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Mental health: From commoner to Royal

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By Sunil Dharmabandhu

I read with keen interest the most illuminating article by Randima Attygalle citing profusely Dr. Neil Fernando on his major contributions in the development and improvement of psychiatric services in Sri Lanka. I wish to share with The Island’s international readership a perspective from personal experiences, as an adolescent, when tragedy struck our family with the sudden news that my brother, eldest in the family, Nimal, was found dead in his bedsitter in North London in July 1963. He was only 22. It was in the form of a telegram delivered by an officer from the Department of Immigration and Emigration. Fortunately, my mother had gone to meet my father at the Colombo Municipal Council to keep an appointment with a consultant for her. The officer kindly drove me to the CMC where I handed the telegram to my father. His face just dropped with complete shock. In the meantime, my mother was walking back home from the Moratuwa Railway Station when she heard some people already talking aloud about the sudden death of my brother, who went abroad for further education. It was not until she was near home that the penny dropped that something was drastically wrong somewhere, still refusing to believe it had anything to do with her family. But, as she entered through the gate, she realised, to her utter shock, that she was entering a funeral house! She just collapsed on the cement floor. The doctor was called in, who gave Diazepam intramuscularly.It was almost a month before my brother’s ashes were received, making it the longest funeral, to my knowledge! Well, my father never went back to work since he suffered a serious nervous breakdown! He was only 54 at the time. My mother recovered, gaining strength to pull herself through, to look after the family somehow. Unable to cope, my father ended up in Angoda, as it was known then. A colleague and a close friend provided yeoman’s service to us, else the outcome would have been entirely different, with losing my beloved father too in the aftermath!He had found out that there was precious little time left before my father was to come under a compulsory detention order, of the then very primitive mental health legislation, which would deny my mother the right to have him discharged or even transferred to Mulleriyawa Sanatorium! As luck would have it, he was transferred in the nick of time, to our great relief, enabling us to make daily visits, during his recovery process.It was indeed a watershed in our family’s destiny! My ambition to study medicine, despite gaining admission to Royal College, was the next casualty. There was an urgent need for me to seek employment, to keep the home fires burning. I joined the Bank of Ceylon, my two sisters too boosted the family finances through their respective employment.However, after my father made a complete recovery, fed up with an office job, I left for the UK to train as a psychiatric nurse in Wales, where I met my Welsh wife-to-be. We got my parents over twice and again, my mother after the demise of my father at the age of 82. I continued with my career ending up as a visiting Mental Health Act Commissioner appointed by the then Home Secretary, Jacqui Smith which required me to visit patients detained in hospitals, under the provisions of the Mental Health Act of 1983, and scrutinise their documentation. It was a rewarding and satisfying job, I recall.

Britain’s Royal Family was thrust into a national debate about mental illness today after it was revealed that not just two but five of Queen Elizabeth’s cousins were hidden away in a mental hospital on the same day 46 years ago. Newspapers delved at length into previous cases of royal mental illness and one mental-care expert urged the queen to visit her relatives, four are alive, to bring the issue of mental health into the open.

Britain’s latest royal ‘scandal’ began with the banner headline ‘Queen’s Cousin Locked in Madhouse’ in the tabloid Sun. An accompanying photograph showed a wrinkled and bedraggled old woman staring out blankly. Other tabloids were quick to follow up, revealing that two of Queen Elizabeth’s first cousins and three second cousins were all brought to a Victorian-era mental hospital in the heart of the Surrey countryside, south of London, on the same day in 1941.

All five belonged to the Bowes-Lyon family of Queen Mother Elizabeth, who at 87 is frequently referred to as the “nation’s favourite grandmother.” The two first cousins were listed as dead in the 1963 edition of ‘Burke’s Peerage’, a guide to the British aristocracy, even though one is alive and the second died only last year. The three second cousins are also still alive. Genealogists said all five may have shared a genetic flaw passed by the 21st Baron Clinton, and not the Royal Family. Leading genealogist Hugh Peskett said: “If five female cousins all have one mental problem, it’s pretty obvious the cause is genetic…The great relief is that the genes are obviously in the Clinton family and not in the Royal Family. It is clearly a Clinton family gene which is wrong, rather than that of the Bowes-Lyon family.”

