ShodhKosh: Journal of Visual and Performing ArtsISSN (Online): 2582-7472
From Consciousness to Unconsciousness: A Biopsychosocial Study of Qala Shohib Bashir 1 1 Research
Scholar, Department of Humanities and Social Sciences, Indian Institute of
Technology Roorkee, Roorkee, (Uttarakhand), India 2 Professor,
Department of Humanities and Social Sciences, Indian Institute of Technology,
Roorkee, (Uttarakhand), India
1. INTRODUCTION Modernity brings
numerous devastating repercussions to individuals and society. Stress,
‘neurasthenia’, and other mental health problems arise, not wholly but
partially, from the factors associated with modernism, technology, and
capitalism. Navin Kumar, in his book Mental Health and Well-being (2023),
emphasises that “stress is developed through a transition between individual
factors and environmental factors (p. 37). Lazarus (1966), on the other hand,
defines “stress as a mismatch of the perceived demands of a situation and the
individual’s assessment of his or her resources to deal with these demands” qtd
in Kumar (2022), p. 22. Stress
can be manifested in various forms depending upon the situation, thereby
creating a state of a conundrum. Gender is one such important conundrum which
gives rise to several cultural and social connotations of stress that abnegate
the old notions of gender. The
cultural and social understanding of gender is based on the tradition that
focuses on the biological anatomy of humans and associates the notion of
superiority and subordination from the time of birth. This demarcation creates
a certain kind of tension which situates males in the higher hierarchical level
and ascribes women to a lower place in the structure. This reality is created
through “language, gesture, and all manner of symbolic social signs” Butler (1998), p.
270, which captures the essence of patriarchal structures. In the same
way, through performative practices, Qala (baby girl) becomes the victim of a
male-dominated society where she struggles to upstand women’s identity in the
Indian music industry of the late 90s. In the account of the historical study,
patriarchy possessed the “core value of control and domination in almost every area of existence” Khurana (2018),
p. 116.
Some questions that this article attempts to answer concerning the
psychological condition of Qala are how performativity of male dominance blazes
the spark of mental illness; how inferior complex and the issue of bad
parenting adds flames to the impairment, and how little incidents in her life
assimilate negative emotions that lead to the breakdown of Qala and finally to
her suicide. The eponymous character Qala is a girl child
born in a reputed family and is blamed for killing her baby brother in her
mother’s womb by absorbing all the nutrition. During her nourishment throughout
childhood, she follows her mother’s way of receiving her affection and love.
Qala starts chasing the dreams of her mother of being a legendary singer like
her father. This paper traces the life events of Qala from her childhood to her
death and from being an ordinary girl to a lady who wins the Golden Vinyl
award. While analysing the movie, this study envisages a ‘biopsychosocial
model’ of disease that plays a pivotal role in shaping the psychosis of Qala.
This study proposes that aberration in mental states can be affected by the
combination of biological, psychological, and social factors in the
individual’s life. Additionally, this research suggests that her hallucination
of seeing Jagan despite being dead (bio), her relationship with her mother
(psychological), and her inner urge to become a leading singer in the
male-dominated industry (social) culminates in a serious medical exigency that
leads to the eventual psychosis of Qala. The critical events like Qala’s music
rehearsal with her mother, her mother’s attachment and love towards Jagan, the
reasons behind her urge to succeed only to seek attention from her mother, and
finally, how all these factors lead to her downfall, have been examined to
bring out a new perspective to the visual literacy. 2. Theoretical framework George W Engel’s biopsychosocial model
provides a different perspective to analyses the role of psychosocial
dimensions in Qala’s psychosis. Engel, in his classic article The Need for a
New Medical Model: A Challenge for Biomedicine, surpasses the old traditional
medical model of disease, commonly known as the biomedical model. The primary
impetus of this biomedical model is to view disease “with molecular biology
(as) its basic scientific discipline” (p. 379). This model accounts for the
somatic aberrations only and excludes the psychosocial dimension of illness.
According to Engel, the diagnostic criteria of disease are not only based on
the etiology of a biochemical and neurophysiological
phenomenon but also “require consideration of psychological, social, and
cultural factors” (2012, p. 280) plausible for examining the disease. He
brought the psychological and social detriments that modify the experience of
illness in the development of the disease. Baum & Posluszny (1999),
in their work, demonstrate that biological, psychological, and social factors
intertwine with each other to impact health adversely (p. 139). The factors for
human illness can be measured in proportions contributing equally to the
development of disease. In other words, “biological, psychological, and social
processes are integrally and interactively involved in physical health and
illness” Suls & Rothman (2004),
p.
