This article examines exposure in the mobile reach of care in war in order to theorise exposure a... more This article examines exposure in the mobile reach of care in war in order to theorise exposure as care. It does so from the margins, focusing on US military medical professionals of the officer class in the Iraq and Afghanistan wars, who feel distanced from the 'real' war experience represented by the infantry soldier, and thus engage in practices of exposure to gain the 'trust' and 'respect' of their soldier-patients. To grasp something of the promise and perils of exposure and its everyday enactments, I analyse one army physician assistant's accounts of secretly stealing away on combat missions and the use of an ambulation tool called 'the walkabout' by the military mental healthcare community. The material, operational, and tactical settings of counterinsurgency and the professional cultures of military care occupations dynamically intersect to engender specific contexts for, opportunities within, and risks associated with exposure among military elite. An examination of exposure reveals that military medical professionals recast the hegemonic authority of proximity to soldiering in terms of the ethical norms and professional values of medicine: in a word, as care.
With the United States military stretched thin in the “global war on terror,” military officials ... more With the United States military stretched thin in the “global war on terror,” military officials have embraced psychopharmaceuticals in the effort to enable more troops to remain “mission-capable.” Within the intimate conditions in which deployed military personnel work and live, soldiers learn to read for signs of psychopharmaceutical use by others, and consequently, may become accountable to those on medication in new ways. On convoys and in the barracks, up in the observation post and out in the motor pool, the presence and perceived volatility of psychopharmaceuticals can enlist non-medical military personnel into the surveillance and monitoring of medicated peers, in sites far beyond the clinic. Drawing on fieldwork with Army personnel and veterans, this article explores collective and relational aspects of psychopharmaceutical use among soldiers deployed post-9/11 in Iraq and Afghanistan. I theorize this social landscape as a form of “medication by proxy,” both to play on the ...
The unprecedented reliance today on psychiatric drugs to maintain mission readiness in war and to... more The unprecedented reliance today on psychiatric drugs to maintain mission readiness in war and to treat veterans at home has been the subject of ethical debate in the United States. While acknowledging these debates, I advocate for an ethnography of how US soldiers and veterans of the Iraq and Afghanistan wars themselves articulate political and ethical tensions in their experiences of psychiatric drug treatment. Detailing one army veteran's interpretations of drug effects as narrated through the lens of his current antiwar politics, I examine the radicalizing transformations of self and subjectivity that he attributes both to his witnessing drug use in Iraq and to the neurochemical effects of his own medications. Playing on the biomedical notion of "side effects," I highlight surprising political and ethical openings that can surface when psychopharmaceuticals and war intersect. Psychotropic medication use offers a critical realm for furthering the ethnographic study ...
Although a significant body of scholarship has examined medical discourse in clinical and other i... more Although a significant body of scholarship has examined medical discourse in clinical and other institutional settings, far less has been studied in regard to the discursive activity of health professionals in the public sphere. This line of inquiry is particularly relevant in Kerala, south India, where, for reasons including felt obligation, the political economy of allopathic mental health care, and desires for social prestige, many psychologists and psychiatrists actively engage the public as lecturers, authors, and guests of television and radio programs alongside their clinical work. Ethnographic attention to discursive activity in the public sphere reveals how these experts blur the boundaries between clinical and popular registers of speech and forge alternative ethical sensibilities and values that challenge institutionally prescribed ideas of clinical professionalism. They do so in ways that can attract reprobation and accusations of quackery among critical peers who hold competing ideas of where, how, and to whom mental health professionals "should" speak.
In the south Indian state of Kerala, the nation's so-called suicide capital, suicide can often ap... more In the south Indian state of Kerala, the nation's so-called suicide capital, suicide can often appear self-evident in meaning and motivation to casual onlookers and experts alike. Drawing on explanatory accounts, rumors, and speculative tales of suicide collected between 2004 and 2007, this article explores the ontological power of certain deaths to assert themselves as alwaysalready known on the basis of perceived and reported demographic patterns of suicide. I demonstrate the ways suicides are commonly read, less through the distinct details of their individual case presentations than "up" to broader scales of social pathology. Shaped by the intertwined histories of public health intervention and state taxonomic knowledge in India, these "epidemic readings" of suicide enact a metonymy between individual suffering and ideas of collective decline that pushes the suicide case to fit-and thus to stand for-aggregate trends at the level of populations. Focusing on how family navigated the generic meanings and motivations ascribed to the deaths of their loved ones, I argue that the ability of kin to resist, collude with, or strategically deploy epidemic readings in their search for truth and closure hinged significantly on their classed fluency in the social, legal, and bureaucratic discourses of suicide.