The Queen Mother has been a patron of Mencap, a charity dealing with the mentally handicapped, for the last 25 years, and newspapers were quick to absolve her of any personal responsibility. When she discovered her nieces were alive five years ago, she sent them money and presents, they reported. Newspapers also examined previous cases of royal mental illness, from George III at the end of the 18th Century to two cases of mental illness and handicaps among royal children in the early years of the 20th Century.

One was Prince John, the youngest of George V’s six children. He was mentally impaired and epileptic and died at 14. The other was Prince Albert, son of Edward VII, who died at 28 and was described in one newspaper today as “an oddball and a dunce.”

“Madness, illegitimacy and divorce are the three skeletons that rattle loudest in the royal cupboard,” Alan Hamilton wrote in the Times under the headline “Royalty’s Unspoken Fear.” Despite vast improvements, psychiatric services remain under funded in UK to keep up with increasing demands and inevitable lengthy queues. Sadly, it is too late for some. Heads Together is a mental health initiative, spearheaded by The Royal Foundation of The Duke and Duchess of Cambridge, which combines a campaign to tackle stigma and change the conversation on mental health with fundraising for a series of innovative new mental health services.

Led by the Duke and Duchess of Cambridge and Prince Harry, Heads Together unites eight mental health charities, including Mind. Since May 2016, Heads Together has encouraged millions of people to have important conversations about mental health. Money raised by Heads Together is now supporting innovative projects to tackle mental health challenges.

This includes a £2 million fund to create digital tools for young people seeking help online, regarding their mental health, and new programmes to support mental health in schools, workplaces and the defence community.

(The writer is a retired MHC Visiting Commissioner, UK)



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Opinion

Luck knocks at your door every day

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Some people seem to have been born lucky. Whatever they lay their hands on ends in success. They pass competitive examinations, find jobs and marry ideal partners. There are others who seem to be unlucky all the time. They fail examinations and remain unemployed. They also find it difficult to find their life partners. Nobody knows how this happens. However, serendipity is not a game of chance. Experts have identified certain habits that can set you all up for good fortune.

Jane (not her real name) after getting through her G.C.E. (Advanced Level) examination tried to find a job for several years. All her attempts ended in vain. Then she tried various other avenues to find her niche in life. One day she happened to attend a friend’s wedding at a five-star hotel. She observed how food had been laid out in a professional manner. Something clicked in her mind. “Can’t I become a chef?”

Thereafter she desperately tried to find a place to follow a course in culinary art. The course fees were very high and her parents could not afford them. One day, quite by chance, she met a chef working in a big hotel. She became friendly with him and expressed her desire to become a chef. The chef listened to her attentively and asked her to join his hotel as a kitchen helper. She accepted the offer and worked as a kitchen helper for a few years. Her enthusiasm and dedication to her duties impressed the management. She was appointed as a Commis Chef.

Kitchen brigade

She was happy to work as a junior, entry-level cook in a professional kitchen. She had to support senior chefs by performing basic food preparations, maintaining station cleanliness, organising stock and learning core culinary techniques. Although she had not followed any professional courses, Jane found herself on her way up the kitchen brigade often rotating through different sections to gain broad experience. After working there for a few years, she managed to join a leading tourist hotel in the Maldives. Her quest for excellence is not yet over. Jane is now planning to join a leading tourist hotel in Australia.

Some people say that kismet led Jane in her quest for becoming a chef. However, her openness to life’s quirky possibilities put her in the right place at the right time. Her success shows that luck is not something mysterious. To a very large extent, you are responsible for much of the good fortune that you encounter. This view has been confirmed by Richard Wiseman, a professor of psychology and the author of ‘The luck Factor.’

It is a fascinating exercise to delve into traits that separate fortunate people from the self-proclaimed unlucky souls. If you wish to succeed in life, always expect good things to happen. When you do so, the scales of serendipity tilt in your favour. In Wiseman’s words, “Their expectations become self-fulfilling prophecies.” In a study at New York University it was found that students who firmly believed that they would pass the final examination with flying colours significantly had excellent results.

