The Heritage and Legacy Project
May 16, 2024Yale Child Study Center May 14, 2024
YCSC Special Lecture: Max Ritvo & Alan B. Slifka Program for the Medical Humanities
Ayotunde Ayobello, MDAssistant Professor of Child Psychiatry
Information
- ID
- 11677
- To Cite
- DCA Citation Guide
Transcript
- 00:02Good afternoon and welcome.
- 00:05Can everybody hear me
- 00:06back there? Yeah, sound
- 00:07is OK. OK. OK. So today's a a
- 00:12a truly special grand rounds
- 00:16and I don't say that lightly.
- 00:19Let me start by telling you that this
- 00:21grand rounds is part, as you can see,
- 00:23of the Max Ritvo and Alan Alan B
- 00:26Slifka Memorial Lecture Series.
- 00:30Dear Max and Dear Allen.
- 00:32We're both alumni of Yale College,
- 00:35UC classes of 13 and 51,
- 00:39and they really were very devoted to this
- 00:42institution in in many different ways.
- 00:45Now, a very brief word,
- 00:47literally one word about each
- 00:49of these two individuals.
- 00:51When I think of Max, I think of many things,
- 00:53but the word whimsical comes to mind.
- 00:56He was, he was a poet.
- 00:58He was an artist.
- 00:59He was one of the funniest people who I knew.
- 01:02And when he comes to to mind and Alan,
- 01:07among the many things that
- 01:09he did in his career,
- 01:11was devoted to the idea of coexistence.
- 01:15And he specifically was interested in
- 01:18coexistence between Arabs and Jews in Israel,
- 01:22a topic that is of high relevance today.
- 01:25And our speaker today happened to go
- 01:29to medical school in Ukraine when
- 01:34it was Ukraine and it is now Russia.
- 01:37So there's all these connections about
- 01:39coexistence and about whimsy that I
- 01:42think we're going to be hearing about.
- 01:44This is the fifth such lecture.
- 01:47And let me just tell you that we've
- 01:49covered most of the art forms.
- 01:51The first talk was about use
- 01:55beatboxing as the medium,
- 01:57The second one use theater as a medium,
- 02:00and it was done by Zoom in the
- 02:02midst of the pandemic,
- 02:04which later became actually
- 02:06a play off Broadway.
- 02:08The third speaker happened to
- 02:10be a Nobel laureate in poetry,
- 02:13and last year's talk was centered
- 02:17on photography.
- 02:18So today we really haven't had
- 02:21anything using paint as the medium,
- 02:23but that's where we're going to go today.
- 02:27I'm incredibly grateful to Ari Ritvo,
- 02:30who I saw is online and maybe in a
- 02:34little bit we can ask her to say a few
- 02:38words after we hear from today's speaker.
- 02:40But today's speaker is we're going
- 02:43to tell you about today's speaker.
- 02:44He is a gentle giant.
- 02:47He is both of those things, actually.
- 02:48He actually played professional
- 02:50basketball when he was in medical school.
- 02:54We still fondly talk about him
- 02:57in the inpatient unit as a child
- 03:00whisperer because in his bigness
- 03:02he was so good with kids,
- 03:06so gentle and so IO is wonderful
- 03:13and just as wonderful as his
- 03:14daughter Ariella who is here today,
- 03:15who later will have a very special role.
- 03:18So let me just tell you something
- 03:20about the logistics.
- 03:23Ayo Ayo Tunde, Ayo Bello.
- 03:25Our artist will give us a a talk.
- 03:29Then when we're done, please come out.
- 03:31There's some refreshments as you saw
- 03:33of all sorts of octonage and and you
- 03:36know there's something for everyone.
- 03:38Grab something if you so desire.
- 03:40And then we're going to go straight
- 03:42up one floor and we're going to gather
- 03:45together and and then you know special
- 03:48magic will happen at that time.
- 03:50So please, please, please. Very important.
- 03:51When we're done we're going to go up.
- 03:53So gentle giant are you are you feeling it?
- 03:56IO. My dear friend.
- 03:57Wonderful artist. Incredible child.
- 03:59Psychiatrist.
- 03:59Father the the
- 04:00whole package. Come on up.
- 04:17Thank you, thank you, thank you,
- 04:18thank you all so very much.
- 04:20Thank you, Doctor Martin,
- 04:22for that introduction.
- 04:25If if someone had told me a few years
- 04:27ago that Doctor Martin would be
- 04:29introducing me for a talk, you know,
- 04:31I probably wouldn't have believed it.
- 04:33But thank you and welcome
- 04:36everyone to this special talk.
- 04:40I am incredibly honored and incredibly
- 04:43excited to be here today and to be
- 04:47the fifth speaker of this really,
- 04:49really special talk and presentation.
- 04:52And I'm really glad that
- 04:54you all could be here.
- 04:57So this talk is about a topic
- 05:01that is really special for me.
- 05:04Like Doctor Martin said, the You know,
- 05:08lecture series, you know,
- 05:09has been about the arts and you know,
- 05:12the visual arts,
- 05:13you know specifically is extremely special
- 05:16to me and has played a huge role in my life,
- 05:20you know, and in my professional
- 05:23development and my growth.
- 05:25And I am incredibly excited to
- 05:28share this journey with you.
- 05:31So we will get started.
- 05:35So this journey started several years
- 05:41ago in my birthplace in Nigeria,
- 05:45in a little town called Alaric in the
- 05:48western, you know, part of Nigeria.
- 05:50And I would say I had a typical
- 05:55happy childhood.
- 05:56This is my childhood home and I
- 06:00spent my days playing like most
- 06:04kids do and you know,
- 06:06doing things like riding my
- 06:09bike and you know,
- 06:11climbing like the trees at
- 06:13the backyard and exploring,
- 06:15you know, my world.
- 06:17I, you know, like to play basketball.
- 06:20I like to play soccer and would
- 06:22play like pick up soccer with like
- 06:24the kids in the neighborhood.
- 06:26And I also, you know, liked to draw.
- 06:30I like to color.
- 06:32I like to paint and that is
- 06:37really where the story starts.
- 06:40So in addition to all these things,
- 06:42I also like to read a lot.
- 06:45And I think one of the biggest
- 06:48legacies or one of the biggest
- 06:50gifts that my parents gave me
- 06:52was a desire to read early on.