As a civilian anthropologist faculty member and a then-undergraduate student and veteran of the U... more As a civilian anthropologist faculty member and a then-undergraduate student and veteran of the US Marine Corps, we draw on our experiences working together on a six-month exploratory ethnographic research project to detail the process and consider its implications, both scholarly and personal. We offer observations and reflections of the amplifying possibilities that may open up when faculty researchers share control over the research agenda, process, and actions with student veteran researchers. We reflect in particular on the value of research methods that foster spaces for women military veterans to produce, share, analyze, and contest knowledge about their experiences. While the personal significance of collaboration for student veteran researchers may be varied and multiple-whether scholarly, social, political, therapeutic, or otherwise-these collaborations also have broader implications. Namely, the inclusion of traditionally underrepresented military veterans in academic knowledge production about their experiences, priorities, and concerns.
Officially referred to as "unit watch" and more colloquially as "buddy watch," the use of continu... more Officially referred to as "unit watch" and more colloquially as "buddy watch," the use of continuous direct observation and restrictive measures enforced by peers is a widely used, though controversial, tool in the US Army's suicide prevention efforts. Borrowing from the Army concept and system of the battle buddy, the partnering of soldiers who assist each other in and out of combat, the unit watch is simultaneously conceived as a means of "family" concern, treatment, surveillance, restraint, and even mentorship. Drawing on fieldwork among soldiers and veterans of the Iraq and Afghanistan wars, I explore what the practice of unit watch reveals about institutional and psychiatric interventions as a form of constraint-as-care in settings of global US military power. I emphasize the bodily and affective dimensions of the unit watch and the forms of sociality, including coerced obligation and forced intimacy, that the unit watch can produce. Soldiers' accounts of being watched and watching others under the sign of unauthorized violence also highlight the tense and ambivalent nature of managing suicide in material, institutional, and geopolitical settings organized for the production of violence. [suicide prevention, unit watch, psychiatric care and constraint, risk management, military]
With the United States military stretched thin in the ''global war on terror,'' military official... more With the United States military stretched thin in the ''global war on terror,'' military officials have embraced psychopharmaceuticals in the effort to enable more troops to remain ''mission-capable.'' Within the intimate conditions in which deployed military personnel work and live, soldiers learn to read for signs of psychopharmaceutical use by others, and consequently, may become accountable to those on medication in new ways. On convoys and in the barracks, up in the observation post and out in the motor pool, the presence and perceived volatility of psychopharmaceuticals can enlist non-medical military personnel into the surveillance and monitoring of medicated peers, in sites far beyond the clinic. Drawing on fieldwork with Army personnel and veterans, this article explores collective and relational aspects of psychopharmaceutical use among soldiers deployed post-9/11 in Iraq and Afghanistan. I theorize this social landscape as a form of ''medication by proxy,'' both to play on the fluidity of the locus of medication administration and effects within the military corporate body, and to emphasize the material and spatial ways that proximity to psychopharmaceuticals pulls soldiers into relationships of care, concern and risk management. Cases presented here reveal a devolution and dispersal of biomedical psychiatric power that complicates mainstream narratives of mental health stigma in the US military.
Against the backdrop of an unprecedented number of women deploying
in a new array of roles in the... more Against the backdrop of an unprecedented number of women deploying in a new array of roles in the so-called "global war on terror" and the official opening of combat arms units to women in the United States military, menstruation has served as a key idiom in debates about what it means for women to wage war. In this article, I explore what public curiosity about and military anxieties over soldier menstruation can tell us about the banal and bodily nature of women’s militarization as a deeply affective, sensorial, and embodied process, and the tensions these anxieties reveal within liberal promises of a gender-integrated US military. Drawing on discourse analysis and ethnographic interviews, I examine efforts within US military medicine to hormonally regulate women soldiers’ menstrual cycles as a matter of military operational concern, alongside public narratives by women soldiers who deny the significance of menstruation to the work of soldiering. I argue that both of these discourses enact a conflation between womanhood and menstruation in the debate over women’s role in and at war, in a manner that circumscribes the possibilities of what we can apprehend – and feel – about war and soldiering as gendered experience.