Try your luck

The fact of self-assurance will motivate you to work hard. Never feel that you are unlucky. Some people complain that they never win lottery prizes and stop buying raffle tickets. Winning a prize from a raffle ticket happens by chance. If you do not buy them, you will never win a prize. Therefore, always try your luck with positive feelings.

If you look around, you will see that lucky people are surrounded by a lot of friends and acquaintances. Lucky people talk to lots of people and attract their attention and goodwill. This will create a network of like-minded people. Colleen Seifert, a cognitive scientist at the University of Michigan, advises people to get out of the everyday rut. Most people who do routine work find themselves in a rut. They should try to get out of it and do something different and profitable. One way is to follow a course of studies to hone your skills. Another method is to join an English-speaking club or Toastmasters Club. You can also join a library and start reading books on various subjects. When you do so, you will have a chance to encounter influential people. Such a meeting will be a turning point in your life.

Always think that there is a light at the end of the tunnel. In many bad situations there will be at least one good event. Learn how to embrace the unpredictable and engineer the unexpected. If you think you are a lucky person, you will transform a stumbling block into a positive event. Nobody can win any battle without making mistakes. Depend on your sixth sense or instinct before doing something important. Leaving a permanent and pensionable job may pose a big risk. However, if you do not take such a risk, you will not succeed in life. Many ordinary government employees have quit their jobs to become accountants, lawyers, judges and architects.

Sense of responsibility

Most successful people have a deep sense of responsibility for their thoughts and actions. It means you have to keep your word and be faithful to your family and self. Believe in what you do and work hard to achieve your goal. Such an attitude will set your own standards. In the meantime, stop comparing yourself with others who have succeeded in their chosen fields of activity. The wartime British Prime Minister Winston Churchill exemplified integrity and respect in the face of opposition. During his final years as the prime minister he attended an official function. Some people started whispering that he should step down as he was getting senile. When the ceremony was over, Churchill turned to the men who were whispering and said, “Gentlemen, they also say he is deaf!”

If you wish to win, take time to nurture others’ dreams. A wise man said, “If you want one year’s prosperity, grow grain. But if you want ten years’ prosperity, grow men and women.” On your way to success you cannot simply ignore others. Provide others with nutrients of gratitude and encouragement. When people around you succeed, you should feel happy.

Human life is full of ups and downs, disappointments and missed opportunities. The pages of history are full of heroic stories of undaunted men and women who had triumphed over disabilities and adversities. Draw inspiration from their victorious spirit. We live in a highly competitive and goal-oriented world. Everybody is seeking instant success. Get involved in something bigger than yourself. Work towards your goal in a spirit of excellence.

The Chinese call luck an opportunity and they say it knocks every day at your door. Some people hear it, but others do not. It is not enough to hear the opportunity to knock at your door. You must let it in, greet it and make friends with it to work together. All the fruits of success will be yours then.

karunaratners@gmail.com

By R. S. Karunaratne

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Opinion

Conference “Microfinance and Credit Regulatory Authority Bill: Neither Here, Nor There”

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January 21 | Olympus Auditorium, Bandaranaike Centre for International Studies (BCIS)

The National Collective of Community Savings and Credit Services Providers organised the conference “Microfinance and Credit Regulatory Authority Bill: Neither Here, Nor There” on January 21 at the Olympus Auditorium, Bandaranaike Centre for International Studies (BCIS), BMICH, to foreground the community savings and credit services as an alternative credit practice to moneylending and microfinance. While underscoring the uniqueness of community credit practices, grounded in collective rights, solidarity, mutual aid, the non-hierarchical nature of organising and long years of practice, community credit providers opposed the Asian Development Bank (ADB)-Treasury-CBSL attempt to subsume the community credit model under moneylending and microfinance in the proposed Microfinance and Credit Regulatory Authority Bill. Over 200 community credit practitioners from more than 50 community organisations from Mannar, Kilinochchi, Jaffna, Mullaitivu, Batticaloa, Anuradhapura, Polonnaruwa, Badulla, Rathnapura, and Hambanthota had gathered at the conference.

