The Healer and the Psychiatrist 2019, 74 min

Synopsis

On the South Pacific Island group of Vava’u, the traditional healer Emeline Lolohea treats people affected by spirits. One day away by ferry, the only Tongan Psychiatrist Dr Mapa Puloka has established a public psychiatry well known across the region. Though they have never met in person, this film creates a dialogue between them on the nature of mental illness and spiritual affliction. Their commitment and transformative communication offers challenges and opportunities to help address the growing global mental health crisis.

Short Synopsis

In the South Pacific Island group of Tonga, a traditional healer and a Psychiatrist treat spiritual affliction and mental illness in challenging and inspirational ways.

 

 

Credits

Director of Photography,  Director and Producer    Dr Mike Poltorak

Film Editor       Heidi Hiltebrand

Translation       Sefita Hao’uli

Sound Design     Reto Stamm

Digital Colour Design        Andi Chu

Graphic Design         Sergio Constantini

Voiceover Advice     Silvana Ceschi

Testimonials

This is going to be a valuable resource for mental health here in New Zealand and in Tonga. The reason being the Government has finally agreed that  healing ought to happen, or the system, closer to the community. What really touched someone from the front line perspective, is how you had culture, community and clinical knowledge come together and connected up but also the story itself reminded me when the system fails it costs lives. This is something for us to be mindful of.

Pauline Taufa -Clinical Psychologist

It was mafana [inwardly moving or exhilarating] and a little disturbing at the same time for me. That Tongan paradox. There is this line from Margaret Southwick’s study, ‘when you have disconnected discourses it is disconnected outcomes for that person’. The more that the two knowledge systems that understand the same symptoms so differently can integrate, then those of us who have those symptoms and go through both systems, will be much more likely to have healing. [the film] It’s beautiful, really beautiful.

Dr Karlo Mila New Zealand Poet & Sociologist

One of the things that really moved me personally is how you are able to tell the story of Emeline the traditional healer so that everyone knows the effectiveness of these people. But what is more touching is the challenges we have in the Western paradigm. Dr Mapa Puloka, Dr Alani, the frustrations that we have. They have the knowledge of both worlds, yet, they are being restricted within the biomedical model. When you see Emeline and her freedom to go around and meet people in that setting and Mapa and Alani know that but are restricted.

Dr Sione Vaka-Senior Lecturer-AUT

There is a dire need for the two ways of healing the so called scientific medicine and the Tongan medicine to converse a lot more than what has already been happening . What came across to us viewers of this most beautiful film is there is less talanoa and there needs to be a lot more conversation. We are dealing with different way of dealing with one and the same reality, not two different realities and we need to have more talanoa.

 Hufanga He Ako moe Lotu Dr ‘Okusitino Mahina-Professor of Tongan Philosophy, Anthropology and Art- Vava’u Academy for Critical Inquiry and Applied Research, Vava’u, Kingdom of Tonga.

 

So full of thought, humanity and discovery. And what beautiful and compelling people. So evident that they trust and love you.

Professor Hugh Brody

You have made a very important film Mike, a labor of love, a gift for the Tongan people you know and care about deeply. I found the journey you take the viewer on to be fascinating, if not riveting, and the content authentic and imbued with tender loving care. The people you feature in your film are generous and giving, of their time and their knowledge, and they obviously care very much about your efforts to tell their story your way. They trust you, and you have not let them down. I like very much your personal voice in the film, explaining your reasons for making the film, and your hopes for collaboration between healers and psychiatrists not just in Tonga, but also in many other parts of the Pacific and beyond. Your film took me back to Rotuma when I was growing up in the 1950s and 60s, and similar beliefs my own people had then, and probably today still, that need better understanding and illumination. You shine a spotlight on matters of life and death, a concern all humans share in common. Most importantly, you were able to reciprocate the Tongan people’s love and care for you in such a meaningful and generous manner. Congratulations!

Professor Vilsoni Hereniko

 

 

Research background

This documentary and visual intervention is based on long term medical anthropology research and collaboration since 1998 with the Vava’uan spirit healer Emeline Lolohea and the Tongan Psychiatrist, Dr Mapa Puloka. Inspired by Tongan use of funeral videos for creating connections with relatives and friends located in New Zealand, Australia and the USA, this documentary creates a video conversation between positions on the influence of spirits in the sickness of the living that are popularly regarded as contradictory.  It is based on extensive research on mental health and Tongan traditional healing (Poltorak 2007, 2010, 2013, 2016) and video recorded as part of research.