In 2006, the United States Department of Defense developed for the first time official criteria f... more In 2006, the United States Department of Defense developed for the first time official criteria for the use of psychopharmaceuticals “in theater”—in the physical and tactical spaces of military operations including active combat. Based on fieldwork with Army soldiers and veterans, this article explores the transnational and global dimensions of military psychopharmaceutical use in the post-9/11 wars. I consider the spatial, material, and symbolic dimensions of what I call “pharmaceutical creep”—the slow drift of psychopharmaceuticals from the civilian world into theater and into the military corporate body. While pharmaceutical creep is managed by the U.S. military as a problem of gatekeeping and of supply and provisioning, medications can appear as the solution to recruitment and performance problems once in theater. Drawing on soldiers’ accounts of medication use, I illuminate the possibilities, but also the frictions, that arise when routine psychopharmaceuticals are remade into technologies of global counterinsurgency. [global pharmaceuticals, psychiatric medications, psychiatry, U.S. military, U.S. empire]
The unprecedented reliance today on psychiatric drugs to maintain mission readiness in war and to... more The unprecedented reliance today on psychiatric drugs to maintain mission readiness in war and to treat veterans at home has been the subject of ethical debate in the United States. While acknowledging these debates, I advocate for an ethnography of how US soldiers and veterans of the Iraq and Afghanistan wars themselves articulate political and ethical tensions in their experiences of psychiatric drug treatment. Detailing one army veteran’s interpretations of drug effects as narrated through the lens of his current antiwar politics, I examine the radicalizing transformations of self and subjectivity that he attributes both to his witnessing drug use in Iraq and to the neurochemical effects of his own medications. Playing on the biomedical notion of “side effects,” I highlight surprising political and ethical openings that can surface when psychopharmaceuticals and war intersect. Psychotropic medication use offers a critical realm for furthering the ethnographic study of the lived tensions and contradictions of military medicine and medicalization as revealed in militarized embodied experience.
As a civilian anthropologist faculty member and a then-undergraduate student and veteran of the U... more As a civilian anthropologist faculty member and a then-undergraduate student and veteran of the US Marine Corps, we draw on our experiences working together on a six-month exploratory ethnographic research project to detail the process and consider its implications, both scholarly and personal. We offer observations and reflections of the amplifying possibilities that may open up when faculty researchers share control over the research agenda, process, and actions with student veteran researchers. We reflect in particular on the value of research methods that foster spaces for women military veterans to produce, share, analyze, and contest knowledge about their experiences. While the personal significance of collaboration for student veteran researchers may be varied and multiple-whether scholarly, social, political, therapeutic, or otherwise-these collaborations also have broader implications. Namely, the inclusion of traditionally underrepresented military veterans in academic knowledge production about their experiences, priorities, and concerns.
Although a significant body of scholarship has examined medical discourse in clinical and other i... more Although a significant body of scholarship has examined medical discourse in clinical and other institutional settings, far less has been studied in regard to the discursive activity of health professionals in the public sphere. This line of inquiry is particularly relevant in Kerala, south India, where, for reasons including felt obligation, the political economy of allopathic mental health care, and desires for social prestige, many psychologists and psychiatrists actively engage the public as lecturers, authors, and guests of television and radio programs alongside their clinical work. Ethnographic attention to discursive activity in the public sphere reveals how these experts blur the boundaries between clinical and popular registers of speech and forge alternative ethical sensibilities and values that challenge institutionally prescribed ideas of clinical professionalism. They do so in ways that can attract reprobation and accusations of quackery among critical peers who hold competing ideas of where, how, and to whom mental health professionals "should" speak. [public sphere, professionalism, mental health discourse, psychiatry, register, quackery]
In the south Indian state of Kerala, the nation’s so-called suicide capital, suicide can often ap... more In the south Indian state of Kerala, the nation’s so-called suicide capital, suicide can often appear self-evident in meaning and motivation to casual onlookers and experts alike. Drawing on explanatory accounts, rumors, and speculative tales of suicide collected between 2004 and 2007, this article explores the ontological power of certain deaths to assert themselves as always-already known on the basis of perceived and reported demographic patterns of suicide. I demonstrate the ways suicides are commonly read, less through the distinct details of their individual case presentations than ‘‘up’’ to broader scales of social pathology. Shaped by the intertwined histories of public health intervention and state taxonomic knowledge in India, these ‘‘epidemic readings’’ of suicide enact a metonymy between individual suffering and ideas of collective decline that pushes the suicide case to fit—and thus to stand for—aggregate trends at the level of populations. Focusing on how family navigated the generic meanings and motivations ascribed to the deaths of their loved ones, I argue that the ability of kin to resist, collude with, or strategically deploy epidemic readings in their search for truth and closure hinged significantly on their classed fluency in the social, legal, and bureaucratic discourses of suicide.
