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Families including someone with mental illness can experience deep despair. They need support

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/amanda-cole-1484502">Amanda Cole</a>, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan University</a></em></p> <p>In the aftermath of the <a href="https://theconversation.com/bondi-attacker-had-mental-health-issues-but-most-people-with-mental-illness-arent-violent-227868">tragic Bondi knife attack</a>, Joel Cauchi’s parents have <a href="https://www.theguardian.com/australia-news/video/2024/apr/15/bondi-junction-stabbings-joel-cauchis-father-extremely-sorry-for-victims-video">spoken</a> about their son’s long history of mental illness, having been diagnosed with schizophrenia at age 17. They said they were “devastated and horrified” by their son’s actions. “To you he’s a monster,” said his father. “But to me he was a very sick boy.”</p> <p>Globally, one out of every eight people <a href="https://www.who.int/news-room/fact-sheets/detail/mental-disorders">report a mental illness</a>. In Australia, <a href="https://www.aihw.gov.au/reports/mental-health-services/mental-health">one in five people experience a mental illness</a> in their lifetime.</p> <p>Mental illness and distress affects not only the person living with the condition, but <a href="https://www.aihw.gov.au/reports/australias-health/chronic-conditions-and-multimorbidity">family members and communities</a>. As the prevalence of mental health problems grows, the flow-on effect to family members, including caregivers, and the impact on families as a unit, is also rising.</p> <p>While every family is different, the words of the Cauchis draw attention to how families can experience distress, stress, fear, powerlessness, and still love, despite the challenges and trauma. How can they help a loved one? And who can they turn to for support?</p> <h2>The role of caregivers</h2> <p>Informal caregivers help others <a href="https://www.aihw.gov.au/reports/australias-welfare/informal-carers">within the context of an existing relationship</a>, such as a family member. The care they provide goes beyond the usual expectations or demands of such relationships.</p> <p>Around <a href="https://www.aihw.gov.au/reports/australias-welfare/informal-carers">2.7 million Australians</a> provide informal care. For almost a third of these the person’s primary medical diagnosis is psychological or psychiatric.</p> <p>It has <a href="https://journals.sagepub.com/doi/10.1177/1074840708323598">long been acknowledged</a> that those supporting a family member with ongoing mental illness need support themselves.</p> <p>In the 1980s, interest grew in caregiving dynamics within families of people grappling with mental health issues. Subsequent research recognised <a href="http://www.aihw.gov.au/chronic-diseases/">chronic health conditions</a> not only affect the quality of life and wellbeing of the people experiencing them, but also impose burdens that reverberate within relationships, caregiving roles, and family dynamics over time.</p> <p>Past studies have shown families of those diagnosed with chronic mental illness are increasingly forced to <a href="https://pubmed.ncbi.nlm.nih.gov/24943714/">manage their own depression</a>, experience elevated levels of <a href="https://pubmed.ncbi.nlm.nih.gov/23692348/">emotional stress</a>, negative states of mind and <a href="https://pubmed.ncbi.nlm.nih.gov/21165597/">decreased overall mental health</a>.</p> <p>Conditions such as depression, anxiety disorders, bipolar disorder, and schizophrenia can severely impact daily functioning, relationships, and <a href="https://pubmed.ncbi.nlm.nih.gov/36875411/">overall quality of life</a>. Living with mental illness is often accompanied by a myriad of challenges. From stigma and discrimination to difficulty accessing adequate health care and support services. Patients and their families navigate a complex and often isolating journey.</p> <h2>The family is a system</h2> <p>The concept of <a href="http://apps.who.int/iris/bitstream/10665/40336/1/16937_eng.pdf">family health</a> acknowledges the physical and psychological wellbeing of a person is significantly affected by the family.</p> <p>Amid these challenges, <a href="https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1330720/full">family support</a> emerges as a beacon of hope. Research consistently demonstrates strong familial relationships and support systems play a pivotal role in mitigating the adverse effects of mental illness. Families provide emotional support, practical assistance, and a sense of belonging that are vital for people struggling with mental illness.</p> <p>My recent <a href="https://www.collegianjournal.com/article/S1322-7696(24)00004-0/fulltext">research</a> highlights the profound impact of mental illness on family dynamics, emphasising the resilience and endurance shown by participants. Families struggling with mental illness often experience heightened emotional fluctuations, with extreme highs and lows. The enduring nature of family caregiving entails both stress and adaptation over an extended period. Stress associated with caregiving and the demands on personal resources and coping mechanisms builds and builds.</p> <p>Yet families I’ve <a href="https://www.collegianjournal.com/article/S1322-7696(24)00004-0/fulltext">interviewed</a> find ways to live “a good life”. They prepare for the peaks and troughs, and show endurance and persistence. They make space for mental illness in their daily lives, describing how it spurs adaptation, acceptance and inner strength within the family unit.</p> <p>When treating a person with mental illness, health practitioners need to consider the entire family’s needs and engage with family members. By fostering open and early dialogue and providing comprehensive support, health-care professionals can empower families to navigate the complexities of mental illness while fostering resilience and hope for the future. Family members <a href="https://www.collegianjournal.com/article/S1322-7696(24)00004-0/fulltext">express stories</a> of an inner struggle, isolation and exhaustion.</p> <h2>Shifting the focus</h2> <p>There is a pressing need for a shift in research priorities, from illness-centered perspectives to a <a href="https://shop.elsevier.com/books/child-youth-and-family-health-strengthening-communities/barnes/978-0-7295-4155-8">strengths-based focus</a> when considering families “managing” mental illness.</p> <p>There is transformative potential in harnessing strengths to respond to challenges posed by mental illnesses, while also <a href="https://www.collegianjournal.com/article/S1322-7696(24)00004-0/fulltext">supporting family members</a>.</p> <p>For people facing mental health challenges, having <a href="https://www.sane.org/information-and-resources/facts-and-guides/families-friends-carers">loved ones who listen without judgement</a> and offer empathy can alleviate feelings of despair. Beyond emotional support, families often serve as crucial caregivers, assisting with <a href="https://www.blackdoginstitute.org.au/emergency-help/helping-someone-else/">daily tasks, medication management and navigating the health-care system</a>.</p> <p>As the Cauchi family so painfully articulated, providing support for a family member with mental illness is intensely challenging. Research <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4804270/">shows</a> caregiver burnout, financial strain and strained relationships are common.</p> <p>Health-care professionals should prioritise support for family members at an early stage. In Australia, there are various support options available for families living with mental illness. <a href="https://www.carergateway.gov.au/?utm_source=google&amp;utm_medium=paid-search&amp;utm_campaign=10626744435&amp;utm_adgroup=102994881737&amp;utm_term=carer%20gateway%20wa&amp;gad_source=1&amp;gclid=EAIaIQobChMIt8T6pJzIhQMVjAyDAx2KiQl1EAAYASAAEgLj-fD_BwE">Carer Gateway</a> provides information, support and access to services. <a href="https://www.headspace.com/?utm_source=google&amp;utm_medium=search&amp;utm_campaign=HS_Headspace_Brand-Exact_Search_AU-INT_Google_NA&amp;utm_content=&amp;utm_term=headspace&amp;gad_source=1&amp;gclid=EAIaIQobChMI4uKKvpzIhQMVFheDAx1bZgk8EAAYASAAEgLy6vD_BwE">Headspace</a> offers mental health services and supports to young people and their families.</p> <p>Beyond these national services, GPs, nurses, nurse practitioners and local community health centres are key to early conversations. Mental health clinics and hospitals often target family involvement in treatment plans.</p> <p>While Australia has made strides in recognising the importance of family support, challenges persist. Access to services can vary based on geographic location and demand, leaving some families under-served or facing long wait times. And the level of funding and resources allocated to family-oriented mental health support often does not align with the demand or complexity of need.</p> <p>In the realm of mental illness, family support serves as a lifeline for people navigating the complexities of their conditions.</p> <hr /> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call <a href="https://www.lifeline.org.au/">Lifeline</a> on 13 11 14.</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/228007/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/amanda-cole-1484502"><em>Amanda Cole</em></a><em>, Lead, Mental Health, <a href="https://theconversation.com/institutions/edith-cowan-university-720">Edith Cowan 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/families-including-someone-with-mental-illness-can-experience-deep-despair-they-need-support-228007">original article</a>.</em></p> </div>

Caring

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Qantas connects two destinations for the first time in 50 years

<p>Qantas has announced a new international route that will see Aussies connected to a popular holiday destination for the first time in 50 years. </p> <p>Two return flights will operate each week between Sydney and Papua New Guinea's Port Moresby, adding to the service already running to the island nation from Brisbane. </p> <p>“These flights will meet the growing demand from the business community for travel between Australia and Papua New Guinea,” Cam Wallace, CEO of Qantas International and Freight, said. </p> <p>“Our new Sydney service will save customers at least three hours in travel time on return trip by avoiding a stopover in Brisbane.”</p> <p>The route is the latest international service to be added to Qantas’ network out of Sydney, with the airline suggesting it will support both business and trade between Australia and Papua New Guinea.</p> <p>Trailing behind island nations such as Fiji and Indonesia, Papua New Guinea's tourism industry is steadily growing in popularity largely due to containing the world’s third largest rainforest, crystal clear waters, and 45,000km of coral reefs.</p> <p>As the number of annual travellers to PNG increases, so does accommodation options, with Marriott International announcing earlier this year that they would be expanding their accommodation into Papua New Guinea, marketing those wishing to have an “extended stay”.</p> <p>“We are thrilled to establish our inaugural foothold in Papua New Guinea with this milestone opening”, said Sean Hunt, area vice-president of Australia, New Zealand and Pacific for Marriott International, in a statement.</p> <p>“This is also a debut for the Marriott Executive Apartments brand in the region, allowing us to diversify our offering to cater to ambitious and adventurous travellers who seek a premium, trusted extended-stay experience.”</p> <p>While the new tourism initiatives have been put in place to help boost the economy of PNG, Papua New Guinea currently has travel advisory warnings in place, with SmartTraveller urging visitors to “exercise a high degree of caution in Papua New Guinea overall due to high levels of serious crime, with “higher levels” applying in some areas.</p> <p><em>Image credits: Shutterstock</em></p>

International Travel

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How to look after your mental health while packing up Mum or Dad’s home

