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Trying to lose weight? Here’s why your genetics could be just as important as your exercise regime

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/henry-chung-1279176">Henry Chung</a>, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a>; <a href="https://theconversation.com/profiles/chris-mcmanus-2226445">Chris McManus</a>, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a>, and <a href="https://theconversation.com/profiles/sally-waterworth-2226444">Sally Waterworth</a>, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a></em></p> <p>Weight loss is a complicated process. There are so many factors involved including your diet, how much sleep you get each night and the kind of exercise you do. Our recent study shows that your <a href="https://www.tandfonline.com/doi/full/10.1080/02701367.2024.2404981">specific genetic profile</a> may also have a dominant effect on how well you lose weight through exercise. This might explain why two people who do an identical workout will see very different results.</p> <p>We identified 14 genes that appeared to significantly contribute to how much weight a person lost through running. This suggests that some of us have a natural talent when it comes to burning fat and losing weight through exercise.</p> <p>To conduct our study, we recruited 38 men and women born in the UK aged between 20 and 40. None of the participants regularly exercised at the start of the study. The group was randomly divided, with one half following a strict eight-week endurance programme that consisted of three weekly runs of 20-30 minutes.</p> <p>The other group acted as a <a href="https://www.britannica.com/science/control-group">control</a>. They were instructed to refrain from exercise and continue their daily routines as normal over this study period, including diet and lifestyle habits.</p> <p>All participants conducted a running test to see how far they could run in 12 minutes, and were weighed before and after the study period. This was to gauge their initial fitness level and see how much they changed over the duration of the study. <a href="https://www.nhs.uk/conditions/obesity/">Body mass index</a> (BMI) was also calculated.</p> <p>Additionally, a saliva sample was collected from each person with a <a href="https://muhdo.com/?gclid=Cj0KCQjwiIOmBhDjARIsAP6YhSUB3WI81JP4Q_snYLhh-SBVNeCJNy2m63C8bKJFvO-nJ5UsHuCCdqMaAhTeEALw_wcB">DNA test kit</a> at the end of the study to assess their unique genetic profile.</p> <p>It’s important to note that everyone who participated in the study had a similar body weight, BMI and aerobic fitness level at the start of the study. This is beneficial for <a href="https://casp-uk.net/news/homogeneity-in-research/">multiple reasons</a>. It meant everyone was at the same starting point, and some <a href="https://www.sciencedirect.com/topics/nursing-and-health-professions/confounding-variable">confounding variables</a> were already controlled for such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10128125/">fitness level</a>. This ultimately improves accuracy in interpreting the results.</p> <h2>Exercise genes</h2> <p>Everyone in the exercise group managed to lose weight – around 2kg on average. The control group, on the other hand, put on a little bit of weight.</p> <p>While a 2kg weight loss may not sound like a lot, it’s significant considering the exercise regime only lasted eight weeks and participants made no <a href="https://www.intechopen.com/chapters/87186">changes to their diet</a>.</p> <p>More significant, however, was the large variation in results among those that exercised – with an up to 10kg difference in weight loss between some of the participants. In fact, everyone within the exercise group improved at different rates.</p> <p>Since we controlled for factors such as the <a href="https://pubmed.ncbi.nlm.nih.gov/3529283/">intensity, duration and frequency</a> of the exercises and used participants who’d had a similar body weight and fitness level at the start of the study, this suggests that some people naturally benefited more than others from endurance training.</p> <p>When we looked at the genetic profiles of our participants, we found that differences in each person’s response to the exercise was strongly associated with their specific genetics.</p> <p>We showed there was a strong linear correlation between the amount of weight participants lost and 14 genes that have previously been shown to be associated with body weight, metabolism or <a href="https://www.nature.com/articles/s41380-018-0017-5">psychological conditions</a> that affect BMI. The greater number of these genes a participant had, the more weight they lost. Our results also revealed that around 63% of the variance in weight lost among participants were explained by the genes identified.</p> <p>For example, research has shown the <a href="https://www.ncbi.nlm.nih.gov/gene/10891">PPARGC1A gene</a> plays a role in metabolism and the <a href="https://link.springer.com/article/10.1007/S11033-020-05801-Z">use of fats for energy</a> while exercising. Our study found that all participants who lost more than 1.5kg from exercise had this gene. Those who lost less than this did not have this gene.</p> <p>Our findings align with what <a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0249501&amp;s2=P875440273_1683331208925004155">previous studies</a> have shown. But while previous papers have only looked at the link between individual genes and weight loss, ours is the first to show that 14 different genes appear to work in combination to affect whether a person loses weight from endurance exercise.</p> <h2>Piece of the puzzle</h2> <p>Our study also suggests that while some people possess genes that make it easier for them to get fit and lose weight, people with these favourable genetics can only flourish if they actually exercise. In fact, our control group also had a number of these listed genes, but without exercise these genes could not activate, and so the participants did not lose any weight.</p> <p>While our study provides compelling findings, it’s not without limitations. Since we only looked at endurance-based exercise, it will be important for future studies to investigate whether there are similar links between weight loss, genetics and combinations of different types of training (such as a mixture of endurance and strength sessions into a training plan).</p> <p>It’s also worth mentioning that exercise is only <a href="https://www.who.int/activities/controlling-the-global-obesity-epidemic">one piece of the puzzle</a> when it comes to weight loss. So even if you have all 14 of these genes, you won’t lose any weight or get fit if you don’t exercise and maintain a healthy diet and sleep pattern.</p> <p>On the flip side, someone that only has a few of these favourable genes can still benefit if they exercise and are mindful of other aspects of their lifestyle.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/240506/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/henry-chung-1279176">Henry Chung</a>, Lecturer in Sport and Exercise Science, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a>; <a href="https://theconversation.com/profiles/chris-mcmanus-2226445">Chris McManus</a>, Lecturer, School of Sport, Rehabilitation and Exercise Sciences, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a>, and <a href="https://theconversation.com/profiles/sally-waterworth-2226444">Sally Waterworth</a>, Lecturer, School of Sport, Rehabilitation and Exercise Sciences, <a href="https://theconversation.com/institutions/university-of-essex-1291">University of Essex</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/trying-to-lose-weight-heres-why-your-genetics-could-be-just-as-important-as-your-exercise-regime-240506">original article</a>.</em></p> </div>

Body

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Breaking the silence on prostate cancer: man’s family legacy highlights importance of early detection

<p>James Murray, 55, an architect from Melbourne, always knew he was living with a genetic "time bomb." A fifth-generation prostate cancer sufferer, his family’s battle with the disease spans over 170 years. From his great-great-grandfather, who chronicled his symptoms in 1847, to his uncles and father who also faced the disease, prostate cancer has been a grim constant in his family.</p> <p>“My family has what's been called a ‘spectacular history’ with prostate cancer,” James reflects. “But that’s not the kind of thing you want to hear. My great-great-grandfather had it, though they couldn’t test for it back then. My grandfather died from it, my father got it, and both of his brothers had it as well. It’s been a constant in our family for generations.”</p> <p>James' great-great-grandfather, Robert William Felton Lathrop Murray, a soldier and the founder of the <em>Hobart Town Gazette</em>, documented his battle with the disease long before modern medicine could provide a diagnosis. Since then, generation after generation of Murrays has grappled with the same fate. </p> <p>For James, however, early detection was key. Diagnosed in February 2022, he underwent surgery just a few months later in May, removing what doctors described as an aggressive form of the disease. But his story, unlike his ancestors, had a different ending.</p> <p>“In a way, we’ve been cursed by prostate cancer," explains James. "But it’s also been a blessing because it made us all hyper-aware of the importance of early detection. My dad was incredibly diligent, and that saved his life. He made sure I was on top of my PSA testing from my mid-40s, and that’s how we caught it early for me.” </p> <p>Prostate-Specific Antigen (PSA) testing and early detection are now recognised as crucial, particularly for men with a family history of prostate cancer. Yet, dangerous myths surrounding prostate cancer testing continue to cost lives, warns Associate Professor Weranja Ranasinghe, Deputy Leader of the Urological Society of Australia and New Zealand’s (USANZ) GU-Oncology Special Advisory Group.</p> <p>“Many men believe that they need to have urinary symptoms to be concerned about prostate cancer,” explains Ranasinghe. “The reality is that most prostate cancers develop without any symptoms at all. Urinary symptoms are not reliable – most of these symptoms are caused by non-cancerous enlargement of the prostate but advanced cancer can also give you urinary symptoms. So it is important to get checked.”</p> <p>An even greater barrier, however, is the outdated belief that prostate cancer screening requires an invasive rectal exam. Ranasinghe stresses that this is no longer the case: “A simple PSA blood test, combined with advanced imaging like MRI, is now the standard approach. Many men are avoiding tests due to this outdated fear, but in the GP setting, a rectal exam is currently not required for detecting prostate cancer."</p> <p>With over 26,000 Australian men expected to be diagnosed with prostate cancer this year, the Urological Society of Australia and New Zealand (USANZ) is raising awareness during Prostate Cancer Awareness Month about the importance of early testing and debunking these misconceptions.</p> <p>Ranasinghe also points out that men with a strong family history should be particularly vigilant. “Men with female relatives who have had breast or ovarian cancer are also at an increased risk of prostate cancer due to the same genetic mutations. So we recommend that men with a strong family history get a PSA test at the age of 40, which is earlier than the recommended age.”</p> <p>For James Murray, the decision to undergo surgery quickly after his diagnosis proved life-saving. “When my PSA levels started rising in February 2022, I wasn’t shocked," he recalls. "I had always known this day would come. It wasn’t something I feared, but more something I was prepared for. I told myself, ‘Okay, it’s here, let’s deal with it,’ and I just focused on getting through the surgery as quickly as possible.”</p> <p>James feels fortunate compared to his uncles, whose diagnoses came much later in life, leading to more severe outcomes. His surgery went well, and he's had a quick recovery, returning to work and feeling grateful that they caught it early. That's why James is advocating for early PSA testing, particularly for men with a family history of prostate cancer. He plans to ensure his 19-year-old son is aware of the need for testing in the future.</p> <p>"We often see men wait until a friend or relative is diagnosed before thinking about getting a prostate cancer PSA test done," says Ranasinghe. "This reactive approach is dangerous. Men need to be proactive and take ownership of their prostate health and talk to their GPs about this, just like they would with cholesterol or other routine health checks."</p> <p>As prostate cancer awareness grows, James hopes his story will encourage others to get tested. It’s something no one wants to face, but the sooner you catch it, the better chance you have.</p> <p>For more information on prostate cancer screening and to find a urologist, visit the Urological Society of Australia and New Zealand (USANZ) at <a href="https://www.usanz.org.au/" target="_blank" rel="noopener">www.usanz.org.au</a>.</p> <p><em>Images: Supplied</em></p>

Caring

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Offering end of life support as part of home care is important – but may face some challenges

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/jennifer-tieman-378102">Jennifer Tieman</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p>Earlier this month, the government announced <a href="https://theconversation.com/the-government-has-a-new-plan-for-residential-aged-care-heres-whats-changing-238765">major changes</a> to aged care in Australia, including a A$4.3 billion <a href="https://theconversation.com/what-the-governments-home-care-changes-mean-for-ageing-australians-238890">investment in home care</a>.</p> <p>Alongside a shake up of home care packages, the Support at Home program will include an important addition – an <a href="https://www.health.gov.au/sites/default/files/2024-09/support-at-home-fact-sheet.pdf">end of life pathway</a> for older Australians.</p> <p>This pathway will allow access to a <a href="https://www.health.gov.au/our-work/support-at-home/features">higher level</a> of in-home aged care services to help Australians stay at home as they come to the end of their life. Specifically, it will provide an extra A$25,000 for palliative support when a person has three months or less left to live.</p> <p>This is a positive change. But there may be some challenges to implementing it.</p> <h2>Why is this important?</h2> <p>Older people have made clear their preference to remain in their homes as they age. For <a href="https://journals.sagepub.com/doi/10.1177/0269216313487940">most people</a>, home is where they would like to be during their last months of life. The space is personal, familiar and comforting.</p> <p>However, data from the <a href="https://www.abs.gov.au/statistics/research/classifying-place-death-australian-mortality-statistics">Australian Bureau of Statistics</a> shows most people who die between the ages of 65 and 84 die in hospital, while most people aged 85 and older die in residential aged care.</p> <p>This apparent gap may reflect a lack of appropriate services. Both palliative care services and GPs have an important role in providing medical care to people living at home with a terminal illness. However, being able to <a href="https://grattan.edu.au/wp-content/uploads/2014/09/815-dying-well.pdf">die at home</a> relies on the availability of ongoing support including hands-on care and assistance with daily living.</p> <p>Family members and friends often provide this support, but this is not always possible. Even when it is, carers may <a href="https://pubmed.ncbi.nlm.nih.gov/38533612/">lack confidence and skills</a> to provide the necessary care, and may not have enough support for and respite from their carer role.</p> <p>The palliative care funding offered within Support at Home should help an older person to remain at home and die at home, if that is their preference.</p> <p>Unless someone dies suddenly, care needs are likely to increase at the end of a person’s life. Supports at home may involve help with showering and toileting, assessing and addressing symptoms, developing care plans, managing medications, wound dressing, domestic tasks, preparing meals, and communicating with the person’s family.</p> <p>Occupational therapists and physiotherapists can assist with equipment requirements and suggest home modifications.</p> <p>End of life supports may also involve clarifying goals of care, contacting services such as pharmacists for medications or equipment, liaising with organisations about financial matters, respite care or funeral planning, as well as acknowledging grief and offering spiritual care.</p> <p>But we don’t know yet exactly what services the $25,000 will go towards.</p> <h2>What do we know about the scheme so far?</h2> <p>The Support at Home program, including the end of life pathway, is scheduled to start from <a href="https://www.health.gov.au/sites/default/files/2024-09/support-at-home-fact-sheet.pdf">July 1 2025</a>.</p> <p>We know the funding is linked to a prognosis of three months or less to live, which will be determined <a href="https://www.abc.net.au/news/2024-09-15/new-payment-aims-to-make-it-easier-for-people-to-die-at-home/104347984">by a doctor</a>.</p> <p>Further information has indicated that an older person can be referred to a <a href="https://www.health.gov.au/our-work/support-at-home/features">high-priority assessment</a> to access the end of life pathway. We don’t know yet what this means, however they don’t need to be an existing Support at Home participant to be eligible.</p> <p>The pathway will allow 16 weeks to use the funds, possibly to provide some leeway around the three-month timeline.</p> <p>Although more details are coming to light, there are still some things which remain unclear.</p> <p>Home care providers will be looking for details on what can be covered by this funding and how they will work alongside primary care providers and health-care services.</p> <p>Older people and their families will want to know the processes to apply for this funding and how long applications will take to be reviewed.</p> <p>Everyone will want to know what happens if the person doesn’t die within three months.</p> <h2>Some challenges</h2> <p>Ready availability of appropriate supports and services will be crucial for older people accessing this pathway. Home care providers will therefore need to assess how an end of life pathway fits into their operational activities and how they can build the necessary skills and capacity.</p> <p>Demand for nurses with palliative care skills and allied health professionals is likely to increase. Providing end of life care can be <a href="https://pubmed.ncbi.nlm.nih.gov/33096682/">especially taxing</a> so strategies will be needed to prevent staff burnout and encourage self-care.</p> <p>How pathways are implemented in rural and remote areas and in different cultural and community groups will need to be monitored to ensure all older people benefit.</p> <p>Effective coordination and communication between home care, primary care and specialist palliative providers care will be key. Digital health systems that connect the sectors could be helpful. Family engagement will also be very important.</p> <p>Escalation pathways and referral pathways should be established to enable appropriate responses to emergencies, unexpected deterioration, and family distress.</p> <p>Finally, <a href="https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-023-01155-y">accurately determining</a> when someone will die can be difficult. Knowing when the last three months of life starts may not be easy, particularly where frailty, cognitive issues and multiple health concerns may be present.</p> <p>This might mean some people are not seen as being ready for this pathway. Others may not be willing to accept this prognosis. An older person may also be expected to live with a terminal illness for many months or years. Their palliative care needs would not be met under this pathway.</p> <p>Despite these challenges, the announcement of an end of life pathway within the home care program is timely and welcome. As a population we are living longer and dying older. More details will help us be better prepared to implement this scheme.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/239296/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/jennifer-tieman-378102">Jennifer Tieman</a>, Matthew Flinders Professor and Director of the Research Centre for Palliative Care, Death and Dying, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/offering-end-of-life-support-as-part-of-home-care-is-important-but-may-face-some-challenges-239296">original article</a>.</em></p> </div>

