Vogue Portugal defends controversial mental health cover

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src="https://web.archive.org/web/20200706043122im_/https://ichef.bbci.co.uk/news/320/cpsprodpb/667A/production/_113243262_gettyimages-1205309658.jpg" width="976" height="549"> <span class="off-screen">Image copyright</span> <span class="story-image-copyright">Getty Images</span> </span> <figcaption class="media-caption"> <span class="off-screen">Image caption</span> <span class="media-caption__text"> Portuguese model Sara Sampaio said the magazine cover image was in "very bad taste" </span> </figcaption> </figure><p class="story-body__introduction">Vogue Portugal has responded to criticism over its depiction of mental health treatment on a recent magazine cover saying its aim was to "shine a light" on the important issue. </p><p>The "Madness Issue" features a woman in a bathtub in a hospital setting with a nurse pouring water over her head.</p><p>Mental health experts and sufferers said the cover depicted a "dystopian" and "outdated" idea of treatment.</p><p>Vogue Portugal said the image was intended to "start a discussion".</p><p>"The cover story explores the historical context of mental health and is designed to reflect real life and authentic stories," the publisher said in a statement posted on Twitter on Saturday.</p><div id="bbccom_mpu_1_2_3" class="bbccom_slot mpu-ad" aria-hidden="true"> <div class="bbccom_advert"> <script type="text/javascript"> /**/ (function() { if (window.bbcdotcom && bbcdotcom.adverts && bbcdotcom.adverts.slotAsync) { bbcdotcom.adverts.slotAsync('mpu', [1,2,3]); } })(); /**/ </script> </div> </div><p>"Inside the issue features interviews and contributions from psychiatrists, sociologists, psychologists and other experts," the statement added. </p><div class="social-embed"><div class="social-embed-post social-embed-instagram"> <div class="embed embed-instagram"> <div class="embed-region embed-core-hidden" role="region" aria-label="Instagram post by vogueportugal"> <a class="off-screen jump-link" 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style=" width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"></div></div></div></a> <p style=" margin:8px 0 0 0; padding:0 4px;"> <a href="https://web.archive.org/web/20200706043122/https://www.instagram.com/p/CCJpMfAnpoW/?utm_source=ig_embed&utm_campaign=loading" style=" color:#000; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px; text-decoration:none; word-wrap:break-word;" target="_blank">THE MADNESS ISSUE. COVER 1/4 It’s about love. It’s about life. It’s about us. It’s about you. It’s about now. It’s about health. It’s about mental health. #themadnessissue It’s about time. . Edição julho/agosto disponível em vogue.pt/shop Nas bancas disponível a partir de 10 de julho. ___  July/August issue available at vogue.pt/shop Newsstands available from July 10th. . Photography @branislavsimoncik Styling @ninaford_ @nemamconaseba Hair @janmolnarofficial Make up @lukaskimlicka Models @simonakirchnerova Assistants Branislav Waclav / @PatrikHopjak / @fosia.rvs @exitmodelmanagement . #vogueportugal @lighthouse.publishing #editorinchief @sofia.slucas #creativedirection @jsantanagq</a></p> <p style=" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; line-height:17px; margin-bottom:0; margin-top:8px; overflow:hidden; padding:8px 0 7px; text-align:center; text-overflow:ellipsis; white-space:nowrap;">A post shared by <a href="https://web.archive.org/web/20200706043122/https://www.instagram.com/vogueportugal/?utm_source=ig_embed&utm_campaign=loading" style=" color:#c9c8cd; font-family:Arial,sans-serif; font-size:14px; font-style:normal; font-weight:normal; line-height:17px;" target="_blank"> Vogue Portugal</a> (@vogueportugal) on <time style=" font-family:Arial,sans-serif; font-size:14px; line-height:17px;" datetime="2020-07-02T19:01:23+00:00">Jul 2, 2020 at 12:01pm PDT</time></p></div></blockquote> <div class="embed-report-js"><a class="embed-report-link" href="https://web.archive.org/web/20200706043122/https://www.bbc.co.uk/news/contact-us/editorial" aria-label="Report Instagram post by vogueportugal">Report</a></div> <p class="off-screen" id="jump-linkhttps://www.instagram.com/p/CCJpMfAnpoW/?utm_source=ig_embed" tabindex="-1">End of Instagram post by vogueportugal</p> </div> </div> <noscript> <div class="embed-image-wrap" style="max-width: 599px"> <a href="https://web.archive.org/web/20200706043122/https://www.instagram.com/p/CCJpMfAnpoW/?utm_source=ig_embed"> <figure class="media-landscape full-width embed-screenshot-nonejs"> <span class="image-and-copyright-container"> <img class="js-image-replace" alt="Instagram post by vogueportugal: THE MADNESS ISSUE. COVER 1/4 It’s about love. It’s about life. It’s about us. It’s about you. It’s about now. It’s about health. It’s about mental health. #themadnessissue It’s about time. . Edição julho/agosto disponível em vogue.pt/shop Nas bancas disponível a partir de 10 de julho.  ___  July/August issue available at vogue.pt/shop Newsstands available from July 10th. . Photography @branislavsimoncik Styling @ninaford_ @nemamconaseba Hair @janmolnarofficial Make up @lukaskimlicka Models @simonakirchnerova Assistants Branislav Waclav / @PatrikHopjak / @fosia.rvs @exitmodelmanagement . #vogueportugal @lighthouse.publishing #editorinchief @sofia.slucas #creativedirection @jsantanagq" src="https://web.archive.org/web/20200706043122im_/https://ichef.bbci.co.uk/news/1024/socialembed/https://www.instagram.com/p/CCJpMfAnpoW/?utm_source=ig_embed~/news/world-europe-53294241" width="599" height="1540"> <span class="off-screen">Image Copyright vogueportugal</span> <span class="story-image-copyright" aria-hidden="true">vogueportugal</span> </span> <div class="embed-report"><a class="embed-report-link" href="https://web.archive.org/web/20200706043122/https://www.bbc.co.uk/news/contact-us/editorial" aria-label="Report Instagram post by vogueportugal">Report</a></div> </figure> </a> </div> </noscript> </div> </div><figure class="media-landscape no-caption full-width"> <span class="image-and-copyright-container"> <div class="js-delayed-image-load" data-alt="Presentational white space" data-src="https://web.archive.org/web/20200706043122oe_/https://ichef.bbci.co.uk/news/320/cpsprodpb/604B/production/_97415642_007_in_numbers_624.png" data-width="624" data-height="1"></div> </span> </figure><p>The woman featured in the bathtub, Slovak model Simona Kirchnerova, wrote in an Instagram post on Friday that it was a "career highlight" because those standing either side of her were family members.</p><p>"Made it to Vogue cover with my mum and my grandma," she wrote.</p><p>But London-based clinical psychologist Katerina Alexandraki told the BBC that she considered the cover to be "unethical". </p><p>"For those with experience of the psychiatric system, seeing a fashion magazine cover presenting a woman in such a vulnerable state can be a reminder of a very challenging time in their lives," she said.</p><p>"This image reinforces the idea of women being vulnerable and helpless during a mental health breakdown. It does not show us the effort those with mental health put in to overcoming their struggles, their strengths and resistance to overcome adversity," she added. </p><h2 class="story-body__crosshead">'Very bad taste'</h2><p>Portuguese model Sara Sampaio said images like the one portrayed on the Vogue Portugal cover "should not be representing the conversation about mental health". </p><p>Ms Sampaio, who said she had suffered with mental health issues herself, said she considered it "very bad taste".</p><p>"<a href="https://web.archive.org/web/20200706043122/https://www.instagram.com/tv/CCL6t6RgadQ/?utm_source=ig_embed" class="story-body__link-external">It looks like its in an [outdated] mental hospital</a>" that used to "torture" patients, she said in a video posted on social media. </p><p>She added that it comes at a particularly sensitive time "because of Covid and the way that mental health has been dealt with" while many people have been isolated or directly affected by the deadly coronavirus pandemic. </p><ul class="story-body__unordered-list"><li class="story-body__list-item"><a href="https://web.archive.org/web/20200706043122/https://www.bbc.co.uk/news/health-51873799" class="story-body__link">Coronavirus: How to protect your mental health</a></li></ul><p>Writer and mental health awareness advocate <a href="https://web.archive.org/web/20200706043122/https://www.bbc.co.uk/news/av/uk-39743576/poorna-bell-on-the-addiction-and-suicide-of-her-husband" class="story-body__link">Poorna Bell, whose husband took his life 2015</a>, wrote about her disapproval on Twitter using an expletive, preceded by: "On behalf of anyone who has ever been in a psychiatric hospital or had a loved one who has been in one." </p><p>"The thing is knowing how painfully slow the process is to get anything signed off on a magazine, this will have been seen and approved by many, many eyeballs," she added.</p><p>A psychotherapist based in Lisbon, Silvia Baptista, said the cover was "everything the mental health conversation doesn't need". </p><p>"These nurses, this patient, what is this? What is this uninformed and disrespectful ensemble?" she wrote on Instagram, adding that it was wrong to "glamorise" mental illness. </p><p>Vogue Portugal ended its statement saying that it recognised the "significance of the topic of mental health". </p><p>"Our intention, through visual storytelling, is to shine a light on the important issues of today," it said. </p> </div> </div> <div id="topic-tags"><div id="u09648157260380685"><div class="tags-container"><h2 class="tags-title story-body__crosshead">Related Topics</h2><ul class="tags-list"><li class="tags-list__tags" data-entityid="topic_link_bottom"><a href="/web/20200706043122/https://www.bbc.co.uk/news/topics/cwlw3xz04egt/mental-health">Mental health</a></li><li class="tags-list__tags" data-entityid="topic_link_bottom"><a href="/web/20200706043122/https://www.bbc.co.uk/news/topics/ce1qrvlelm3t/portugal">Portugal</a></li><li class="tags-list__tags" data-entityid="topic_link_bottom"><a 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