119. In the case of ‘psychosis’ of Qala, biological,
psychological, and social factors inadvertently play their role in developing
aberration in her mental health. In other words, the development of disease,
which is specified by biological science, contains impetus from psychological
and social phenomena. Qala’s psychosis, which is considered as a disease by
biological science, is the result of the combined effect of psychological and
social impetuses. The manifestation of stress was spread in different
dimensions of her life. We look at Qala’s life from three different
perspectives and combine them to trace the factors behind Qala’s psychosis. The
line of characterisation is shown through her hallucination of seeing Jagan,
despite being dead as biological, her strenuous relationship with her mother as
psychological, and her inner urge to become a leading singer in the
male-dominated industry as a social aspect. This study, thus, uses the
biopsychosocial model given by George Engel to demonstrate how these three
factors affect her mental health and develop psychosis that ends up with her
suicide. 3. Development of psychosis: a biological aberration Disorders
in mental health may be the result of the phenomenology of social, cultural,
psychological, or neurobiological experiences. The cognitive impairment in the
brain is developed by the dysfunction of the biopsychosocial schemas. Kuipers (2006), p. 25. On the other hand, recent
studies show the involvement of social phenomena such as urban upbringing,
social isolation, and migration Boydell et al. (2004), p.
599 in aberrant brain development. The disruption of schemas generates a
vulnerable predisposition that results in emotional changes and leads to
different vulnerable complications. This research will try to relate the life
events of Qala to the hypothesis that claims the reason for psychosis is mainly
the poor understanding of the theory of mind, emotional instability, and an
adverse social environment. The pathological condition of psychosis is not
limited to these factors only, but we take these as the major reasons for the
development of psychotic impairment in Qala. Faris
suggests that “any form of isolation that cuts the person off from intimate
social relations for an extended period of time may possibly lead to any form
of mental disorder” Kohn & Clausen (1955), p.
265. The upbringing of Qala in social isolation, her loathing
relationship with her mother, the adoption of Jagan by her mother as her
stepbrother, her zeal for fame and the misdeeds she commits are some
significant events in her life that reshape her mental landscape. Furthermore,
the emotions released by social incidents at their zenith interact with
biological and psychological aspects to draw the occupation of illness. Howes et al. (2004), p.
10. The psychosocial schema plays a vital role in the development of the
biological dimension of illness. The phenomenon defined under the ambit of
physical and behavioural sciences characterises the biological aspect of the
disease. She spent her childhood in
solitary confinement while rehearsing tanpura and vocals. In the movie, it is
evident that without her dissenting mother, there is no other person with whom
she shares her feelings and inner thoughts. The influence of the stored
negative memory “leads to the anomalous conscious experience” 4. Mother-daughter relationship: Development of psychological insight In 1890,
Willian James stated that Brain is “made up of nothing else than nervous
arrangements, representing impressions and movements” William (1890) (p.18). In
philosophy and biology, the term ‘mental life’ is associated with various
threads of explanation, but the basic explanation associates it with thoughts and
emotions. The
construction of a panoply of mental life depends on various domains of
day-to-day life events and deciphers the significant influence of the social
environment. In the beginning of the movie, the tension in Qala's life is
portrayed through narrow frames in a somber
atmosphere. In one of the scenes, her mother is giving a lecture to Qala on her
perspective future in a tight-angle shot, “Samajti ho, Kahan Samjti ho par Samaj Jaoogi, Naam k aage Pandit lagna Chahiyee bhaii nhi (Do you understand?
Well, how can you understand? But someday you will. Your name should have
Pandit before it. And not Bai after it) Dutt (2022), 09:30-09:40.