- 06:54And right here is where I
- 06:56spent most of my time.
- 06:58So this was my library growing up,
- 07:01and this right here is called
- 07:06the Encyclopedia Britannica.
- 07:10And this was my Internet before the Internet,
- 07:14so before Snapchat and Tiktok and Instagram,
- 07:19this was where I spent most of my
- 07:22time and I probably read most of the
- 07:26books that you see here. So it was,
- 07:29it was a very interesting childhood.
- 07:32But as I started to read, I started
- 07:36to learn about artists and I learned,
- 07:39you know, not just about art,
- 07:43but I learned about the lives of artists.
- 07:47And, you know, it was in this corner and this
- 07:50Nuke that I started to learn about, you know,
- 07:53artists like Edward Munch and his incredibly,
- 07:57you know, powerful paintings.
- 07:59You know, I learned about,
- 08:00you know, Vincent van Gogh and his
- 08:05beautiful paintings of sunflowers.
- 08:08I, you know,
- 08:09learned about the great Michelangelo and was,
- 08:13you know, really, really stunned by the
- 08:18beauty of the Sistine Chapel and the works,
- 08:22you know, that were done there.
- 08:24I learned about Giorgio O'Keefe and,
- 08:27you know, her just pioneering
- 08:30work and her trailblazing work.
- 08:33And so before I even got to, you know,
- 08:37see any of these paintings in real life,
- 08:39I had already started to learn about them
- 08:42and already visualized them in my head.
- 08:47But not only did I learn about
- 08:50these artists and their paintings,
- 08:53their works, their triumphs,
- 08:55I also learned about their struggles.
- 08:58I also learned about their difficulties,
- 09:02their challenges, their lives.
- 09:05And I started to notice that a lot
- 09:07of the artists that I learned about,
- 09:10you know, had moments when they struggled,
- 09:13you know, with their mental health
- 09:15and with their Wellness.
- 09:16And I started to wonder about
- 09:19this connection.
- 09:19Does every artist, you know,
- 09:21struggle with this?
- 09:22What is, what is this, you know, connection?
- 09:25And you know, I started to explore this,
- 09:28you know more and more.
- 09:30And you know,
- 09:31this was really the start of
- 09:33this connection for me and this,
- 09:35this desire to explore this
- 09:38intersection of the visual arts and
- 09:41just Wellness and mental health.
- 09:43And I continued to explore this
- 09:47and eventually realized that,
- 09:49you know, art doesn't cause you
- 09:52to have mental health issues.
- 09:55Art can, however,
- 09:58be a a therapeutic solution.
- 10:02Art can be a soothing manner,
- 10:07a soothing, A soothing pathway to to
- 10:12dealing with mental health issues.
- 10:15And I noticed that a lot of these artists
- 10:19used their arts as therapeutic channels,
- 10:22used their art as you
- 10:25know means of catharsis,
- 10:27of releasing these struggles and I
- 10:31started to really explore this further.
- 10:33So as I started to paint and also
- 10:38started to grow in my own artistic,
- 10:42you know,
- 10:43desire,
- 10:43I started to also make paintings
- 10:46that were modeled or similar to
- 10:48these people that I had read about.
- 10:51So in my 2018 painting,
- 10:55you know, I modeled, you know,
- 10:57the sunflowers that you see in
- 11:00the background to, you know,
- 11:02the sunflowers that I would read about
- 11:05with Vincent van Gogh in my 2017 painting,
- 11:12this one, you know,
- 11:14particularly heroin.
- 11:14I,
- 11:15you know,
- 11:16modeled the background that you see,
- 11:20you know, with the with the
- 11:22visual vibrancy of Edward Monk.
- 11:24And you know, this, this was particularly
- 11:28interesting because I made this painting
- 11:31after I got into a car accident in 2017.
- 11:35I was, you know, driving back from work,
- 11:39you know, a freshly minted intern and
- 11:42I was sleep deprived and you know,
- 11:45just, you know, having a rough week
- 11:47and I fell asleep on the wheel.
- 11:50And you know, at the time it was,
- 11:53it was a near miss. And you know,
- 11:56it was something that I struggled with.
- 11:58You know, afterwards I had,
- 12:01you know, nightmares.
- 12:02You know, I had, you know,
- 12:05almost like mini PTSDI would call it.
- 12:08And the arts, you know,
- 12:10was really the way that I was able
- 12:13to cope and you know, navigate this.
- 12:16So like I said earlier,
- 12:17the arts has played a big role in my
- 12:20life therapeutically and you know,
- 12:22just in my professional development.
- 12:25So we Fast forward to now,
- 12:29you know, I am, you know,
- 12:32both a child psychiatrist
- 12:34and a visual artist.
- 12:36And I believe these two aspects of me,
- 12:39you know,
- 12:40have have come together and you know,
- 12:43now it makes sense, you know.
- 12:45And now I look back, you know,
- 12:47when when people ask me why did you,
- 12:49you know,
- 12:50pick psychiatry as your specialty, I say no.
- 12:53Psychiatry picked me.
- 12:54You know, all those years when I was reading,
- 12:58you know, about artists,
- 12:59you know, I,
- 13:01I before I knew what psychiatry was
- 13:03or what mental health really was,
- 13:05I had this understanding.
- 13:07And you know, eventually I am able to,
- 13:12you know, explore this intersection.
- 13:14So as I continued, you know,
- 13:18in my journey, you know,
- 13:19through intern year and,
- 13:21you know, eventually, you know,
- 13:23coming to Yale for my child psychiatry
- 13:26fellowship, I knew that this was,
- 13:30this was a field or this was a
- 13:32area that I wanted to pursue.
- 13:34And I thankful to, you know,
- 13:37this incredible program at the
- 13:39Child Study Center. Dr.
- 13:40Stubby, where where is she?
- 13:42Doctor Stubby's. Yup.
- 13:43Yup.
- 13:44That's that's my program director.
- 13:47You know, for, you know,
- 13:48making a program that you know fosters,
- 13:51you know, creativity and, you know,
- 13:53thinking outside the box, you know.
- 13:56But when I arrived at Yale,
- 13:59especially this building,
- 14:00the specific building,
- 14:02the Child Study Center,
- 14:04I ran into a an inscription
- 14:08that is very powerful.
