{"id":665,"date":"2013-10-27T15:05:20","date_gmt":"2013-10-27T14:05:20","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=665"},"modified":"2020-10-07T22:31:47","modified_gmt":"2020-10-07T21:31:47","slug":"khalid-ali-hidden-crimes-in-stroke-exposed-through-a-camera-lens-a-review-of-film-abuse-of-weakness-directed-by-catherine-breillat-france-2013","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2013\/10\/27\/khalid-ali-hidden-crimes-in-stroke-exposed-through-a-camera-lens-a-review-of-film-abuse-of-weakness-directed-by-catherine-breillat-france-2013\/","title":{"rendered":"Film Review: Abuse of Weakness, France 2013"},"content":{"rendered":"

The impact of stroke on the lives of patients and their carers seen in the French film \u201cAmour\u201d directed by Michael Haneke was an eye opener to audience around the world, and justifying the film winning the Oscar for the best foreign film in 2012. As stroke organisations around the world celebrate the \u201cWorld Stroke Day\u201d on the 29th<\/sup> of October this year another French film \u201cAbuse of weakness\u201d tackles the trials and tribulations of life in the aftermath of a stroke.<\/p>\n

Directed by Catherine Breillat, and based on her book \u201cAbus de faiblesse\u201d, the film tells a semi-autobiographical story of the director following her stroke in 2004. Three years after her stroke, she got involved with a conman Christophe Rocancourt who she approached to act in one of her films.<\/p>\n

What followed was a series of dubious financial transactions where she gave him a lot of money in loans. Subsequently she took him to court for abusing her \u201cdiminished capacity after stroke\u201d, and he was eventually sentenced to prison. Catherine Breillat wrote an account of this financial abuse in a book that was published in 2009. The book\u2019s title refers to a legal term described as \u201cabuse of weakness\u201d.<\/p>\n

In the film, we see Isabelle Huppert as \u201cMaud\u201d an accomplished director who has a disabling stroke. After a spell in hospital struggling with physiotherapy sessions were I had to use Shoulder Kinesiology Tape<\/a>, and frustrating speech impairment, she is back at home living alone but determined to lead an independent life. Undeterred by left arm weakness and spasticity, frequent falls, and epilepsy, she pursues her passion of writing and making films.<\/p>\n

One night while watching television, she comes across \u201cVilko Piran\u201d a man recently discharged from prison for a smuggling offence in Japan; he is doing a TV interview promoting a book he has written based on his prison memoirs. She is intrigued with his deadly charms, bitter pride and intelligence, and decides to cast him as an actor for her new film. A series of meetings follow where the two embark on an artistic mentoring relationship, which soon evolves into a financially abusive one. \u00a0Vilko asks her repeatedly for loans to fund his financial scams.<\/p>\n

Financial abuse of stroke survivors is a topic that has not been handled before in film, although the director says \u201cThis is not a film about stroke, as much as a story about the fragility of human emotions, and manipulation by others\u201d.\u00a0 Diminished capacity after stroke and the potential for several forms of physical, emotional, and financial abuse amongst dependent patients is largely underestimated. Assessing capacity and proving legal liability in dubious financial transactions is a complicated process that warrants psychological expertise to support the judiciary system in reaching a fair verdict (Gibson SC, and Greene E 2013).<\/p>\n

In the film, the stroke survivor \u201cMaud\u201d is seen as a person relishing the fact that she is disabled, and using her disability as a weapon to control others \u201cI like to make men my servants, and this is one advantage of being a cripple\u201d. Although the notion of using disability to dominate others may upset lots of stroke survivors, their carers and stroke support organizations, it is still refreshing to see a realistic portrayal of a stroke survivor as an individual with \u201cwarts and all\u201d and not as a \u201csaint\u201d.<\/p>\n

The film relies on the viewer\u2019s intelligence to make a judgement as to \u201cwho is abused, and by whom\u201d and may suggest that both partners may be accountable for an abusive relationship. Catherine Breillat says \u201cmy films are never black or white, and \u201cMaud\u201d in the film is me, Isabelle Huppert, and the fictional character too\u201d. However in real life the side effects of medications for epilepsy after her stroke was a strong factor in Catherine\u2019s diminished awareness when she gave Christophe large amounts of money up to 700,000 Euros.<\/p>\n

\u201cLiving with a stroke is like an astronaut walking on the moon alone for the first time\u201d, the director says. These physical and emotional difficulties are sensitively handled in the film making the audience empathize with \u201cMaud\u201d in her longing to be able to walk, to be able to smile, and simply to be \u201cnormal again\u201d. The psychological impact on emotional well-being, unidentified anxiety and depression are common sequelae after a stroke, and health care professionals should be vigilant to their existence and attempt to treat them (Ayerbe L et al 2013).<\/p>\n

Films such as \u201cAbuse of weakness\u201d can contribute a lot by increasing general awareness of the existence of these hidden ailments, in addition to various forms of abuse, expose them for public debate, and through those initiatives may offer an attempt of helping stroke patients and their cares.<\/p>\n

 <\/p>\n

References:<\/p>\n

 <\/p>\n

    \n
  1. Ayerbe L, Ayis S, Wolfe CD, Rudd AG. Natural history and outcomes of depression after stroke: systematic review and meta-analysis. Br J Psychiatry 2013; 202 (1): 14-21.<\/li>\n
  2. Gibson SC, Greene E. Assessing knowledge of elder financial abuse: a first step in enhancing prosecutions. J Elder Abuse Negl 2013; 25 (2): 162-82.<\/li>\n<\/ol>\n

     <\/p>\n

    Address for correspondence: Dr Khalid Ali, senior lecturer in Geriatrics, Brighton and Sussex Medical School<\/p>\n

    Khalid.ali@bsuh.nhs.uk<\/a><\/p>\n

     <\/p>\n

     <\/p>\n

     <\/p>\n","protected":false},"excerpt":{"rendered":"

    The impact of stroke on the lives of patients and their carers seen in the French film \u201cAmour\u201d directed by Michael Haneke was an eye opener to audience around the world, and justifying the film winning the Oscar for the best foreign film in 2012. As stroke organisations around the world celebrate the \u201cWorld Stroke […]<\/p>\n

    Read More…<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[206],"tags":[],"class_list":["post-665","post","type-post","status-publish","format-standard","hentry","category-film"],"yoast_head":"\nFilm Review: Abuse of Weakness, France 2013 - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2013\/10\/27\/khalid-ali-hidden-crimes-in-stroke-exposed-through-a-camera-lens-a-review-of-film-abuse-of-weakness-directed-by-catherine-breillat-france-2013\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Film Review: Abuse of Weakness, France 2013 - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"The impact of stroke on the lives of patients and their carers seen in the French film \u201cAmour\u201d directed by Michael Haneke was an eye opener to audience around the world, and justifying the film winning the Oscar for the best foreign film in 2012. 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