Retirement Life

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The Adventures of Priscilla, Queen of the Desert at 30: more important, enjoyable and vital than ever

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/stephen-gaunson-265553">Stephen Gaunson</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>The lavender painted bus named “Priscilla” continues to pick up new fans while never going out of favour with its legion of original devotees, 30 years after its release.</p> <p>The Adventures of Priscilla, Queen of the Desert was shot on location in and around Sydney, Broken Hill, Coober Pedy, Kings Canyon and Alice Springs over six weeks in 1993.</p> <p>Directed by Stephan Elliott, the film screened in the <em>Un Certain Regard</em> section of the May 1994 Cannes Film Festival, winning <a href="https://nla.gov.au/nla.obj-885750952/view?sectionId=nla.obj-888737519&amp;searchTerm=priscilla+queen+of+the+desert&amp;partId=nla.obj-885806856#page/n13/mode/1up">critical and popular acclaim</a> for its positive portrayal of LGBTQI+ characters.</p> <p>Awards came, most notably for costume designers Tim Chappel and Lizzy Gardiner who won the Academy Award for Best Costume Design for their sparkly, sequin-filled costumes.</p> <p>The film’s cultural brilliance lies in juxtaposing the extreme flamboyance of the costumes and props against the equally extreme rural natural desert landscape. The unexpected revelation for audiences was how perfectly these contrasting elements harmonised.</p> <figure><iframe src="https://www.youtube.com/embed/wGWWeourHUg?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <h2>A smash hit</h2> <p>Less than 12 months since its release, the Film Finance Corporation (FFC) of Australia had the rare success of <a href="https://if.com.au/why-the-adventures-of-priscilla-queen-of-the-desert-turned-the-government-a-profit-in-just-12-months/">fully recouping</a> its A$1.67 million investment.</p> <p>Initially hesitant due to Elliott’s disappointing box office return on his debut feature, Frauds (1993), the FFC was convinced after the screenplay gained attention at Cannes. The film exceeded predictions, grossing more than $16 million in Australia.</p> <p>The film was socially and critically embraced as an instant classic.</p> <p>Ask cinema employees from this time and they will all share similar memories of lines of people outside the cinema doors eager to watch and rewatch (and rewatch again) the musical road movie about a pair of drag queens (Hugo Weaving and Guy Pearce) and a transgender woman (Terence Stamp) as they set out from Sydney on a bus journey across the Australian outback.</p> <figure><iframe src="https://www.youtube.com/embed/tex3dw3RjGk?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The casting today seems like more of a sure bet than it did in 1994. Stamp was a British actor of <a href="https://www.theguardian.com/film/2015/mar/12/terence-stamp-i-was-in-my-prime-but-when-the-60s-ended-i-ended-with-it">legendary status</a>, having gained critical accolades in the 1960s in films such as Billy Budd, The Collector and Far from the Madding Crowd. However Stamp was equally a <a href="https://www.dailymail.co.uk/home/event/article-4869258/Terence-Stamp-79-bids-farewell-active-sex-life.html">regular tabloid subject</a> for his high-profile romances with film star Julie Christie and supermodel Jean Shrimpton.</p> <p>Would audiences be willing to go with the idea of this playboy as the trandsgender woman, Bernadette?</p> <p>It is now impossible to consider any actor better able to deliver Terrance Stamps’s deadpan sardonic lines so perfectly: “Don’t ‘Darling’, me, Darling. Look at you. You’ve got a face like a cat’s arse.”</p> <p>Pearce and Weaving also were a risk. Neither were box office marquee stars at the time. Pearce was known as a lovable Mike from the popular television soap opera, Neighbours. Weaving was a critically respected actor known more for his quirky small parts than as a star in his own right.</p> <p>Both were perfect casting, launching them onto Hollywood careers. Pearce as Adam was a remarkable revelation.</p> <figure><iframe src="https://www.youtube.com/embed/p2QiCFAQ-qQ?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The chemistry and connection between the three lead actors makes the film truly succeed.</p> <p>Never do their performances seem showboating or forced. Each has their own arc, personality and journey. And when they climb Kings Canyon in full drag regalia at the film’s end there is something moving about what they have been able to accomplish together.</p> <p>A film that begins to be a slight and joyful comedy about drag performers becomes a deeper essay on the importance of lived experience and friendship (or, dare I say, mateship).</p> <h2>More vital than ever</h2> <p>Drag has a <a href="https://www.remindmagazine.com/article/3894/drag-through-decades-film-tv/">long history</a> in mainstream cinema with its own codes and references.</p> <p>The Adventures of Priscilla, Queen of the Desert is crucially different by it not being about “straight” men masquerading as women to mask their actual identity. Instead, Elliot’s film rather positively celebrates these characters in drag as their true and authentic selves.</p> <p>This film stood with others as a wave of Australian cinema in the 1990s unashamedly wanting to celebrate an Australia juxtaposing the blokey masculine stereotype.</p> <p>Ocker characters (men and women) appear in this film, but ultimately they are publicly humiliated for their homophobia. Bernadette kneeing in the groin the vicious and vulgar Frank (Kenneth Radley) often receives a big cheer from cinema audiences: “Stop flexing your muscles, you big pile of budgie turd,” Bernadette scorns.</p> <figure><iframe src="https://www.youtube.com/embed/9nc12yOA4jM?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Perhaps the true star of the film were not the actors as much as the iconic 1976 Japanese model Hino Freighter Priscilla bus that became the set for several scenes in the film. Because the bus interior was such a small set, there was no room for the crew with many actually in shot, hiding under clothes and other props.</p> <p>The bus, long thought to be lost, was <a href="https://www.abc.net.au/news/2024-04-12/bid-to-restore-priscilla-queen-of-the-desert-bus/103699136">rediscovered</a> on a farm in New South Wales in 2019. The bus is currently being restored, with an aim to have it on display at the National Motor Museum in Birdwood, Adelaide Hills, in 2026. Perhaps it will be good timing for shooting the recently announced <a href="https://deadline.com/2024/04/priscilla-queen-of-the-desert-movie-sequel-original-cast-1235890358/">potential sequel</a>.</p> <p>30 years after its original release The Adventures of Priscilla, Queen of the Desert seems more important, enjoyable and vital than ever. All aboard, Priscilla. Long may she run.</p> <hr /> <p><em>RMIT Capitol will be hosting a <a href="https://www.rmit.edu.au/thecapitol/events/2024/september/the-adventures-of-priscilla-queen-of-the-desert">screening and introductory panel discussion</a> on September 11 with the film’s costume designer Tim Chappel, executive producer Rebel Penfold-Russell, Melbourne Queer Film Festival program director Cerise Howard, historian Kristy Kokegei and Stephen Gaunson.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/235424/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/stephen-gaunson-265553"><em>Stephen Gaunson</em></a><em>, Associate Professor in Cinema Studies, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p><em>Image credits: Metro Goldwyn Mayer</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/the-adventures-of-priscilla-queen-of-the-desert-at-30-more-important-enjoyable-and-vital-than-ever-235424">original article</a>.</em></p> </div>

Movies

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Flu shots play an important role in protecting against bird flu. But not for the reason you might think

<div class="theconversation-article-body"><em><a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>A current strain of highly pathogenic avian influenza, commonly known as bird flu, has become a global problem. The virus has affected <a href="https://www.cdc.gov/bird-flu/situation-summary/data-map-commercial.html">many millions</a> of birds, some other <a href="https://www.cdc.gov/bird-flu/situation-summary/mammals.html">animal species</a>, and a <a href="https://cdn.who.int/media/docs/default-source/influenza/avian-and-other-zoonotic-influenza/joint-fao-oie-who-preliminary-risk-assessment-associated-with-avian-influenza-a(h5n1)-virus.pdf?sfvrsn=faa6e47e_28&amp;download=true">small number of people</a>.</p> <p>Last week, the Australian government <a href="https://www.sbs.com.au/news/article/australians-issued-new-health-risks-travel-warning-for-europe-asia-and-the-americas/gmh1hk9py">issued a warning</a> to residents travelling to Europe, North America, South America and Asia about the risk of bird flu.</p> <p>The alert, published on the <a href="https://www.smartraveller.gov.au/news-and-updates/highly-pathogenic-avian-influenza-outbreak">Smartraveller website</a>, included advice to ensure your flu vaccine is up to date. If you are about to go travelling, this generally means if you’ve had a flu jab this year, although if it has been 3–6 months since your vaccine you should discuss this with your doctor.</p> <p>But the seasonal flu vaccine we get each year doesn’t actually prevent bird flu in humans. So why is it being recommended in this context?</p> <h2>Some bird flu background</h2> <p>Smartraveller notes <a href="https://www.smartraveller.gov.au/news-and-updates/highly-pathogenic-avian-influenza-outbreak">several strains</a> of bird flu are currently circulating.</p> <p>The most concerning strain, called the <a href="https://www.nature.com/articles/s41467-023-38415-7">2.3.4.4b clade</a>, emerged a few years ago from a type of influenza A (H5, or A/H5) that has been circulating for several decades.</p> <p>Clade 2.3.4.4b primarily affects birds, including wild birds and poultry. It has had <a href="https://theconversation.com/uk-poultry-can-roam-free-outside-again-but-bird-flu-risk-hasnt-gone-away-203361">devastating effects</a> on bird populations, as well as farmers and others involved in the poultry industry.</p> <p>In recent years, clade 2.3.4.4b has adapted to <a href="https://www.nature.com/articles/s44298-024-00039-z">infect some mammals</a>. Unfortunately it seems to cause severe disease in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11083745/">certain animals</a>. Some marine mammals have been hit particularly hard, with mass mortality events <a href="https://www.theguardian.com/environment/2023/dec/08/mass-deaths-elephant-seals-penguins-bird-flu-antarctic-ecological-disaster-aoe">reported</a> in elephant seals and sea lions. In the United States, bird flu has also spread <a href="https://www.cdc.gov/bird-flu/situation-summary/mammals.html">among dairy cows</a>.</p> <p>Compared to the huge number of animal cases, there have been a relatively small number of <a href="https://www.who.int/publications/m/item/joint-fao-who-woah-preliminary-assessment-of-recent-influenza-a(h5n1)-viruses">humans infected with bird flu</a>. Since 2003, <a href="https://www.who.int/publications/m/item/cumulative-number-of-confirmed-human-cases-for-avian-influenza-a(h5n1)-reported-to-who--2003-2023--3-october-2023">878 cases</a> of A/H5N1 influenza have been reported in humans, with a small proportion of these reported since 2020 when <a href="https://www.outbreak.gov.au/emerging-risks/high-pathogenicity-avian-influenza">clade 2.3.4.4b first emerged</a>. The reported cases have been people who have had close contact with infected animals. It does not appear to spread from person to person.</p> <p>As such, the <a href="https://www.ecdc.europa.eu/en/infectious-disease-topics/z-disease-list/avian-influenza/threats-and-outbreaks/risk-assessment-h5">risk to travellers is low</a>. There are some situations where the risk may be greater, such as for people visiting live markets, or those who are travelling specifically to work with wildlife or animals in food production.</p> <p><a href="https://www.who.int/publications/m/item/joint-fao-who-woah-preliminary-assessment-of-recent-influenza-a(h5n1)-viruses">Infections in humans</a> with H5 influenza can vary significantly in severity, from mild conjunctivitis up to fatal pneumonia. H5 influenza strains appear to be <a href="https://asm.org/articles/2024/june/what-you-should-know-about-avian-influenza-a-h5n1">sensitive to antivirals</a> (oseltamivir, also known as Tamiflu) and they are generally <a href="https://www.cdc.gov/bird-flu/hcp/novel-av-treatment-guidance/">recommended</a> as treatment for human infection, but it’s <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(24)01307-2/fulltext">not clear</a> whether they reduce the risk of death in those with severe disease.</p> <p>To date, one case of A/H5 influenza (not 2.3.4.4b) has been <a href="https://www.abc.net.au/news/2024-05-22/bird-flu-avian-influenza-human-detection/103879886">reported in Australia</a>, in a child who had recently returned from overseas.</p> <p>While <a href="https://www.fao.org/animal-health/situation-updates/global-aiv-with-zoonotic-potential/en">clade 2.3.4.4b has been detected</a> in all continents <a href="https://www.outbreak.gov.au/emerging-risks/high-pathogenicity-avian-influenza">except Australia</a>, other avian influenza strains (A/H7) <a href="https://www.outbreak.gov.au/current-outbreaks/avian-influenza">have been reported here</a> earlier this year.</p> <h2>Seasonal flu vaccines are not effective against bird flu</h2> <p>Seasonal influenza refers to the flu strains that circulate each year. Since the COVID pandemic, three different strains have circulated in various proportions – influenza A H1N1 (descended from the <a href="https://www.nature.com/articles/nature08182">2009 swine flu strain</a>), influenza A H3N2 (which has <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6149781/">circulated since 1968</a>) and an influenza B strain. Interestingly, a second influenza B strain (the Yamagata lineage) <a href="https://www.nejm.org/doi/full/10.1056/NEJMp2314801">appears to have vanished</a> during the COVID pandemic.</p> <p>Seasonal influenza vaccines contain up-to-date variants of these types (A/H1N1, A/H3N2 and B) that are recommended by the World Health Organization each year. They are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5912669/">moderately effective</a>, reducing the risk of hospitalisation by about 40–60%.</p> <p>Influenza vaccines are quite specific in the protection that they provide. For seasonal vaccines, even the very small changes that occur in the virus from year to year are enough to allow them to “escape” vaccine-induced immunity. Therefore seasonal flu vaccines <a href="https://www.cdc.gov.au/topics/avian-influenza-bird-flu">do not provide any protection</a> against A/H5 influenza.</p> <h2>Preventing a hybrid bird-human strain</h2> <p>The rationale for recommending travellers have a flu shot in the context of the current bird flu outbreak is that seasonal flu vaccines may help reduce the risk of simultaneous infection with both A/H5 and a seasonal influenza strain.</p> <p>When this occurs, there is potential for a “recombination” of the genetic code from both viral strains. This could have the transmissibility of a seasonal human virus with the severity of an avian influenza virus. The 2009 swine flu strain <a href="https://www.nejm.org/doi/full/10.1056/NEJMra0904322">arose from the recombination</a> of several strains over years to become more transmissible in humans.</p> <p>Obviously a more effective vaccine would include a H5 strain, to generate immune responses specific to the H5 flu strain. Vaccine manufacturers have <a href="https://www.ema.europa.eu/en/medicines/human/EPAR/celldemic">developed H5 vaccines</a> over the years, but to date <a href="https://thl.fi/en/-/avian-influenza-vaccinations-begin-vaccine-to-be-offered-to-persons-at-increased-risk-of-infection">only Finland</a> has deployed a H5 vaccine in a small group of people who work closely with potentially infected animals.</p> <p>Currently the <a href="https://www.ecdc.europa.eu/en/infectious-disease-topics/z-disease-list/avian-influenza/threats-and-outbreaks/risk-assessment-h5">level of risk</a> posed by H5 to humans is not thought to be sufficient to require a specific vaccine program, as the potential benefits are small compared to the costs and the potential risks associated with any new vaccine program.</p> <h2>The value of a flu shot for travellers</h2> <p>Seasonal flu vaccines protect against influenza infection, and may also reduce the risk of simultaneous infection with human and bird flu strains. Bird flu aside, for most travellers who haven’t received a flu shot this year, reducing the risk of illness disrupting travel plans should be enough of a reason to get one.</p> <p>For those who have already received a flu shot this season, similar to COVID jabs, protection after vaccination appears to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8499703/">wane over time</a>. So if you’re travelling to the northern hemisphere during the winter months, and it’s been more than 3–6 months since you received a flu vaccine, your doctor may recommend you have another.</p> <p>Bird flu is only a small risk to most travellers, but people may want to take sensible precautions, such as avoiding close contact with birds at markets.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/237859/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/allen-cheng-94997">Allen Cheng</a>, Professor of Infectious Diseases, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/flu-shots-play-an-important-role-in-protecting-against-bird-flu-but-not-for-the-reason-you-might-think-237859">original article</a>.</em></p> </div>