In the language of the medical file, “complaint” refers to the symptoms and ailments reported by ... more In the language of the medical file, “complaint” refers to the symptoms and ailments reported by the patient. In this article, I draw on ethnographic fieldwork conducted between 2004 and 2007 in the mental healthcare setting in South India to argue that the typology of “complaint” and the dialogic exchanges involved in its production mark a far wider catchment area for the allegations and grievances that circulate between patient, kin, clinician, and observing anthropologist. I propose the notion of the register of complaint as a hermeneutic for grappling with the emotionally charged, interactional processes of accusation, arbitration, and reportage that drive clinical modes of inquiry and evaluation in the South Indian mental health en- counter. Ethnographic case studies suggest that grievance and accusation command both a vital directive force and evidentiary role in the social, moral, and emotional work of psychiatric diagnosis. [complaint, diagnosis, kinship and family, emotion, psychiatry, South India]
This article examines suicide prevention among children in India’s “suicide capital” of Kerala to... more This article examines suicide prevention among children in India’s “suicide capital” of Kerala to interrogate the ways temporalization practices inform the cultivation of ethical, life-avowing subjects in late capitalism. As economic liberalization and migration expand consumer aspiration in Kerala, mental health experts link the quickening of material gratification in middle-class parenting to the production of insatiable, maladjusted, and impulsively suicidal children. Experiences of accelerated time through consumption in “modern” Kerala parenting practice reflect ideas about the threats of globalization that are informed both by national economic shifts and by nostalgia for the state’s communist and developmentalist histories, suggesting that late capitalism’s time–space compression is not a universalist phenomenon so much as one that is unevenly experienced through regionally specific renderings of the past. I demonstrate how experts position the Malayali child as uniquely vulnerable to the fatal dangers of immediate gratification, and thus exhort parents to retemporalize children through didactic games built around the deferral of desires for everyday consumer items. Teaching children how to wait as a pleasurable and explicitly antisuicidal way of being reveals anxieties, contestations, and contradictions concerning what ought to constitute “quality” investment in children as temporal subjects of late capitalism. The article concludes by bringing efforts to save elite lives into conversation with suicide prevention among migrants to draw out the ways distinct vulnerabilities and conditions of precarity situate waiting subjects in radically different ways against the prospect of self-destruction.
Once celebrated as a model development for its progressive social indicators, the southern Indian... more Once celebrated as a model development for its progressive social indicators, the southern Indian state of Kerala has earned the new distinction as the nation’s suicide capital, with suicide rates soaring to triple the national average since 1990. Rather than an aberration on the path to development and modernity, Keralites understand this crisis to be the bitter fruit borne of these historical struggles and the aspirational dilemmas they have produced in everyday life. Suicide, therefore, offers a powerful lens onto the experiential and affective dimensions of development and global change in the postcolonial world.
In the long shadow of fear and uncertainty that suicide casts in Kerala, living acquires new meaning and contours. In this powerful ethnography, Jocelyn Chua draws on years of fieldwork to broaden the field of vision beyond suicide as the termination of life, considering how suicide generates new ways of living in these anxious times.
This article examines exposure in the mobile reach of care in war in order to theorise exposure a... more This article examines exposure in the mobile reach of care in war in order to theorise exposure as care. It does so from the margins, focusing on US military medical professionals of the officer class in the Iraq and Afghanistan wars, who feel distanced from the 'real' war experience represented by the infantry soldier, and thus engage in practices of exposure to gain the 'trust' and 'respect' of their soldier-patients. To grasp something of the promise and perils of exposure and its everyday enactments, I analyse one army physician assistant's accounts of secretly stealing away on combat missions and the use of an ambulation tool called 'the walkabout' by the military mental healthcare community. The material, operational, and tactical settings of counterinsurgency and the professional cultures of military care occupations dynamically intersect to engender specific contexts for, opportunities within, and risks associated with exposure among military elite. An examination of exposure reveals that military medical professionals recast the hegemonic authority of proximity to soldiering in terms of the ethical norms and professional values of medicine: in a word, as care.
With the United States military stretched thin in the “global war on terror,” military officials ... more With the United States military stretched thin in the “global war on terror,” military officials have embraced psychopharmaceuticals in the effort to enable more troops to remain “mission-capable.” Within the intimate conditions in which deployed military personnel work and live, soldiers learn to read for signs of psychopharmaceutical use by others, and consequently, may become accountable to those on medication in new ways. On convoys and in the barracks, up in the observation post and out in the motor pool, the presence and perceived volatility of psychopharmaceuticals can enlist non-medical military personnel into the surveillance and monitoring of medicated peers, in sites far beyond the clinic. Drawing on fieldwork with Army personnel and veterans, this article explores collective and relational aspects of psychopharmaceutical use among soldiers deployed post-9/11 in Iraq and Afghanistan. I theorize this social landscape as a form of “medication by proxy,” both to play on the ...
