it says very little about the authoritarian teacher-to-student approach that is the mainstay of teaching and learning in classrooms. Teaching follows a pattern that leaves students and learners in the margins and unable to question and contribute to the learning process. Teachers present what is to be learned such as a text, and then generate questions that students respond or address to demonstrate knowledge of what has been taught. The student’s or learner’s main job is to answer questions, to look for or find answers or solutions. The teacher’s work is to get students to look for, and provide answers, and reproduce what they have been taught or told. But students are answer-depots. Students are not memory banks or reserves. They are active minds and thinking agents.

With questionstorm as a teaching method, the mode of instruction would change. Teaching becomes a cooperative endeavor that actively involves teachers and students. What is taught in the classroom is a collaborative note, not the teacher’s note, not a handout to students. Teachers present or generate texts or objects for learning, in response to intense questioning of the object or material by students, teachers provide information as required for that subject, topic, level, and time frame. No two instances of teaching – of the same topic or subject- are or should be the same because the input of students and teachers is not predetermined.
This is because of an overlooked principle in teaching and learning, that I call the “uncertainty principle”.

The uncertainty principle underlies questionstorm because knowledge is not fixed. Learning is a fluid process. All that is to be learned is uncertain, it is unknown and never determined. No teacher can say beforehand what is to be taught or learned because no one knows exactly the questions and answers or replies that would arise when a topic is presented or taught in a particular class. A topic or learning material elicits unique responses and exchanges that both teachers and students cannot exactly know or predict a priori, before the fact.

Teaching is a shared task and responsibility. Class notes are fluid materials. They are not texts cast on educational stones and delivered by teachers to students to copy, cut, and paste as is often the case. Class notes are not written or produced by teachers for students but by teachers with students. Teachers’ notes are incomplete and insufficient. They account only for a part, not a whole of the learning process and material. Students’ input completes and complements the teaching material and learning process. Thus every class note is unique because it is a product of a specific collaborative endeavor, a product of particular teaching and learning agents and circumstances that cannot be repeated or replicated.

Thus, as a teaching method, questionstorm is set to facilitate teacher development and improve the quality of instruction in schools. Questionstorm will help realize a paradigm shift in education and learning. I hope educators, teachers, and school managers will embrace this method of teaching and learning.

Dr  Igwe directs the Critical Thinking Social Empowerment Foundation.

 

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