<p><em><a href="https://theconversation.com/profiles/erika-penney-1416241">Erika Penney</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a>; <a href="https://theconversation.com/profiles/alice-norton-1516505">Alice Norton</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/avalon-tissue-1515840">Avalon Tissue</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>So Mum or Dad has died, or moved to aged care, and now you’ve got to pack up their house. It’s a huge job and you’re dreading it.</p> <p>It’s normal to feel grief, loss, guilt, exhaustion or even resentment at being left with this job.</p> <p>So how can you look after your mental health while tackling the task?</p> <h2>It’s OK to feel a lot of feelings</h2> <p>Research has documented how this task can exert an intense <a href="https://www.tandfonline.com/doi/full/10.1080/15267431.2021.1943399">physical and emotional toll</a>.</p> <p>This can be more intense for those who had strained – or even <a href="https://journals.sagepub.com/doi/epub/10.1177/0030222819868107">traumatic</a> – relationships with the person whose house they’re packing up.</p> <p>Decisions around distributing or discarding items can, in some families, bring up painful reminders of the past or end up <a href="https://journals.sagepub.com/doi/10.1177/1074840711428451">replaying strained dynamics</a>.</p> <p>Family members who were carers for the deceased may feel exhaustion, overwhelm, <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/hec.1512?sid=vendor%3Adatabase">burnout</a> or a sense of injustice they must now continue to be responsible for their loved one’s affairs. Grief can be compounded by the practical challenges of deciding how to <a href="https://doi.org/10.1016/0148-2963(94)00054-I">store or discard belongings</a>, <a href="https://www.jstor.org/stable/30000385">arrange the funeral</a>, execute the will, deal with the aged care place or, in some cases, navigate legal disputes.</p> <p>But packing up the house may also be cathartic or helpful. <a href="https://www.tandfonline.com/doi/full/10.1080/15267431.2021.1943399">Research</a> has shown how the task of cleaning out a loved one’s belongings can provide an opportunity for family and friends to talk, share memories, and make sense of what has just happened.</p> <p>It’s also normal to grieve before someone dies. What psychologists call “<a href="https://pubmed.ncbi.nlm.nih.gov/29206700/">anticipatory</a> grief” can happen to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1615888/">relatives packing up the house</a> of a parent who has moved to aged care or palliative care.</p> <h2>What to do with all this stuff?</h2> <p><a href="https://doi.org/10.1016/0148-2963(94)00054-I">Some</a> treat their loved one’s items with sanctity, holding onto as many of their belongings as possible and creating “shrines” in their honour.</p> <p>Others alleviate the weight of grief by clearing out a loved one’s house as soon as possible, giving away, selling or discarding as much as they can.</p> <p>But if you experience a mix of these – enthusiastically getting rid of some stuff, while desperately wanting to hold onto other things – that’s OK too.</p> <p>One <a href="https://www.tandfonline.com/doi/abs/10.1080/10253866.2017.1367677">study</a> identified a process punctuated by four key periods:</p> <ol> <li> <p>numbness and overwhelm at the task of packing the house</p> </li> <li> <p>yearning to maintain a link to the loved through their belongings</p> </li> <li> <p>working through grief, anger and guilt regarding the loved one and the task of managing their belongings, and</p> </li> <li> <p>healing and making sense of the relationship with the deceased and their belongings.</p> </li> </ol> <p>However, it is important to note everyone’s approach is different and there is no “right” way to do the clean out, or “right” way to feel.</p> <h2>Caring for your mental health during the clean out</h2> <p>To care for your mental health during these difficult times, you might try to:</p> <ul> <li> <p>make space for your feelings, whether it’s sadness, loss, resentment, anger, relief or all the above. There is no right or wrong way to feel. <a href="https://guilfordjournals.com/doi/abs/10.1521/jscp.2011.30.2.163">Accepting</a> your emotions is healthier than suppressing them</p> </li> <li> <p>share the load. <a href="https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1999.01220.x">Research</a> has shown practical support from close friends and family can help a lot with grief. Accept help with packing, planning, dealing with removalists, selling or donating items and cleaning. Don’t be afraid to reduce your mental load by delegating tasks to friends, who are likely wondering how they can help</p> </li> <li> <p>take a systematic approach. Break tasks into their smallest component. For example, aim to clean out a drawer instead of an entire bedroom. This can help the mental and physical task feel more manageable</p> </li> <li> <p>reflect on what’s meaningful to you. Some belongings will have <a href="https://doi.org/10.1016/0148-2963(94)00054-I">meaning</a>, while others will not. What was valuable to the deceased may not be valuable to you. Things they probably saw as pretty worthless (a handwritten shopping list, an old sewing kit) may be very meaningful to you. Ask yourself whether retaining a small number of meaningful possessions would allow you to maintain a connection with your loved one, or if clearing out the space and discarding the items is what you need</p> </li> <li> <p>share your story. When you feel ready, share your “<a href="https://www.tandfonline.com/doi/full/10.1080/15267431.2021.1943399">cleaning out the closet</a>” story with trusted friends and family. Storytelling allows the deceased to live on in memory. <a href="https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2648.1999.01220.x">Research</a> also suggests we cope better with bereavement when friends and relatives make time to hear our feelings</p> </li> <li> <p>remember that professional help is available. Just as a solicitor can help with legal disputes, a mental health professional can help you process your feelings.</p> </li> </ul> <p>The home of your loved one is not merely a place where they lived, but a space filled with meaning and stories.</p> <p>Packing up the house of a loved one can be incredibly daunting and challenging, but it can also be an important part of your grieving process.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</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/223956/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/erika-penney-1416241">E<em>rika Penney</em></a><em>, Lecturer in Clinical Psychology, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a>; <a href="https://theconversation.com/profiles/alice-norton-1516505">Alice Norton</a>, Lecturer in Psychology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/avalon-tissue-1515840">Avalon Tissue</a>, Associate Lecturer in Clinical Psychology, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</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/how-to-look-after-your-mental-health-while-packing-up-mum-or-dads-home-223956">original article</a>.</em></p>

Caring

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Police officer sought in connection to disappearance of two men

<p>A NSW police officer is sought in connection to the suspicious disappearance of two men, who haven't been heard from since Monday. </p> <p>Former Studio 10 host Jesse Baird and his boyfriend Luke Davies were last seen four days ago, with police launching an investigation into their disappearance. </p> <p>A number of their personal items, including a watch, clothes, credit cards and keys were found by a worker in Club Cronulla, with blood stains present on the items. </p> <p>Police have also searched two homes during their investigation - one in Balmain and one in Paddington - with officers "immediately" establishing a crime scene at the Paddington home after finding blood spatters. </p> <p>According to officers, a “significant” amount of blood consistent with a fatality and signs of a struggle were discovered inside Mr Baird’s Paddington home on Thursday afternoon. </p> <p>More personal items belonging to the couple were recovered from a skip bin 20 kilometres from the home in question. </p> <p>Police have called for Constable Beau Lamarre to come forward as part of their investigation, who is the ex-boyfriend of one of the men. </p> <p>Friends of Baird have revealed he previously expressed concerns he was being stalked by another man.</p> <p>Police confirmed on Thursday they wanted to speak to Constable Lamarre in relation to the case and were desperately trying to reach him.</p> <p>"Following inquiries, detectives are looking at a line of inquiry that a third person may be able to assist with the investigation," NSW Police said, in a statement.</p> <p>"Police are currently trying to locate him."</p> <p>Police have not said that the officer was involved in the disappearance, only that they would like to speak to him, as no arrest warrant has been issued.</p> <p><em>Image credits: Instagram </em></p>

Legal

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"I want answers": Simon Dorante-Day's cunning plan to prove royal connections

<p>The Queensland man claiming to be the son of King Charles and Queen Camilla has shared his new plan to prove once and for all that he has royal family connections. </p> <p>Simon Dorante-Day has long claimed through his 30 years of research, he discovered that he is the illegitimate son of the monarch, and has attempted to prove his theory through various means. </p> <p>Now, his new plan to get his hands on royal DNA to unequivocally prove his family heritage involves another member of the royal family. </p> <p>Speaking with <a href="https://7news.com.au/lifestyle/aussie-man-claiming-to-be-charles-son-drops-new-prince-harry-dna-bombshell-c-13488374" target="_blank" rel="noopener"><em>7News</em></a>, the 57-year-old said he and his wife have been told by a “trusted source” that Prince Harry could be amenable to helping them gather proof.</p> <p>“We got advice from a really good, really trusted source that we should approach Harry and make a connection there and ask for DNA,” Elvianna said.</p> <p>Simon added, “I was really taken aback when he said that. But it’s definitely something I’m going to do. I’ve long been a supporter of Harry and Meghan, I think it’s disgraceful the way they’ve been treated by the royal family."</p> <p>“The way they are treated on social media too, it’s just one big ‘Punch-Meghan-and-Harry-a-thon’, seriously. It’s really starting to annoy me."</p> <p>He said he is planning to "make contact with him and explore this as an opportunity," pointing out that the royal family's treatment of Harry could make him more willing to help.</p> <p>"At the end of the day, I feel like he just might be as keen as I am to expose what Charles and Camilla and the powers that be have done to me. The injustice."</p> <p>“It’s worth me pointing out that Charles and Camilla, Buckingham Palace, the entire royal family - not one of them has ever said my claims are not true. They’ve never denied what I believe, told me I’m wrong."</p> <p>Simon said “the wheels are in motion” in terms of making contact with Prince Harry, and that he’s hopeful of a positive outcome.</p> <p>“I want answers,” he said. “And I feel Prince Harry is the man to help me find them.”</p> <p>“And I think their silence speaks volumes.”</p> <p>Simon said “the wheels are in motion” in terms of making contact with Prince Harry, and that he’s hopeful of a positive outcome.</p> <p>“I want answers,” he said. “And I feel Prince Harry is the man to help me find them.”</p> <p><em>Image credits: Facebook / Getty Images </em></p>

Family & Pets

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"Pathetic": Council slammed after move against FREE health program

