Click to expand Image This man with a real or perceived psychosocial disability is one of the residents at Marsiyo's House, a private family-run social care facility in Kebumen, Central Java, Indonesia. The crumbling shelter where he is chained leaves him exposed to hours of direct sunlight and constant dust. 2018 Andrea Star Reese Sitting in a dusty courtyard of the Holy Ghost Coptic Church in Kisumu city, in western Kenya, I heard Paul (a pseudonym), approaching before I saw him. Clink. Clink. Clink. The sound of a human being struggling to walk with heavy metal chains around his ankles, waist, and hands. Paul had been living in chains for five years. "The chain is so heavy, it doesn't feel right," Paul said. "It makes me sad. I stay in a small room with seven men. I'm not allowed to wear clothes, only underwear. I have to go to the toilet in a bucket. I eat porridge in the morning and, if I'm lucky, I find bread at night, but not every night.. It'