nso Archives – THINK Magazine

Art for the mind

How can we use art to address mental health stigma? Dr Alexei Sammut writes about the art book Living with Mental Illness and the accompanying exhibition, which are his contributions to strengthen the discourse on mental health in Malta.

Declining mental health is a global burden. Anxiety, depression, and substance abuse are on the increase. Current estimates from the World Health Organization report that one in every four of us will experience some form of mental health challenge during their lifetime. By 2020, these figures are expected to double. And while support services do exist, their accessibility can be difficult.

There is no one explanation for this. The issue is complex and multifaceted. A lack of information on such services is a major contributing factor, however, stigma continues to be the main reason people refrain from seeking support and advice. Just a decade ago, discussing depression, eating disorders, self-harm, and suicide in Maltese public fora was unimaginable. And while things have improved—social media provides plenty of evidence—we cannot become complacent.

As part of my PhD, I looked into the attitudes of Maltese nurses and midwives towards mental illness. As people working in caring professions within medical settings, they are on the front lines of community health, seeing people from all walks of life, day in day out.

What I found was that while local nurses and midwives hold a positive attitude towards individuals with a mental illness, continued education, public engagement, and mental health literacy promotion are imperative.

Nurses and midwives who followed specific mental health nursing training held the highest positive attitudinal scores. This finding highlights the important correlation between education and mental health literacy to the attitudes towards those with a mental health condition. Without adequate mental health literacy, stigmatising attitudes will prevail, and people will not receive the care they need.

A selection from the artworks by artist Anthony Calleja for the publication ‘Living with Mental Illness’

With this knowledge in hand, I wanted to raise awareness around mental health. To do this, I combined my goal with my love for art, collaborating with local artist Anthony Calleja to explore the lived experiences of living with mental illness.

Calleja produced 18 works of art, all of them depicting mental illness based on first hand accounts from people living with the diseases. The idea was to increase awareness and generate discussion without the need for text. Visual art allows for nuanced personal interpretation, empowering the individual to reflect and absorb the messages within the art they are viewing. People use metaphors to relate to their life situations, especially when things become difficult to explain. Like metaphors, art can be used to express things that cannot be stated in words. Art can be a therapeutic medium that helps people reach out. But this was not all we planned to do with the initiative.

Calleja’s pieces were collocated into a book titled Living with Mental Illness. The publication was launched at an exhibition of the original works. On the night, I conducted a study through questionnaires investigating people’s own interpretations of the works and the emotions they conveyed.

Dr Alexei Sammut, Anthony Calleja and Marie Louise Coleiro Preca at the exhibition launch at the President’s Palace.

Although data analysis is still at a preliminary stage, findings seem to agree with the national survey on health literacy carried out in 2014 by the Maltese National Statistics Office on behalf of the Office of the Commissioner of Mental Health. In 2014, research showed that 42.5% of the Maltese population have a problematic level of health literacy. This further highlights the importance of education and health promotion campaigns.

We’ve all heard someone around us say that mental health is as important as physical health, and we need to act on that adage. We cannot shy away from giving it the attention it deserves. Now is the time to speak out and collaborate as a collective. We need to listen closely to those among us who are struggling, especially to those who use our community’s mental health services. Only they can help us revamp and address the challenges that lie ahead.

The revolutionary act of owning less

When our wardrobes are bursting, when cars take over our streets, when stuffing our fridges and eating out trumps reading, theatre, cinema—how does that impact us? Cassi Camilleri writes.

Marie Kondo’s epic trajectory began in 2014 with a little book called The Life-Changing Magic of Tidying Up. Available in over 41 regions and countries, she sold over five million copies. Now she’s on Netflix, reaching millions more with Tidying Up with Marie Kondo, all the while becoming the most badass / kawaii meme the world has ever seen.

At this point, Kondo has almost single-handedly made decluttering a global trend. But there is more to this movement than getting rid of junk.

Kondo’s approach is about making the time to actually look at the items we own and purposefully ask whether they serve a true function in our life—whether they give us ‘joy.’ In a world where ‘more is more’ and hundreds of ads scream at us daily, creating neuroses while simultaneously providing the avalanche of products to fix them, the attitude is sadly novel.

Taking time to appreciate our possessions is not something we do often. And this is not entirely our fault. Doing so could see us labelled as ‘materialistic.’ But this brings up the question of what that word actually means.

Joshua Fields Millburn and Ryan Nicodemus

In the documentary Minimalism: A Documentary About The Important Things, Joshua Fields Millburn, one half of The Minimalists duo, flips the notion on its head. ‘We are too materialistic in the everyday sense of the word, but we are not at all materialistic enough in the true sense of the word. We need to be true materialists, like really care about the materiality of goods.’

Here, Millburn is referring to quality instead of quantity. One reliable well-made pair of jeans will last you longer than five cheap ones. The result? You generate less waste. You spend less money.

In Malta, we produce 248,784 tonnes of garbage annually, according to the material flow analysis conducted by researcher Margaret Camilleri Fenech. That’s equivalent to eight houses made entirely of garbage. Think of the pollution generated by waste when transporting and treating it, or the greenhouse gases emitted when it decomposes, or the space it needs. With our countryside disappearing at alarming rates, wasting the remaining space on waste feels sinful.