<p>A woman who runs a free mental health yoga program has been ordered to pay the council $10,000 because her classes at St Kilda beach in Melbourne have become too popular. </p> <p>The City of Port Phillip Council was slammed for their actions after they told Eliza Hilmer she must pay them hundreds of dollars  per session for her <em>Feel Good Flows </em>classes.</p> <p>Hilmer, who does not make a profit from the classes, said she started the program during the pandemic to help people manage their mental health. </p> <p>“I play by the rules as much as I can,”  Hilmer told <em>Yahoo News</em>, adding that she acquired personal trainer permit as requested by the council. </p> <p>“We’ve been operating as an outdoor gathering for mental health practices more than anything, and it’s been really incredible." </p> <p>The classes, which initially attracted a few people, has gained a bit of traction with around 50 to 80 regular attendees. </p> <p>Hilmer encourages her attendees to leave a donation and provides free hot drinks and a live musician at the biweekly sessions. </p> <p>Because of its popularity, the council have classified <em>Feel Good Flows </em>as a commercial event, as the classes exceed the number of people covered by Hilmer's personal training license, and she was ordered to pay $400 a session. </p> <p>Hilmer was also given the option to cap the sessions at 15 people a time, but she said that "this isn't an option" as “many vulnerable people” rely on the service.</p> <p>With Hilmer having to pay three months upfront to keep classes running, the total adds up to $10,000, and locals are furious. </p> <p>"Another pathetic decision by useless bureaucrats,” one wrote on social media. </p> <p>“This council is being very mean spirited. Leave her alone!!”</p> <p>“Keep on going love don’t bow to the council,” a third added. </p> <p>Despite the outrage and being asked to pay to host her free yoga sessions, Hilmer remains positive. </p> <p>“I don’t want to fight,” she said.</p> <p>“The council can be the solution”.</p> <p>Port Phillip Mayor Heather Cunsolo replied saying that while she was "delighted" to see so many taking part in yoga sessions, "the business needs to adhere to its Personal Training Licence" to "ensure our popular public spaces remain available, safe and enjoyable for everyone." </p> <p>“We encourage Feel Good Flows to look at hosting additional yoga sessions on the foreshore to support its growing popularity," the <span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Port Phillip </span><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">mayor said. </span></p> <p>“Other businesses operating along the foreshore pay a licence fee for the use of public open space and adhere to the 15 person limit per session.</p> <p>"These capacity limits help provide fair access for many businesses operating with a Personal Training Licence, while minimising any potential disruption for visitors to our foreshore." </p> <p>She added that she has been in contact with  Feel Good Flows, and are happy to discuss details further. </p> <p>"If the petition is sent to Council the matter will be heard in the Council Chamber.”</p> <p><em>Images: Instagram</em></p>

Legal

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"Cringe worthy": Viewers left speechless after star attacks Elmo

<p>Viewers were left shocked after comedian Larry David unexpectedly attacked Elmo during their appearance on the latest episode of the <em>US Today show</em>.</p> <p>The 76-year-old was there to promote the final season of <em>Curb Your Enthusiasm</em>, while Elmo was in the studio alongside his dad Louie to talk about the importance of mental health resources. </p> <p>As the show was transitioning from segment to segment, David walked over to Elmo and smushed his face in before taking a swing at Elmo's dad. </p> <p>The attack caught the show's hosts Savannah Guthrie, Hoda Kotb and Craig Melvin, off-guard and they began shouting at his ill-timed act. </p> <p>“Oh, my gosh, you love Elmo, don’t you?” Guthrie said to David as an equally shocked Melvin exclaimed, “Oh, my God!”</p> <p>While Elmo didn't seem too bothered by the encounter, the 76-year-old was lectured by muppet dad Louie for his strange act. </p> <p>“Ask permission before you touch people, Larry,” Louie said.</p> <p>“Get back on the couch and let’s talk about how you feel,” Elmo added.</p> <p>Guthrie also called out David's inappropriate act and said: “Larry, you’ve gone too far this time." </p> <p>Although the <em>Seinfeld </em>star was later on forced to apologise to the plush duo and Elmo accepted his apology, the situation left many viewers disgruntled, given the topic matter that Elmo was there to discuss. </p> <p>“Larry David ruined a beautiful story,” one person commented on a video of the segment shared to Instagram. </p> <p>“I felt like I was watching Will Smith all over again. Very sad.”</p> <p>“I must say, I was shocked – it was cringe worthy,” another person wrote. </p> <p>“I love Larry David, but he should have stayed seated until his own segment.”</p> <p>“Although you tried to play it off, Larry David totally messed it up … guess no one told him the theme of the segment” a third shocked viewer added.</p> <p><em>Image: US Today Show/ Instagram</em></p> <p> </p>

TV

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"It was a relief": Rebecca Gibney opens up on mental health struggles

<p>Rebecca Gibney has revealed what a "relief" it was to finally open up about the mental health struggles she faced from 14 to 30-years-old. </p> <p>The New Zealand actress, 58, said she spent a lot of that time "pretending" she was okay despite growing up around domestic violence, as her mother suffered from abuse in the hands of Gibney's late father, Austin. </p> <p>In an interview with <em>Stellar</em> on Saturday, the <em>Packed to the Rafters </em>star shared that she is "loving" how mental health is now being framed. </p> <p>“When I started talking about my mental health struggles and anxiety ... it was a relief,” she told the publication. </p> <p>“I could drop the mask of pretending that I was OK. What I’m loving seeing is that more and more people are now going, ‘I’m not OK’”.</p> <p>Gibney first opened up about her struggles in 2017, when she opened up about the abuse her mother faced and how she was “beaten so badly she had bruises for six months on her legs.</p> <p>“She’d always shut the doors ... you’d hear the yelling and the shouting and the slapping, but you’d never actually see it," she told <em>Women's Day</em>, at the time. </p> <p>After Gibney's father died in 1982, the actress began seeing a therapist, but was "on Valium and in a dark place for quite a while”.</p> <p>In her latest interview with <em>Stellar</em>, Gibney also added that more needed to be done to prevent domestic violence and help survivors. </p> <p>“We still don’t want to talk about it. We need to really drill down (and question), ‘Why is this happening?’ We need more education, more centres," she said. </p> <p>“We need people to be able to get the help they need.”</p> <p><em>Images: Instagram</em></p> <p> </p>

Mind

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"I was so scared": Chezzi Denyer's shocking mental health revelation

<p>Chezzi Denyer has opened up about the moment she decided to seek professional help for a debilitating mental health condition. </p> <p>Grant Denyer's wife shared an emotional post on Instagram, marking the 10 year anniversary of the day she made a major change after struggling with post-natal depression and PTSD. </p> <p>In a lengthy caption, she wrote, “Ten years ago, today, I made a very scary step and began professional treatment for Post Traumatic Stress Disorder, and Postnatal Anxiety."</p> <p>“At the time I was unable to articulate what I was feeling, or understand why. For some time I had exhausted myself trying to conceal it.”</p> <p>She said that she felt "scared" to admit she was struggling, out of fear she would be called "crazy". </p> <p>“Scared to sleep most nights because of the night terrors,” she wrote.</p> <p>“The repeated visions of the very things that had scarred me, waking me shaking. I would die graphically in my dreams. Scared to care for my young daughter Sailor at times."</p> <p>“I had never experienced anxiety up to this point so I didn’t know what it was ... but my fear over her becoming unwell or injured left me paralysed at times.”</p> <p>Denyer said that as a seasoned “mask wearer”, she had laughed it off and became used to concealing her mental health battle.</p> <p>“Most people who knew me well had no idea of my personal battle,” she wrote.</p> <p>“While seeking help took me a number of attempts, as many dismissed me at first - my mask was strong - It has become the single most profound thing I have ever done in my life.</p> <p>“My entire world began to change on that day, ten years ago.”</p> <p>After seeking professional help, Chezzi learned the details of her own psychology, and began to forgive herself. </p> <p>“I learnt that I was not the sum of my affliction/ condition, and that there was a path out and to a much better place should I want that, and I did so very very much."</p> <p>“I worked through the pain, and the fear and while sometimes it felt too hard ... I continued to face it."</p> <p>“And today while I quietly smile about how far I’ve come, I wanted to share this quite personal post with you because I know that it will resonate with many people still trying to conceal and wear their masks.”</p> <p>Chezzi’s followers were stunned by the raw honesty of the post, with many thanking her for helping them to feel less alone.</p> <p>“Thank you for sharing so vulnerably,” one follower wrote.</p> <p>“I just know being open about your experience will help others feel less alone and will hopefully help someone to take that first step to ask for help. Thank you. Just thank you.”</p> <p><em>Image credits: Instagram</em></p>

Caring

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Embracing friendships in adulthood: A guide to making meaningful connections

<p>Navigating the landscape of friendship in adulthood might initially appear daunting, but the profound impact that it can have on our mental well-being is huge. Not only do friendships foster a sense of camaraderie, but they nurture feelings of belonging and acceptance.</p> <p>Important at every life stage, it’s not uncommon to encounter challenges in building new friendships as we age and embark on differing paths. However, Jacqui Manning, Resident Psychologist at Connected Women, a female-driven organisation dedicated to cultivating friendships for women over 50, is here to impart her invaluable tips and tricks, paving the way for a friend-finding journey that unfolds with ease and fulfilment.</p> <p>“Forming new friendships in adulthood may take a little more time and effort, but it doesn’t have to be scary,” Jacqui explains. “Approaching the prospect of making a friend with genuine curiosity and a shared interest can transform the experience into an exciting journey rather than a daunting task. Focus on common ground, be open-minded, and embrace the adventure of getting to know someone new. By emphasising shared interests and creating a comfortable, judgment-free space, the process of making a friend becomes a welcoming exploration rather than an intimidating challenge."</p> <p><strong>Stay Open</strong> </p> <p>It can be a slippery slope once we let our thoughts spiral into the possibility of rejection. Instead of worrying, why not consider all the opportunities to grow a connection? </p> <p>Jacqui explains, “As we age, the energy we have to make friends can dwindle, making it natural to withdraw into the comfort of our own shell. However, the need for connection is as strong as ever. This serves as an important reminder to be open. Deeper connections won’t have the chance to form if we keep one another at arm’s length so engage in conversations about hobbies and discuss any goals or anxieties openly, as it is through this openness that a profound connection is likely to be forged.</p> <p><strong>Find Your Community </strong></p> <p>Finding a group of new friends could be as simple as enjoying your favourite pastime. Like attracts like, and finding a like-minded group who share similar interests could be the key to unlocking more meaningful relationships. </p> <p>“Whether it’s joining a book club, cooking class, yoga, or bonding over a game of cards, whatever your passion may be, start by kicking off a conversation with someone who participates in a shared activity. While exploring a new hobby is fantastic, consider turning your attention closer to home and connecting with those who already share your interests,” Jacqui adds. </p> <p><strong>Take Note</strong></p> <p>Long-lasting friendships can fill gaps in our life we never knew existed. </p> <p>As Jacqui explains, “Take note of how supported you currently feel and if there are any areas that may need a little nudge. Reflection will invariably help to narrow down the type of friendship you may be seeking and allow you to better understand your own needs. Through self-reflection, you gain invaluable insights that not only pinpoint the specific type of friendship you might be yearning for but also enhance your understanding of your own emotional requirements. This conscious exploration becomes a compass, guiding you toward the relationships that can truly fulfil and enrich your life.”</p> <p>The journey of making friendships in adulthood is not without its challenges, but the rewards are immeasurable. As Jacqui reminds us, being open to new connections, actively engaging in shared interests, and conducting self-reflection are key elements in fostering meaningful relationships. </p> <p>“The path to forming long-lasting bonds involves stepping out of our comfort zones, whether by joining a new group, pursuing shared activities, or simply initiating conversations. Remember, the richness of these connections lies not just in the joy of shared experiences but also in the support and understanding they provide,” Jacqui concludes,</p> <p>Friendships in adulthood are well worth investing in, providing fulfilment, support, and the delight of shared moments. So, embrace the adventure, take note of your needs, and savour the delight of building connections that truly enrich your life.</p> <p><em>Ready to try your hand at building new friendships? Visit <a href="https://www.connectedwomen.net" target="_blank" rel="noopener">connectedwomen.net </a></em></p> <p><em><strong>About Connected Women </strong></em></p> <p><em><strong>Jacqui Manning is the Resident Psychologist at Connected Women, bringing with her over two decades of experience. Founded in 2022, Connected Women facilitates friendships for women over 50 through a range of online and in-person events. With the rising epidemic of loneliness impacting Australians now more than ever, Connected Women aims to provide a community in which women can feel free to be themselves, connect with like-minded women and build life-long friendships. Launched in Perth, Western Australia, Connected Women now also operates in New South Wales and Victoria, with plans to grow its network to Queensland, the Australian Capital Territory and South Australia in the coming year. </strong></em></p> <p><em><strong>With a small monthly membership fee, women can join Connected Women events, share, and connect over areas of interest, and connect with women in their local areas to arrange meet-ups. Whether members prefer big events with lots of action and adventure, or quiet meetups around the local neighbourhood, Connected Women is committed to providing a safe and inclusive space for women to find their feet and build new friendships in a space that feels most comfortable to them.</strong></em></p> <p><em>Image credits: Getty Images</em></p>