The unprecedented reliance today on psychiatric drugs to maintain mission readiness in war and to... more The unprecedented reliance today on psychiatric drugs to maintain mission readiness in war and to treat veterans at home has been the subject of ethical debate in the United States. While acknowledging these debates, I advocate for an ethnography of how US soldiers and veterans of the Iraq and Afghanistan wars themselves articulate political and ethical tensions in their experiences of psychiatric drug treatment. Detailing one army veteran's interpretations of drug effects as narrated through the lens of his current antiwar politics, I examine the radicalizing transformations of self and subjectivity that he attributes both to his witnessing drug use in Iraq and to the neurochemical effects of his own medications. Playing on the biomedical notion of "side effects," I highlight surprising political and ethical openings that can surface when psychopharmaceuticals and war intersect. Psychotropic medication use offers a critical realm for furthering the ethnographic study ...
Although a significant body of scholarship has examined medical discourse in clinical and other i... more Although a significant body of scholarship has examined medical discourse in clinical and other institutional settings, far less has been studied in regard to the discursive activity of health professionals in the public sphere. This line of inquiry is particularly relevant in Kerala, south India, where, for reasons including felt obligation, the political economy of allopathic mental health care, and desires for social prestige, many psychologists and psychiatrists actively engage the public as lecturers, authors, and guests of television and radio programs alongside their clinical work. Ethnographic attention to discursive activity in the public sphere reveals how these experts blur the boundaries between clinical and popular registers of speech and forge alternative ethical sensibilities and values that challenge institutionally prescribed ideas of clinical professionalism. They do so in ways that can attract reprobation and accusations of quackery among critical peers who hold competing ideas of where, how, and to whom mental health professionals "should" speak.
In the south Indian state of Kerala, the nation's so-called suicide capital, suicide can often ap... more In the south Indian state of Kerala, the nation's so-called suicide capital, suicide can often appear self-evident in meaning and motivation to casual onlookers and experts alike. Drawing on explanatory accounts, rumors, and speculative tales of suicide collected between 2004 and 2007, this article explores the ontological power of certain deaths to assert themselves as alwaysalready known on the basis of perceived and reported demographic patterns of suicide. I demonstrate the ways suicides are commonly read, less through the distinct details of their individual case presentations than "up" to broader scales of social pathology. Shaped by the intertwined histories of public health intervention and state taxonomic knowledge in India, these "epidemic readings" of suicide enact a metonymy between individual suffering and ideas of collective decline that pushes the suicide case to fit-and thus to stand for-aggregate trends at the level of populations. Focusing on how family navigated the generic meanings and motivations ascribed to the deaths of their loved ones, I argue that the ability of kin to resist, collude with, or strategically deploy epidemic readings in their search for truth and closure hinged significantly on their classed fluency in the social, legal, and bureaucratic discourses of suicide.
As a civilian anthropologist faculty member and a then-undergraduate student and veteran of the U... more As a civilian anthropologist faculty member and a then-undergraduate student and veteran of the US Marine Corps, we draw on our experiences working together on a six-month exploratory ethnographic research project to detail the process and consider its implications, both scholarly and personal. We offer observations and reflections of the amplifying possibilities that may open up when faculty researchers share control over the research agenda, process, and actions with student veteran researchers. We reflect in particular on the value of research methods that foster spaces for women military veterans to produce, share, analyze, and contest knowledge about their experiences. While the personal significance of collaboration for student veteran researchers may be varied and multiple-whether scholarly, social, political, therapeutic, or otherwise-these collaborations also have broader implications. Namely, the inclusion of traditionally underrepresented military veterans in academic knowledge production about their experiences, priorities, and concerns.
