You South Africa

THE NECESSITY OF WONDER

AT THE Monday morning feedback meeting I’m informed by the nursing staff that there are three Nelson Mandelas on the ward. They’re behaving in a courteous, dignified way towards one another. There’s no dispute among them as to who the true Mandela might be – instead, they appear to respect the choice that each has made to be an eminent and revered figure.

There’s never been a Jacob Zuma on our ward. The ex-president, who’s now facing charges of corruption, isn’t a popular figure in our refracted world.

Some time ago, a very large and fierce black man from the Democratic Republic of the Congo was admitted to the high-care unit insisting he was Helen Zille, the premier of the Western Cape at the time. This was curious because Helen Zille is a middle-aged white woman. It was surprising to us that a recent immigrant from central Africa should’ve chosen to be her.

Choice is not generally a consideration in psychoses. You don’t choose to be psychotic, but I do think it’s possible that, at some level, there’s a degree of agency regarding the content of delusions.

The choice to be a Mandela rather than a Zuma isn’t random, I believe. These are two political figures who symbolise very different philosophies and moralities. The one features on our ward and the other doesn’t.

I think our patients want the world to be safer and kinder.

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