Relationships

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Dawn French tells all in candid interview

<p>Dawn French spills all in her latest interview with<em> 60 minutes</em>. </p> <p>The beloved British comedian revealed that being imperfect is perfect for her, in a world where unrealistic beauty standards are starting to dominate social  media. </p> <p>"I can't believe that we, especially women, have come this far to hand our daughters a life where they have to do selfies and be filtered to try to look perfect," she told 60 minutes reporter Tara Brown. </p> <p>"I don't know how to connect to all those perfect people. I'm in the anti-perfection league frankly."</p> <p>The comedian revealed that the secret to her happiness is finding joy in the simple things in life, an outlook that she gained following the devastating loss of her father when she was 18.  </p> <p>"I find joy in lots of tiny things. I'm the sort of person who doesn't need to be swimming with dolphins, I find happiness in the simple things," she added. </p> <p>French said that losing her father to suicide at such a young age shaped who she was, and that she was grateful for the love he showed and the lessons he taught her. </p> <p>"Now that I look back on it as an adult, I think he needed to give me some armour, he told me that I should value myself and that I deserved the very best," she said. </p> <p>"As a little chubby girl I could have grown up with all kinds of insecurities, but because of him I have never doubted that I'm not worth something."</p> <p>Her father's struggle with mental health gave her a deeper understanding of the complexity of depression and a greater appreciation for her own emotional stability.</p> <p>"He kept his depression very well hidden, so most of the time dad was very cheerful but he also had these black dog moments where he just couldn't cope," she said.</p> <p>"Then he would get stronger and he would be back on the horse again."</p> <p>"I've had sadness, but I haven't sunk to depths like that. I have worried that it's inherited, but I don't seem to have that, I've got too much to live for I think," she added. </p> <p>The French and Saunders actress is currently enjoying her life in a quaint village in the English countryside with her husband, therapist Mark Bignell.</p> <p>"I've got a love for life, and I love and am loved back by a lot of people, so I can't ask for more than that," she said.</p> <p>You can find the full episode <a href="https://www.9now.com.au/60-minutes" target="_blank" rel="noopener">here</a>. </p> <p><em>Image: 60 minutes</em></p>

TV

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Homesick for ourselves – the hidden grief of ageing