Body

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The important cause that brought Ally Langdon to tears

<p>Ally Langdon teared up on Thursday's episode of <em>A Current Affair </em>during a heartfelt segment on organ donation. </p> <p>The host was discussing Jersey Day with Michael Gremmo, a father who had lost his 13-year-old son Nathan after he was critically injured when crossing the road in 2014. </p> <p>Nathan went on to become an organ donor  - a decision that saved six lives, including a baby. </p> <p>Now his father is honouring his son's legacy by encouraging others to have the important conversation about organ and tissue donation with loved ones. </p> <p>"Nathan, as most organ donors are, are healthy, fit, young people and their lives are just taken from them," Michael said.</p> <p>"Dealing with Nathan not coming back, that's the hardest, but we wanted something positive to come out of a horrible situation."</p> <p>The <em>A Current Affair</em> host fought back tears as she recalled how her own sister's life was saved after receiving a pancreas-kidney  transplant in 2014. </p> <p>"My sister is alive because of someone as special as Nathan and there’s not a day goes by that we don’t as a family think about them and think about their grief." </p> <p>“Thank you,” Langtold told Michael tearfully.</p> <p>Michael replied: “Nathan hasn’t died in vain. He’s given life. And you’ve got your sister here because of a generous donor. And it’s not just the donor, it’s their family too. When you’re in that situation it’s hard.”</p> <p>Langdon then encouraged viewers to "have the conversation" about organ donation with loved ones of all ages. </p> <p>"Tell your family your wishes, because the final decision is theirs," she said.</p> <p>Michael said despite his son's young age, Nathan had talked about organ donation and expressed his desire to be one before his passing. </p> <p>“It’s not a conversation you usually have or want to have with young children,” Michael said.</p> <p>"Nathan had actually had a conversation with us, he watched a program on TV and it was about organ recipients ... he sat us down and spoke to us about that.</p> <p>"And yeah, we just talked about what a wonderful gift that would be."</p> <p>Jersey Day falls on Friday August 30, during which students and employees at schools and workplaces across the country are encouraged to wear their favourite jersey and have the important conversation about organ donation with their loved ones.</p> <p>"It's not just the lives of the organ recipient [you save], it's the families behind that too that, you know, you don't realise how many people are affected," Michael said.</p> <p>"I suppose that's why Jersey Day is so special as it's about awareness and getting it out there and having that important conversation."</p> <p><em>To register as an organ and tissue donor, visit <a href="http://donatelife.gov.au/" target="_blank" rel="noopener">donatelife.gov.au.</a></em></p> <p><em>Images: A Current Affair/ Nine</em></p>

Caring

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What is competition, and why is it so important for prices?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/paul-blacklow-1546097">Paul Blacklow</a>, <a href="https://theconversation.com/institutions/university-of-tasmania-888"><em>University of Tasmania</em></a></em></p> <p>It’s hard to remember a time before the <a href="https://theconversation.com/you-dont-have-to-be-an-economist-to-know-australia-is-in-a-cost-of-living-crisis-what-are-the-signs-and-what-needs-to-change-210373">cost-of-living crisis</a> dominated news headlines. Most of us would certainly like it to be over.</p> <p>But the fundamental question at its heart – which points to the problem we have to solve – seems simple. What determines the prices we pay?</p> <p>The cost of producing goods and services is certainly one big factor in determining how much we pay for them. So, too, is what we’re prepared to fork out.</p> <p>But when we talk about lowering prices, we often also talk about increasing competition – the number of firms vying to sell us a particular offering.</p> <p>It’s so important for efficient pricing that the government body tasked with making our markets fair is called the Australian Competition and Consumer Commission – the “ACCC” for short.</p> <p>But why does having more people trying to sell us things drive down their prices? And can companies find ways to get around this?</p> <h2>More sellers, lower prices</h2> <p>In a free market system, there are a few different types of competition.</p> <p>In the most ideal, a <strong>perfectly competitive</strong> market, firms must use resources efficiently to produce what we consumers want at the lowest possible cost.</p> <p>In <strong>perfect competition</strong>:</p> <ul> <li>the products and services traded are identical (or very similar)</li> <li>there are many buyers and sellers</li> <li>information is perfect</li> <li>firms can enter and exit freely.</li> </ul> <p>A firm charging prices well above the minimum cost will sell no goods or services and be forced to leave the market. Why? Because its competitors will be able to steal customers by charging slightly less for exactly the same thing.</p> <p>Only lower-cost firms will remain and compete prices down until they cover the lowest cost of supplying the good or service, plus an average or normal “return on capital”.</p> <p>At a high level, think of this return as an acceptable monetary reward for the business for investing the inputs and taking on the risks required to operate.</p> <p>If ever an industry is earning above-average returns given its level of risk, new firms will enter and charge less, until only normal returns are earned.</p> <p>Conversely, below-normal profits will see firms exit, decreasing supply and raising prices.</p> <p>Do perfectly competitive markets exist? There are arguably some examples that come close, such as casual labour services, some agricultural commodities like grain, livestock and fruit, and financial and currency markets.</p> <p>But there are more examples of less competitive markets.</p> <h2>The winner takes it all</h2> <p>At the opposite extreme, in <strong>monopoly</strong> markets, there is only one seller of a good or service. Typically, there is some barrier preventing new firms from entering the market and driving prices down.</p> <p>Without government regulation, monopoly firms will reduce supply, increase prices and earn above-normal profit levels.</p> <p>However, sometimes monopolies emerge naturally because it is far more efficient to have a single coordinating supplier of a particular service – such as in letter delivery, rail tracks, or internet infrastructure.</p> <p>To strike a balance, governments typically regulate or own monopolies.</p> <h2>Same same, but different</h2> <p>More common than monopoly is what’s called <strong>monopolistic competition</strong>, which is the market structure for many of our tech, entertainment and dining goods and services.</p> <p>In monopolistic competition, firms try to make their offering <em>different</em> by investing in R&amp;D and advertising, so that they do not have to compete on price alone.</p> <p>Think Apple’s iPhone versus Samsung’s Galaxy. Both are technically the same kind of product, but have created their own unique markets.</p> <p>Differentiation allows firms to price above minimum cost and earn above-normal rates of return. At least, that is, until new firms enter and imitate them, increasing supply and lowering prices and profits to normal levels.</p> <h2>A few big players hold market power</h2> <p>In Australia, many key goods and services are traded in <strong>oligopoly</strong> markets.</p> <p>Oligopolies arise when a few large firms dominate a particular industry, such as supermarkets, domestic airlines, banking, mobile telecommunications, and petrol retailing.</p> <p>Some oligopoly markets are very competitive and drive prices down to cost, plus normal return to capital. But in other more concentrated markets with a few powerful firms, firms may have significant <strong>market power</strong> and be able to keep prices above the competitive level.</p> <p>It is not illegal to possess market power, but according to Australia’s Competition and Consumer Act 2010, it is illegal to use it “for the purpose, effect, or likely effect of substantially lessening competition”.</p> <p>It is illegal, for example, for firms to explicitly work together when setting prices. This is called collusion. Neither can they force suppliers to deal with them exclusively, or set prices below cost when new firms attempt to enter a market.</p> <p>But that doesn’t mean some firms haven’t learned subtle and legal ways of reducing competition.</p> <p>For example, loyalty programs and charging special loss-leading prices can seem at first glance to be good for consumers, but can also increase the <a href="https://theconversation.com/loyalty-programs-may-limit-competition-and-they-could-be-pushing-prices-up-for-everyone-220669">cost of switching</a> to the lowest-priced firm.</p> <h2>Are we getting a good deal?</h2> <p>Still, you may have noticed the prices charged for many goods and services are very similar across different firms in the economy.</p> <p>Have these prices been driven down by competition to their cost plus a normal return to capital? Or are firms abusing their market power to lessen competition in the market?</p> <p>What can we do if firms are reducing competition through legal measures?</p> <p>These are just some of the difficult questions both government and industry are currently grappling with.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/234082/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/paul-blacklow-1546097"><em>Paul Blacklow</em></a><em>, Lecturer in Economics, <a href="https://theconversation.com/institutions/university-of-tasmania-888">University of Tasmania</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-competition-and-why-is-it-so-important-for-prices-234082">original article</a>.</em></p> </div>

Money & Banking

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Is attachment theory actually important for romantic relationships?

<p><em><a href="https://theconversation.com/profiles/marissa-nivison-1454992">Marissa Nivison</a>, <a href="https://theconversation.com/institutions/university-of-calgary-1318">University of Calgary</a> and <a href="https://theconversation.com/profiles/sheri-madigan-417151">Sheri Madigan</a>, <a href="https://theconversation.com/institutions/university-of-calgary-1318">University of Calgary</a></em></p> <p>There has been a recent surge of attention toward attachment theory: from <a href="https://www.tiktok.com/t/ZTL2aW9va/">TikTok videos</a> to <a href="https://quiz.attachmentproject.com/">online quizzes</a> that claim to “assess your attachment style.” It’s become a hot topic, especially in the context of romantic relationships, with <a href="https://medium.com/curious/the-theory-that-explains-all-your-failed-relationships-fb2dc2551617">some articles</a> claiming that one person (or partner’s) attachment styles are the reason why relationships fail.</p> <p>As experts in developmental and clinical psychology focusing on attachment theory, we seek to provide an accessible resource to better understand the science of attachment, and what it means for one’s romantic relationships.</p> <h2>What is attachment?</h2> <p>Attachment theory stems from the field of developmental psychology. It is the notion that in the first year of life, the ways in which a parent and caregiver respond to a child’s needs shape a child’s expectation of relationships across their lifespan.</p> <p>In research, attachment has been associated with well-being across the lifespan including: <a href="https://doi.org/10.1017/S0954579499002035">mental</a> and <a href="https://www.tandfonline.com/doi/full/10.1080/14616734.2018.1541517">physical</a> health, <a href="https://doi.org/10.1037/a0032671">brain functioning</a> and even <a href="https://citeseerx.ist.psu.edu/document?repid=rep1&amp;type=pdf&amp;doi=092354a82953ac321429f84b00607bcd44ac4c63">romantic relationships</a>.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/587576/original/file-20240411-16-x97xu0.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/587576/original/file-20240411-16-x97xu0.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/587576/original/file-20240411-16-x97xu0.jpeg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/587576/original/file-20240411-16-x97xu0.jpeg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=455&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/587576/original/file-20240411-16-x97xu0.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/587576/original/file-20240411-16-x97xu0.jpeg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/587576/original/file-20240411-16-x97xu0.jpeg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=572&amp;fit=crop&amp;dpr=3 2262w" alt="Illustrations of four different attachment styes" /><figcaption><span class="caption">There are two overarching types of attachment: secure and insecure. Types of insecure attachment include disorganized, avoidant and anxious attachment.</span> <span class="attribution"><span class="source">(Shutterstock)</span></span></figcaption></figure> <h2>How is attachment related to romantic relationships?</h2> <p>Among professionals in the field, there is diversity in perspectives regarding how attachment relates with romantic relationships. As developmental psychologists, we tend to think that attachment is associated with romantic relationships through what we call the “<a href="https://doi.org/10.1080/14616739900134191">internal working model</a>.”</p> <p>In childhood, when a parent is consistent and responsive in tending to their child, the child learns that their parent can be counted on in times of need. These expectations and beliefs about relationships are then internalized as a blueprint, sometimes in popular media referred to as a “<a href="https://medium.com/live-your-life-on-purpose/love-maps-are-a-gamechanger-when-you-have-an-anxious-attachment-style-dc8f219ab0af">love map</a>.” Just like how an architect uses a blueprint to design a building, a child’s attachment to their parents provides a blueprint for understanding how to approach other relationships.</p> <p>Based on this blueprint, people develop expectations of how relationships should work, and how other important people in their life, including partners, should respond to their needs.</p> <p>Sometimes attachment is also described in terms of attachment “styles.” There are two overarching types of attachment: <a href="https://doi.org/10.4324/9780203758045">secure and insecure</a>. Those with a secure attachment style tend to have expectations that their attachment figures (and later, partners) will be responsive, sensitive and caring in times of distress. People with secure “blueprints” find it easier to build new structures (i.e., relationships) with the same design.</p> <p>People with insecure blueprints — such as disorganized, avoidant or anxious attachment styles — may face relationship challenges when their current relationship doesn’t align with their childhood experiences, and may need to renovate their blueprint design together with their partner.</p> <p>Whether you think about attachment as a style or a love map, they both are related to expectations of relationships, which are shaped by past experiences.</p> <p>In research we see that people who had consistent, reliable and sensitive parents are more likely to have more positive relationships — including <a href="https://doi.org/10.1111/j.1475-6811.1997.tb00135.x">friendships</a>, <a href="https://doi.org/10.1111/cdev.13322">teacher-child relationships</a> and yes, <a href="https://citeseerx.ist.psu.edu/document?repid=rep1&amp;type=pdf&amp;doi=092354a82953ac321429f84b00607bcd44ac4c63">romantic relationships too</a>.</p> <h2>Relationships with parents and relationships with partners</h2> <p>Although we do see in research that better childhood relationships are associated with better romantic relationships, there is still a large part of the population who have good relationships with partners, despite their history of lower-quality relationships with their parents.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/587575/original/file-20240411-16-fn5xgk.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/587575/original/file-20240411-16-fn5xgk.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=453&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/587575/original/file-20240411-16-fn5xgk.jpeg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=453&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/587575/original/file-20240411-16-fn5xgk.jpeg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=453&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/587575/original/file-20240411-16-fn5xgk.jpeg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=569&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/587575/original/file-20240411-16-fn5xgk.jpeg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=569&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/587575/original/file-20240411-16-fn5xgk.jpeg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=569&amp;fit=crop&amp;dpr=3 2262w" alt="Illustration of loving parents with a child, and the grown child in a loving relationship" /><figcaption><span class="caption">In research we see that people who had consistent, reliable and sensitive parents are more likely to have more positive relationships.</span> <span class="attribution"><span class="source">(Shutterstock)</span></span></figcaption></figure> <p>It is possible for romantic relationships to serve as a <a href="https://doi.org/10.1037/1089-2680.4.2.155">“healing relationship”</a> and improve one’s own internal working model of relationships. Specifically, when a partner is consistently sensitive, responsive and available, a person may begin to adjust their blueprint and develop new expectations from relationships. Attachment theory consistently supports the idea that one’s patterns of attachment <a href="https://eric.ed.gov/?id=EJ960225">can change</a>.</p> <p>So, all in all, the answer is no: Your relationship with your parents influences but does not <em>determine</em> the quality of your romantic relationships.</p> <h2>Is attachment the reason why my relationships don’t work out?</h2> <p>It is possible that your expectations of a romantic relationship may not align with the expectations of your partner, and may affect the quality of the relationship. For example, sometimes individuals with insecure attachments may withdraw when they are upset, but their partner who has a secure attachment may be upset that their partner is not coming to them for comfort.</p> <p>Thinking through your own attachment history and expectations of relationships may be a great opportunity for self-reflection, but it is important to remember that attachment is only one part of a relationship. Communication, trust and respect, to name a few, are also critically important aspects of a relationship.</p> <h2>Can I improve my attachment expectations?</h2> <p>The short answer: Yes! Improving attachment quality has been one of the cornerstones of attachment theory and research since its conception. Most commonly, attachment is targeted in <a href="https://www.youtube.com/channel/UC0LCPe5CMarYi1NmqNttDcg/videos">childhood through interventions</a>, but also in adulthood through individual therapy, or various forms of couples therapy, such as <a href="https://www.youtube.com/watch?v=xaHms5z-yuM">Emotionally Focused Therapy</a> or the <a href="https://www.gottman.com/about/the-gottman-method/">Gottman Method</a>.</p> <p>It is also possible that through positive relationships you may be able to improve your own expectations of relationships. There are many different avenues to explore, but improvement is always possible.</p> <p>In sum, attachment can be an important factor in romantic relationships, but it is not a “catch-all” to be blamed for why relationships may not work out. Thinking about your own expectations for relationships and talking through those with your partner may do great things in improving the quality of your relationships!  <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/226101/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/marissa-nivison-1454992">Marissa Nivison</a>, Postdoctoral Research Fellow, Department of Psychology, <a href="https://theconversation.com/institutions/university-of-calgary-1318">University of Calgary</a> and <a href="https://theconversation.com/profiles/sheri-madigan-417151">Sheri Madigan</a>, Professor, Canada Research Chair in Determinants of Child Development, Owerko Centre at the Alberta Children’s Hospital Research Institute, <a href="https://theconversation.com/institutions/university-of-calgary-1318">University of Calgary</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/is-attachment-theory-actually-important-for-romantic-relationships-226101">original article</a>.</em></p>