Officially referred to as "unit watch" and more colloquially as "buddy watch," the use of continu... more Officially referred to as "unit watch" and more colloquially as "buddy watch," the use of continuous direct observation and restrictive measures enforced by peers is a widely used, though controversial, tool in the US Army's suicide prevention efforts. Borrowing from the Army concept and system of the battle buddy, the partnering of soldiers who assist each other in and out of combat, the unit watch is simultaneously conceived as a means of "family" concern, treatment, surveillance, restraint, and even mentorship. Drawing on fieldwork among soldiers and veterans of the Iraq and Afghanistan wars, I explore what the practice of unit watch reveals about institutional and psychiatric interventions as a form of constraint-as-care in settings of global US military power. I emphasize the bodily and affective dimensions of the unit watch and the forms of sociality, including coerced obligation and forced intimacy, that the unit watch can produce. Soldiers' accounts of being watched and watching others under the sign of unauthorized violence also highlight the tense and ambivalent nature of managing suicide in material, institutional, and geopolitical settings organized for the production of violence. [suicide prevention, unit watch, psychiatric care and constraint, risk management, military]
With the United States military stretched thin in the ''global war on terror,'' military official... more With the United States military stretched thin in the ''global war on terror,'' military officials have embraced psychopharmaceuticals in the effort to enable more troops to remain ''mission-capable.'' Within the intimate conditions in which deployed military personnel work and live, soldiers learn to read for signs of psychopharmaceutical use by others, and consequently, may become accountable to those on medication in new ways. On convoys and in the barracks, up in the observation post and out in the motor pool, the presence and perceived volatility of psychopharmaceuticals can enlist non-medical military personnel into the surveillance and monitoring of medicated peers, in sites far beyond the clinic. Drawing on fieldwork with Army personnel and veterans, this article explores collective and relational aspects of psychopharmaceutical use among soldiers deployed post-9/11 in Iraq and Afghanistan. I theorize this social landscape as a form of ''medication by proxy,'' both to play on the fluidity of the locus of medication administration and effects within the military corporate body, and to emphasize the material and spatial ways that proximity to psychopharmaceuticals pulls soldiers into relationships of care, concern and risk management. Cases presented here reveal a devolution and dispersal of biomedical psychiatric power that complicates mainstream narratives of mental health stigma in the US military.
Against the backdrop of an unprecedented number of women deploying
in a new array of roles in the... more Against the backdrop of an unprecedented number of women deploying in a new array of roles in the so-called "global war on terror" and the official opening of combat arms units to women in the United States military, menstruation has served as a key idiom in debates about what it means for women to wage war. In this article, I explore what public curiosity about and military anxieties over soldier menstruation can tell us about the banal and bodily nature of women’s militarization as a deeply affective, sensorial, and embodied process, and the tensions these anxieties reveal within liberal promises of a gender-integrated US military. Drawing on discourse analysis and ethnographic interviews, I examine efforts within US military medicine to hormonally regulate women soldiers’ menstrual cycles as a matter of military operational concern, alongside public narratives by women soldiers who deny the significance of menstruation to the work of soldiering. I argue that both of these discourses enact a conflation between womanhood and menstruation in the debate over women’s role in and at war, in a manner that circumscribes the possibilities of what we can apprehend – and feel – about war and soldiering as gendered experience.
In 2006, the United States Department of Defense developed for the first time official criteria f... more In 2006, the United States Department of Defense developed for the first time official criteria for the use of psychopharmaceuticals “in theater”—in the physical and tactical spaces of military operations including active combat. Based on fieldwork with Army soldiers and veterans, this article explores the transnational and global dimensions of military psychopharmaceutical use in the post-9/11 wars. I consider the spatial, material, and symbolic dimensions of what I call “pharmaceutical creep”—the slow drift of psychopharmaceuticals from the civilian world into theater and into the military corporate body. While pharmaceutical creep is managed by the U.S. military as a problem of gatekeeping and of supply and provisioning, medications can appear as the solution to recruitment and performance problems once in theater. Drawing on soldiers’ accounts of medication use, I illuminate the possibilities, but also the frictions, that arise when routine psychopharmaceuticals are remade into technologies of global counterinsurgency. [global pharmaceuticals, psychiatric medications, psychiatry, U.S. military, U.S. empire]
The unprecedented reliance today on psychiatric drugs to maintain mission readiness in war and to... more The unprecedented reliance today on psychiatric drugs to maintain mission readiness in war and to treat veterans at home has been the subject of ethical debate in the United States. While acknowledging these debates, I advocate for an ethnography of how US soldiers and veterans of the Iraq and Afghanistan wars themselves articulate political and ethical tensions in their experiences of psychiatric drug treatment. Detailing one army veteran’s interpretations of drug effects as narrated through the lens of his current antiwar politics, I examine the radicalizing transformations of self and subjectivity that he attributes both to his witnessing drug use in Iraq and to the neurochemical effects of his own medications. Playing on the biomedical notion of “side effects,” I highlight surprising political and ethical openings that can surface when psychopharmaceuticals and war intersect. Psychotropic medication use offers a critical realm for furthering the ethnographic study of the lived tensions and contradictions of military medicine and medicalization as revealed in militarized embodied experience.