- 14:12And I don't know if anyone
- 14:14knows where this is.
- 14:16It might be a little game
- 14:19that we're gonna play,
- 14:20but I saw this phrase and I thought it was
- 14:24very powerful from generation to generation.
- 14:27And,
- 14:28you know,
- 14:28it was something that I pondered
- 14:30on and it started to make sense to
- 14:34me and it started to dawn on me.
- 14:38You know that in a place like this
- 14:44you you don't just come here
- 14:47and start things from scratch.
- 14:51We are literally sitting on
- 14:56the shoulders of giants.
- 14:57You know, we're literally taking
- 15:00on the work that has been done
- 15:04or has been started, you know,
- 15:07multiple, you know, years ago.
- 15:10We're taking on a legacy where we're taking
- 15:14on a heritage that the greats in child
- 15:18psychiatry and the grades and, you know,
- 15:22mental health have passed on to us.
- 15:24And, you know,
- 15:25it was a very powerful inscription that I,
- 15:29I started to take to heart.
- 15:31And when I got here,
- 15:33I started to learn about our incredible,
- 15:36you know,
- 15:38incredible teachers, mentors,
- 15:46not the least. And Albert Jasonet,
- 15:50one of The Pioneers, you know, of child
- 15:53psychiatry here at the Child Study Center.
- 15:56I didn't know he was going to be here today.
- 15:59But Doctor James Comer who's right there,
- 16:07whose incredible work, you know,
- 16:09we still appreciate and are, are,
- 16:12you know, going off of today.
- 16:15And you know, these, these giants really
- 16:19got me thinking about this idea of legacy.
- 16:23And you know what it means,
- 16:25this idea of heritage and you know how
- 16:28it affects, you know, our work and
- 16:32how we approach our work every day.
- 16:35So I started to, you know,
- 16:38have this conversation about moving this,
- 16:42you know, intersection of visual
- 16:44arts and psychiatry forward.
- 16:46And we came up with the
- 16:48idea to make a portrait.
- 16:50But before we started that we had to explore,
- 16:53you know, just the general state
- 16:56of portraiture in general.
- 16:58And we discovered a couple of things.
- 17:01So medical portraiture is,
- 17:03is a way that institutions,
- 17:05you know, medical schools,
- 17:07hospitals have used to really display
- 17:11their values and display, you know,
- 17:14their, their, their culture, you know,
- 17:17on the walls of their institutions.
- 17:20And we,
- 17:21you know discovered that medical
- 17:24iconography in general was the study and
- 17:28enumeration of outstanding physicians
- 17:31through our recording of their portraits.
- 17:35And so we started to think about
- 17:38how you know this, you know,
- 17:40while you know, while it sounds good,
- 17:44you know we were interested in this part,
- 17:47you know where we started to question
- 17:50that you know is it only physicians,
- 17:52you know that should be displayed
- 17:55or showed in portraiture and
- 17:58do they have to be outstanding.
- 18:01You know the the the entire
- 18:04medical institution,
- 18:05you know is powered by so much more
- 18:08than you know, just the physicians.
- 18:10And you know in child mental
- 18:13health specifically, you know,
- 18:14it is as we all know,
- 18:16a collaborative process until
- 18:18we started to really reflect on,
- 18:21you know what we wanted this portrait,
- 18:23you know, to show.
- 18:24And we were started thinking about
- 18:27trainees as well because medical
- 18:30trainees are a group of people
- 18:33that have often been overlooked
- 18:35in portraiture just, you know,
- 18:37by the nature of their, you know,
- 18:40transient time and institutions.
- 18:42And we knew that this group of
- 18:45people were incredibly important and,
- 18:48you know,
- 18:49made the workforce of most institutions.
- 18:52So we wanted to make sure that
- 18:55we consider that as well.
- 18:57And also, you know, just displaying,
- 19:00you know, the,
- 19:01the accurate values and ideals
- 19:04of diversity and you know,
- 19:06inclusion was something that
- 19:08was really important to us.
- 19:10So we we really took that to heart
- 19:13and that was really where the idea
- 19:16for the Legacy and the Heritage
- 19:18project was was born.
- 19:20And as you can see we are wearing masks.
- 19:22So it it tells you what time and
- 19:26you know what the climate was,
- 19:28you know, at that time.
- 19:30And so, you know,
- 19:32this idea was born and we decided
- 19:36that we were going to make a
- 19:39portrait and we wanted, you know,
- 19:42the portrait to one, you know,
- 19:45embellish this child mental health space
- 19:50and one of the portrait to show our values,
- 19:54you know,
- 19:55show that we were welcoming,
- 19:56show that we were inclusive, you know.
- 20:00And two, we wanted to explore this idea of
- 20:05legacy and heritage and how it affected.
- 20:09You know the idea and the approach
- 20:11that trainees have, you know,
- 20:13in their everyday work and in
- 20:16their everyday approach to work.
- 20:17So, you know, we started off by
- 20:22interviewing trainees and child psychiatry,
- 20:27psychology and the social work programs,
- 20:30and we started by interviewing
- 20:33them and having conversations
- 20:36about this idea of legacy.
- 20:38I muted the sound because
- 20:41of privacy concerns.
- 20:43But we we started this interview series
- 20:46and started to have conversations about,
- 20:50you know, what does legacy mean to you and
- 20:53what does the idea of heritage mean to you?
- 20:57How do you see these things and apply them,
- 21:01you know, to your, to your daily practice.
- 21:04And it was pretty powerful.
- 21:05We got incredible, you know, responses.
- 21:09Our trainees were magnificent with, you know,
- 21:13just showing up and and being really present.
- 21:19And you know, for a lot of these
- 21:22clinicians and these trainees,
- 21:24they are used to being in positions
- 21:26where they're the ones interviewing,
- 21:28you know, they're the ones,
- 21:30you know, being exploring.
- 21:33So at this point,
- 21:35it was very interesting to turn
- 21:37the tables around and have them,
- 21:39you know, be interviewed and
- 21:41hear their stories and hear,
- 21:43you know, their, you know,
- 21:45their trajectories.
- 21:46And so the interviews that we did were,
- 21:51you know,
- 21:52recorded and the the information transcribed
- 21:56into a transcription software called In Vivo.
- 22:00And we analyzed, you know,
- 22:02that data using a process
- 22:07called narrative inquiry.
