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Her future husband, Sirdar Ikbal Ali Shah, who was descended from the Sadaat of Paghman, had settled in England before the first world war and she met him in Edinburgh during that war, where he was studying medicine at Edinburgh Medical School.
Interest in mental illness was a feature of the Edinburgh medical school in the eighteenth century, with influential teachers including William Cullen (1710–1790) and Robert Whytt (1714–1766) emphasising the clinical importance of psychiatric disorders.