M. K. Jayathissa, a farmer leader from Hingurakgoda, Polonnaruwa, explained the microfinance crisis as resulting from the microfinancialisation of rural credit and the targeting of low-income women. He recalled his role in the farmers’ struggle against debt during the 1990s. Jayathissa linked the microfinance crisis among women and the farmers’ debt crisis to a wider crisis in food production.

Renuka Bhadrakanthi, chairperson of the Ekabaddha Praja Sanwardhana Kantha Maha Sangamaya, Weligepola, shared her three decades of experience as a community practitioner. She showed how the community credit framework helped women build assets and wealth through small savings. Unlike market-based initiatives such as microfinance and moneylending, community-controlled credit systems empowered women both with agency and material capabilities. Renuka also noted the regional diversity in organisational frameworks and credit purposes. She stressed the need for vigilance and action now, as globalisation and neoliberalism drive economic reforms aimed at capturing community wealth and making people dependent on the market.

Rajeswary Sritharan from Yuhashakthi, Mullaitivu, brought in experiences from war-torn societies. Yuhashakthi and Mahashakthi networks, operating in the Northern and Eastern provinces and comprising more than 10,000 women members, were created during the civil war to support women’s ability to control the household economy. These two networks have proven resilience against war-related dispossession and loss while also strengthening women. Rajeswary contended that self-help community credit groups are informal and unregulated, revealing that societies are governed by a collective ethos, community audits, and democratic decision-making, ensuring transparency and accountability. She pointed out that community groups do not have a history of bringing their members before the police or courts when they fail to service their debts, unlike microfinance companies. She also raised the significance of community groups such as Yuhashakthi and Mahashakthi as first responders in times of crisis, even as recently as with Ditwah, intervening and assisting affected communities much before the government could.

Suneth Aruna Kumara, representing Vimukthi Gami Gowi Kantha Samithiya, Hingurakgoda, Polonnaruwa and also speaking on behalf of the microfinance-affected women, highlighted the creative space that collective forms of association have opened up for microfinance victims. “People who were hiding, afraid of debt collectors, are trying to rebuild their lives autonomously,” he said. In this journey, women are rethinking the meaning of credit, whether it is possible to create credit mechanisms that do not rely on interest income, and imaginative ways of decommodifying community relations. Suneth emphasised that women’s initiatives are emerging from their lived experiences as debtors, exploited by predatory interest rates and violent recovery practices. As a victim himself, Suneth criticised the proposed regulatory Bill for failing to adequately safeguard microfinance and credit consumers by providing legally binding safeguards. According to Suneth, the proposed Bill does not guarantee that the microfinance crisis will not recur.

Another highlight of the conference was the sharing of experiences by Malaihaya women, presented by Letchumanan Kamaleswary from the Centre for Equality and Justice. Kamaleswary described debt as ever-present in the Malaiyaha community. It forced migration from South India and kept people captive as plantation labour for over 200 years. Although the plantation management restricts all community associations within the plantations, microfinance companies can enter and operate freely. Debt is so severe that most Malaiyaha women work past their retirement age.

Pubudu Manohara, from the Rural Development Foundation in Hambanthota, traced the history of community credit projects to various state poverty alleviation programmes since 1977. These projects, affiliated with governments and supported by international groups such as the World Bank and UNDP, have survived many national and local crises. Over time, however, both the government and international organisations like the ADB have become wary of people’s ability to save. “They are afraid of our ability to create community funds,” he said.

The discussion emphasised that mobilising community groups and local political leaders is essential to oppose the Bill in its current form. Concerns arose about the negative impact of heavy regulations on community organisations and women’s resilience. “Domestic violence is rooted in economic violence. The destruction of community organisations will have a direct effect on local development and local economic activities. That will also burden the government,” said a Yuhashakthi representative from Mullathivu.

Community organisers urged the government to consult directly with them when developing regulations, emphasising that new rules should protect and strengthen community-based initiatives rather than respond to external pressures. They argued that the ADB, having promoted commercialisation of microfinance and contributed to the resulting crisis, lacks the legal and ethical standing to advocate for regulatory frameworks. Instead of receiving directives from the International Financial Institutions (IFIs), the government should converse with the grassroots communities, devising homegrown developmental solutions to regenerate local economies, empower the most vulnerable and build community wealth, the community organisers stressed.