<p><em><a href="https://theconversation.com/profiles/carol-lefevre-1341823">Carol Lefevre</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>Anyone parenting young children will be familiar with the phrase “there’ll be tears before bedtime”. But in a quieter, more private way, the expression seems perfectly pitched to describe the largely hidden grief of ageing.</p> <p>Not the sharp grief that follows a bereavement (though bereavements do accumulate with the years), but a more elusive emotion. One that is, perhaps, closest to the bone-gnawing sorrow of homesickness.</p> <p>Sarah Manguso <a href="https://www.panmacmillan.com.au/9781509883295/">evokes</a> this sense of having travelled further from our younger selves than we could ever have imagined: "Sometimes I feel a twinge, a memory of youthful promise, and wonder how I got here, of all the places I could have got to."</p> <p>Historically, the phenomenon of homesickness was identified in 1688 by the Swiss medical student <a href="https://www.theatlantic.com/health/archive/2013/08/when-nostalgia-was-a-disease/278648/">Johannes Hofer</a>, who named it nostalgia from the Greek <em>nostos</em>, meaning homecoming, and <em>algos</em>, meaning an ache, pain, grief and distress.</p> <p>It was the disease of soldiers, sailors, convicts and slaves. And it was particularly associated with soldiers of the Swiss army, who served as mercenaries and among whom it was said that a well-known milking song could bring on a fatal longing. (So singing or playing that song was made punishable by death.) Bagpipes stirred the same debilitating nostalgia in Scottish soldiers.</p> <p>Deaths from homesickness were recorded, but the only effective treatment was to send the afflicted person back to wherever they belonged.</p> <p>The nostalgia associated with old age, if it occurs, appears incurable, since there can be no possibility of a return to an irrecoverable youth. But as with homesickness, how badly those afflicted suffer seems to depend on how they manage their relationship with the past.</p> <h2>The phantom was me</h2> <p>American writer Cheryl Strayed <a href="https://cherylstrayed.substack.com/p/what-you-know-changes">describes</a> deciding to transcribe her old journals. On reading one of them from cover to cover, she is left feeling:</p> <p>"kind of sick for the rest of the day, as if I’d been visited by a phantom who both buoyed and scared the bejesus out of me. And the weirdest of all is that phantom was me! Did I even know her anymore? Where did the woman who’d written those words go? How did she become me?"</p> <p>I’ve experienced a similar rush of bafflement and grief upon opening a letter I’d written some time before I turned 50. My mother had saved it and returned it to me 20 years later. Within its pages I found a younger, more energetic and vibrant self. The realisation this woman who inhabited the letter so vividly was no longer available to me came with a jolt of emotion that felt like a bereavement.</p> <p>I was so knocked off-kilter by this ghost-like encounter that the letter (along with others I had been planning to transcribe) had to be set aside for a day when I might be able to muster the necessary courage and detachment. Whether that day ever comes will depend, I suppose, on how I navigate my own relationship with time, and on reaching a calm acceptance of the distance travelled.</p> <p>Disbelief at the distance between the young self and the old self is one of the factors in this late-life grieving. At its root, perhaps, is an internalised ageism: innate, or else massaged into us by the culture we spring from.</p> <p>In a series of recent conversations with people over 70, I encouraged them to tell their stories and to reflect on the effects of time on their lives. Childhood sometimes emerged as a place they were pleased to have left behind – and occasionally, as a place to be held close.</p> <p>Trevor emigrated alone to Australia when he was just 18. I asked him how often now, at 75, he thinks about his childhood. “Do you have a sense of who you were back then, and is that person still part of who you are?”</p> <p>“I think about my childhood quite a lot, especially putting some distance between where I was then and where I am now,” he told me. “I didn’t have a really happy upbringing, and coming to Australia was a way of getting away from home and experiencing a new culture.”</p> <p>In response to the same question, Jo, at 84, led me to a framed photograph, enlarged to poster-size, which has hung on the wall of both his homes. It shows him aged three, in a garden – a radiant child wearing a plain white shirt and dark shorts, arms out-flung as if to embrace the natural world. He bursts with exuberance, curiosity, and joy.</p> <p>"I relate to that as an idea, as a concept of my life. I want to maintain that freshness, that child-like freshness. You’ve got no responsibilities; every day is a new day. You’re looking at things in a different light, you’re aware of everything around you. That’s what I wanted to maintain, that feeling through my life – I’m talking age-wise. My concept of my ageing is there in that photograph.“</p> <p>While older voices are often absent in the media, and in fiction they are too often presented as stereotypes, in conversation what arises can both surprise and inspire.</p> <h2>‘How can I be old?’</h2> <p>As I approached my own 70th birthday, I realised I was about to cross a border. Once I was on the other side, I would be old – no question. Yet the word "old”, especially when coupled with the word “woman”, is carefully avoided in our culture. Old is a country no one wants to visit.</p> <p><a href="https://www.penguin.com.au/books/metamorphosis-9780241514771">Penelope Lively’s</a> novella-length story Metamorphosis, or the Elephant’s Foot, written when Lively was in her mid-eighties, explores this evolution from youth to old age through the character of Harriet Mayfield. As a nine-year-old, Harriet is reprimanded by her mother for not behaving well on a visit to her great-grandmother.</p> <p>“She’s old,” says Harriet. “I don’t like old.”</p> <p>When her mother points out that one day Harriet, too, will be old, like her great-grandmother, Harriet laughs.</p> <p>“No, I won’t. You’re just being silly,” says Harriet “how can I be old? I’m me.”</p> <p>Towards the end of the story, Harriet is 82 and must somehow accept that she is “in the departure lounge. Check-in was a very long time ago.” With her equally elderly husband, Charles, Harriet ponders what they can do with the time remaining. Charles decides “it’s a question of resources. What do we have that could be used – exploited?” Harriet replies, “Experience. That’s it. A whole bank of experience.”</p> <p>“And experience is versatile stuff. Comes in all shapes and sizes. Personal. Collective. Well, then?”</p> <p>If distance travelled is a factor in late-life grief, so too is a sense of paths not taken: of a younger self, or selves, that never found expression.</p> <p>In Jessica Au’s recent, much-awarded novella <a href="https://giramondopublishing.com/books/jessica-au-cold-enough-for-snow/">Cold Enough For Snow</a>, there is a scene where the narrator explains to her mother the existence, in some old paintings, of a <a href="https://www.britannica.com/art/pentimento-oil-painting">pentimento</a> – an earlier image of something the artist had decided to paint over. “Sometimes, these were as small as an object, or a colour that had been changed, but other times, they could be as significant as a whole figure.”</p> <figure class="align-right zoomable"><figcaption></figcaption></figure> <p>Art historians, using X-rays and infrared reflectography, have identified pentimenti in many famous paintings, from the adjusted placement of a controversial off-the-shoulder strap in <a href="https://www.virtualartacademy.com/madame-x/">John Singer Sargent</a>’s Portrait of Madam X, to the painted-over figure of a woman nursing a child in Picasso’s <a href="https://www.pablopicasso.org/old-guitarist.jsp">The Old Guitarist</a>, and a man with a bow-tie concealed beneath the brushwork of his work <a href="https://en.wikipedia.org/wiki/The_Blue_Room_(Picasso)">The Blue Room</a>.</p> <p>Singer Seargent’s adjustment was his response to an outcry at the perceived indecency of Madame X’s lowered shoulder strap, which both the public and art critics of the time declared to be indecent. By contrast, the model’s icy pallor caused only a ripple of interest.</p> <p>Picasso’s hidden figures <a href="https://www.singulart.com/en/blog/2019/10/29/pablo-picassos-blue-period-and-the-old-guitarist/">are assumed</a> to be the outcome of a shortage of canvas during his <a href="https://www.pablopicasso.org/blue-period.jsp">Blue Period</a>, but shortages aside, the word pentimento, which derives from the Italian verb <em>pentirsi</em>, meaning “to repent”, brings to these lost figures a sense of regret that resonates with the feeling in old age of having lost the younger self, or of carrying traces, deeply buried, of other lives one might have lived.</p> <p>In Cold Enough for Snow, Au’s narrator remarks of her mother that,</p> <p>"Perhaps, over time, she found the past harder and harder to evoke, especially with no-one to remember it with."</p> <p>The mother’s situation references another source of grief: that of the person who becomes the last of their friends and family still standing.</p> <p>In childhood games of this nature there would be a prize for the survivor. But for those who reach an extreme old age, having lost parents, siblings and contemporaries who knew them when they were young, even the presence of children and grandchildren may not entirely erase this “last man standing” loneliness. There is, too, the darkness of a projected future where there is no one still living who remembers us.</p> <p>In Jessica Au’s book the narrator occasionally speaks of the past as “a time that didn’t really exist at all”. And yet in my recent conversations with people in their seventies and above, every one of them admits to feeling a vivid sense of the past, and of the continuing presence of a younger self. As one of them wistfully remarked: “Sometimes she even seeps through.”</p> <h2>Memory and detail</h2> <p>Perhaps part of the problem is the mass of ordinary detail that disappears from memory on any given day. Life is made up of so many small moments that it’s impossible to hold onto them all – and if we did it might even be damaging.</p> <p>Imagine someone casually asking how your day had been, and responding with the tsunami of detail those hours actually contained.</p> <p>After opening your eyes at first light, you’d describe your shower, your breakfast, and how you slipped your keys into your handbag as you left the house; in the street you’d passed two women with a pram, a child with a small white dog on a lead, and an elderly man with a walking stick. And so on.</p> <p>If our minds swarmed with the trivia of daily life, more important events might be forgotten, and possibly the neural overload would even make us ill. Yet with the realisation of the loss of these minutes and hours arises the anxiety that in time, the things we do want to remember will slither away from us into the dark.</p> <p>I imagine this fear is what compels people to fill social media with photographs of their breakfasts, and of their relentless selfie-taking. It is surely the impulse behind keeping a journal.</p> <p>The anxiety of losing even the passing moments in a day afflicts the author of <a href="https://www.panmacmillan.com.au/9781509883295/">Ongoingness: The End of a Diary</a>. In it, the American writer Sara Manguso describes her compulsive need to document and hold onto her life. “I didn’t want to lose anything. That was my main problem.”</p> <p>After 25 years of paying attention to the smallest moments, Manguso’s diary is 800,000 words long. “The diary was my defense against waking up at the end of my life and realizing I’d missed it.” But despite her continuous effort,</p> <p>"I knew I couldn’t replicate my whole life in language. I knew that most of it would follow my body into oblivion."</p> <p>Is it possible that women experience grief around ageing earlier, and more emphatically than men? After all, by the age of 50, the bodies of even those women who remain fit send the implacable signal that things have changed.</p> <p>In Alice Munro’s story Bardon Bus, from her collection <a href="https://www.penguin.com.au/books/the-moons-of-jupiter-9780099458364">The Moons of Jupiter</a>, the female narrator endures dinner in the company of a rather malicious man, Dennis, who explains that women are.</p> <p>"forced to live in the world of loss and death! Oh, I know, there’s face-lifting, but how does that really help? The uterus dries up. The vagina dries up."</p> <p>Dennis compares the opportunities open to men as opposed to those available to women.</p> <p>"Specifically, with ageing. Look at you. Think of the way your life would be, if you were a man. The choices you would have. I mean sexual choices. You could start all over. Men do."</p> <p>When the narrator responds cheerfully that she might resist starting over, even if it were possible, Dennis is quick to retort:</p> <p>"That’s it, that’s just it, though, you don’t get the opportunity! You’re a woman and life only goes in one direction for a woman."</p> <p>In another story in the same collection, Labor Day Dinner, Roberta is in the bedroom dressing for an evening out when her lover George comes in and cruelly remarks: “Your armpits are flabby.” Roberta says she will wear something with sleeves, but in her head she hears the,</p> <p>"harsh satisfaction in his voice. The satisfaction of airing disgust. He is disgusted by her aging body. That could have been foreseen."</p> <p>Roberta thinks bitterly that she has always sought to remedy the least sign of deterioration.</p> <p>"Flabby armpits – how can you exercise the armpits? What is to be done? Now the payment is due, and what for? For vanity. Hardly even for that. Just for having those pleasing surfaces once, and letting them speak for you; just for allowing an arrangement of hair and shoulders and breasts to have its effect. You don’t stop in time, don’t know what to do instead; you lay yourself open to humiliation. So thinks Roberta, with self-pity […] She must get away, live alone, wear sleeves."</p> <p>As with most emotions that arise around our ageing, it can usually be traced back to a fraught relationship with time. French philosopher and Nobel Prize winner <a href="https://plato.stanford.edu/entries/bergson/">Henri Bergson</a> <a href="https://www.gutenberg.org/files/56852/56852-h/56852-h.htm">says</a>: “Sorrow begins by being nothing more than a facing towards the past.”</p> <p>For Roberta, as for many of us, it was a past in which we relied on those “pleasing surfaces”, perhaps even took them for granted, until they no longer produced the desired effect.</p> <p>But the truth is that our bodies are capable of more severe betrayals than mere flabby armpits. In time they may cause us to be exposed in skimpy, front-opening or back-opening hospital gowns under the all-seeing eye of the CT scanner; they may deliver us into the skilled, ruthless hands of a surgeon. Our very blood may speak of things we will not wish to hear.</p> <h2>Glimpsing our mortality in middle age</h2> <p>Middle age is sometimes referred to as The Age of Grief. It’s when we first glimpse our own mortality; we feel youth slipping away into the past, and the young people in our lives begin to assert their independence.</p> <p>We have our mid-life crises then. We join gyms, and take up running; we speak for the first time of “bucket lists” – the term itself an attempt to diminish the sting of time’s depredations. None of this will save us from the real Age of Grief, which comes later and hits harder because it is largely hidden. And we’ll be expected to endure it in silence.</p> <p>In my conversations with people aged 70 and older, grief has surfaced from causes other than what might be called “cosmetic” changes. Following a severe stroke, 80-year-old Philippa describes the pain of having had to make the decision to relinquish her home and move into residential care.</p> <p>"It’s when you lose your garden, which you’ve loved, and you’ve got to walk away from that. I’ve got photos of the house, and I look at them and think, oh, I just love the way I did that room, decorated it, things like that. But change happens."</p> <p>“Somehow change always comes with loss, as well as bringing something new,” I said. “Yes,” she replied, “I just had to say to myself: you can’t worry about it, and you can’t change it. That sounds hard, but it’s my way of dealing with it.”</p> <p>Tucked away in residential care homes, largely invisible to those of us lucky enough to still inhabit the outside world, elderly people like Philippa are quietly raising resilience to the level of an art form.</p> <p>In her poem, <a href="https://www.poetryfoundation.org/poems/47536/one-art">One Art</a>, the Canadian poet Elizabeth Bishop advises losing something every day.</p> <blockquote> <p>Accept the fluster<br />of lost door keys, the hour badly spent.<br />Lose something every day.<br />The art of losing isn’t hard to master.</p> </blockquote> <p>Bishop goes on to list other lost items – her mother’s watch, the next-to-last of three loved houses, lovely cities, two rivers, even a continent. While the losses elderly people commonly accumulate are less grand, they are no less devastating.</p> <p>One by one, they will relinquish driver’s licenses. For many there will be the loss of the family home and their belongings, save for whatever will fit into a care home’s single room. Perhaps they have already given up the freedom of walking without the aid of a stick, or walker. There may be the dietary restrictions imposed by conditions such as diabetes, and the invisible disabilities of diminished hearing and eyesight.</p> <p>A failing memory, one would think, must be the final straw. And yet, what seems to be the actual final straw is the situation, reported time and again, where an old person feels “unseen”, or “looked through”, and for indefensible reasons finds themself being “missed” in favour of someone younger. It might, for example, be a moment when they are ignored as they patiently wait their turn at a shop counter.</p> <p>In my conversation with Philippa, she remarked that old people are often looked through when they are part of a group, or when they are waiting to be served. “I have seen it happen to other older people, as if they don’t exist. I have called out assistants who have done that to other people.”</p> <p>Surely the least we can do, as fortunate beings of fewer years, is to acknowledge the old people among us. To make them feel seen, and of equal value.</p> <h2>‘Age pride’ and destigmatising ‘old’</h2> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7246680/">Ageism, Healthy Life Expectancy and Population Ageing: How Are They Related</a> is a recent survey conducted with more than 83,000 participants from 57 countries. It found that ageism negatively impacts the health of older adults. In the United States, people with a negative attitude towards ageing live 7.5 fewer years than their more positive counterparts.</p> <p>In Australia, the National Ageing Research Institute has developed an <a href="https://www.nari.net.au/age-positive-language-guide">Age-Positive Language Guide</a> as part of its strategy to combat ageism.</p> <p>Examples of poor descriptive language include terms such as “old person”, “the elderly”, and even “seniors”. That last term appears on a card Australians receive shortly after turning 60, which enables them to receive various discounts and concessions. Instead, we are encouraged to use “older person”, or “older people”. But this is just another form of age-masking that fools no one.</p> <p>It would be better to throw the institute’s energy into destigmatising the word “old”. What, after all, is wrong with being old, and saying so?</p> <p>To begin the process of reclaiming this word from the pejorative territory it currently occupies, old people need to start claiming their years with pride. If other marginalised social groups can do it, why can’t old people? Some activists working against ageism are beginning to mention <a href="https://www.nextavenue.org/how-to-swap-ageism-for-age-pride/">“age pride”</a>.</p> <p>If we become homesick for who we once were as we age, we might remind ourselves of the meaning of <em>nostos</em> and consider old age as a kind of homecoming.</p> <h2>Narrative identity</h2> <p>The body we travel in is a vehicle for all the iterations of the self, and the position we currently inhabit is part of an ongoing creative process: the evolving story of the self. From the 1980s, psychologists, philosophers and social theorists have been calling it <a href="https://psycnet.apa.org/record/2011-21882-005">narrative identity</a>.</p> <p>The process of piecing together a narrative identity begins in late adolescence and evolves across our entire lives. Like opening a Russian doll, from whose hollow shell other dolls emerge, at our centre is a solid core composed of traits and values. It’s also composed of the narrative identity we have put together from all our days – including those we cannot now remember – and from all the selves we have ever been. Perhaps even from the selves we might have been, but chose instead to paint over.</p> <p>In Metamorphosis, or the Elephant’s Foot, Harriet Mayfield tells her husband, “At this point in life. We are who we are – the outcome of various other incarnations.”</p> <p>We know our lives, and the lives of others, through fragments. Fragments are all we have. They’re all we’ll ever have. We live in moments, not always in chronological order. But narrative identity helps us make meaning of life. And the vantage point of old age offers the longest view.</p> <p>The story of the self carries us from the deep past to the present moment. And old age sets us the great life challenge of maintaining balance in the present, while managing the remembered past – with all its joys and griefs – and the joys and griefs of the imagined future.<!-- 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/202754/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/carol-lefevre-1341823"><em>Carol Lefevre</em></a><em>, Visiting Research Fellow, Department of English and Creative Writing, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/friday-essay-homesick-for-ourselves-the-hidden-grief-of-ageing-202754">original article</a>.</em></p>