As a civilian anthropologist faculty member and a then-undergraduate student and veteran of the U... more As a civilian anthropologist faculty member and a then-undergraduate student and veteran of the US Marine Corps, we draw on our experiences working together on a six-month exploratory ethnographic research project to detail the process and consider its implications, both scholarly and personal. We offer observations and reflections of the amplifying possibilities that may open up when faculty researchers share control over the research agenda, process, and actions with student veteran researchers. We reflect in particular on the value of research methods that foster spaces for women military veterans to produce, share, analyze, and contest knowledge about their experiences. While the personal significance of collaboration for student veteran researchers may be varied and multiple-whether scholarly, social, political, therapeutic, or otherwise-these collaborations also have broader implications. Namely, the inclusion of traditionally underrepresented military veterans in academic knowledge production about their experiences, priorities, and concerns.
Although a significant body of scholarship has examined medical discourse in clinical and other i... more Although a significant body of scholarship has examined medical discourse in clinical and other institutional settings, far less has been studied in regard to the discursive activity of health professionals in the public sphere. This line of inquiry is particularly relevant in Kerala, south India, where, for reasons including felt obligation, the political economy of allopathic mental health care, and desires for social prestige, many psychologists and psychiatrists actively engage the public as lecturers, authors, and guests of television and radio programs alongside their clinical work. Ethnographic attention to discursive activity in the public sphere reveals how these experts blur the boundaries between clinical and popular registers of speech and forge alternative ethical sensibilities and values that challenge institutionally prescribed ideas of clinical professionalism. They do so in ways that can attract reprobation and accusations of quackery among critical peers who hold competing ideas of where, how, and to whom mental health professionals "should" speak. [public sphere, professionalism, mental health discourse, psychiatry, register, quackery]
In the south Indian state of Kerala, the nation’s so-called suicide capital, suicide can often ap... more In the south Indian state of Kerala, the nation’s so-called suicide capital, suicide can often appear self-evident in meaning and motivation to casual onlookers and experts alike. Drawing on explanatory accounts, rumors, and speculative tales of suicide collected between 2004 and 2007, this article explores the ontological power of certain deaths to assert themselves as always-already known on the basis of perceived and reported demographic patterns of suicide. I demonstrate the ways suicides are commonly read, less through the distinct details of their individual case presentations than ‘‘up’’ to broader scales of social pathology. Shaped by the intertwined histories of public health intervention and state taxonomic knowledge in India, these ‘‘epidemic readings’’ of suicide enact a metonymy between individual suffering and ideas of collective decline that pushes the suicide case to fit—and thus to stand for—aggregate trends at the level of populations. Focusing on how family navigated the generic meanings and motivations ascribed to the deaths of their loved ones, I argue that the ability of kin to resist, collude with, or strategically deploy epidemic readings in their search for truth and closure hinged significantly on their classed fluency in the social, legal, and bureaucratic discourses of suicide.
In the language of the medical file, “complaint” refers to the symptoms and ailments reported by ... more In the language of the medical file, “complaint” refers to the symptoms and ailments reported by the patient. In this article, I draw on ethnographic fieldwork conducted between 2004 and 2007 in the mental healthcare setting in South India to argue that the typology of “complaint” and the dialogic exchanges involved in its production mark a far wider catchment area for the allegations and grievances that circulate between patient, kin, clinician, and observing anthropologist. I propose the notion of the register of complaint as a hermeneutic for grappling with the emotionally charged, interactional processes of accusation, arbitration, and reportage that drive clinical modes of inquiry and evaluation in the South Indian mental health en- counter. Ethnographic case studies suggest that grievance and accusation command both a vital directive force and evidentiary role in the social, moral, and emotional work of psychiatric diagnosis. [complaint, diagnosis, kinship and family, emotion, psychiatry, South India]
This article examines suicide prevention among children in India’s “suicide capital” of Kerala to... more This article examines suicide prevention among children in India’s “suicide capital” of Kerala to interrogate the ways temporalization practices inform the cultivation of ethical, life-avowing subjects in late capitalism. As economic liberalization and migration expand consumer aspiration in Kerala, mental health experts link the quickening of material gratification in middle-class parenting to the production of insatiable, maladjusted, and impulsively suicidal children. Experiences of accelerated time through consumption in “modern” Kerala parenting practice reflect ideas about the threats of globalization that are informed both by national economic shifts and by nostalgia for the state’s communist and developmentalist histories, suggesting that late capitalism’s time–space compression is not a universalist phenomenon so much as one that is unevenly experienced through regionally specific renderings of the past. I demonstrate how experts position the Malayali child as uniquely vulnerable to the fatal dangers of immediate gratification, and thus exhort parents to retemporalize children through didactic games built around the deferral of desires for everyday consumer items. Teaching children how to wait as a pleasurable and explicitly antisuicidal way of being reveals anxieties, contestations, and contradictions concerning what ought to constitute “quality” investment in children as temporal subjects of late capitalism. The article concludes by bringing efforts to save elite lives into conversation with suicide prevention among migrants to draw out the ways distinct vulnerabilities and conditions of precarity situate waiting subjects in radically different ways against the prospect of self-destruction.