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Opinion

A puppet show?

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After jog for the camera, wearing shorts in Jaffna, thanks to the freedom gained by the country being liberated from the clutches of the Tigers by the valiant efforts led by Mahinda Rajapaksa, President Anura Kumara Dissanayaka, said: “Some come past Sri Maha Bodhi and other Buddhist temples all the way to Jaffna to observe Sil, not to spread compassion but hatred.” When the need of the hour is reconciliation what an outrageous statement that was, to be made by the head of state! Will he say that the people of the North and the East bypass many Kovils straddling the area and come to Kataragama to spread hate? Probably not! His claim has become a hot topic of conversation.

Having lost a majority of the votes garnered from the North at the presidential and parliamentary elections, to the Tamil nationalist parties at the local government elections, President Dissanayake’s claim may well have been a pitiful attempt to recover lost ground in the North. But at what cost?

It all started with AKD’s refusal to refer to those brave service personnel who saved the unity and the integrity of the country as Rana Viruwo. Interestingly, the most devastating rebuke for this came from a Tamil MP, who is an avowed admirer of Prabhakaran, stating in Parliament that a Sinhala Rana Viruwa saved his life when he was about to be washed off in the flood waters resulting from Cyclone Ditwah. He teased the government by asking in ‘raw’ Sinhala Ei umbalata lejjada unta Rana Viruwo kiyanna? (Are you shy to call them war heroes?)

In addition to slinging mud at MR and harassing service personnel, there is no doubt whatsoever that AKD’s government is trying to harass any Tamil politicians who helped eradicate the Tigers. This fact is borne out by the treatment meted out to Douglas Devananda. Shamindra Ferdinando has explained this in his article, “EPDP’s Devananda and missing weapons supplied by Army” (The Island, 7 January).

NPP ministers publicly insult Buddhist monks, but whenever they are in trouble, they rush to Kandy to meet the Maha Nayakas, the latest being Harini’s visit. Instead of admitting the mistake and trying to make amends, the government went on, until it realised the futility in trying to justify the ‘Buddy’ episode. Excuses given by Harini to the Maha Nayakas, to say the least, were laughable. She had the audacity to say that though the questionable web link was printed in the textbook there were no instructions to click on it! She may continue as Prime Minister but can anyone who does not know what to do with a link or who is trying to encourage ten-year-olds to have e-buddies when the rest of the world is heading towards banning 16-year-olds from social media, continue to be the Minister of Education?

Number of MOUs/pacts signed with India, including defence, have not yet been disclosed even to Parliament. The Cabinet Spokesman once stated that the contents of those MOUs/pacts could not be divulged without the consent of India. Interestingly, we have had very frequent visits from VVIP politicians and top government officials from India, some at very short notice. One of them referred to these as ‘usual’ ones! However, what is unusual is that a party that shed a lot of blood of Sri Lankans for even selling ‘Bombay’ onions, is now in government and seems under Indian command. Perhaps, its transformation occurred when India sponsored a visit by AKD in early 2024, which helped him secure the presidency. Among the NPP’s election pledges, the most touted one was to reveal the mastermind behind the Easter Sunday attacks. It has been alleged in some quarters that India was behind the attacks. The NPP government’s silence about this speaks volumes!

It has transpired recently that it was Indian High Commissioner Gopal Baglay who pressured Speaker Mahinda Yapa Abeywardena in July 2022 to take over the presidency after the elected President was toppled by protesters, but many believe that it was a joint effort by the Indian HC and the ‘Viceroy’ who just left, after an overstay! It is an illegal act as pointed out in the editorial “Conspiracy to subvert constitutional order” (The Island, 22 January) and may be investigated by a future government, if elections are not postponed forever!

We seem to be watching a puppet show where many puppeteers outside are pulling the strings! Are we paying the price for electing a bunch of inexperienced politicians?

By Dr Upul Wijayawardhana ✍️

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