Relationships

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Why scalp care is just important as washing your hair

<p dir="ltr">When it comes to our daily beauty routines, we tend to focus on what looks and feels like it needs a refresh, such as washing our hair when it looks a little greasy, or cleansing our faces after a day of wearing makeup. </p> <p dir="ltr">While our beauty, skin and hair care routines are quick to become second nature, there is one area that often gets overlooked: our scalps. </p> <p dir="ltr">When washing our hair, it is easy to focus on the products and techniques we need to get our tresses clean, while skimping on what is best for our scalp. </p> <p dir="ltr">But now, the scalp, which is often the most overlooked part of our skin, is finally being recognised as an area that needs just as much TLC as your face.</p> <p dir="ltr">Implementing scalp care as part of our beauty routines is a must, as this sensitive area can often need extra attention due to a build-up of product, delicate skin and aggressive hair washing techniques. </p> <p dir="ltr">Hair care expert Sanja Scher from Beatnik Studio has shared how important it is to care for the scalp as the foundation for hair growth and health, and how it all starts with the right products. </p> <p dir="ltr">"Revlon Professional, known for game-changing professional haircare, styling, and colour, offers a range of products dedicated to improving the scalp - and they're available to take home. By removing excess build-up, replenishing moisture, and rebalancing the scalp’s microbiome, these targeted products ensure that the microbiome, the first line of defence, can shield hair follicles from pathogens, hair damage, infections and other irritations,” she said.  </p> <p dir="ltr">“And this equals healthier, stronger, more beautiful hair.”</p> <p dir="ltr">To kick start the revolution of your hair care routine to protect your scalp, Revlon Professional's launch of the Eksperience Marine Face Mist Ultra-Light Hydration is a game-changing product that effortlessly combines skin care with hair care.</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C3Bc5xDSOab/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <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 style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C3Bc5xDSOab/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Revlon Professional Australia (@revlonprofessionalaustralia)</a></p> </div> </blockquote> <p dir="ltr">Formulated with Earth Marine Water and Algae extract, the same ingredients used in their Eksperience hair care range, the mist helps to hydrate and re-mineralise the skin. </p> <p dir="ltr">For an extremely gentle shampoo, the Revlon Professional RE/START Balance Scalp Soothing Cleanser is sulphate-free and works to clarify the scalp’s microbiome, whilst hydrating, moisturising and nourishing the scalp. </p> <p dir="ltr">If you suffer from irritation, redness or flaking of the scalp, a calming cleanser is what you need, with the Revlon Professional Eksperience Scalp Comfort Dermo Calm Hair Cleanser providing instant relief. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C28RxgsysSP/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <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 style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C28RxgsysSP/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Revlon Professional Australia (@revlonprofessionalaustralia)</a></p> </div> </blockquote> <p dir="ltr">For a moisturising lotion that is scalp-focused and hydrating, the Revlon Professional RE/START Balance Moisture Lotion is an essential in any hair care routine. It offers a leave-in, lightweight formula that helps to balance and protect the scalp’s microbiome whilst still keeping it nourished.</p> <p dir="ltr">These products not only target the skin on your head to build a stronger scalp barrier, but works to reduce irritation, dryness, and old buildup, further nourishing your hair.</p> <p dir="ltr">Revlon Professional RE/START and Eksperience products are available at <a href="https://www.adorebeauty.com.au/b/revlon-professional.html">Adore Beauty</a>, <a href="https://www.ozhairandbeauty.com/brands/revlon-professional">Oz Hair and Beauty</a> and <a href="https://www.ssshair.com.au/brands/revlon.html">SSS Hair</a>. </p> <p dir="ltr">So, next time you’re washing your hair or cleansing your face, think about putting the same level of care and attention into your scalp health, and see how these game-changing products can leave your scalp and hair healthier than ever. </p> <p dir="ltr"><em>Image credits: Shutterstock</em></p> <p> </p>

Beauty & Style

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"Lincoln's Law": Grandma's important safety crusade after tragic loss

<p>The tragic loss of three-year-old Lincoln in September 2020 has sparked a passionate plea for immediate changes to safety standards in rental properties across Australia.</p> <p>Lincoln's grandmother, Kerrie Shearer, has been relentless in her pursuit of ensuring that no other family suffers the heartache they have endured.</p> <p>Lincoln's untimely death occurred when he became entangled in a blind cord while innocently playing on a windowsill at his Melbourne home. Despite the family's vigilance, the accident claimed the life of their beloved Lincoln, leaving them shattered and grief-stricken. Now, Shearer is determined to turn her pain into action by advocating for legislative changes to prevent similar tragedies.</p> <p>As a renter, Lincoln's family had little control over the safety features of their dwelling. They are now calling for new laws mandating older rental homes to comply with modern blind safety standards. Shearer says that the need to address loose hanging blinds is crucial, labelling them as potential accidents waiting to happen. By campaigning for legislative reforms, she hopes to spare other families from experiencing the same devastation.</p> <p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">While guidelines stipulate that window furnishings in homes built after 2010 must adhere to strict safety measures, there are no such regulations for older properties. Shearer finds it astonishing that many people remain unaware of the dangers posed by unsecured blind cords. She recounts her experiences of visiting various accommodations, including Airbnbs and hotels, where she noticed inadequate safety measures and felt compelled to alert the hosts.</span></p> <p>"I'm constantly amazed how people aren't aware," she told <a href="https://www.9news.com.au/national/victoria-news-grandmother-warns-of-blind-safety-risk-after-grandson-dies/83accc08-8cf2-463a-8cc7-6f87fa905a5b" target="_blank" rel="noopener">9News</a>. "I go to AirBnBs and hotels now and I'm at them, 'Hey your blinds aren't attached to the wall.'"</p> <p>Shearer's advocacy has gained momentum via her collaboration with Kidsafe, a prominent nonprofit organisation dedicated to preventing unintentional injuries and deaths among children. Together, they aim to broaden safety requirements for older homes, advocating for what Shearer passionately refers to as "Lincoln's law". She insists that any looped or hanging cords present a significant danger to children and must be securely affixed to the wall to prevent entanglement accidents.</p> <p>The impact of Shearer's tireless efforts is already evident, with reports indicating that the state government is considering the introduction of mandatory blind cord safety standards for all rental properties, regardless of their age. This potential development marks a significant step towards ensuring the safety and well-being of children in rental accommodations across the country.</p> <p>In the wake of her family's tragedy, Shearer's determination to effect change not only honours the memory of Lincoln but also holds the potential to prevent countless other families from enduring similar heartbreak – ensuring that his tragic passing was not in vain.</p> <p><em>Images: 9News</em></p>

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Taking expensive medicines or ones unavailable in Australia? Importing may be the answer

<p><em><a href="https://theconversation.com/profiles/jacinta-l-johnson-1441348">Jacinta L. Johnson</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/kirsten-staff-1494356">Kirsten Staff</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>The cost-of-living crisis may be driving some Australians to look for cheaper medicines, especially if those medicines are not subsidised or people don’t have a Medicare card. Options can include buying their medicines from overseas, in a process called “<a href="https://www.tga.gov.au/products/unapproved-therapeutic-goods/personal-importation-scheme">personal importation</a>”.</p> <p>Others also use this option to import medicine that is not available in Australia.</p> <p>Here’s what’s involved and what you need to know about the health and legal risks.</p> <h2>Cost-of-living crisis bites</h2> <p>Many Australians, particularly those with long-term illnesses, are finding it increasingly hard to afford health care.</p> <p>The <a href="https://www.abs.gov.au/statistics/health/health-services/patient-experiences/latest-release#barriers-to-health-service-use">Australian Bureau of Statistics</a> reports the proportion of people who delayed or did not see a GP due to cost doubled in 2022-23 (7%) compared with 2021-22 (3.5%).</p> <p>A <a href="https://australianhealthcareindex.com.au/wp-content/uploads/2022/11/Australian-Healthcare-Index-Report-Nov-22.pdf">survey</a> published in 2022 of over 11,000 people found more than one in five went without a prescription medicine due to the cost.</p> <p>For those with a Medicare card it’s usually best (and cheapest) to get medicines locally, especially if you also have a concession card. However, for some high-cost medicines, personal importation may be cheaper. That’s when an individual arranges for medicine to be sent to them directly from an overseas supplier.</p> <p>A 2023 study found <a href="https://www.publish.csiro.au/AH/AH23143?jid=AHv47n6&amp;xhtml=5AA1F839-38C8-45E8-A458-79DCDB7597FB">1.8%</a> of Australians aged 45 or older had imported prescription medicines in the past 12 months. That indicates potentially hundreds of thousands of Australians are importing prescription medicines each year.</p> <p>Almost half of the survey respondents indicated they would consider importing medicines to save money.</p> <h2>What’s involved?</h2> <p>Australia’s drug regulator, the Therapeutic Goods Administration (TGA), allows individuals to import up to three months’ supply of medicines for their own personal use (or use by a close family member) under the <a href="https://www.tga.gov.au/products/unapproved-therapeutic-goods/personal-importation-scheme">personal importation scheme</a>.</p> <p>This often involves ordering a medicine through an overseas website.</p> <p>If the medicine would require a prescription in Australia, you must also have a legally valid prescription to import it.</p> <p>Selling or supplying these medicines to others outside your immediate family is strictly prohibited.</p> <h2>How could this help?</h2> <p>For some high-cost medicines, personal importation may be cheaper than having the medicine dispensed in Australia. This is most likely for medicines not subsidised by the <a href="https://www.pbs.gov.au/info/about-the-pbs">Pharmaceutical Benefits Scheme</a> (the PBS). People who do not hold a Medicare card may also find it cheaper to import certain medicines as they do not have access to PBS-subsidised medicines.</p> <p>For example, for people with a specific type of leukaemia, treatment with sorafenib is not covered by the PBS. For these patients it could be up to about ten times more expensive to have their treatment dispensed in Australia as it is to import. That’s because there is a cheaper generic version available overseas.</p> <p>Personal importation may also allow you to access medicines that are available overseas but are not marketed in Australia.</p> <h2>What are the risks?</h2> <p>All medicines carry risks, and medicine sold online can pose additional dangers. The TGA does not regulate medicines sold overseas, so the safety and quality of such medicines can be uncertain; they may not be produced to <a href="https://www.tga.gov.au/what-tga-regulates">Australian standards</a>.</p> <p>While similar regulatory agencies exist in other countries, when ordering medicines from overseas websites it can be difficult to determine if the product you are buying has been assessed to ensure it is safe and will do what it says it will do.</p> <p>The medicines purchased could be counterfeit or “fake”. Products bought through unverified or overseas websites may have undisclosed ingredients, contain a dose that differs from that on the label, or lack the active ingredient entirely.</p> <p><a href="https://www.tga.gov.au/importing-therapeutic-goods">Not all medicines</a> can be legally imported through the personal importation scheme. Certain medicines are never allowed to be imported into Australia, and others can only be imported by a medical professional on behalf of a patient.</p> <p>So if you attempt to import a restricted medicine, the Australian Border Force <a href="https://www.abf.gov.au/entering-and-leaving-australia/can-you-bring-it-in/categories/medicines-and-substances">may seize it</a>. Not only would you lose your medicine, but you could also receive a fine or face <a href="https://www.tga.gov.au/news/blog/can-i-import-medicine-personal-use#:%7E:text=If%20you%20try%20to%20import,a%20fine%20or%20jail%20time.">jail time</a>.</p> <p>As with any purchase from an overseas business, there is also a risk you may lose your money and you might not be protected by Australian consumer laws.</p> <p>If you do choose to import medicines by buying them from an overseas website, you should also consider what could happen if delivery is delayed and you don’t get your medicine in time.</p> <h2>Where can I get more advice?</h2> <p>If you are thinking about importing medicines you should first discuss this with a health professional, such as your GP or pharmacist.</p> <p>They can help you determine if personal importation is permitted for the medicine you need. You can also discuss if this is the best option for you.</p> <p>If you are having difficulty covering the cost of your medicines your doctor or pharmacist can also explore other potential alternatives to ensure you are receiving the most cost-effective treatment available in Australia.</p> <h2>Where do I go online?</h2> <p>If you then decide to import, here are some reputable sites to help navigate the global online medicines market:</p> <ul> <li> <p><a href="https://everyone.org/">everyone.org</a> helps people everywhere in the world access the latest medicines not available in their own countries</p> </li> <li> <p><a href="https://buysaferx.pharmacy/">Alliance for Safe Online Pharmacies</a> is a not-for-profit organisation that collates information on how to find safe online pharmacies based in different regions of the world</p> </li> <li> <p><a href="https://www.pharmacychecker.com/accredited-online-pharmacies/">PharmacyChecker</a> has also collated a list of trusted online pharmacies that ship medicines internationally.</p> </li> </ul> <p>Australian government websites about importing medicines include those from <a href="https://www.tga.gov.au/news/blog/can-i-import-medicine-personal-use">the TGA</a> and on what to consider when buying medicines online from <a href="https://www.healthdirect.gov.au/buying-medicines-online#overseas">overseas</a>.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/219394/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/jacinta-l-johnson-1441348"><em>Jacinta L. Johnson</em></a><em>, Senior Lecturer in Pharmacy Practice, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/kirsten-staff-1494356">Kirsten Staff</a>, Senior Lecturer in Pharmacy, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/taking-expensive-medicines-or-ones-unavailable-in-australia-importing-may-be-the-answer-219394">original article</a>.</em></p>

