New York 1987, Selection Margareth Mead Festival
Blaricum 1987: ‘Golden Dog’.
ALTER EGO is a film that we made quite some time ago but which is still very near to our hearts. It took us about 5 years to make the film, as we followed the work of Dutch psychiatrist Joop de Jong in Guinea Bissau, who was trying to set up a modern Mental Health policy, embedded in the developing Public Health structure of this former Portuguese colony.
Part 1 ("All is Wind") shows the situation that he met with when arriving at his post: a few beds in the worn down city hospital where until shortly before the "traditional" Portuguese kind of Psychiatry was practiced (meaning: people were locked up, chained, electro shocked).
Since dr. de Jong believes in 'modern' psychiatry he starts to build a new open center (no walls) for psychiatric patients, just outside town. This means quite a lot of reasoning with local authorities (the Minister of Health supporting him), ongoing education of the local medical personnel and a lot of organisational talent in a country with no real medical tradition, lack of building materials, transport problems and so on. At the same time he goes regularly into the rural areas on his motorbike, assessing the prevalence of mental disorders with the help of the nurses who are staffing the rural health centers, making contact with the traditional healers (who are always consulted by the local population first in case of psychosis, epilepsy, depression, etc.) and trying to understand their way of thinking and possibly integrate them into the health structure of the country.
The traditional belief is (as it turns out to be) that every disease (somatic or psychological) is the result of bewitching, of not complying with traditional 'rules' and neglecting ceremonial mores.
Dr. Joop de Jong tries to integrate (the recognition, treatment, referral of) 'psychiatric' illnesses into the system of Public Health as the 'seventh disease' to be recognised and if possible treated by local rural nurses (at the time WHO had formulated 'six diseases', such as malaria, that should be recognised and treated by these rural medical workers and would act as a kind of 'filter' for the referral system to regional and national hospitals).
Part 1 ends with the inauguration of the new clinic and the moving of the patients from the old hospital to the new Mental Health Center.
In part 2 ("Only one head I have, not two") we get to know about the proceedings in the new clinic, we get acquainted with some patients more intensely, we are present as the nurses get more and more responsibility in the treatment of the patients and so on.
Joop de Jong's trips to the rural areas are continued, his research comes to an end. He's writing his thesis - there's an intermezzo when he's visiting The Netherlands to discuss his results with his professor and his contacts with the traditional healers become tighter. In the end there's one sorcerer who's willing to visit the clinic and help inaugurate a holy tree on the terrain of the clinic to be able to have traditional ceremonies go on in the clinic as well.
ALTER EGO is edited (it was praised for its 'American pace') in such a way that it has become a series of letters of the doctor to friends 'back home'.
ALTER EGO had a theatrical distribution in The Netherlands (which is quite exceptional) and was shown on national TV 3 times. It was shown at the Margaret Mead Film Festival 1987 quite successfully. The film is still quite intensely used in the preparation of doctors and other people for their job in Africa.
ALTER EGO would not be outdated: I don't think a lot has changed in Africa in this respect.
Maybe it has even become worse...
Joop van Wijk
Joop Van Wijk
Joop de Jong
Steven van den Berg
Eugène van den Bosch
Sana Na N’Hada
Hens van Rooij
Hens van Rooij