Beauty & Style

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Does running water really trigger the urge to pee? Experts explain the brain-bladder connection

<p><em><a href="https://theconversation.com/profiles/james-overs-1458017">James Overs</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a>; <a href="https://theconversation.com/profiles/david-homewood-1458022">David Homewood</a>, <a href="https://theconversation.com/institutions/melbourne-health-950">Melbourne Health</a>; <a href="https://theconversation.com/profiles/helen-elizabeth-oconnell-ao-1458226">Helen Elizabeth O'Connell AO</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/simon-robert-knowles-706104">Simon Robert Knowles</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em></p> <p>We all know that feeling when nature calls – but what’s far less understood is the psychology behind it. Why, for example, do we get the urge to pee just before getting into the shower, or when we’re swimming? What brings on those “nervous wees” right before a date?</p> <p>Research suggests our brain and bladder are in constant communication with each other via a neural network called the <a href="https://www.einj.org/journal/view.php?doi=10.5213/inj.2346036.018">brain-bladder axis</a>.</p> <p>This complex web of circuitry is comprised of sensory neural activity, including the sympathetic and parasympathetic nervous systems. These neural connections allow information to be sent <a href="https://doi.org/10.3390/diagnostics12123119">back and forth</a> between the brain and bladder.</p> <p>The brain-bladder axis not only facilitates the act of peeing, but is also responsible for telling us we need to go in the first place.</p> <h2>How do we know when we need to go?</h2> <p>As the bladder fills with urine and expands, this activates special receptors detecting stretch in the nerve-rich lining of the bladder wall. This information is then relayed to the “periaqueductal gray” – a part of the brain in the brainstem which <a href="https://www.nature.com/articles/nrn2401">constantly monitors</a> the bladder’s filling status.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?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/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=454&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=454&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=454&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=570&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=570&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=570&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">The periaqueductal gray is a section of gray matter located in the midbrain section of the brainstem.</span> <span class="attribution"><a class="source" href="https://en.wikipedia.org/wiki/Brainstem#/media/File:1311_Brain_Stem.jpg">Wikimedia/OpenStax</a>, <a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <p>Once the bladder reaches a certain threshold (roughly 250-300ml of urine), another part of the brain called the “pontine micturition centre” is activated and signals that the bladder needs to be emptied. We, in turn, <a href="https://pubmed.ncbi.nlm.nih.gov/16254993/">register this</a> as that all-too-familiar feeling of fullness and pressure down below.</p> <p>Beyond this, however, a range of situations can trigger or exacerbate our need to pee, by increasing the production of urine and/or stimulating reflexes in the bladder.</p> <h2>Peeing in the shower</h2> <p>If you’ve ever felt the need to pee while in the shower (no judgement here) it may be due to the sight and sound of running water.</p> <p>In a 2015 study, <a href="https://doi.org/10.1371/journal.pone.0126798">researchers demonstrated</a> that males with urinary difficulties found it easier to initiate peeing when listening to the sound of running water being played on a smartphone.</p> <p>Symptoms of overactive bladder, including urgency (a sudden need to pee), have also been <a href="https://www.alliedacademies.org/articles/environmental-cues-to-urgency-and-incontinence-episodes-in-chinesepatients-with-overactive-urinary-bladder-syndrome.html">linked to</a> a range of environmental cues involving running water, including washing your hands and taking a shower.</p> <p>This is likely due to both physiology and psychology. Firstly, the sound of running water may have a relaxing <em>physiological</em> effect, increasing activity of the parasympathetic nervous system. This would relax the bladder muscles and prepare the bladder for emptying.</p> <p>At the same time, the sound of running water may also have a conditioned <em>psychological</em> effect. Due to the countless times in our lives where this sound has coincided with the actual act of peeing, it may trigger an instinctive reaction in us to urinate.</p> <p>This would happen in the same way <a href="https://www.simplypsychology.org/pavlov.html">Pavlov’s dog learnt</a>, through repeated pairing, to salivate when a bell was rung.</p> <h2>Cheeky wee in the sea</h2> <p>But it’s not just the sight or sound of running water that makes us want to pee. Immersion in cold water has been shown to cause a “cold shock response”, <a href="https://pubmed.ncbi.nlm.nih.gov/19945970">which activates</a> the sympathetic nervous system.</p> <p>This so-called “fight or flight” response drives up our blood pressure which, in turn, causes our kidneys to filter out more fluid from the bloodstream to stabilise our blood pressure, in a process called “<a href="https://link.springer.com/article/10.1007/BF00864230">immersion diuresis</a>”. When this happens, our bladder fills up faster than normal, triggering the urge to pee.</p> <p>Interestingly, immersion in very warm water (such as a relaxing bath) may also increase urine production. In this case, however, it’s due to activation of the parasympathetic nervous system. <a href="https://doi.org/10.1007/s004210050065">One study</a> demonstrated an increase in water temperature from 40℃ to 50℃ reduced the time it took for participants to start urinating.</p> <p>Similar to the effect of hearing running water, the authors of the study suggest being in warm water is calming for the body and activates the parasympathetic nervous system. This activation can result in the relaxation of the bladder and possibly the pelvic floor muscles, bringing on the urge to pee.</p> <h2>The nervous wee</h2> <p>We know stress and anxiety can cause bouts of nausea and butterflies in the tummy, but what about the bladder? Why do we feel a sudden and frequent urge to urinate at times of heightened stress, such as before a date or job interview?</p> <p>When a person becomes stressed or anxious, the body goes into fight-or-flight mode through the activation of the sympathetic nervous system. This triggers a cascade of physiological changes designed to prepare the body to face a perceived threat.</p> <p>As part of this response, the muscles surrounding the bladder may contract, leading to a more urgent and frequent need to pee. Also, as is the case during immersion diuresis, the increase in blood pressure associated with the stress response may <a href="https://doi.org/10.1172/JCI102496">stimulate</a> the kidneys to produce more urine.</p> <h2>Some final thoughts</h2> <p>We all pee (most of us several times a day). Yet <a href="https://doi.org/10.5489/cuaj.1150">research has shown</a> about 75% of adults know little about how this process actually works – and even less about the brain-bladdder axis and its role in urination.</p> <p><a href="https://www.continence.org.au/about-us/our-work/key-statistics-incontinence#:%7E:text=Urinary%20incontinence%20affects%20up%20to,38%25%20of%20Australian%20women1.">Most Australians</a> will experience urinary difficulties at some point in their lives, so if you ever have concerns about your urinary health, it’s extremely important to consult a healthcare professional.</p> <p>And should you ever find yourself unable to pee, perhaps the sight or sound of running water, a relaxing bath or a nice swim will help with getting that stream to flow.<!-- 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/210808/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/james-overs-1458017"><em>James Overs</em></a><em>, Research Assistant, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a>; <a href="https://theconversation.com/profiles/david-homewood-1458022">David Homewood</a>, Urology Research Registrar, Western Health, <a href="https://theconversation.com/institutions/melbourne-health-950">Melbourne Health</a>; <a href="https://theconversation.com/profiles/helen-elizabeth-oconnell-ao-1458226">Helen Elizabeth O'Connell AO</a>, Professor, University of Melbourne, Department of Surgery. President Urological Society Australia and New Zealand, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/simon-robert-knowles-706104">Simon Robert Knowles</a>, Associate Professor and Clinical Psychologist, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</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/does-running-water-really-trigger-the-urge-to-pee-experts-explain-the-brain-bladder-connection-210808">original article</a>.</em></p>

Mind

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"He was out of control": Inside Bachelorette star's battle with addiction

<p>A close friend of Charlie Newling has come forward about his mate's struggles with mental health issues and addiction after his untimely death. </p> <p>Newling, who appeared on the 2018 season of <em>The Bachelorette</em>, <a href="https://oversixty.com.au/news/news/bachelorette-star-found-dead-at-just-36" target="_blank" rel="noopener">tragically died</a> on Saturday night after his car fell from a cliff in Dover Heights, in Sydney's eastern suburbs. </p> <p>He was just 36 years old, and had recently welcomed his second child. </p> <p>As news of his death broke, a friend of Newlings came forward to share the struggles his mate had endured since his new-found fame on the reality dating show.</p> <p>His friend said the tradie was being swamped by addictions, leading to disturbing behaviour that brought a criminal conviction.</p> <p>Despite being dubbed a fan favourite for most of his time on <em>The Bachelorette</em>, his fan base quickly turned on him for his "controlling" behaviour. </p> <p>As a result, he was unable to cope with the backlash and negative publicity that came with appearing on the show, and turned to drugs as an escape.</p> <p>"Charlie's demon was meth a few years back. Because of it he said his wiring in his brain was screwed," a friend told <a href="https://www.dailymail.co.uk/tvshowbiz/article-12507507/Bachelerotte-cliff-plunge-death-Charlie-Newling-booze-meth-fame-Kristal.html" target="_blank" rel="noopener"><em>Daily Mail Australia</em></a>.</p> <p>"He got off meth in 2020, and he went to Queensland<a id="mol-10e8fde0-5137-11ee-af22-f392a4134fa8" href="https://www.dailymail.co.uk/news/queensland/index.html" target="_self"> </a>to escape the drug."</p> <p>While living in Queensland, Charlie met his on-again, off-again partner Kristal Taylor.</p> <p>However, his demons caught up with him when the pair returned to Sydney and began living in Sydney's east in 2021.</p> <p>"They moved in together but he was out of control with drinking and prescription drugs."</p> <p>He then checked into a rehab clinic in 2022, as friends and family witnessed Newling's declining mental health and alarming alcohol abuse in recent years.</p> <p>"His biggest addiction was booze," the friend said. </p> <p>During his periods of addiction, Charlie had a few run ins with the law, and was sentenced to 13 months in prison for threatening to torture and kill his stepfather in a series of 37 text messages he sent to his mother over a three hour period. </p> <p dir="ltr">He was also convicted of a mid-range drink driving offence in 2021.</p> <p dir="ltr">Charlie's death is not being treated as suspicious, and a report is being prepared for the coroner.</p> <p><em>Image credits: Ten</em></p>