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Flying home for Christmas? Carbon offsets are important, but they won’t fix plane pollution

<p><em><a href="https://theconversation.com/profiles/susanne-becken-90437">Susanne Becken</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/brendan-mackey-152282">Brendan Mackey</a>, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p>Australia is an important player in the global tourism business. In 2016, <a href="https://www.tra.gov.au/research/research">8.7 million visitors arrived in Australia and 8.8 million Australians went overseas</a>. A further 33.5 million overnight trips were made domestically.</p> <p>But all this travel comes at a cost. According to the <a href="http://tourismdashboard.org/explore-the-data/carbon-emissions/">Global Sustainable Tourism Dashboard</a>, all Australian domestic trips and one-way international journeys (the other half is attributed to the end point of travel) amount to 15 million tonnes of carbon dioxide for 2016. That is 2.7% of global aviation emissions, despite a population of only 0.3% of the global total.</p> <p>The peak month of air travel in and out of Australia is December. Christmas is the time where people travel to see friends and family, or to go on holiday. More and more people are <a href="http://climatecommunication.yale.edu/publications/analysis-of-a-119-country-survey-predicts-global-climate-change-awareness/">aware of the carbon implications of their travel</a> and want to know whether, for example, they should purchase carbon offsets or not.</p> <p>Our <a href="http://www.sciencedirect.com/science/article/pii/S0969699716302538">recent study in the Journal of Air Transport Management</a> showed that about one third of airlines globally offer some form of carbon offsetting to their customers. However, the research also concluded that the information provided to customers is often insufficient, dated and possibly misleading. Whilst local airlines <a href="https://www.qantasfutureplanet.com.au/#aboutus">Qantas</a>, <a href="https://www.virginaustralia.com/nz/en/about-us/sustainability/carbon-offset-program/">Virgin Australia</a> and <a href="https://www.airnewzealand.co.nz/sustainability-customer-carbon-offset">Air New Zealand</a> have relatively advanced and well-articulated carbon offset programs, others fail to offer scientifically robust explanations and accredited mechanisms that ensure that the money spent on an offset generates some real climate benefits.</p> <p>The notion of carbon compensation is actually more difficult than people might think. To help explain why carbon offsetting does make an important climate contribution, but at the same time still adds to atmospheric carbon, we created an <a href="https://www.youtube.com/watch?v=xsh-erzGlR0">animated video clip</a>.</p> <figure><iframe src="https://www.youtube.com/embed/xsh-erzGlR0?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Jack’s journey.</span></figcaption></figure> <p>The video features Jack, a concerned business traveller who begins purchasing carbon credits. However, he comes to the realisation that the carbon emissions from his flights are still released into the atmosphere, despite the credit.</p> <p>The concept of “carbon neutral” promoted by airline offsets means that an equal amount of emissions is avoided elsewhere, but it does not mean there is no carbon being emitted at all – just relatively less compared with the scenario of not offsetting (where someone else continues to emit, in addition to the flight).</p> <p>This means that, contrary to many promotional and educational materials (see <a href="https://www.youtube.com/watch?v=cGB2OAg5ffA">here</a> for instance), carbon offsetting will not reduce overall carbon emissions. Trading emissions means that we are merely maintaining status quo.</p> <p>A steep reduction, however, is what’s required by every sector if we were to reach the net-zero emissions goal by 2050, agreed on in the <a href="http://unfccc.int/paris_agreement/items/9485.php">Paris Agreement</a>.</p> <p>Carbon offsetting is already an important “<a href="http://www.sciencedirect.com/science/article/pii/S0261517714000910">polluter pays</a>” mechanism for travellers who wish to contribute to climate mitigation. But it is also about to be institutionalised at large scale through the new UN-run <a href="https://www.icao.int/environmental-protection/Pages/market-based-measures.aspx">Carbon Offsetting and Reduction Scheme for International Aviation (CORSIA)</a>.</p> <p>CORSIA will come into force in 2021, when participating airlines will have to purchase carbon credits for emissions above 2020 levels on certain routes.</p> <p>The availability of carbon credits and their integrity is of major concern, as well as how they align with national obligations and mechanisms agreed in the Paris Agreement. Of particular interest is <a href="http://www.carbon-mechanisms.de/en/introduction/the-paris-agreement-and-article-6/">Article 6</a>, which allows countries to cooperate in meeting their climate commitments, including by “trading” emissions reductions to count towards a national target.</p> <p>The recent COP23 in Bonn highlighted that CORSIA is widely seen as a potential source of billions of dollars for offset schemes, supporting important climate action. Air travel may provide an important intermediate source of funds, but ultimately the aviation sector, just like anyone else, will have to reduce their own emissions. This will mean major advances in technology – and most likely a contraction in the fast expanding global aviation market.</p> <h2>Travelling right this Christmas</h2> <p>In the meantime, and if you have booked your flights for Christmas travel, you can do the following:</p> <ul> <li> <p>pack light (every kilogram will cost additional fuel)</p> </li> <li> <p>minimise carbon emissions whilst on holiday (for instance by biking or walking once you’re there), and</p> </li> <li> <p>support a <a href="http://www.co2offsetresearch.org/consumer/Standards.html">credible offsetting program</a>.</p> </li> </ul> <p>And it’s worth thinking about what else you can do during the year to minimise emissions – this is your own “carbon budget”.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/89148/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/susanne-becken-90437">Susanne Becken</a>, Professor of Sustainable Tourism and Director, Griffith Institute for Tourism, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a> and <a href="https://theconversation.com/profiles/brendan-mackey-152282">Brendan Mackey</a>, Director of the Griffith Climate Change Response Program, <a href="https://theconversation.com/institutions/griffith-university-828">Griffith University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/flying-home-for-christmas-carbon-offsets-are-important-but-they-wont-fix-plane-pollution-89148">original article</a>.</em></p>

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Coming to terms with the past is more important than ever. The Voice referendum is a vital first step

<p><em><a href="https://theconversation.com/profiles/heidi-norman-859">Heidi Norman</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a></em></p> <p>This Saturday is the final day of voting in the Voice to Parliament referendum, which asks Australians to support recognition of First Peoples in the Constitution and enable First Peoples’ representation on relevant policies and programs.</p> <p>Over the last several weeks, I have attended many events supporting and advocating for the Voice referendum. In these forums, my fellow Australians talk about the Constitution, the role of government and how power is exercised in modern democracy. Some have never read or thought about the Constitution before.</p> <p>I’ve seen young First Nations lawyers explaining to a mixed crowd how the Constitution works, what is included in it and what a constitutionally enshrined Voice would mean. I have been invigorated by such sincere participation in understanding how our democracy works, and could work better.</p> <p>This serious contemplation was getting underway at the Referendum Council’s Aboriginal regional dialogues I attended in 2017. With other Aboriginal people, we discussed what change could look like. I have supported the implementation of the Uluru Statement from the Heart and played my small part supporting the “yes” vote at my university and with my family and community.</p> <h2>How opinions have differed</h2> <p>Debates around the Voice have presented three competing narratives to the Australian public.</p> <p>The “yes” position addresses the outstanding business of the place of First Peoples in the life of the nation. This position is an offer of peace, to walk together towards settlement. It also believes that if First Peoples are able to work with and through government – with power devolved to local-level decision-making – the everyday experiences of the disadvantaged will be changed.</p> <p>The Voice proposal is a modest, middle path. It’s a compromise position that was believed to have the greatest chance of gaining support from progressives, liberals and conservatives.</p> <p>The “no” position refuses to acknowledge the unique place of First Peoples in the life of the nation and rejects any perceived “special treatment” based on either disadvantage or cultural difference.</p> <p>A third, minority group is the so-called “progressive no” vote, which rejects the Voice referendum as an unacceptable compromise with limited utility as a mechanism to advance First Peoples’ rights. It argues Voice is not enough, and it’s time instead for recognition of sovereignty.</p> <p>Each of these narratives draws from competing versions of the story of the nation’s past and future. We can see that understanding our history is more important than ever in addressing the politics of disruption and disinformation and the toxic social and political discourse that has dominated the campaign.</p> <h2>Right-wing tactics of division</h2> <p>Debate over the referendum has played out in a different way to other referendums and general election campaigns. The debate has often been discourteous, relying on a swarm of cruel, derogatory and racist social media posts. Some leading “no” campaigners have <a href="https://www.theguardian.com/australia-news/2023/sep/28/we-forgive-but-never-forget-yes-campaigner-rachel-perkins-responds-to-warren-mundine-on-uluru-statement">presented</a> increasingly extremist and sensational views intended to dominate the news cycle and social media.</p> <p>In many ways, the “no” campaign has followed patterns of right-wing campaigning from overseas, which is intended to destabilise the social relations, trust and confidence we have in one another and seed division.</p> <p>Consider the Brexit debate in the UK, and or US Capitol insurrection and claims of a stolen election by former President Donald Trump. Each provided a platform for people to express white nationalist sentiments and their deep distrust in the institutions of democratic government.</p> <p>The “no” campaign’s tactics have also sought to <a href="https://epress.lib.uts.edu.au/journals/index.php/mcs/article/view/8813">link</a> a host of disparate themes to the referendum, from climate change denial to anti-vaccination beliefs. The common theme is grievance against the perceived extension of the distrusted government into people’s lives. Disinformation has played a key role.</p> <p>Other concerns have also been publicly raised about the Voice, such as that it would be a risk to <a href="https://theconversation.com/no-the-voice-to-parliament-would-not-force-people-to-give-up-their-private-land-212784">people’s private land</a>. These concerns are sincerely feared, but totally unfounded.</p> <h2>Difficulties confronting our history</h2> <p>What sits beneath this right-wing rhetoric in Australia is the highly charged debate over the nation’s past and its future.</p> <p>Contesting views about Australia’s history should not come as a surprise. Since historians became more interested in the telling of Australian history “from the other side” and writing First Peoples back into the nation’s story, it has been met with an equal measure of resistance and shock.</p> <p>The ongoing difficulty of “coming to terms” with colonial histories can be attributed to a number of things:</p> <ul> <li> <p>historical amnesia, disbelief or cultural differences over what counts as historical knowledge</p> </li> <li> <p>the strategic use of “forgetting” to protect a social group’s self-image</p> </li> <li> <p>and the belief that engaging in these difficult histories is somebody else’s responsibility rather than our own.</p> </li> </ul> <p>The Voice Referendum and Uluru Statement introduce a new nationalism underpinned by a different origin story: the process of a settlement between First Nations and non-Indigenous Australians with a recognition of how our continent’s much deeper history can be a gift, or inheritance, to all Australians.</p> <p>In this vision for the future, the worlds of Aboriginal and Torres Strait Islanders narrate the story of the country over much longer timeframes through an entirely different archive and knowledge system.</p> <p>The idea of inheritance of a much deeper and longer history of country is less concerned with colonial settler-Indigenous relations. Rather, it is a transformed sense of history that extends over thousands of generations and speaks to place.</p> <h2>Playing a role in the future of the nation</h2> <p>The aim of the Voice is to strengthen democracy by meaningfully engaging with those who have the knowledge and expertise, in local conditions and contexts, to improve government decisions in Indigenous policy and programs.</p> <p>The Voice proposal eschews a rights framework in favour of <a href="https://www.mup.com.au/books/its-our-country-paperback-softback">providing</a></p> <blockquote> <p>the impetus for a profound paradigmatic shift between Indigenous peoples and the state. While this “power of influence” on one hand seeks to improve policy and programs and services on the ground, it also seeks to shape a new and meaningful relationship between Indigenous Peoples and political institutions.</p> </blockquote> <p>There is a legitimate and important role for government to play in First Peoples’ lives, but this role can be improved by greater participation and local-level input in the design and implementation of policy and programs.</p> <p>For too long, First Peoples have experienced the worst excesses of government and its various instruments – namely the police and judiciary. There’s a reason why many people hold a deep and abiding fear and suspicion of government. It has been responsible for many traumas:</p> <ul> <li> <p>the brutal dislodging of kinship connections</p> </li> <li> <p>the taking of land without any legal basis or compensation</p> </li> <li> <p>the violent dispersal of people from their land, which has rendered many destitute and without means to care for their families</p> </li> <li> <p>the removal of people’s children, denial of basic services and assistance, and management of people’s lives by a cruel and underfunded protection board</p> </li> <li> <p>the <a href="https://www.monash.edu/law/research/centres/castancentre/our-areas-of-work/indigenous/the-northern-territory-intervention/the-northern-territory-intervention-an-evaluation/what-is-the-northern-territory-intervention">empowering</a> of police and military to seize people’s community assets.</p> </li> </ul> <p>And yet, the Voice referendum, supported by the overwhelming majority of First Peoples, seeks to improve the relationship with governments to achieve greater efficiency and effectiveness of policies intended to improve lives.</p> <p>At one Sydney “yes” rally, we walked from Redfern Park along Cleveland Street to Victoria Park. It was a massive turnout that far exceeded expectations. The mood was serious, yet joyous. People came from all over Sydney and brought their place with them – the crew from “The Shire” got a big cheer from the crowd.</p> <p>This gathering was not looking for division, but rather a heart-filled yearning to come together as a community of people and play a role in the future of a nation that’s accepting of the fact it’s our country, too.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/215152/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/heidi-norman-859">Heidi Norman</a>, Professor, Faculty of Arts and Social Sciences, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a></em></p> <p><em>Image credits: Central Land Council - PR Image</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/coming-to-terms-with-the-past-is-more-important-than-ever-the-voice-referendum-is-a-vital-first-step-215152">original article</a>.</em></p>