- 22:08It's basically a method that researchers
- 22:12use to understand the stories,
- 22:15individual stories and make meaning
- 22:19from them in a broader sense.
- 22:21So we you know had and a wonderful
- 22:25turn out and you know by the end of
- 22:29this process we were able to publish
- 22:32an article on you know this entire
- 22:37project and you know feel free to you
- 22:40know scan and you know get a better
- 22:43understanding of the depth you know
- 22:46that we went into and some of the
- 22:48results you know that we were able to garner.
- 22:52I will give a, you know,
- 22:53a brief summary of what we were able to get.
- 22:56So our our analysis basically found
- 23:02certain themes and there were three
- 23:04themes that stood out,
- 23:05you know, the greatest.
- 23:07The first theme is this idea of heritage
- 23:11and how you know past experiences,
- 23:15you know,
- 23:17past struggles, you know,
- 23:18have played a role in people's trajectory.
- 23:22We saw this theme of becoming
- 23:26which is basically the process of
- 23:31what we call professionalization,
- 23:33you know,
- 23:34which is how people become or transition
- 23:38from trainees to fully accomplished
- 23:41or fully trained clinicians.
- 23:44And you know how you know
- 23:47interactions with peers,
- 23:48interaction with patients,
- 23:50interactions with the medical institution
- 23:54shape you know these trajectories.
- 23:57And we had the sense of legacy as well,
- 24:00a theme of legacy that talked about how
- 24:04people hoped to be remembered and you know,
- 24:07some of the future work that people
- 24:10hoped to do reflections for the future.
- 24:13And it was very powerful to
- 24:15to be able to see, you know,
- 24:18this collective collective vision
- 24:21of trainees and you know this,
- 24:25this was published in Frontiers and
- 24:27Child Psychiatry and please scan and,
- 24:30you know, take a deeper look
- 24:32at what we were able to do.
- 24:34I'd like to give a quick shout
- 24:37out to the team, you know,
- 24:40that worked with me on this project.
- 24:43Lelia Benoit who happens to be
- 24:45here in the crowd at Adelaide
- 24:48who's a medical student.
- 24:50Karen Siegel and of course Doctor Martin
- 24:54who played a big role in this project.
- 24:57Thank you all.
- 24:58But now we are moving to
- 25:00a very interesting part,
- 25:02which is the actual process of making
- 25:08this oil painted this this project basically.
- 25:14So I like to talk about the stages
- 25:17of making an oil painting and
- 25:19it is not what you think it is.
- 25:24I like to think about the
- 25:27creative process as you know,
- 25:30very finely explained by this
- 25:32graph and by this timeline.
- 25:35So it starts and everything is great and
- 25:41then things start to change, you know.
- 25:45So we will talk about how
- 25:47this trajectory goes on.
- 25:49But as you saw in the last couple of slides,
- 25:53we had interviews with the trainees
- 25:55and you know, we're able to, you know,
- 25:59record those interviews and you know,
- 26:02really delve into those interviews.
- 26:04But after we had those interviews,
- 26:07we had sessions, photography sessions,
- 26:11you know, where we had, you know,
- 26:14each participant pose, you know for,
- 26:20for photograph and you know ask them
- 26:24to really bring with them or bring
- 26:28along with them things that were really
- 26:31important or significant, you know,
- 26:34to them and you know, ask them to,
- 26:37you know choose like their own,
- 26:40you know,
- 26:40positions how they wanted to be painted.
- 26:43And we had a wonderful, you know,
- 26:47turn out of,
- 26:48you know people and participants who
- 26:51you know brought their family members,
- 26:53you know brought their pets,
- 26:55you know brought objects that were
- 26:58sentimental to them and you know really,
- 27:01really took it to heart.
- 27:03And you know we had a really wonderful,
- 27:07you know,
- 27:08turn out and you know through the process,
- 27:12you know it it really gave a
- 27:14sense of you know what what we
- 27:17have and what we value you know,
- 27:20as a medical institution and as a community.
- 27:24And it was a really wonderful
- 27:27process to get this going.
- 27:30So at this point we're at the start
- 27:32and you know everything is great and
- 27:36we decide that because of the size or
- 27:39because of the magnitude of this project,
- 27:43we would need a very large
- 27:46canvas and we had to order,
- 27:49custom order this canvas.
- 27:50And as you can see it is being delivered
- 27:54to the child study center at 350
- 27:58George right now and I am 6 foot 8.
- 28:01So you can tell how big you know
- 28:04that canvas is. It was huge.
- 28:07And, you know,
- 28:09went through the process of
- 28:13unveiling it for the first time with
- 28:16my lovely daughter there, Arella.
- 28:18And you know, I had never, you know,
- 28:22painted a canvas that was this large,
- 28:25you know, So this was really a
- 28:28first for me and it was incredibly
- 28:32challenging to get it started, you know,
- 28:35But we were able to do it anyway.
- 28:37So at this point, everything is awesome.
- 28:41Everything is going great.
- 28:42You know, everyone is saying good job,
- 28:46wonderful. This is, you know,
- 28:48the sort of like the start of
- 28:50a marathon where you know,
- 28:52you you hear the sound and you're running
- 28:54and you're giving everyone high fives.
- 28:56And it's awesome.
- 28:57That's that's where this is right now.
- 29:00But then I had to get down to
- 29:02work and that was where things,
- 29:05you know, really got started.
- 29:07And so for the process of oil painting,
- 29:09it is a little different
- 29:12than a typical painting is.
- 29:15All painting is a very unique medium
- 29:19and that it has to be built over layers.
- 29:23So typically you start before
- 29:26you start all painting.
- 29:28You start with a glaze that looks
- 29:31a little bit something like this.
- 29:32Usually we use a color called raw umber
- 29:37as the glaze for sort of the base
- 29:41and you know it looks really dark.
- 29:44And the reason is,
- 29:46you know it's a very fast drying medium
- 29:49and it forms the base that subsequent
- 29:53subsequent layers of paint will go on.
- 29:59So after put in a glaze of raw
- 30:02amber you move on to the second
- 30:05layer of the painting which you know
- 30:08starts to layer up layer by layer.
- 30:12And the reason you know for
- 30:14this graduated you know,
- 30:15layer approach is you know all
- 30:19paint dries at different times,
- 30:22so thinner layers of oil dry much
- 30:27quicker than thicker layers of oil.