Her relationship with her mother develops a certain kind of tenuousness that
evokes negative emotions throughout the movie. These words affect her and leave
a traumatic impression creating tension in Qala’s mind since her very
childhood. Thus, abnormal neurodevelopment processes might originate from traumatic events in
childhood. These are the implications that her mother tries to teach her about
the social structure of the society where the Pandit surname only comes after a
male name. Urmila (her mother) wants
Qala to achieve such heights of glory so that she will be given the title of
Pandit, which represents legendariness. The
long-suffering, voiceless, and innocent cuckoo girl gets stuck in the
inextricable tapestry, where on one side, there is a long solidifying tenacious
mien which symbolizes power, subordination, and corruption. On the other side,
the edifice and importunity that shows terrible seriousness accrued with the
specificity of her mother's desires. Qala’s train of thought adheres to the fragile
mental landscape, which according to psychologists Smallwood and Schooler
(2015), “is not always tethered to the here and now; rather, consciousness ebbs
and flows” (qtd. In Scholl (2018), p. 42. There are numerous incidents to expose
toxicity in her relationship with her mother. In one such instance, while
rehearsing with tanpura, she misses the rhythm and stops, and this makes Urmila
Devi angrily spurt, “Tanpura neeche rakho, neeche rakho
aqal main zero, shakal main
zero, zero talent” (set the lute down, set it down now. Brains? Zero.
Beauty? Zero, Zero talent). Dutt (2022),
17:56-18:15.
According to Adler, there is a dynamic force behind all the activities of
humans, from inferiority to superiority, perfection, and totality Jindal & Gupta (1965),
p. 32.
It is the dynamic force that urges Qala to strive for superiority so that her
mother adores her. And this impelling force creates a state of a conundrum
where she strives for superiority in her zealous path to musical glory at all
costs. It is her obsession with her mother that becomes the cause of
psychological tension for Qala. For instance, when Jaqan
tells Qala about the Golden Venyl, which Urmila Devi
wants him to win, a significant change happens in her body language. She says,
“Maa ko jo wo Sunhera award chahiye,
Main la ke dungi” (Golden
Award that Ma wants, I’ll get it for her) Dutt (2022),
43:45-43:50.
She does everything that can be done to get this award without knowing the
moral worth of her action. This continuous tension is gradually converted into
traumatic experiences, and the experience of trauma creates a psychological
vulnerability that leads to the development of psychotic symptoms. Therefore,
stress and anxiety associated with Qala’s life play an integral role in
developing the biological aberration that develops as a by product
of her obsession with her mother. 5. Dominance and subversion: Social aspect The discussion of patriarchy as a social
factor has not been neglected, as it serves as a prevalent theme of the film.
The concept of patriarchy is associated with various underlying meanings
depending upon the different manifestations. However, Anvita Dutt is very
fastidious while drawing the contour to show how patriarchy manifests in the
music industry of the 90s. In a very interesting way, patriarchal
structures were inflicted on Qala through the intention of improvision. But the
question arises, improvisation of what and by whom? The irony of the situation
is that it is Qala’s mother who prioritises jagan
over Qala. It is part of the trajectory that shows on the one side that Qala’s
mother steadily perpetuated. And on the other side, gender disparity and
objectification of women substantiate the impact of patriarchy on Qala’s life.
Kate Millets, through her Sexual Politics (1970), theorises patriarchy
on the principle that “male shall dominate female” (qtd. In Beechey (1979),
p. 69).
In Qala’s life, undoubtedly, it was his father’s milestones that she strived to
achieve. The standard of excellence and greatness was carried by her father,
Dewan Manjushree. She attempts to get the Golden Venyl
only to maintain the dignity of her father’s legacy. Finally, when she achieves
the landmark set by the male-dominated industry, she is asked a question how
she feels now, and she responds, “Thak ke ghar paunchy hun, aur Maa ne darwaza Khola hai, Ye Mere Pita ki Virasaat hai, aur Meri Maa ka
Sapna” (Reached home tired and Maa has opened the door, this is my father’s
legacy and my mother’s dream) Dutt (2022),
03:20-03:36,
the above-quoted lines, it is not Qala who wishes to do something for her, It
is her mother who controls the space through the tapestry of culture. She is
struck between these lines of her inner self and an outer self where she wants
to achieve all that her father once achieved and convinces her mother that she is capable of achieving. Moreover, the struggle she undergoes while
crossing the barriers created by the music director is of its kind. When at an
event on the launch of Jagan, Sanyal Sahab asks Qala, “Kaise
ho” (How are you), and she replies, “Aap mujhe dekh
skte ho (You can actually
see me?), I thought I was invisible” Dutt (2022),
51:01-51-10.
These lines are vantage points that exemplify the gender disparity that existed
in the music industry of the 90s. As Sanyal sahab
replies, “tumhe koi kaise andekha kar skate hai (How could anyone not see you, my dear) Dutt (2022),
51:12-51:16.