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5 important things to check off your list before your next cruise

<p>The tickets are booked! Here’s what you need to do before you set sail.</p> <p><strong>1. Visit your doctor</strong></p> <p>Hope for the best and plan for the worst – it’s a good motto to travel by. Visit your doctor to see if you need any vaccinations or medications for exotic locations, and make sure you’re stocked up on all your regular medications.</p> <p>It is a good idea to bring some extras as well as some basic first aid meds (think pain killers and anti nausea tablets) as these can be expensive or hard to come by.</p> <p><strong>2. Research your ports</strong></p> <p>You only have a short time in each port, so you’ll want to make the most of it. Do some research before you leave and decide what you want to see, how long it will (realistically take) and think about whether you want to take an organised tour.</p> <p>We’re not saying you have to plan a rigid schedule and stick to it, but a rough plan of how you want to spend your day will save time and stress.</p> <p><strong>3. Check the weather</strong></p> <p>It’s amazing how quickly the weather can change or an unexpected storm can spring up. Keep an eye on the weather for the days before your cruise so you can pack accordingly. That might mean adding in a few extra jumpers or doubling up on the sunscreen.</p> <p>You will have limited opportunities to buy these things onboard and they can be really expensive. You also don’t want to waste a day in port running around looking for something to wear.</p> <p><strong>4. Talk to your travel buddy</strong></p> <p>How do you imagine you’ll be spending your days? Flopped by the pool or out exploring your next port? Hitting the dancefloor til the wee hours or getting an early night so you can be up for sunrise yoga? These are good conversations to have with your travel partner before you set sail.</p> <p>There’s no right or wrong answer, but many travel arguments have started because people have different ideas of the perfect holiday.</p> <p><strong>5. Organise your insurance</strong></p> <p>You really should do this when you book your tickets as you’ll be covered from then right up until your cruise at no extra cost. But if you’re left it to the last minute, never fear! Jump online and get yourself insured.</p> <p>Many companies offer policies specific to cruising, so everything you need will be covered. And don’t think that you can skip it if you’re only cruising in Australian waters – Medicare won’t cover you onboard.</p> <p><em>Image credits: Getty Images</em></p>

Cruising

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A drink each day or just on the weekends? Here’s why alcohol-free days are important

<p><em><a href="https://theconversation.com/profiles/megan-lee-490875">Megan Lee</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/emily-roberts-1456408">Emily Roberts</a>, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p>In recent years, drinkers have become more aware of the health dangers of drinking alcohol, from disease to risky behaviour and poorer wellbeing. Events like the just-finished <a href="https://www.dryjuly.com/">Dry July</a>, <a href="https://febfast.org.au/">Febfast</a> and <a href="https://hellosundaymorning.org/2020/01/15/10-practical-tips-for-staying-af-alcohol-free/">Hello Sunday Morning</a> – when people voluntarily abstain from alcohol for periods of time – are growing in popularity and raise awareness about the risks involved in overindulgence.</p> <p>Many people extend these alcohol-free periods throughout the year by incorporating alcohol-free days into their weekly routines, while still enjoying a drink on the weekends.</p> <p>But does drinking the same amount spread over the week versus just on the weekends, make any difference health-wise?</p> <h2>How much is too much?</h2> <p>Australian alcohol <a href="https://alcoholthinkagain.com.au/alcohol-and-your-health/alcohol-guidelines#:%7E:text=Alcohol%20guideline%20for%20adults,standard%20drinks%20on%20any%20day">guidelines</a> and the <a href="https://www.who.int/europe/news/item/04-01-2023-no-level-of-alcohol-consumption-is-safe-for-our-health">World Health Organization</a> state there is no safe level of alcohol use. For adults who do drink, the guidelines recommend a maximum of four drinks in one sitting or ten in a week. (A zero-alcohol approach is recommended for under-18s and during pregnancy.)</p> <p>For some, this may not sound like much at all. One in four Australians exceed the recommendation of no more than four drinks in one session with men <a href="https://www.aihw.gov.au/reports/alcohol/alcohol-tobacco-other-drugs-australia/contents/drug-types/alcohol">more likely</a> to do so than women. This amount <a href="https://www.healthdirect.gov.au/binge-drinking">can result</a> in alcohol poisoning, damage to brain cells and a higher likelihood of engaging in risky behaviours leading to violence, accidents and unprotected sex.</p> <h2>But what about a wine each night?</h2> <p>Even abiding by the Australian alcohol guidelines and drinking in moderation – one or <a href="https://www.healthdirect.gov.au/how-alcohol-affects-your-health#short-term-effects">two drinks each day</a> over the week – can be risky. Possible health outcomes of <a href="https://www.cdc.gov/alcohol/fact-sheets/moderate-drinking.htm">moderated drinking</a> include increased risk of cancer, liver and heart disease, alcohol use disorder, and an increase in the symptoms of anxiety and depression.</p> <p>Everyone processes alcohol at a different rate depending on age, gender, body shape and size. However, for most people, alcohol can still be <a href="https://www.alcoholrehabguide.org/alcohol/how-long-alcohol-stay-system/">detected</a> in the blood 12 hours after consumption. When the body is constantly processing the toxins in alcohol, it can lead to a chronic state of inflammation which is <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/acer.13886?casa_token=dxIr4RolhC4AAAAA%3Acy6BTsnPHzJoIpbf2Ow_JQhMOcb3fLPc3LPs_0OwiCi_4P3sAJTeWYgmE9YujD7Ev25bA_I757DeDLk">linked to</a> physical and mental health risks.</p> <p>There are several biological mechanisms associated with alcohol’s impact on the brain. Alcohol destroys the fine balance of the bacteria in the gut microbiome, which has been <a href="https://www.sciencedirect.com/science/article/pii/S152169181730118X?casa_token=zwAVYFxdTdcAAAAA:ku6TCQ-fl1btAYqie_ydg2GpHeLGnYy3QdUn_SDhV7EWtXfuLrolAO5TpI5DtFLM7Ngz9JgKYoGX">linked</a> to brain health.</p> <p>Alcohol consumption disrupts the function of the amygdala – a part of the brain important for <a href="https://www.britannica.com/science/amygdala">processing and regulating emotion</a>, including our fear response. When this is impaired we are <a href="https://www.sciencedirect.com/science/article/pii/S1053811910015405?casa_token=RmqcP2vnA5oAAAAA:GW3POct2CQA6Kv8zqE9GaEfsvwLY200NNpf3Qk1k31xE8ZhR5MWau-D0Wj7gWnV7ZiohfKNASHEY">less likely</a> to pay attention to our fears and more likely to engage in risk-taking behaviour.</p> <p>Areas involved in <a href="https://www.jsad.com/doi/abs/10.15288/jsa.1990.51.114">language production and comprehension</a> are also affected by alcohol, with too much leading to slurred speech and the inability to comprehend communication from others. When drinking dulls frontal lobe brain function, it can can lead to <a href="https://onlinelibrary.wiley.com/doi/full/10.1111/add.15023#add15023-bib-0092">changes in personality</a> for some people. <a href="https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/interrupted-memories-alcohol-induced-blackouts">Blackouts</a> can occur from the influence of alcohol on the hippocampus.</p> <h2>So, no drinking then?</h2> <p>While sobriety may be the answer for optimal health, depriving ourselves of the things we enjoy can also lead to negative mental health and a <a href="https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-2766-x#:%7E:text=Deprived%20lower%20and%20increased%20risk,wine%20across%20all%20drinker%20categories">higher likelihood</a> we will binge in the future. This is why alcohol-free days are becoming so popular, to balance health risks while also giving us the chance to enjoy social activities.</p> <p>Including alcohol-free days in your routine can <a href="https://harmreductionjournal.biomedcentral.com/articles/10.1186/s12954-022-00603-x">give the body</a> a chance to rehydrate, detoxify and repair itself from the toxic properties of alcohol. Detoxification can <a href="https://pubmed.ncbi.nlm.nih.gov/32391879/">lead to</a> improved liver function and sleep quality, less water retention and easier weight control, clearer thinking, improved memory, more energy, clearer skin, a strengthened immune system and decrease symptoms of anxiety and depression.</p> <p>Alcohol-free days can also create a domino effect by encouraging <a href="https://www.sciencedirect.com/science/article/abs/pii/S0031938410000259">other healthy behaviours</a> like eating more fruits and vegetables, drinking more water, improved sleep patterns and getting up early to exercise.</p> <h2>6 tips for better drinking balance</h2> <p>If you’re looking to incorporate more alcohol-free days into your routine you could try to</p> <ol> <li><a href="https://www.sciencedirect.com/science/article/pii/S2772724622000142">set realistic goals</a>. Clarify how many and what days will be your alcohol-free days, mark them on a calendar and set reminders on your phone</li> <li>plan <a href="https://www.mdpi.com/1660-4601/20/4/2884">alcohol-free activities</a> and find alcohol alternatives. List all the activities you like that do not include drinking and plan to do these at the times of the day you would normally drink</li> <li><a href="https://jamesclear.com/atomic-habits-summary">make alcohol “invisible”</a>. Keeping beer out of the fridge and wine and spirits in closed cupboards keeps them from the forefront of your mind</li> <li>seek support and encouragement from your <a href="https://www.proquest.com/docview/2528837696?pq-origsite=gscholar&amp;fromopenview=true">partner and/or family</a></li> <li>incorporate stress management techniques like meditation and <a href="https://www.proquest.com/docview/2675715755?pq-origsite=gscholar&amp;fromopenview=true">mindfulness</a>. Observe how you feel on alcohol-free days and note positive changes in your physical and mental wellbeing</li> <li>reflect on your progress. Acknowledge and celebrate each alcohol-free day. Allow yourself non-alcoholic rewards for achieving your goals.</li> </ol> <p>Finally, it’s important to know everyone slips up now and then. Practice self-forgiveness if you do have a drink on a planned alcohol-free day and don’t give up. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/210193/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/megan-lee-490875">Megan Lee</a>, Senior Teaching Fellow, Psychology, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a> and <a href="https://theconversation.com/profiles/emily-roberts-1456408">Emily Roberts</a>, PhD Candidate, Psychology, <a href="https://theconversation.com/institutions/bond-university-863">Bond University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/a-drink-each-day-or-just-on-the-weekends-heres-why-alcohol-free-days-are-important-210193">original article</a>.</em></p>

Food & Wine

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Damning first draft of Clare Nowland statement found

<p dir="ltr">New documents have brought forth allegations that the NSW police force removed key elements in their initial statement regarding the death of 95-year-old Clare Nowland. </p> <p dir="ltr"><a href="https://www.oversixty.com.au/news/news/clare-nowland-dies-officer-charged">The mother-of-eight passed away</a> in Cooma Hospital on May 24, one week after <a href="https://www.oversixty.com.au/health/caring/furious-response-to-95-yr-old-woman-tasered-by-police">she was tasered by a police officer</a> at her Yallambee Lodge aged care facility. Nowland had reportedly been approaching law enforcement with her walking frame and a steak knife when she was tasered, before she fell backwards and fractured her skull. </p> <p dir="ltr">In the wake of the incident, Police Commissioner Karen Webb reportedly approved a 71-word press release - one that made no mention of the knife, the taser, or even Nowland’s movements. </p> <p dir="ltr">“A critical incident investigation has been launched after an elderly woman sustained injuries during an interaction with police at an aged care facility in the state’s south today,” it read. </p> <p dir="ltr">“The 95-year-old woman was taken to Cooma District Hospital, where her condition is being monitored. A critical incident team will now investigate the circumstances surrounding the incident. That investigation will be subject to independent review.</p> <p dir="ltr">“No further details are available at this time.”</p> <p dir="ltr">However, ‘new’ documents - obtained by the Australian Associated Press under Freedom of Information laws - have revealed that there was another draft, 100 words longer than the released statement, that mentions those key aspects of the case. </p> <p dir="ltr">According to the<em> Sydney Morning Herald</em> - who obtained the internal emails regarding the statement - that draft had been sent to NSW Police Executive Director of Public Affairs Elizabeth Deegan for review, but had been cut by more than half mere hours later, leading the <em>SMH</em> to run with the headline "<a href="https://www.smh.com.au/national/nsw/top-nsw-cops-covered-up-tasering-of-clare-nowland-20230621-p5di67.html" target="_blank" rel="noopener">Top NSW cops covered up Tasering of Clare Nowland</a>".</p> <p dir="ltr">The original 171-word document made mention of the reports that a Yallambee Lodge resident had a knife, and noted that two officers had arrived to find a woman “still armed … in a small room”. </p> <p dir="ltr">“Police and paramedics attempted to speak to the woman; however, all instructions were ignored,” it continued. “When she stood up and moved towards officers, a taser was deployed by a constable.”</p> <p dir="ltr">It explained that the woman had received treatment from paramedics at the scene, leaving room for information on her condition. It even mentioned that the officer who had deployed the taser was under review.</p> <p dir="ltr">Commissioner Webb defended the decision to edit their original draft while speaking to 2GB’s Ben Fordham, denying that the police force had hidden anything when she told him that “early in the investigation it was necessary for us to make sure that the family were aware of what the circumstances were.</p> <p dir="ltr">“Mrs Nowland has a large family and we didn’t want that family to hear on the radio on TV what had happened to their mum, and so we had to be a bit sensitive to that, and when we were able to talk about it we did.”</p> <p dir="ltr">She added that it was “a very sensitive matter”, and that it was an “unusual” circumstance with everyone seeking answers, but that “it’s appropriate we think about and respect that family, and certainly they deserve that.</p> <p dir="ltr">“It was important that the family were informed of the situation in a factual manner before we went public on it - I think that’s very necessary and I’m sure that family appreciates that now.”</p> <p dir="ltr"><em>Images: 9News / Nine</em></p>

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Girl, Interrupted interrogates how women are ‘mad’ when they refuse to conform – 30 years on, this memoir is still important