- 30:30So you have to go from thin to
- 30:33thick or thick to thin and you
- 30:37know this graduated approach,
- 30:39make sure that you know both all
- 30:43three layers of the paint bond you
- 30:46know accurately and you know it
- 30:49doesn't lead to sort of a crack in
- 30:52later on if it's done inappropriately.
- 30:55I made an article or I published
- 30:58an article on this process a few
- 31:01years ago called Laid on Thick
- 31:09and you know, it basically explains,
- 31:12you know this process.
- 31:14I made this painting that you see here
- 31:18on peripartum depression case that I
- 31:24have the opportunity to treat and I
- 31:28saw these intersections, you know,
- 31:31between the process of oil painting
- 31:33and the process of attachment.
- 31:37So when we think about the
- 31:39the layers of paint,
- 31:41you know that build on each other, it it,
- 31:45it sort of reflects the the way attachment
- 31:49you know goes and how a child bonds,
- 31:53you know with their caregiver
- 31:56and you know the bonding has to
- 31:59happen in subsequent layers.
- 32:01And in the same way with all painting,
- 32:04the layers have to go in a certain way.
- 32:08And if that doesn't happen it can
- 32:10lead to a crack in you know the same
- 32:13way that we can see sort of like a
- 32:16psychological crack in in children
- 32:19who unfortunately did not receive
- 32:22this graduated layer of attachment.
- 32:25So it was a very interesting article and
- 32:30please feel free to scan and take a look.
- 32:35So moving on to the next phase,
- 32:39I I really like this quote
- 32:42by Vincent van Gogh.
- 32:44Great things are done by a series of
- 32:47small things brought together and this
- 32:50was a quote that really rang true as
- 32:54I continued to make this portrait.
- 32:58So I'm gonna play this scenario or this
- 33:04painting for you, and
- 33:08I want you to keep an eye on the Blues.
- 33:23So what you just saw there was
- 33:27actually four different shades of
- 33:30blue and four different types of blue
- 33:34coming together to make that hoodie.
- 33:39And if you take a look at it again,
- 33:43you will see that one,
- 33:46just one shade of blue is not
- 33:50able to accomplish this task
- 33:52or accomplish this paint in.
- 33:55When all those shades, however,
- 33:57come together, they're able to,
- 34:00you know, make the right shade,
- 34:02make the right gradient and it it really,
- 34:07you know, that quote really came
- 34:10to mind as I did this and that one,
- 34:13one single shade of blue is not able to
- 34:17do what 4 shades can come together to do.
- 34:21And I think this really highlights our
- 34:23approach and you know child mental health,
- 34:26you know where it's a collaborative
- 34:29approach and the more that we
- 34:32are able to combine our skills,
- 34:34the more we're able to combine our our
- 34:38talents, the more we're able to achieve.
- 34:41And so it was a very interesting lesson
- 34:45that I, you know, wanted to highlight.
- 34:50You know, also the, the,
- 34:51the names, you know,
- 34:53the ultramarine blue and the cyriline
- 34:56blue and the Cobalt blue are very
- 34:59interesting because you know,
- 35:02it really highlights the, you know,
- 35:05just the artistic history,
- 35:07you know, behind all painting.
- 35:09So for example,
- 35:11Ultramarine blue is a very unique
- 35:14painting and that is a very unique
- 35:17shade of paint and that it was
- 35:21extremely rare to find Ultramarine
- 35:24Blue in the ancient days.
- 35:28You actually had to travel,
- 35:31you know,
- 35:32to the mountains in Afghanistan
- 35:34to get this specific type of
- 35:37rock called lapis lazuli.
- 35:40And it was incredibly difficult to extract,
- 35:44you know, the ultramarine.
- 35:45It had to be an A,
- 35:48a very tedious process where
- 35:50the the rock was really finely
- 35:53ground into this powdered form.
- 35:57And even in this powdered form,
- 35:59you had to extract the deep blue, you know,
- 36:05by a process that's very complicated.
- 36:09And most people,
- 36:11because of how complicated
- 36:13it was to extract the blue,
- 36:16would only reserve this blue for
- 36:18very special parts of the painting.
- 36:21And back in the Renaissance,
- 36:22the most special part of the painting was
- 36:26always the garment of the Virgin Mary.
- 36:30And so it was an extremely rare,
- 36:34you know, pigment.
- 36:35And you know even the name,
- 36:37you know ultramarine,
- 36:39you know ultra,
- 36:40you know being Latin for beyond
- 36:43and mare being Latin for the sea,
- 36:46you know,
- 36:47literally translated to beyond the
- 36:50sea which which indicated how far
- 36:52people had to go to get this paint in.
- 36:56And you know,
- 36:58in the same way I reflected at
- 37:01how we as mental health clinicians
- 37:04often have to go above and beyond,
- 37:08you know, for the children and
- 37:10the families that we work with.
- 37:12And you know,
- 37:14how this, you know,
- 37:16intersection really shows itself and,
- 37:19you know, just one color.
- 37:21You know,
- 37:22same thing can be said for Cyril in blue,
- 37:25you know, where you know,
- 37:28this particular shade of blue,
- 37:31you know, has such a rich,
- 37:32you know, artistic history.
- 37:34One of the most interesting stories was,
- 37:37you know, in a, in a cafe in the late,
- 37:41you know, in the early 1900s in Paris,
- 37:44You know, where a Spanish,
- 37:47you know, painter was, you know,
- 37:50having coffee, you know,
- 37:52with with his friends and,
- 37:55you know, unfortunately pulled
- 37:58out a revolver and shot himself.
- 38:02And his friends, one of which, you know,
- 38:07included the famous Pablo Picasso,
- 38:10was so devastated about this loss
- 38:14that he decided that he was only gonna
- 38:18use one shade of blue for his next,
- 38:22you know, set of paintings.
- 38:24And, you know,
- 38:25this gave birth to the blue period,
- 38:27you know, by Pablo Picasso,
- 38:29which is one of the most iconic,
- 38:32you know, pieces of work that we have.
- 38:35And so the blue, you know, represents a lot.
- 38:39Blue can represent spirituality.
- 38:43Blue can represent peace.