But let’s just pretend that this whole environmental thing is being blown out of proportion by a tribe of hippy die-hards. What about us? How do our spending choices affect our quality of life? How do our habits impact our pockets?

In 2015, the National Statistics Office (NSO) reports, total annual expenditure of Maltese private households amounted to an average of €22,346 per household. Suffice to say, this is a considerable number given that the average wage that same year was somewhere around €16,500, according to online platform Trading Economics. What’s more important, however, is how the money was spent.

A close look at the NSO’s report revealed that the majority of funds went towards food and transport, commanding 34% of all spending. On average, households spent €4,417 on food in 2015. Fuel for cars alone amounted to a yearly bill of €1184.50. We also spent an annual average of €720 on clothing, €1000 on our phones and internet services, and a whopping €1,749 on eating out.

On the flipside, education accounted for only 2.4% of household spending, €624 yearly, making this category second to last on the priority list. Yes, this can be partly attributed to free education in Malta; however, in households without dependent children, we can also see that only €36 were spent on books that were not textbooks over the entire year. Another NSO survey (with Arts Council Malta and the Valletta 2018 Foundation) found that 55% of the population didn’t read a single book in 2016. That same study looked at the experiences we fill our time with, finding that less than half of us (42%) went to the cinema even once that year, while only a third (31%) visited an art gallery or experienced theatre (32%).

Looking at these figures, it seems our priorities are dominated by cars, internet services and restaurants. Yet isn’t that ironic when a quick scroll through Facebook reveals so many complaints about unprecedented levels of traffic, narcissism, laziness, and a lack of critical thinking?

What is powerful about this, though, is the realisation that we can change it instantly. Instead of going to the fancy new restaurant in Valletta this weekend as we always do, we could choose to cook a nice meal at home for friends then sit down with a good read. We could switch out the Sunday drive with a run in the rural parts of our island. And question yourself: Do I really need that new €15 sweater when I have another 20 that look just like it sitting in my wardrobe? Or do I want to put that money towards a family weekend away?

All this might sound minor, even ridiculous. But making deliberate choices about how and where we spend our hard-earned resources has a profound impact. Asking whether a particular purchase will ‘bring joy’ can spark answers that surprise us. And those answers may well trigger a ripple effect on our lives as a whole.

Saving money will allow us to work less and free up more time for meaningful activity with the important people in our lives. Investing in ourselves and our minds will see us becoming better, more well-rounded people. Can we say the same for the momentary rush we get after dropping an obscene amount of money on a new phone manufactured under questionable ethical standards?

At the end of the day, it’s all quite simple. If we all tried to be a little bit more mindful, a little bit more careful about where our money goes, which systems we feed, and what we allow into our lives… well then we could—quite literally—change our world.

Read more: Household Budgetary Survey 2015. National Statistics Office, 2018.

Capitalism cassi camilleri climate change Environment fast fashion garbage idea Joshua Fields Millburn lifestyle Marie Kondo Materialism minimalism nso quality responsible Ryan Nicodemus spending wellness

Poverty in a prospering country

Author: Samuel Casha

In 2018, anti-poverty organization Oxfam reported how in 2017, the world’s 2,043 billionaires increased their combined wealth by $762 billion–enough money to eradicate global poverty seven times over. While in past centuries, poverty was a consequence of a lack of resources, abundance is a far greater issue in today’s world. The problem is resource distribution.

The gap between the rich and poor is ever-widening, and this is a reality that is true in Malta.

Our streets might not be blighted by homeless people as in most big European cities, yet hidden poverty is increasing. In 2016, the National Statistics Office reported that 16.5% of the Maltese population live at risk of poverty. Skyrocketing property prices have their part to play, grinding society’s most vulnerable members down. Currently, over 900 families live in garages, as stated in a parliamentary meeting in May 2018.

The situation is not the fault of any one political party or another. Poverty is a structural problem. Capitalism generates poverty, just as it generates wealth. Yet, too often, those in the middle-class point their fingers not at the rich and powerful fuelling the machine, but at the poor themselves. Many assume that the poor could climb the social ladder if only they worked harder, but many are employed and still fail to achieve a decent standard of living since the minimum wage is inadequate.

Throughout history, countless artists have depicted poverty, among them Vincent Van Gogh, whose Potato Eaters (1885) remains one of the most powerful paintings about poverty in history. Criticised for its lack of a ‘conventional sweetness,’ in a letter to his brother, Vincent insisted that ‘a painting of peasant life should not be perfumed.’ Van Gogh’s Potato Eaters brings the viewer face-to-face with a type of poverty that exists behind closed doors. Malta’s poverty problem is exactly that: behind closed doors. If we cannot do much to help them, at the very least, the poor deserve our empathy, not our judgement.

This article is based on research carried out as part of the B. A. (Hons.) History of Art with Fine Arts course within the Department of Art and Art History, University of Malta, under the supervision of Prof. Giuseppe Schembri Bonaci.