<p>Thirty years ago, American writer Susanna Kaysen published her memoir <a href="https://www.hachette.com.au/susanna-kaysen/girl-interrupted">Girl, Interrupted</a>. It tells the story of her two years inside McLean Hospital in Boston as a psychiatric patient.</p> <p>She was admitted, aged 18, in 1967. A few months earlier, she had taken 50 aspirin in a state of despair. Late in the book, she reveals she had a sexual relationship with her male English teacher at school.</p> <p>Kaysen was interviewed briefly by a doctor before she was admitted as a “voluntary” patient: a legal category used to indicate a person’s status in the institution. Despite what the term implies, “voluntary” doesn’t mean a patient can leave without the consent of their medical team, as Kaysen explains. People admitted as voluntary patients acknowledge their own need for treatment.</p> <p>During Kaysen’s stay, she was treated with an <a href="https://theconversation.com/story-of-antipsychotics-is-one-of-myth-and-misrepresentation-18306">antipsychotic</a> medication, chlorpromazine, and received psychotherapy. In her memoir, the stories of other young women confined with her at McLean convey sympathetic and recognisable experiences of the institutional world and its regime.</p> <p>Girl, Interrupted is one of the most famous memoirs of hospitalisation and mental illness. More <a href="https://www.euppublishing.com/doi/abs/10.3366/ircl.2019.0310?journalCode=ircl">recent interpretations</a> describe it as a narrative of “trauma”.</p> <h2>‘Mad’ or refusing to conform?</h2> <p>Kaysen did not anticipate the book’s reception at the time of its publication in 1993. It seemed to open readers up to tell their own stories, and they wrote to her from many places around the world to tell her about their hospitalisation. Looking back in a new edition published this year by Virago Books, she writes “it was surprising to me how many people had been in a mental hospital or had what used to be called a nervous breakdown”.</p> <p>When it appeared, her book was widely reviewed as “funny”, “wry”, “piercing” and “frightening”. Set out as a series of short vignettes, the book allowed readers the space to “insert themselves” into this story of human suffering.</p> <p>Investigating whether she had ever really been “crazy” – or just caught up in an oppressive approach to girls whose lives strayed from expectations – likely meant possible personal exposure, admission of frailty, and fear of judgement for Kaysen.</p> <p>Thirty years later, we have better understandings of trauma and of care for people with mental illness. So what can this book tell us now?</p> <p>Kaysen had waited almost three decades after these experiences before sharing her story in the early 1990s. This may be one reason it resonated with readers. The book was published at a time when most large institutions had closed as part of a worldwide trend towards deinstitutionalisation. Many people were starting to talk more openly about their own episodes of mental illness and recalling periods of hospitalisation that were sometimes grim and harrowing.</p> <p>By the 1990s, there was also much greater awareness of the uneven power relationships in psychiatric treatment. Women and girls, subject to gendered social expectations, have historically received different forms of medical and psychiatric treatment. Women have been described as “mad” for centuries when they refused to conform to gender norms.</p> <p>The book – an account of adolescent turmoil, with girlhood at the centre – can tell us about the lived experiences of teenage girls who face interior struggles over their mental health and wellbeing. Published in 1993 about the events of the late 60s, its insights are enduringly relevant.</p> <h2>A controversial diagnosis</h2> <p>In 1993, The New York Times ran an article titled “<a href="https://www.nytimes.com/1993/06/20/books/a-designated-crazy.html">A Designated Crazy</a>” that explained Kaysen had hired a lawyer to access her patient clinical records, 25 years after being at McLean. These appear in the book.</p> <p>Placed at intervals in the narrative, these notes show the objectifying medical practices of admission, collecting information and establishing a diagnosis. The information in these clinical pages is deeply personal. Sharing them is an act of resistance and defiance.</p> <p>“Needed McLean for [the past] 3 years ... Profoundly depressed – suicidal ... Promiscuous … might get herself pregnant ... Ran away from home ... Living in a boarding house.”</p> <p>Kaysen’s father, an academic at Princeton, wrote these notes in April 1967.</p> <p>In June 1967, the formal medical notes from her admitting doctor stated she had “a chaotic and unplanned life”, was sleeping badly, was immersed in “fantasy” and was isolated.</p> <p>Kaysen was admitted as “depressed”, “suicidal” and “schizophrenic”, with “borderline personality disorder”.</p> <p>While the psychiatric diagnoses used in the 1960s still exist, the borderline diagnosis is <a href="https://theconversation.com/borderline-personality-disorder-is-a-hurtful-label-for-real-suffering-time-we-changed-it-41760">now controversial</a>. Progressive psychologists and feminist psychologists are more likely to use the term “complex trauma”. Some of the other young women in the memoir had traumatic life experiences of sexual abuse and violence, which manifested as <a href="https://theconversation.com/how-many-people-have-eating-disorders-we-dont-really-know-and-thats-a-worry-121938">eating disorders</a> and <a href="https://theconversation.com/explainer-what-is-self-harm-and-why-do-people-do-it-11367">self harm</a>.</p> <p>Diagnostic labels have evolved over time. The first edition of the <a href="https://theconversation.com/explainer-what-is-the-dsm-and-how-are-mental-disorders-diagnosed-9568">Diagnostic and Statistical Manual</a> (DSM) was published in 1952. In 1967, the year of Kaysen’s committal, the DSM did not include “borderline personality disorder”, though the borderline concept had been <a href="https://www.press.jhu.edu/newsroom/dsm-history-psychiatrys-bible">theorised from the 1940s.</a></p> <h2>McLean’s famous patients</h2> <p>We can also read the book as an exposé of the controlling world of psychiatric institutions for people in the 1960s. The vast majority of people with psychiatric conditions were confined in public institutions, in often overcrowded conditions. Abuses happened, and violence was common.</p> <p>One distinction for those hospitalised at McLean in Boston, a private institution, was that it housed people whose families could afford the steep fees. Kaysen’s father had to declare his salary when he signed the paperwork. Famous patients included the mathematician <a href="https://theconversation.com/the-legacy-of-john-nash-and-his-equilibrium-theory-42343">John Forbes Nash</a> (whose story was told in the film, <a href="https://www.imdb.com/title/tt0268978/">A Beautiful Mind</a>), and New England poets Robert Lowell and <a href="https://theconversation.com/60-years-since-sylvia-plaths-death-why-modern-poets-cant-help-but-write-after-sylvia-199477">Sylvia Plath</a> in the late 1950s.</p> <p>McLean’s own “biography” is the subject of another book. <a href="https://www.theatlantic.com/magazine/archive/2002/01/the-asylum-on-the-hill/303058/">Gracefully Insane</a> shows its reputation as housing sometimes idiosyncratic and wealthy people whose families wanted them to be hidden, fearful of the stigma of mental illness in the family.</p> <p>Plath’s <a href="https://www.allenandunwin.com/browse/book/Sylvia-Plath-Bell-Jar-9780571268863">The Bell Jar</a> fictionalises her hospitalisation at McLean in the 1950s, following a suicide attempt.</p> <p>"Doctor Gordon’s private hospital crowned a grassy rise at the end of a long, secluded drive that had been whitened with broken quahog shells. The yellow clapboard walls of the large house, with its encircling verandah, gleamed in the sun, but no people strolled on the green dome of the lawn."</p> <p>Like Kaysen, Plath’s character Esther Greenwood has been involved in sexual relationships with men that made her uneasy, affecting her confidence and sense of self. Skiing with Buddy Willard, she falls and breaks her leg: “you were doing fine”, someone says, “until that man stepped into your path”.</p> <p>Later, floundering at college, she too is admitted by a male doctor acting on the advice of her mother: she has not slept, she is exhausted, she is not herself. He advises she needs shock therapy.</p> <p>In her new biography of Plath, <a href="https://www.penguin.com.au/books/red-comet-9781529113143">Red Comet</a>, Heather Clark describes McLean in the 1950s as reliant on shock therapy and activities, rather than psychoanalysis and careful therapeutic interventions. It was reputedly only a “notch above” a public institution, though it had the veneer of being for elite residents.</p> <p>Just a few years before Kaysen’s admission to McLean, Plath died by suicide in 1963, aged 30. The Bell Jar had been published one month earlier, under a pseudonym. By the late 1960s, teenage admissions were a focus for McLean’s doctors.</p> <p>Did adolesence present a new challenge for families and authorities, making young women vulnerable to institutionalisation?</p> <h2>Psychiatry and romantic love</h2> <p>Revisiting Girl, Interrupted, I am struck by its raw and honest recognition of the way women have sometimes experienced relationships with men as inherently oppressive. The structures of psychiatry and romantic love intersect throughout this book.</p> <p>Kaysen, like Plath, sees the family as a toxic institution. Male psychiatrists loom over both women, imposing in their authority to diagnose. “He looked triumphant”, wrote Kaysen of her doctor. “Doctor Gordon cradled his pencil like a slim, silver bullet”, wrote Plath.</p> <p>Women writing about their own madness has a long history. American writer Charlotte Perkins Gilman (1860–1935) penned the story <a href="https://www.goodreads.com/book/show/286957.The_Yellow_Wall_Paper">The Yellow Wallpaper</a> in The New England Magazine in 1892. It <a href="https://www.theguardian.com/artanddesign/2020/feb/07/charlotte-perkins-gilman-yellow-wallpaper-strangeness-classic-short-story-exhibition">tells the tale</a> of a woman’s mental and physical exhaustion following childbirth.</p> <p>Historians such as Elizabeth Lunbeck <a href="https://press.princeton.edu/books/paperback/9780691025841/the-psychiatric-persuasion">write about</a> the way a “psychiatric persuasion” came to dominate thinking about gender in the early 20th century. Psychiatrists began to see everyday life difficulties – such as the changes experienced during adolescence – as signalling illness (we might say, pathologising “normal” responses to stressful events). The rise of psychiatric expertise paralleled their professional reactions to women (and men) who struggled with life.</p> <p>In Australia, the history of “good and mad women” up to the 1970s by <a href="https://books.google.com.au/books/about/Good_and_Mad_Women.html?id=NIZ9QgAACAAJ&amp;redir_esc=y">Jill Julius Matthews</a> showed that women who experienced hospitalisation as a result of mental breakdown were perceived as having “failed” to meet the gendered expectations of them. Femininity and its constraints left some women unable to function or live authentic lives.</p> <h2>Institutions on film</h2> <p>Girl, Interrupted was released <a href="https://www.imdb.com/title/tt0172493/">as a film</a> by Columbia Pictures in 1999, with a cast of rising and established young actors, including Winona Ryder, Angelina Jolie and Brittany Murphy. It dramatised the interpersonal relationships inside the hospital described by Kaysen.</p> <p>The film script was not only the perfect vehicle for an ensemble cast of these women. It was also another opportunity to make mental illness visible on the screen. Another page-to-screen adaptation in 1975, Milos Forman’s film of Ken Kesey’s <a href="https://www.imdb.com/title/tt0073486/">One Flew Over the Cuckoo’s Nest</a>, brought to life the dramatic environment of institutional control and violence personified by the character of Nurse Ratched.</p> <p>Girl, Interrupted’s screenplay surfaced different women’s experiences of abuse, neglect, trauma and violence to explain their behaviours and responses to institutional constraints.</p> <p>Like One Flew Over the Cuckoo’s Nest, the film also emphasised the theme of resistance to institutional control. Patients hid pill medications under the tongue, broke into the hospital administration office to look at their case files, and found ways to circumvent the routines of institutional life. The film depicted the drama of group therapy, and the power dynamic between staff and patients.</p> <p>Not everyone who was institutionalised reacted the same way to being in hospital.</p> <p>Kaysen wrote "For many of us, the hospital was as much a refuge as it was a prison. Though we were cut off from the world and all the trouble we enjoyed stirring up out there, we were also cut off from the demands and expectations that had driven us crazy."</p> <p>A recent collaborative history of institutional care by Australian poet <a href="https://theconversation.com/secrecy-psychosis-and-difficult-change-these-lived-experiences-of-mental-illness-will-inspire-a-kaleidoscope-of-emotions-191011">Sandy Jeffs</a> and social worker Margaret Leggatt, <a href="https://podcasts.apple.com/am/podcast/out-of-the-madhouse-with-sandy-jeffs/id992762253?i=1000501765764">Out of the Madhouse</a>, challenges the idea of the institution as a place of alienation. Jeffs found community and solace at Larundel Hospital in Melbourne in the late 1970s and 1980s. However, the book also acknowledges this is not a universal response for institutionalised people.</p> <p>Like Kaysen, people with lived experiences of mental illness and hospitalisation have found it therapeutic to write about their personal challenges. For some, it provides an opportunity to embrace the “mad” identity, to find empathy for others. And to create a new self out of the chaos of mental breakdown.</p> <p><em>This article originally appeared on <a href="https://theconversation.com/girl-interrupted-interrogates-how-women-are-mad-when-they-refuse-to-conform-30-years-on-this-memoir-is-still-important-199211" target="_blank" rel="noopener">The Conversation</a>. </em></p> <p><em>Images: Getty</em></p>

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Retirement income planning: 3 important questions you need to answer

<p>Planning for retirement can be a daunting process, with pressures to get your finances and priorities in order. If you do not have a clear idea of how you want your retirement to look like, here are the three questions to help you get started on achieving your dream retiree life.</p> <ol> <li><strong>When do you want to retire?</strong></li> </ol> <p>Having a ballpark idea of the age you want to stop working can help you figure out how much savings and income you will have when retirement comes. These include sources such as superannuation accounts and Age Pension entitlements.</p> <p>From here, you can calculate if these savings would be enough to last for the rest of your life. While no one knows how long their retirement will last exactly, it could be longer than expected. The current life expectancy for Australians is 82.5 years.</p> <p>Knowing the timing will not only give a proper foundation to determine the costs, but it can also help you sort out career and life plans with your partner and family.</p> <ol start="2"> <li><strong>How much will you need in retirement?</strong></li> </ol> <p>Consider your priorities. Whether you want to <a href="https://www.oversixty.com.au/lifestyle/retirement-life/the-holidays-you-need-to-try-in-retirement/">travel</a>, take on new hobbies, live on a farm or spend more time with your grandchildren, these options will bring different <a href="https://www.oversixty.com.au/lifestyle/retirement-life/how-much-do-you-need-to-live-comfortably-in-retirement/">expenses</a> and financial commitments to see through. Be as specific as possible with your wishes – how often you want to travel, what city you want to reside in – to gain an accurate picture of your future spending.</p> <p>Health expenses and emergency spending should also be factored in, as well as inflation rates. Even with senior benefits such as Commonwealth Seniors Health Card, it is likely that your medical expenses will go up as you grow older.</p> <p>Creating a preliminary budget will help you figure out the costs of your desired lifestyle and strategise accordingly.</p> <ol start="3"> <li><strong>How much do you have to save?</strong></li> </ol> <p>Saving early is the key. Most financial experts recommend committing 10 to 20 per cent of your income throughout the working years for retirement. However, if the numbers still come up short, there are some options to boost your retirement income.</p> <p>Finding part-time work or investing in assets, such as shares or property, could lower your savings burden. You can also unlock wealth from <a href="https://www.oversixty.com.au/finance/retirement-income/how-to-unlock-wealth-from-your-home">home equity</a> or other valuables at home. If you have real estate, there is also an option to top-up your pension with the <a href="https://www.oversixty.com.au/finance/retirement-income/options-for-boosting-income-during-retirement/">Pension Loans Scheme</a>.</p> <p>Another way is to adjust your retirement plan and make compromises, be it moving to a lower cost area or cutting down on the less necessary expenses.</p> <p><em>Image: Getty</em></p>

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The first biography of Lachlan Murdoch provides some insights, but leaves important questions unanswered