- 38:44You know, when the United Nations,
- 38:47you know, decided that they
- 38:49wanted to reinvent their emblem,
- 38:52they decided on a shade of blue,
- 38:55cerulean blue, that gave off,
- 38:59you know, a sense of peace and,
- 39:02you know, a sense of togetherness.
- 39:05And, you know, this was the same shade as,
- 39:09you know, Picasso, you know,
- 39:12used in his paintings.
- 39:15When you also think about,
- 39:16you know, Hindu religions,
- 39:18a lot of Hindu gods,
- 39:21a pair in a particular shade
- 39:24of blue that really, you know,
- 39:27represents spirituality and you know,
- 39:30represents peace, you know,
- 39:32so every single color, you know,
- 39:35in oil painting really has this
- 39:38rich artistic history.
- 39:40And even the name, you know,
- 39:42translates the sky blue,
- 39:44you know.
- 39:44So it's it's a very rich process that
- 39:51I was, you know, able to do.
- 39:54So now at this point you
- 39:57know I am 222 paintings in.
- 40:01And I realized that I have to do
- 40:05this 24 more times each process,
- 40:08you know that you saw right there took,
- 40:11you know maybe 10 hours,
- 40:13you know, to do. And it was,
- 40:16it was a very daunting process.
- 40:19And you know at this point I'm sort
- 40:22of somewhere between this is tricky
- 40:24where I'm like wow like this this
- 40:27is going to take a lot of time and I
- 40:29don't have protected time for this.
- 40:31I am a first year child psychiatry fellow,
- 40:35you know So it was it was quite
- 40:38tricky and it was it started to
- 40:41become more difficult where I almost
- 40:43started to question that like why
- 40:45did I decide to do this
- 40:47again how did I get here? And
- 40:51it was, it was challenging.
- 40:52I gradually went from,
- 40:55you know, one person you know,
- 40:58on the canvas to 2:00 to 3:00 and then four.
- 41:04And then before you know it,
- 41:06I had a whole, you know,
- 41:07bunch of people on the canvas.
- 41:10But it started to get more complicated
- 41:13because, you know, going into this,
- 41:15I had a loose idea of what I wanted to do.
- 41:19But as people started to grow,
- 41:22you know, and the painting,
- 41:24it became more and more
- 41:26complicated as to the direction,
- 41:29as to the positioning, as to, you know,
- 41:32how you know someone wanted to be placed
- 41:35or how someone wanted to be represented.
- 41:38And it became more and more complex.
- 41:42And I started to question, you know,
- 41:44whether I wanted to go ahead with this
- 41:47project because of how complex it was.
- 41:50And you know, like I said,
- 41:52I was also a fellow and you know,
- 41:55going through a training.
- 41:56So it was, it was a lot.
- 41:59And as I began to work,
- 42:03things became a little more dire.
- 42:06I started to experience a lot of loneliness.
- 42:11It's sort of at that point of a marathon,
- 42:14you know,
- 42:15like we were saying when the applause sort of
- 42:18dies down and you realize that wait a minute,
- 42:20I'm running a marathon here,
- 42:22I how am I going to get through this?
- 42:25And, you know, there were many nights when,
- 42:29you know, I was just by myself and,
- 42:31you know, painting and,
- 42:33you know, sort of reflecting,
- 42:34you know, the process of all
- 42:37paints is very therapeutic.
- 42:39But at the same time,
- 42:42it can also be very challenging
- 42:44because it's very quiet and sometimes
- 42:47you're left alone to be confronted
- 42:50with your thoughts and you know,
- 42:53with you know your life experiences.
- 42:55And you know,
- 42:56at the time I was also going
- 42:58through like a number of things,
- 43:00you know, in my personal life,
- 43:01you know, the end of a relationship
- 43:04and I I started to struggle.
- 43:06And you know, it was a time that
- 43:09I really started to question,
- 43:11you know, if you know,
- 43:12I wanted to go on, you know,
- 43:14with the project and you know
- 43:17that Elmo that you saw earlier,
- 43:20you know, went from,
- 43:22you know,
- 43:22being excited about this project
- 43:26to just being out in the cold alone
- 43:30and like just wondering what is
- 43:33going on to eventually I'm like,
- 43:35you know what?
- 43:37Like I think I should just like,
- 43:38I think I should just burn this
- 43:41painted like no one is going to know,
- 43:43you know, I'm just going to take it
- 43:45out and throw it away, you know?
- 43:48And I mean who's going to know?
- 43:50You know, I'm,
- 43:51I'm just going to end this
- 43:52project right here.
- 43:53But you know,
- 43:55I thankfully had the support and
- 43:58the love of community of, you know,
- 44:01my Co fellows, of my family.
- 44:04And you know,
- 44:05one person in particular was
- 44:09just incredible at helping me
- 44:12get through this process in
- 44:15general. And it is my daughter
- 44:18who is right here who
- 44:31who would support me, you know,
- 44:33throughout the night,
- 44:35sometimes would refuse to go to bed
- 44:38or join me in the studio and help me,
- 44:42you know, get through this project.
- 44:44And, you know, I started to think
- 44:46about the example, you know,
- 44:48that I was showing for her as well
- 44:51that do I quit when the going gets
- 44:54rough or do I do I persevere, You know,
- 44:57do I show that you finish what you start,
- 45:00You know? And I just want to say
- 45:02a big thank you, Ariela,
- 45:04for going through this journey with me.
- 45:10So I was able to keep pushing on,
- 45:15you know, after this.
- 45:17And as I started to push this project
- 45:21forward, you know, I realized,
- 45:23you know, this was saying from Pablo
- 45:26Picasso about inspiration existing,
- 45:29but it has to find you working.
- 45:31And so I continued this process
- 45:34and the more I worked,
- 45:37the more things began to make
- 45:39sense and the more things,
- 45:42you know, started to come together.
- 45:43And then I started to see a pattern
- 45:46with how this painting was growing.
- 45:49And you know how it started to grow
- 45:52into like this apex and everything
- 45:57started to come together after
- 45:59that and I was able to, you know,
- 46:03push through.
- 46:04I started to get this new direction
- 46:08of you know how this entire painting
- 46:11was going to come together and it was,
- 46:15it was wonderful.
- 46:16You know at this point in the
- 46:19creative process I was at the this
- 46:21might be OK you know part of the of
- 46:24the whole process but I am happy to
- 46:27say that we you know with with the
- 46:30support and you know the the you know
- 46:35just encouragement from community.