Once celebrated as a model development for its progressive social indicators, the southern Indian... more Once celebrated as a model development for its progressive social indicators, the southern Indian state of Kerala has earned the new distinction as the nation’s suicide capital, with suicide rates soaring to triple the national average since 1990. Rather than an aberration on the path to development and modernity, Keralites understand this crisis to be the bitter fruit borne of these historical struggles and the aspirational dilemmas they have produced in everyday life. Suicide, therefore, offers a powerful lens onto the experiential and affective dimensions of development and global change in the postcolonial world.
In the long shadow of fear and uncertainty that suicide casts in Kerala, living acquires new meaning and contours. In this powerful ethnography, Jocelyn Chua draws on years of fieldwork to broaden the field of vision beyond suicide as the termination of life, considering how suicide generates new ways of living in these anxious times.
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Papers by Jocelyn L Chua
in a new array of roles in the so-called "global war on terror" and
the official opening of combat arms units to women in the United
States military, menstruation has served as a key idiom in debates
about what it means for women to wage war. In this article, I explore
what public curiosity about and military anxieties over soldier menstruation
can tell us about the banal and bodily nature of women’s
militarization as a deeply affective, sensorial, and embodied process,
and the tensions these anxieties reveal within liberal promises of
a gender-integrated US military. Drawing on discourse analysis and
ethnographic interviews, I examine efforts within US military medicine
to hormonally regulate women soldiers’ menstrual cycles as a matter
of military operational concern, alongside public narratives by women
soldiers who deny the significance of menstruation to the work of
soldiering. I argue that both of these discourses enact a conflation
between womanhood and menstruation in the debate over women’s
role in and at war, in a manner that circumscribes the possibilities of
what we can apprehend – and feel – about war and soldiering as
gendered experience.
the spatial, material, and symbolic dimensions of what I call “pharmaceutical creep”—the slow drift of psychopharmaceuticals from the civilian world into theater and into the military corporate body. While pharmaceutical creep is managed by the U.S. military as a problem of gatekeeping and of supply and provisioning, medications can appear as the solution to recruitment and performance problems once in theater. Drawing on soldiers’ accounts of medication use, I illuminate the possibilities, but also the frictions, that arise when routine psychopharmaceuticals are remade into technologies of global counterinsurgency. [global pharmaceuticals, psychiatric medications, psychiatry, U.S. military, U.S. empire]
Books by Jocelyn L Chua
In the long shadow of fear and uncertainty that suicide casts in Kerala, living acquires new meaning and contours. In this powerful ethnography, Jocelyn Chua draws on years of fieldwork to broaden the field of vision beyond suicide as the termination of life, considering how suicide generates new ways of living in these anxious times.
in a new array of roles in the so-called "global war on terror" and
the official opening of combat arms units to women in the United
States military, menstruation has served as a key idiom in debates
about what it means for women to wage war. In this article, I explore
what public curiosity about and military anxieties over soldier menstruation
can tell us about the banal and bodily nature of women’s
militarization as a deeply affective, sensorial, and embodied process,
and the tensions these anxieties reveal within liberal promises of
a gender-integrated US military. Drawing on discourse analysis and
ethnographic interviews, I examine efforts within US military medicine
to hormonally regulate women soldiers’ menstrual cycles as a matter
of military operational concern, alongside public narratives by women
soldiers who deny the significance of menstruation to the work of
soldiering. I argue that both of these discourses enact a conflation
between womanhood and menstruation in the debate over women’s
role in and at war, in a manner that circumscribes the possibilities of
what we can apprehend – and feel – about war and soldiering as
gendered experience.
the spatial, material, and symbolic dimensions of what I call “pharmaceutical creep”—the slow drift of psychopharmaceuticals from the civilian world into theater and into the military corporate body. While pharmaceutical creep is managed by the U.S. military as a problem of gatekeeping and of supply and provisioning, medications can appear as the solution to recruitment and performance problems once in theater. Drawing on soldiers’ accounts of medication use, I illuminate the possibilities, but also the frictions, that arise when routine psychopharmaceuticals are remade into technologies of global counterinsurgency. [global pharmaceuticals, psychiatric medications, psychiatry, U.S. military, U.S. empire]
In the long shadow of fear and uncertainty that suicide casts in Kerala, living acquires new meaning and contours. In this powerful ethnography, Jocelyn Chua draws on years of fieldwork to broaden the field of vision beyond suicide as the termination of life, considering how suicide generates new ways of living in these anxious times.