Caring

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Jelena Dokic's candid discussion about mental health

<p>Jelena Dokic has opened up about her struggled with mental health issues, being diagnosed with an eating disorder, and the trauma that came with being a young tennis champion. </p> <p>The 40-year-old spoke candidly with <em><a href="https://honey.nine.com.au/latest/jelena-dokic-new-book-fearless-mental-health-recovery-diagnosis/83b5c0b9-4e64-40a9-b3b7-da438485f24f" target="_blank" rel="noopener">9Honey</a></em> ahead of the release of her tell-all book <em>Fearless: Finding the Power to Thrive</em>, which hits the shelves on September 12th. </p> <p>In Jelena's first book <em>Unbreakable</em>, she documented the abuse she endured at the hands of her father and tennis coach Damir Dokic. </p> <p>After the release of <em>Unbreakable</em>, Jelena found strength from other women who came forward to share their stories of abuse. </p> <p>"It's changed my life," she told <em>9Honey</em>.</p> <p>"I say that the day that <em>Unbreakable</em> came out was the best day of my life. It was the beginning of healing for me and basically finding happiness."</p> <p>She shared how her cultural background of being born in Croatia, combined with the secrecy of her career, meant she couldn't speak out about her abuse. </p> <p>"I was taught to be silent, to never say a word, to not speak up and to never talk about those things that go on behind closed doors.</p> <p>"And if you look at a lot of things in this world like abuse, domestic violence, child abuse, mental health, the power of those things is the silence, and that's how the abusers and the perpetrators control the situation."</p> <p>She went on to cite the MeToo movement, and stories of survival from Grace Tame and Simone Biles as reasons to come forward with her own story. </p> <p>"Everything changed once those amazing women spoke up," she says.</p> <p>Since going public with her story of struggling with mental health issues as a result of her abuse, Jelena has been subject to a slew of online hate. </p> <p>As a result of the onslaught and lasting trauma, the former tennis champion was diagnosed with bing-eating disorder, or BED. </p> <p>"I didn't even know originally that I had it," Dokic explains.</p> <p>She says she thought her disordered eating behaviours were "kind of normal" particularly on the professional sports circuit.</p> <p>"It wasn't really until the last couple years where I was dealing with actual trauma from the past and going through a lot of these things where I've discovered 'OK, I've got an eating disorder,'" Dokic says.</p> <p>After losing and regaining 50kgs in the past few years, and being the target of relentless online body shaming, Jelena wanted to speak out about body positivity and those who target different body types. </p> <p>"That's why I wanted to talk about it because again, I think that for a lot of people, it will resonate with them and I think that we need that representation," she said. </p> <p>"It doesn't matter because that should not be that main topic, do you know what I mean?</p> <p>"My kindness and who I am at my core, my IQ, my important values. Not my measurements."</p> <p>Through dealing with lasting trauma, an eating disorder, and a diagnosis of borderline personality disorder (BPD), all while being in the limelight, Jelena said it is important to be open and honest about your struggles, and not paint the picture of perfectionism. </p> <p>She has learned that being strong "has nothing to do with putting on this perfect front".</p> <p>"There's actually so much strength in being vulnerable," Dokic shares.</p> <p>"That actually takes courage and strength, being vulnerable and being honest and raw and open about everything, especially about your tough moments."</p> <p>"I am very proud of myself where I am now," she says.</p> <p>"And the biggest thing I'm proud of is the fact that there is absolutely no hate, bitterness or frustration from me going towards anyone or anything in life.</p> <p>"I have embraced all the difficult and tough times and just tried to make a positive impact. And I am, yeah, I'm very proud of that."</p> <p><em>Image credits: Instagram </em></p>

Caring

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Not all mental health apps are helpful. Experts explain the risks, and how to choose one wisely

<p><em><a href="https://theconversation.com/profiles/jeannie-marie-paterson-6367">Jeannie Marie Paterson</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/nicholas-t-van-dam-389879">Nicholas T. Van Dam</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/piers-gooding-207492">Piers Gooding</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>There are thousands of mental health apps available on the app market, offering services including meditation, mood tracking and counselling, among others. You would think such “health” and “wellbeing” apps – which often present as solutions for conditions such as <a href="https://www.headspace.com/">anxiety</a> and <a href="https://www.calm.com">sleeplessness</a> – would have been rigorously tested and verified. But this isn’t necessarily the case.</p> <p>In fact, many may be taking your money and data in return for a service that does nothing for your mental health – at least, not in a way that’s backed by scientific evidence.</p> <h2>Bringing AI to mental health apps</h2> <p>Although some mental health apps connect users with a <a href="https://www.betterhelp.com/get-started/?go=true&amp;utm_source=AdWords&amp;utm_medium=Search_PPC_c&amp;utm_term=betterhelp+australia_e&amp;utm_content=133525856790&amp;network=g&amp;placement=&amp;target=&amp;matchtype=e&amp;utm_campaign=15228709182&amp;ad_type=text&amp;adposition=&amp;kwd_id=kwd-401317619253&amp;gclid=Cj0KCQjwoeemBhCfARIsADR2QCtfZHNw8mqpBe7cLfLtZBD-JZ5xvAmDCfol8npbAAH3ALJGYvpngtoaAtFlEALw_wcB¬_found=1&amp;gor=start">registered therapist</a>, most provide a fully automated service that bypasses the human element. This means they’re not subject to the same standards of care and confidentiality as a registered mental health professional. Some aren’t even designed by mental health professionals.</p> <p>These apps also increasingly claim to be incorporating artificial intelligence into their design to make personalised recommendations (such as for meditation or mindfulness) to users. However, they give little detail about this process. It’s possible the recommendations are based on a user’s previous activities, similar to Netflix’s <a href="https://help.netflix.com/en/node/100639">recommendation algorithm</a>.</p> <p>Some apps such as <a href="https://legal.wysa.io/privacy-policy#aiChatbot">Wysa</a>, <a href="https://www.youper.ai/">Youper</a> and <a href="https://woebothealth.com/">Woebot</a> use AI-driven chatbots to deliver support, or even established therapeutic interventions such as cognitive behavioural therapy. But these apps usually don’t reveal what kinds of algorithms they use.</p> <p>It’s likely most of these AI chatbots use <a href="https://www.techtarget.com/searchenterpriseai/feature/How-to-choose-between-a-rules-based-vs-machine-learning-system">rules-based systems</a> that respond to users in accordance with predetermined rules (rather than learning on the go as adaptive models do). These rules would ideally prevent the unexpected (and often <a href="https://www.vice.com/en/article/pkadgm/man-dies-by-suicide-after-talking-with-ai-chatbot-widow-says">harmful and inappropriate</a>) outputs AI chatbots have become known for – but there’s no guarantee.</p> <p>The use of AI in this context comes with risks of biased, discriminatory or completely inapplicable information being provided to users. And these risks haven’t been adequately investigated.</p> <h2>Misleading marketing and a lack of supporting evidence</h2> <p>Mental health apps might be able to provide certain benefits to users <em>if</em> they are well designed and properly vetted and deployed. But even then they can’t be considered a substitute for professional therapy targeted towards conditions such as anxiety or depression.</p> <p>The <a href="https://theconversation.com/pixels-are-not-people-mental-health-apps-are-increasingly-popular-but-human-connection-is-still-key-192247">clinical value</a> of automated mental health and mindfulness apps is <a href="https://www.sciencedirect.com/science/article/abs/pii/S1077722918300233?casa_token=lwm1E6FhcG0AAAAA:saV7szbZl4DqbvmZiomLG9yMWi_4-zbmy3QCtQzVEQr957QX1E7Aiqkm5BcEntR0mVFgfDVo">still being assessed</a>. Evidence of their efficacy is generally <a href="https://journals.plos.org/digitalhealth/article?id=10.1371/journal.pdig.0000002">lacking</a>.</p> <p>Some apps make ambitious claims regarding their effectiveness and refer to studies that supposedly support their benefits. In many cases these claims are based on less-than-robust findings. For instance, they may be based on:</p> <ul> <li><a href="https://sensa.health/">user testimonials</a></li> <li>short-term studies with narrow <a href="https://www.wired.co.uk/article/mental-health-chatbots">or homogeneous cohorts</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9533203/">studies involving</a> researchers or funding from the very group <a href="https://www.theguardian.com/us-news/2022/apr/13/chatbots-robot-therapists-youth-mental-health-crisis">promoting the app</a></li> <li>or evidence of the benefits of a <a href="https://www.headspace.com/meditation/anxiety">practice delivered face to face</a> (rather than via an app).</li> </ul> <p>Moreover, any claims about reducing symptoms of poor mental health aren’t carried through in contract terms. The fine print will typically state the app does not claim to provide any physical, therapeutic or medical benefit (along with a host of other disclaimers). In other words, it isn’t obliged to successfully provide the service it promotes.</p> <p>For some users, mental health apps may even cause harm, and lead to increases in the very <a href="https://pubmed.ncbi.nlm.nih.gov/34074221/">symptoms</a> people so often use them to address. The may happen, in part, as a result of creating more awareness of problems, without providing the tools needed to address them.</p> <p>In the case of most mental health apps, research on their effectiveness won’t have considered <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505389/">individual differences</a> such as socioeconomic status, age and other factors that can influence engagement. Most apps also will not indicate whether they’re an inclusive space for marginalised people, such as those from culturally and linguistically diverse, LGBTQ+ or neurodiverse communities.</p> <h2>Inadequate privacy protections</h2> <p>Mental health apps are subject to standard consumer protection and privacy laws. While data protection and <a href="https://cybersecuritycrc.org.au/sites/default/files/2021-07/2915_cscrc_casestudies_mentalhealthapps_1.pdf">cybersecurity</a> practices vary between apps, an investigation by research foundation Mozilla <a href="https://foundation.mozilla.org/en/privacynotincluded/articles/are-mental-health-apps-better-or-worse-at-privacy-in-2023">concluded that</a> most rank poorly.</p> <p>For example, the mindfulness app <a href="https://www.headspace.com/privacy-policy">Headspace</a> collects data about users from a <a href="https://foundation.mozilla.org/en/privacynotincluded/headspace/">range of sources</a>, and uses those data to advertise to users. Chatbot-based apps also commonly repurpose conversations to predict <a href="https://legal.wysa.io/privacy-policy">users’ moods</a>, and use anonymised user data to train the language models <a href="https://www.youper.ai/policy/privacy-policy">underpinning the bots</a>.</p> <p>Many apps share so-called <a href="https://theconversation.com/popular-fertility-apps-are-engaging-in-widespread-misuse-of-data-including-on-sex-periods-and-pregnancy-202127">anonymised</a> data with <a href="https://www.wysa.com/">third parties</a>, such as <a href="https://www.headspace.com/privacy-policy">employers</a>, that sponsor their use. Re-identification of <a href="https://www.unimelb.edu.au/newsroom/news/2017/december/research-reveals-de-identified-patient-data-can-be-re-identified">these data</a> can be relatively easy in some cases.</p> <p>Australia’s Therapeutic Goods Administration (TGA) doesn’t require most mental health and wellbeing apps to go through the same testing and monitoring as other medical products. In most cases, they are lightly regulated as <a href="https://www.tga.gov.au/how-we-regulate/manufacturing/medical-devices/manufacturer-guidance-specific-types-medical-devices/regulation-software-based-medical-devices">health and lifestyle</a> products or tools for <a href="https://www.tga.gov.au/sites/default/files/digital-mental-health-software-based-medical-devices.pdf">managing mental health</a> that are excluded from TGA regulations (provided they meet certain criteria).</p> <h2>How can you choose an app?</h2> <p>Although consumers can access third-party rankings for various mental health apps, these often focus on just a few elements, such as <a href="https://onemindpsyberguide.org/apps/">usability</a> or <a href="https://foundation.mozilla.org/en/privacynotincluded/categories/mental-health-apps/">privacy</a>. Different guides may also be inconsistent with each other.</p> <p>Nonetheless, there are some steps you can take to figure out whether a particular mental health or mindfulness app might be useful for you.</p> <ol> <li> <p>consult your doctor, as they may have a better understanding of the efficacy of particular apps and/or how they might benefit you as an individual</p> </li> <li> <p>check whether a mental health professional or trusted institution was involved in developing the app</p> </li> <li> <p>check if the app has been rated by a third party, and compare different ratings</p> </li> <li> <p>make use of free trials, but be careful of them shifting to paid subscriptions, and be wary about trials that require payment information upfront</p> </li> <li> <p>stop using the app if you experience any adverse effects.</p> </li> </ol> <p>Overall, and most importantly, remember that an app is never a substitute for real help from a human professional.<!-- 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/211513/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/jeannie-marie-paterson-6367">Jeannie Marie Paterson</a>, Professor of Law, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/nicholas-t-van-dam-389879">Nicholas T. Van Dam</a>, Associate Professor, School of Psychological Sciences, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/piers-gooding-207492">Piers Gooding</a>, Postdoctoral Research Fellow, Disability Research Initiative, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</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/not-all-mental-health-apps-are-helpful-experts-explain-the-risks-and-how-to-choose-one-wisely-211513">original article</a>.</em></p>