- 46:37You know the the painting is able
- 46:40to be here today and it is done
- 46:43and you know I look forward to
- 46:47unveiling it in a few minutes but
- 46:50I I wanna I wanna end you know by
- 46:54saying you know the the process of
- 46:57creation is one that is probably
- 47:00the closest thing we have to magic.
- 47:03It's you know seeing something in your
- 47:06head and being able to bring it to life.
- 47:10And you know I think it is you
- 47:12know reflection of the you know,
- 47:14ultimate creator.
- 47:16You know God,
- 47:17who you know is the ultimate artist
- 47:21and you know who has created,
- 47:24you know, every single person
- 47:26just beautifully and you know,
- 47:28wonderfully.
- 47:29And it was very interesting that
- 47:33at the at the end of the painting,
- 47:37I noticed that the inscription of God
- 47:42was right at the center of the entire
- 47:46painting and it was not planned out.
- 47:49It was completely random.
- 47:51And I thought that was incredibly powerful.
- 47:54And you know it it, you know,
- 47:57just draws, you know the the entire
- 48:00piece together and you know,
- 48:03lets us know that we we are,
- 48:05you know,
- 48:06in a in a special time and you
- 48:09know we we all sort of reflect
- 48:12this essence of creativity.
- 48:15So thank you all.
- 48:17And I look forward to showing this
- 48:20painting upstairs. And thank you.
- 48:47Wait a minute.
- 48:47You haven't seen the painting.
- 48:48Maybe you'll be disappointed.
- 48:51I want to. Ari. Ari Ritvo.
- 48:54Hopefully you can hear me.
- 48:58Yes. Oh, good.
- 48:59Would you like to say something, Ari?
- 49:01We'd love to hear from you.
- 49:03First of all, I'm blown away.
- 49:06This is mesmerizing. Dr.
- 49:08Aya, thank you so much.
- 49:10I am so proud and pleased to
- 49:14have you as our fifth speaker.
- 49:16It's unbelievable.
- 49:17I I didn't expect to learn so much about art.
- 49:22I was particularly touched when you spoke
- 49:25about the layers and then the attachment,
- 49:28and I can't wait to read
- 49:30that whole entire article.
- 49:33You were such a perfect choice committee.
- 49:36Thank you so much for bringing
- 49:38Doctor IO to my attention.
- 49:41And, you know,
- 49:42I always used to say about
- 49:44being with Max and with Alan,
- 49:46but one of the most wonderful thing
- 49:49about being with those two individuals
- 49:52whom you speak in memoriam of today was
- 49:58that I always learned something from them.
- 50:01I didn't expect to learn so,
- 50:02so much about art.
- 50:05I I paint, I have an art collection.
- 50:07I'm nowhere near your level,
- 50:10but I've learned so much.
- 50:13The process you described also reminded me
- 50:16very much of Max's process with poetry.
- 50:20The many, many nights that he was isolated,
- 50:23that he was alone,
- 50:25that he was determined.
- 50:26Because to him his legacy in the
- 50:28end and his healing would come from
- 50:31having a poetry book published.
- 50:34And I hear that same commitment
- 50:38in your voice.
- 50:39I was also incredibly touched as a
- 50:42mother to see your daughter Ariella
- 50:44and to see how it was a family project,
- 50:48a community project, the interviews,
- 50:50it.
- 50:51It just has so many levels and I
- 50:53don't want to take too much time.
- 50:56But you should also know that both
- 50:58Alan and Max had a a a tremendous
- 51:01fascination and interest in psychiatry.
- 51:05Max,
- 51:06before he became I'll,
- 51:08was very much considering becoming
- 51:10a psychiatrist.
- 51:11After he became I'll and was in treatment.
- 51:14And it's not a secret,
- 51:15'cause he wrote about it with
- 51:18Doctor Stan Posic.
- 51:19He then wanted to become an
- 51:21analyst 'cause that seemed much
- 51:22cooler to him and more useful.
- 51:25And Alan was an analysis from
- 51:27the time I met him.
- 51:29He was 40 years old to the time a year
- 51:32before he died when he was almost 80.
- 51:34So thank you so much.
- 51:37I hope I get to meet you in person one day.
- 51:39It would be my great honor.
- 51:41And thank you everybody that was was in.
- 51:45And for everyone that helped
- 51:48choose this amazing,
- 51:50phenomenal person to present today.
- 51:54I'm really touched.
- 51:56Thank you.
- 52:05Thank you, Ari. I'm,
- 52:06I'm going to get get off the stage,
- 52:08but if there are any questions for
- 52:10IO and then in 5 minutes or so,
- 52:12we're going to walk up. So please IO,
- 52:16thank you.
- 52:19Questions.
- 52:25What happens if you make a mistake
- 52:30and you're like that was a mistake,
- 52:32What do you do? How do you
- 52:34know and what do you do? You
- 52:36know the the good thing about
- 52:38being an artist is only you
- 52:40know where the mistake is.
- 52:44So a lot of times mistakes, you know,
- 52:48we call them happy accidents.
- 52:50You know, a lot of times mistakes
- 52:52can actually lead to new ways of like
- 52:56painting or new ways of seeing things.
- 53:01I think another benefit to all paint
- 53:04is that oil takes longer to dry.
- 53:07So you sort of have a bigger
- 53:10window to make a change, you know,
- 53:12if you do make a mistake.
- 53:14So that's that's one benefit
- 53:17to to all paint in Yeah great
- 53:25answer
- 53:28that was that was amazing.
- 53:30It really as I already said it
- 53:32really wasn't as I felt in another
- 53:34zone and I I was just wondering
- 53:37from the artist perspective how much
- 53:40do you know you got it the way you
- 53:44wanted whatever right means versus
- 53:47needing outside confirmation of that.
- 53:49As an artist, I always wondered that do you,
- 53:50do you do you need or depend on
- 53:55people to see it and react to it and
- 53:58tell you you're great what you are
- 54:01or is it just an internal thing?
- 54:03I'm just curious about
- 54:05that. That's a that's a wonderful
- 54:08question I think you know for for
- 54:12an artist you know perfection is
- 54:15always you know this thing that
- 54:17you continue to chase you know.