The paragon of sexual objectification is indelible and acts as an operator of
patriarchy in many settings as visible in the quoted scenes. This movie is full
of such images that show how discriminatory acts are committed based on
gender. But while fighting these social
evils, Qala struggles with the inner consciousness that troubles her time and
again. These social troubles appropriate the negative emotions in her
interiority and significantly intensify the triggering flame that ends up in
psychosis. 6. Conclusion With the suicide of Qala, the story ends with a multifaceted opening. This makes room for an important medical reflection; that is to say, to what extent is the prior experiences cumulatively affect the health of the character? We propose a strategy that focuses on Engel’s ‘biopsychosocial model’ to evaluate the influences of these three dimensions on Qala’s health. It is crucial to consider her mental breakdown due to the agony of various events that happened in her life that serve as the basis for the biological origin of her illness. The childhood trauma and her contested relationship with her mother instigate the feeling of fear and inadequacy that occupy her psychological space. The most challenging conditioning for Qala is to break the prevalent patriarchy that always poses hurdles in her life. This pinpoints the collusion of the social dimension in her mental breakdown. The biological, psychological, and sociological factors serve as the basis for her mental breakdown and under the influence of which she commits suicide. Thus, this study concludes by stating that the biopsychosocial model is valuable for identifying the causes of illness through these three aspects. But this study limits itself to providing the essential ground of study, which falls into the area of medical humanities. However, Anvita Dutt has delicately addressed various other aspects which are prevalent and significant and left for further study.
CONFLICT OF INTERESTS None. ACKNOWLEDGMENTS None. REFERENCES Baum, A., & Posluszny, D. (1999). Health Psychology : Mapping Biobehavioral Contribution to Health and Illness. Annual Review of Psychology, 50, 137-163. https://doi.org/10.1146/annurev.psych.50.1.137. Beechey, V. (1979). On Patriarchy. Feminist Review, 3, 66-82. https://doi.org/10.1057/fr.1979.21. Boydell, J., Van, Os, J., McKenzie, K., & Murray, R. M. (2004). The Association of Inequality with the Incidence of Schizophrenia : An Ecological Study. Social Psychiatry and Psychiatric Epidemiology, 39, 597-599. https://doi.org/10.1007/s00127-004-0789-6. Butler, J. (1998). Performative Acts and Gender Constitution : An Essay in Phenomenology and Feminist Theory. Theatre Journal, 40(4), 519-531. https://doi.org/10.2307/3207893. Dutt, A. (Director). (2022). Qala [Film]. Clean Slate Filmz. Garety, P. A., Kuipers, E., Fowler, D., Freeman, D., & Bebbington, P. E. (2001). A Cognitive Model of the Positive Symptoms of Psychosis. Psychological Medicine, 31(2), 189–195. https://doi.org/10.1017/s0033291701003312. Howes, O. D., McDonald, C., Cannon, M., Arseneault, L., Boydell, J., & Murray, R. M. (2004). Pathways to Schizophrenia : The Impact of Environmental Factors. The international journal of neuropsychopharmacology, 7 Suppl 1, S7–S13. https://doi.org/10.1017/S1461145704004122. Jindal, R. C., & Gupta, S. C. (1965). The Psychology of Alfred Adler. Indian Journal of Psychiatry, 7(1), 31-36. Khurana, N. (2018). Evaluating the Evolution of Patriarchy in India and the West. International Journal of Gender and Women’s Studies, 6(2), 114–126. https://doi.org/10.15640/ijgws.v6n2p12. Kohn, M. L., & Clausen, J. A. (1955). Social Isolation and Schizophrenia. American Sociological Review, 20(3), 265–273. https://doi.org/10.2307/2087384. Kuipers, E., Garety, P., Fowler, D., Freeman, D., Dunn, G., & Bebbington, P. (2006). Cognitive, Emotional, and Social Processes in Psychosis : Refining Cognitive Behavioral Therapy for Persistent Positive Symptoms. Schizophrenia bulletin, 32 Suppl 1(Suppl 1), S24–S31. https://doi.org/10.1093/schbul/sbl014. Kumar, N. (2022). Mental Health and Well-Being : An Indian Psychology Perspective. Taylor & Francis. https://doi.org/10.4324/9781003350651. Scholl, L. (2018). Medicine, Health and Being Human. London and New York : Routledge. Suls, J., & Rothman, A. (2004). Evolution of the Biopsychosocial Model : Prospects and Challenges for Health Psychology. Health Psychology, 2, 119- 125. https://doi.org/10.1037/0278-6133.23.2.119. William. J. (1890). The Principle of Psychology. Cambridge, Mass : Harvard University Press.
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