We explore Tonga’s health challenges from the perspective of a healer and her family, doctors, patients and caregivers, and the value they give to Tongan medicine and the challenges of public health provision. The extraordinary dedication and commitment to the value of giving and being available to heal, and involvement in the lives of their patients is common to both the healer and psychiatrist. The documentary embraces visual anthropological insights on the inquisitive camera and presence of filmmaker, video elicitation, use of archival footage, the use of video messaging for diagnosis, the reception of mainstream movies and the vital process of feedback.

Jean Rouch aspired and argued for a  ‘shared anthropology’.  The process of production of this documentary is attentive to multiple and diverse audiences:  first to the participants in the film, secondly to the extended Tongan community and those engaged in understanding and representing it, thirdly to those working within a global health paradigm and finally to an audience interested in mental health but with little knowledge of Tonga. The ethnographic, interventionist and documentary credibility of this documentary rests on the ability to move these multiple audiences to greater appreciation and action.

The future of Emeline Lolohea’s and Dr Mapa Puloka’s healing practices and initiatives is fragile. This documentary will encourage conversations and policy actions on the opportunities of greater collaboration between traditional and biomedical medicine.  Imagining new healing futures for Tonga requires collaboration in New Zealand where there is a large, active and engaged Tongan diaspora. In New Zealand the development of a public psychiatry sensitive to traditional healing will also bring positive health outcomes.

In New Zealand two recent films, Belief: The Possession of Janet Moses  ( a documentary, 2015) and One Thousand Ropes (drama, 2017) frame very dramatic  relationship with spirits.  In the Healer and the Psychiatrist spirits are familial  and the relationship between their actions, sickness and access to health care very clear. The message of the film is of great importance to encourage a growing expansion of mental health services around the world to engage sensitively and productively with traditional ideas and healers.

Process and Feedback

The film is the result of 20 years research and collaboration in Tonga. When I first arrived in in Tonga I brought a camera to document healing encounters because I realised I could not record everything using pen and paper. Very quickly people asked me to record important events such as funerals, rugby matches, birthdays and church feasts to share the videos with families overseas as a form of gift for help given. The documentary aims to integrate these two different uses of video, as documentation and as a form of socially transformative communication, an audio/visual gift.

A feedback version was created from footage filmed in 2011, 2005 and 1998. It was screened in New Zealand (AUT & Onehunga), Tongatapu (‘Atenisi University, Lo’au University and the Psychiatric Unit) and Vava’u (Tefisi) in October 2018. Further filming and research in October and November 2018 was informed by feedback to ensure engagement with contemporary issues and update the current situation of the key protagonists. Sections were screened at the Ecologies of Mind Workshop in May 2019 in Freie Universität (FU) Berlin.

 

Future Screenings

The first Biennial Conference of the European Network for Psychological Anthropology (ENPA), Helsinki, Finland.  2-4 June 2020 (Postponed to 2021 due to Covid 19)

 

Garifuna International Indigenous Film Festival.  9th May 2020. Venice, California. Official Selection.  (Postponed until Autumn due to Covid-19).

Riga Pasaules Film Festival. 23-26th April. Riga. Latvia. Official Selection (Postponed to 17th to 20th September 2020 due to Covid-19)

Harvard University. Co-hosted by Department of Global Health and Social Medicine, Harvard Medical School & Cultural Survival. Cambridge, USA. 20 April 2020 (Postponed due to Covid-19)

SSPC Annual Meeting. Rhode Island. USA. 17 April 2020 (Postponed to October 2020 due to Covid 19)

 

Past Festival Screenings

German International Ethnographic Film Festival. 15th May 2020. Göttingen, German. Official Selection. (Online due to Covid 19)-GIEFF_2020_Catalogue

LIDF (London International Documentary Film Festival). 30th November 2019. London, UK.  Official Selection.

Past Community and University Screenings

Faculty of Theology and Religious Studies, University of Groningen, Groningen. The Netherlands. 6 January 2020.

Gulbenkian Cinema. University of Kent. 13 November 2019.

Agora Cinema. La Trobe University. Bundoora. 9 September 2019.

Mangere Arts Centre. Auckland. 12 September 2019.

 

Resources

The doctoral thesis on which this documentary draws can be read here.

Dr Karlo Mila speaks about her mental health challenges and relationship with Tongan spirits on an Out of My Mind podcast.

A resource booklet on cultural competence for treating Pacific Islander patients produced by Mauri Ora for the Medical Council of New Zealand.
A key publication in Pacific Health dialogue on finding the interface between cultural understandings.

 

Stills from Documentary