<p>The title of Paddy Manning’s <a href="https://www.blackincbooks.com.au/books/successor" target="_blank" rel="noopener">The Successor: The High-Stakes Life of Lachlan Murdoch</a> tells us what is good and not so good about this biography.</p> <p>It is a smart play on the title of the much-applauded HBO television series, <a href="https://www.hbo.com/succession" target="_blank" rel="noopener">Succession</a>, which everyone except the show’s creators says is modelled on the decades-long corporate psychodrama within the Murdoch family. The Murdochs have said little about the Emmy Award-winning show, but in a knowing wink they chose to use Succession’s grandly jarring theme music in a tribute to Rupert at his 90th birthday party.</p> <p>I say “Rupert” because he has long since joined the small club of globally famous figures known by their first name. Not so Lachlan Murdoch, Rupert’s third child but, importantly for him, his eldest son.</p> <p>The book’s subtitle is the giveaway. If a “high-stakes life” was Lachlan Murdoch’s defining feature, would it need to be spelt out? The subtitle of a biography of, say, Don Bradman, does not need to inform us of his “high-stakes” life as a cricketer.</p> <p>Lachlan Murdoch turned 50 last year. He is executive chair and chief executive of Fox Corporation, co-chair of News Corporation, founder of the investment company Illyria Pty Limited, and executive chair of Nova Entertainment. He was in his mid-twenties when he first headed the Australian arm of News Limited, as it was then known. In recent years, after several twists and turns, he has become the anointed heir to Rupert’s global media empire. But he still sits deep in the shadow of his father.</p> <p>In June, the small independent news website Crikey published an <a href="https://www.crikey.com.au/2022/06/29/january-six-hearing-donald-trump-comfirmed-unhinged-traitor/" target="_blank" rel="noopener">opinion piece</a> arguing the Murdoch-owned Fox Corporation bore at least some responsibility for the January 6 riots at the Capitol in Washington. Many read it as referring to Rupert, but it was Lachlan who <a href="https://www.crikey.com.au/2022/08/24/crikey-statement-lachlan-murdoch/" target="_blank" rel="noopener">sued for defamation</a>.</p> <p>The ensuing commentary noted that Rupert has never sued a journalist for defamation and asked whether Lachlan is thin-skinned. It is a fair question, given Lachlan has sued a journalist before for inaccurately reporting his use of the company’s private jet.</p> <p>But it vaults over at least one reason Rupert has not sued: he has an army of his own journalists, who can be deployed to fight battles on his behalf. And they do. A relevant example is what happened to an authorised biographer, who slipped his minders and published a far less flattering portrait than had been anticipated.</p> <p>Rupert gave more than 50 hours of interviews to Michael Wolff and greenlit his access to key senior people in News Corporation, but the resulting biography, <a href="https://www.goodreads.com/book/show/4846256-the-man-who-owns-the-news" target="_blank" rel="noopener">The Man Who Owns the News: Inside the Secret World of Rupert Murdoch</a> (2008), reportedly infuriated Murdoch. It revealed, for instance, that the ageing media mogul was dyeing his hair to impress Wendi Deng, who is the same age as his second daughter, and who became his third wife in 1999.</p> <p>The biography was not mentioned in News Corporation’s US outlets until March 2009, when the Murdoch-owned tabloid the New York Post reported Wolff’s marital troubles in its <a href="https://pagesix.com/2009/03/30/bald-truth-divorce-for-wolff/" target="_blank" rel="noopener">Page Six gossip column</a>. “The bald, trout-pouted Vanity Fair writer, 55,” as Wolff was described, had been carrying on a “steamy public affair” with a 28-year-old intern, prompting his wife to evict him from their Manhattan apartment. So there.</p> <p>At least a half a dozen biographies have been written about Rupert, but The Successor is the first biography of Lachlan Murdoch. That alone makes it noteworthy. It is unauthorised and Lachlan was not interviewed for it, so it draws primarily on interviews with friends, colleagues and enemies, and on secondary sources, notably a good use of overseas media sources.</p> <p>It draws less heavily on the voluminous academic literature about the Murdoch media, though when it does, Yochai Benkler, Robert Faris and Hal Roberts’ book <a href="https://academic.oup.com/book/26406" target="_blank" rel="noopener">Network Propaganda</a> (2018) is quoted to good effect. Discussing the role of the Fox News television network, they write: “Conspiracy theories that germinate in the nether regions of the internet stay there unless they find an amplification vector”.</p> <p>What do we learn about the person who wields so much media power and influence? About Lachlan himself, not much. About Lachlan as a businessman, a bit more. About how Lachlan compares with Rupert and what that might mean for the media – and us, the audience – a good deal more.</p> <p>The portrait that emerges of Lachlan is drawn in bright colours – he has an adventurous spirit, tattoos, boyish good-looks; he is friendly and easygoing – but it does not have much depth. There are endless descriptions, in real-estate brochure mode, of overlong yachts and stylishly appointed bathrooms in multi-million dollar mansions dotted across the globe. And there are numerous gossipy accounts of parties with Tom and Nicole and Baz.</p> <p>Manning plumbs the standard biographical sources of his subject’s formative years, but they yield little of much import. At several points Joe Cross, a futures trader friend, is wheeled in to provide testimonials that are the verbal equivalent of eyewash. Here he is on Lachlan meeting his future wife, Sarah O’Hare:</p> <blockquote> <p>It was on […] he’s like, hook, line and sinker gone. And fair enough! With Sarah, she’s the whole package, she’s like a completely down-to-earth knockabout Aussie, being a supermodel didn’t hurt, and she loves all the things that Lachlan loved […] and she’s got a whole group of fabulous friends that now come together with his tight group of mates, and everyone gets on.</p> </blockquote> <p>More fruitfully, Manning recounts how Lachlan, for his final year thesis in an arts degree at Princeton, wrote about Immanuel Kant’s categorical imperative as inflected by the ideas in the Bhagavad Gita. The thesis was good, according to his supervisor, Professor Beatrice Longuenesse. But what stayed with her, as reported by a journalist who interviewed her many years later, was how Lachlan resembled many other graduates of elite universities, who “glide to the highest reaches of the business world, which they do not tend to disrupt with the lofty ideas they explored as undergraduates”.</p> <h2>Family business</h2> <p>Perhaps the most interesting insight is the extent to which Lachlan is conscious of his family and its history. The family business and the business of the family are pillars around which his life revolves, both by birthright and by choice. He remembers everything negative written about his father, and is fiercely protective of both him and the memory of his grandfather, Keith Murdoch, who for many years headed the Herald and Weekly Times.</p> <p>Surprisingly for an accomplished journalist, Manning tacitly accepts an abiding myth of the Murdoch family – Keith’s heroic role in writing the so-called “Gallipoli letter” during the first world war. Lachlan retold the story when his grandfather was inducted into the Melbourne Press Club’s Hall of Fame in 2012.</p> <p>That Sir Keith’s letter was, in important ways, misleading and sensationalised has been discussed by several journalists and authors, including Les Carlyon in his bestselling book <a href="https://www.panmacmillan.com.au/9781743534229/" target="_blank" rel="noopener">Gallipoli</a>, Mark Baker in his biography of another Gallipoli correspondent, <a href="https://insidestory.org.au/the-myth-of-keith-murdochs-gallipoli-letter/" target="_blank" rel="noopener">Phillip Schuler</a>, and by Tom Roberts in his award-winning 2015 <a href="https://theconversation.com/book-review-before-rupert-keith-murdoch-and-the-birth-of-a-dynasty-49491" target="_blank" rel="noopener">biography of Keith Murdoch</a>.</p> <p>Not that Lachlan has always deferred to his father. Manning recounts his subject’s fury when, in 1999, Rupert reneged on an agreement with his second wife Anna, Lachlan’s mother, who had “given up her claim to an equal share of Rupert’s fortune precisely to ensure that Prudence, Elisabeth, Lachlan and James would not have to share the control or assets of the Murdoch Family Trust with any children from Rupert’s marriage to Wendi Deng”.</p> <p>Manning’s biography shows it is not well known that Lachlan and Anna, whose marriage to Rupert lasted much longer than his other three wives, staved off an attempt by Rupert and Elisabeth to sack James after the News of the World phone-hacking scandal. The unfolding scandal overlapped with the period between 2005 and 2014 when Lachlan had left the family company, because his father had not backed him when he was being monstered by executives in the US arm of the business.</p> <p>Manning also recounts scenes from this period seemingly drafted for Succession. The then head of News Limited in Australia, John Hartigan, was forced to mediate between father and son over the amount of access Lachlan could have to the company’s Sydney headquarters. “Don’t let him into the fucking building,” Rupert is reported as saying. “When you’re out, you’re out.”</p> <p>Later, the Murdoch siblings began attending family counselling, where they discussed working together to “hold Rupert to account to be a mentor to James and not undermine him, as he had done with Lachlan so many years before”.</p> <h2>Failures and successes</h2> <p>Even Rupert Murdoch’s foes concede he has been a highly successful media businessman; what about Lachlan?</p> <p>He has had some searing failures. He led News’ role in the 1990s rugby league wars. With James Packer, he made a multi-million dollar losing investment in the internet service provider OneTel. Worst of all, he lost his $150 million investment in Channel Ten, which for a time he headed.</p> <p>He has also had some notable successes. He invested around $10 million early in a standalone online classified advertising site, realestate.com.au, that is today worth billions. He bought a share of an Indian Premier League cricket team, the Rajasthan Royals, whose value increased dramatically. And he bought into Nova Entertainment, successfully re-setting the pitch of its radio stations, notably Smooth FM.</p> <p>On the evidence presented in Manning’s biography, Lachlan is a good businessman, if not in the same league as his father, which is admittedly rarefied air. He was given a start in business few others have enjoyed. Sifting the benefits of privilege from natural ability and hard work is not straightforward, but Manning lays out a telling statistic. In 2022, Lachlan’s wealth was estimated at $3.95 billion in the Australian Financial Review’s annual rich list. The same list gave the wealth of his older sister Prudence at $2.58 billion. She “had not worked a day for their father’s business and had mostly escaped the Murdoch spotlight”.</p> <p>Prudence may well be a savvy investor, and her second husband worked for many years in News Corp. She may also have an eye to what happens to News and Fox in the future. The latest speculation among Murdoch watchers, which Manning discusses, is the possibility that after Rupert Murdoch’s passing, three of the four siblings who retain shares in the family company, Prudence, Elisabeth and James, will combine to oust Lachlan. According to one Wall Street analyst, who has followed News for decades and is privy to the breakdown in the relationship between the siblings, it is “fair to assume Lachlan gets fired the day Rupert dies”.</p> <h2>Right and wrong</h2> <p>It is hard to know whether this is real or just speculation. It is also not clear how much of the breakdown in family relationships is sibling rivalry and how much is fuelled by ideological differences. James Murdoch has severed ties with News and Fox. He is on the record criticising the company’s reporting on climate change and its coverage of former president Trump’s efforts to reject the electorate’s decision in the 2020 election.</p> <p>The core question The Successor raises in this reader’s mind, though, is how the portrait of Lachlan as a decent, socially progressive family guy in the first half of the book squares with the picture in the second half of a hard-nosed businessman who endorses the extreme, inflammatory opinions broadcast nightly on Fox News. Does he do this because it attracts viewers or because he actually believes Tucker Carlson’s ravings about the racist “great replacement” theory?</p> <p>Where does Lachlan stand on these issues? Like his father, he has an abiding love of newspapers, but appears most engaged with them as a business, where Rupert has always had an almost visceral sense of news, both for itself and for what it can do for him and his companies. Manning reports Lachlan’s speeches espousing the virtues of press freedom and his interviews defending Fox, but the speeches are boilerplate and the comments unconvincing. Asked in one interview about Fox’s role in polarising America, Lachlan pointed to criticism of Fox from the far right, saying: “If you’ve got the left and the right criticising you, you’re doing something right.”</p> <p>Or something profoundly wrong. This is the evidence of several media analyses reported in The Successor. Manning acknowledges that at a key point in the vote-counting for the 2020 presidential election, Fox News correctly called the result. But in the following two weeks the network cast doubt on the result at least 774 times, according to the watchdog group Media Matters.</p> <p>Media Matters is a left-leaning organisation, so its count might be dismissed as partisan, but an investigation earlier this year by the <a href="https://www.nytimes.com/2022/04/30/us/tucker-carlson-gop-republican-party.html" target="_blank" rel="noopener">New York Times</a> of 1100 episodes of Tucker Carlson Tonight found that he had amplified the great replacement theory 400 times. The number of guests who disagreed with Carlson was found to be decreasing, while the length of his monologues was increasing to double, even triple their earlier length.</p> <p>When the US congressional hearings into the January 6 riot at the Capitol were held earlier this year, Lachlan, according to Manning, decided to air them not on Fox News, but on the little watched Fox Business channel. This was in stark contrast not only to the prominence other television networks gave to the historic hearings, but to the vast amount of airtime previously given on Fox News to the</p> <blockquote> <p>wild and false claims of a rigged election by Rudy Guiliani and Sidney Powell […] once again calling into question whether the channel was really in the news business at all.</p> </blockquote> <p>Lachlan has argued that, however florid the opinions aired on Fox, the network’s news coverage is professional and balanced. Its coverage of the congressional hearings belied this claim. It was aired late at night, from 11pm. Apart from muted acknowledgement of the force of some of the testimony, Manning writes, “the rest was about sowing doubt and trying to move on”.</p> <p>By this point, most have realised that Lachlan is further to the right than his father, whose primary outlets in America, the Wall Street Journal and the New York Post, have denounced as shameful former president Trump’s role in the Capitol riot. The effect, then, of the second half of The Successor is to undermine the portrait of Lachlan in first half, rendering it almost meaningless. The two can’t be squared.</p> <p>Ultimately, Lachlan has to take responsibility for what Fox News does and the impact of its broadcasts. If he won’t, there are two multi-billion dollar lawsuits underway to focus his attention. The voting-machine companies, Smartmatic and Dominion, are alleging Fox News knowingly and maliciously spread a false narrative accusing them of election fraud.</p> <p>Lachlan is still young by the family’s standards. His grandmother, Dame Elisabeth Murdoch, died aged 103, which Rupert described, perhaps apocryphally, as an early death. As the first biography of the current head of a powerful media empire, The Successor is well worth reading. It probably won’t be the last biography; nor should it be, as there is more to know about Lachlan Murdoch, the enterprise he heads, and the siblings who appear to covet it.</p> <p><strong>This article originally appeared on <a href="https://theconversation.com/the-first-biography-of-lachlan-murdoch-provides-some-insights-but-leaves-important-questions-unanswered-192403" target="_blank" rel="noopener">The Conversation</a>.</strong></p> <p><em>Image: Getty</em></p>

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Why hearing tests are so important

<p>Currently, one in six Australians has some form of hearing loss. With an ageing population, this statistic is predicted to increase to one in four people by 2050 – therefore, maintaining good hearing is important for leading a healthy and happy life. That’s why it’s important to take early action to look after your hearing health and make sure you get your hearing checked regularly. </p> <p>A simple professional hearing test will evaluate your hearing and see where things are at. A regular check up test shows the hearing capacity of both of your ears as well as looking at which volumes and sounds you can hear without difficulty.</p> <p>Like seeing your doctor or dentist annually, it is recommended to get a hearing check every 12 months if you are over 55, or work in a loud environment. The first hearing test is important for setting a baseline – then changes can be plotted over time and you can adjust your behaviours and habits accordingly if any areas of concern arise.</p> <p>There are now a few ways in which you can have a hearing test done – including doing one online, in writing or by visiting a medical professional. Head over Connect Hearing’s website <strong><a href="http://www.connecthearing.com.au/en/learn-more-about-hearing-loss/online-hearing-test/" target="_blank" rel="noopener"><span style="text-decoration: underline;">here</span></a> </strong>where you will be able to assess your hearing health in about five minutes. You can also book an appointment to see a professional.</p> <p>If you suspect that you – or some you care about – has a hearing problem, you should book in to see a medical professional at your earliest convenience. </p>

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