- 54:20But I think as you know artists you
- 54:22know grow you know in their art.
- 54:24You know they realize that there's
- 54:27no perfection And you you know your,
- 54:31you know duty is just to show up in
- 54:35the most complete way that you can and
- 54:39and you know just give in your 100%.
- 54:42And I think of that in itself as the
- 54:45satisfaction knowing that you gave your all.
- 54:49And even if you know you don't
- 54:52get the reception or the critical
- 54:55acclaim that you were expecting,
- 54:59you can at least take that and you know,
- 55:02know that you gave,
- 55:04you gave it everything that you had.
- 55:06And that in itself is is the satisfaction.
- 55:13Jose.
- 55:15Hello, I'm Jose. I'm one of the Co fellows
- 55:18with along with IO and that's my leg.
- 55:25So I was blessed and honored enough
- 55:28to be featured in the painting and
- 55:30be involved with IO throughout the
- 55:32process of making it. You know it.
- 55:34It's funny how well he carries the burden
- 55:37of of making such a beautiful piece
- 55:39of art and the symbolism behind it.
- 55:42And so it's it's incredibly touching
- 55:44to see the finished product and and
- 55:46how how wonderful it came together.
- 55:48And also I I'm honoured to be
- 55:50featured in it because it it did
- 55:52reflect a very pivotal moment in
- 55:54my life that was legacy defining.
- 55:56And I think everybody in the painting
- 55:58could kind of say the same thing.
- 56:01Not to, you know,
- 56:02trope on the pandemic,
- 56:02but this was the pandemic times and
- 56:05it was an incredibly incredible
- 56:07transformational moment for I think the
- 56:10world and for for us to be plastered on
- 56:13on in oil through layers that really
- 56:16encompass everything that we went
- 56:18through in order to be there for our
- 56:19patients and all and and our families.
- 56:21So thank you, IO.
- 56:24Thank you, Jose.
- 56:29One more.
- 56:31Yeah, this was fantastic.
- 56:32Thank you for doing it.
- 56:33So, but my question for you is just,
- 56:35I'm thinking about coming from
- 56:37a country like Nigeria,
- 56:38where at least a little while
- 56:40ago now, it's different,
- 56:41art wasn't quite encouraged.
- 56:44How did you have the courage to
- 56:46pursue this passion?
- 56:47And what did your parents
- 56:48do to help you a lot? Because if
- 56:50you're not a doctor, lawyer. Oh
- 56:52my God, that's a wonderful
- 56:54question. You know,
- 56:56so how did you have
- 56:57the courage to actually pursue this passion?
- 57:00You know, I didn't want to put
- 57:01my mom on blast, but, you know,
- 57:04since you brought this up,
- 57:05it was, it was very challenging
- 57:08growing up in Nigeria and,
- 57:12you know, deciding that, you know,
- 57:13I wanted to be an artist. And it was,
- 57:17it was unfortunately not encouraged.
- 57:20It was very much discouraged.
- 57:22And you know, I think you know,
- 57:25it is, you know,
- 57:26one of the biggest, you know,
- 57:29achievements you know of my life to
- 57:33be able to hold on to this dream of
- 57:37of being an artist and you know,
- 57:40taking this dream to adulthood,
- 57:43you know, because you know,
- 57:44I I believe that everyone is,
- 57:47you know, creative, you know,
- 57:49creative in their own way.
- 57:50You know, it doesn't have to be paint.
- 57:53It can be sewing, it can be music,
- 57:56you know, it can be construction,
- 57:59architecture, you know,
- 58:01everyone has you know that
- 58:03creativity and the real challenge
- 58:05is letting that creativity continue
- 58:07to grow and you know be displayed.
- 58:10So it was, it was challenging.
- 58:12And I think, you know,
- 58:14being able to experience different cultures,
- 58:17you know, I lived in Ukraine,
- 58:20I lived in Russia, I lived in,
- 58:21you know, so many places.
- 58:23Being being able to experience
- 58:25different cultures and see different
- 58:27perspectives really helped to keep,
- 58:29you know, that dream, you know, alive.
- 58:32And yeah, I'm thankful to be here today.
- 58:43OK. So if you want to see what
- 58:45you were all clapping for,
- 58:47let's go outside.
- 58:47Help yourself If you want anything to eat.
- 58:49And we're going just one floor up.
- 58:51We're going to continue podcasting
- 58:52or whatever the word is for this.
- 58:54Thank you, Kieran.
- 58:56And let's go see this painting. Oh,
- 59:00would you
- 59:08know what? I thank you. OK, that's
- 59:15great. OK, so IO has looked just like
- 59:17she looks at art and she looks at this
- 59:20blue and that blue. She looks
- 59:22at the thesis of the proceedings for the
- 59:25unveiling of the portrait. Correct. Yes.
- 59:32You have to.
- 59:33Individuals are gonna be doing something.
- 59:35Absolutely. Absolutely.
- 59:36I have my wonderful family here,
- 59:40my daughter, my wonderful.
- 59:43Then you came on as my mother
- 59:47help my sister-in-law.
- 59:49I'm here, my brother back
- 59:52there and I also have you guys,
- 59:54my colleagues, friends
- 59:59and you know, I am incredibly
- 01:00:02excited to unveil this.
- 01:00:04I know you guys are busy,
- 01:00:05so we'll try to do this quickly
- 01:00:08and I will have Ariella and Cam on.
- 01:00:13Do the honor of unveiling
- 01:00:15this painting for me.
- 01:00:18So you guys ready?
- 01:00:20Are you ready here?
- 01:00:21OK, I will unveil it a
- 01:00:24little bit and then mute.
- 01:00:46They don't want anyone to see,
- 01:01:03all right. I mean,
- 01:01:03we can't take it anyway, All
- 01:01:07right. So will you guys do me
- 01:01:12the honour of coding this off?
- 01:01:16OK guys, go for it.
- 01:01:22There
- 01:01:29you go.
- 01:01:47I just want one thing out and
- 01:01:48then I'll get out of the way. You
- 01:01:50start some of the foundational
- 01:01:52aspects of child psychiatry,
- 01:01:54and there's one here that says Maggie's
- 01:01:58American Dream by James P Comer.
- 01:02:01And if you look at this portrait,
- 01:02:03you will see Maggie's American by James,
- 01:02:15OK?