Mind

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Connection, camaraderie and belonging: why the Matildas could be making you a sports fan for the very first time

<p><em><a href="https://theconversation.com/profiles/sarah-tillott-1462234">Sarah Tillott</a>, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a> and <a href="https://theconversation.com/profiles/diarmuid-hurley-1462235">Diarmuid Hurley</a>, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a></em></p> <p>With over seven million Australians hooked onto the world cup viewing, many who have never really been interested in sports have recently found themselves screaming at the TV, cheering in pubs and hugging complete strangers.</p> <p>Have you found yourself in this new legion of sports fans, and wondering how you got here?</p> <p>It is likely down to many factors. There is of course the incredible talent on display, the <a href="https://www.9news.com.au/national/world-cup-2023-matildas-captain-sam-kerr-gives-prized-gameworn-top-to-young-fan/b9e35f75-6d11-4148-af3a-ac3cd0c95c0c">kindness</a> players are showing on and off the field, and women and girls relating to players <a href="https://www.abc.net.au/news/2023-08-15/matildas-world-cup-sam-kerr-mary-fowler-inspire-diverse-fans/102713288">who look like them</a>.</p> <p>But it is also to do with the visibility and exposure of the game; the influence of our families and friends; the ways we are hardwired for connection; and the addictive nature of neurotransmitters.</p> <p>Like many Australians, we will be sure to not miss tonight’s game when Australia plays England in the semifinal – but first, here’s a look at all of these new emotions you may be experiencing.</p> <h2>The social contagion</h2> <p>With Australia as a host nation – and the incredible success of the Matildas – there has never been more visibility and focus on women’s football in Australia.</p> <p>Positive emotions and behaviours are contagious. Psychologists refer to “<a href="https://positivepsychology.com/emotional-contagion/">emotional contagion</a>” or “social contagion”, which describes how emotions, attitudes and behaviours spread through groups and crowds.</p> <p>In general, people just want to feel good! We enhance that feeling by forming positive social connections with other humans, sharing in a common experience, having a common goal and putting aside our differences.</p> <p>Being on the same side means we have something to share and celebrate in and, more importantly, someone to do it with.</p> <p>You’re likely feeling like you are part of something greater, and that has us all reaching for more by getting together to watch the next game.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">This. Is. Football. <a href="https://twitter.com/hashtag/matildas?src=hash&amp;ref_src=twsrc%5Etfw">#matildas</a> <a href="https://twitter.com/hashtag/tilitsdone?src=hash&amp;ref_src=twsrc%5Etfw">#tilitsdone</a> <a href="https://twitter.com/hashtag/FIFAWWC?src=hash&amp;ref_src=twsrc%5Etfw">#FIFAWWC</a> <a href="https://t.co/guLoCdIGpv">pic.twitter.com/guLoCdIGpv</a></p> <p>— Mikey Mkoka-Nicholson (@Mikey_Nicholson) <a href="https://twitter.com/Mikey_Nicholson/status/1690322529024720896?ref_src=twsrc%5Etfw">August 12, 2023</a></p></blockquote> <p>Another reason you might find yourself getting behind the world cup is everyone loves a good story – and this competition has them in spades.</p> <p>This world cup has had its share of ups and downs: superstar Sam Kerr’s injury; the crushing low of defeat to Nigeria; the high of the must-win-game against Canada; the electric edge-of-your-seat drama of the penalty shootout against France.</p> <p>We all share in these highs and lows.</p> <p>Sports can help <a href="https://doi.org/10.3390/socsci11110513">create positive social cohesion</a> by bringing people together. There is something very comforting about winning or losing as a group - whatever the result, we aren’t doing it alone!</p> <p>Sports <a href="https://www.huffpost.com/entry/how-sport-can-break-down_b_7927724">breaks down barriers</a>, forms <a href="https://doi.org/10.3390/socsci11110513">pro-social bonds</a> and <a href="https://www.weforum.org/agenda/2018/02/north-and-south-korea-have-shown-us-the-unifying-power-of-sport/">helps people unite</a> through a common goal. We get lost and escape into a world of togetherness, which feels great!</p> <p>The ability to laugh, cry or hold hands with people (both strangers and friends) in nervous moments is felt deep in our body. It is undeniable, palpable and reinforces our connectivity. These heightened emotions fast track our sense of belonging to a group.</p> <p>Meanwhile, there is something very primitive going on deep in the brain that may explain this phenomenon.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Goosebumps.</p> <p>From all corners of the country 🫶🇦🇺<a href="https://twitter.com/hashtag/Matildas?src=hash&amp;ref_src=twsrc%5Etfw">#Matildas</a> <a href="https://twitter.com/hashtag/FIFAWWC?src=hash&amp;ref_src=twsrc%5Etfw">#FIFAWWC</a> <a href="https://twitter.com/hashtag/TilitsDone?src=hash&amp;ref_src=twsrc%5Etfw">#TilitsDone</a> <a href="https://t.co/ERIusC7HEZ">pic.twitter.com/ERIusC7HEZ</a></p> <p>— CommBank Matildas (@TheMatildas) <a href="https://twitter.com/TheMatildas/status/1690657319527600128?ref_src=twsrc%5Etfw">August 13, 2023</a></p></blockquote> <p>Our brains <a href="https://www.scientificamerican.com/article/why-we-are-wired-to-connect/">are wired</a> to work in groups or tribes. Historically, working together towards a common goal improved our ability to survive.</p> <p>In a contemporary setting, when we belong to groups we unite through the notion of achieving a common vision. The “self” blends with the social. We evaluate our environment and look for links of commonality to achieve social harmony.</p> <p>This comes back to the notion of feeling good. When you are sharing a sporting event – watching together or talking about it after – you are sharing a safe space you can relate, engage and belong to.</p> <h2>Shared experiences</h2> <p>The reality of what sports can do to unite and change the way we connect is palpable through this world cup.</p> <p>We are all sharing a common experience which enables us to talk to complete strangers at the bus stop, on the train and when we are ordering our coffees at the local café.</p> <p>This shared experience enables us the confidence to strike up new conversations: sharing our pride, our fears and our emotions.</p> <p>We fast track our connections with people through sharing our vulnerabilities. Connections that could generally take years to form are happening in seconds. The moments to form those connections are more frequent as the success of our team continues.</p> <p>Matilda’s defender Claire Hunt <a href="https://www.matildas.com.au/video/230810huntpresser">spoke</a> of the collective belief the team has in their abilities. This collective belief has spread out from the team and their diehard supporters to become a source of national pride.</p> <h2>We belong</h2> <p>Sports creates a connection to something greater than yourself, an ability to ride the highs and lows of a team as you journey with them for the entire match!</p> <p>Notice the feeling of your heart beating through your chest (and that feedback coming through your smart watch as the high pulse rate alert is screaming at you!); feeling like you want to vomit and cry from the anticipation; the <a href="https://www.apa.org/monitor/oct05/mirror">tensing of your muscles</a> during every attempt at goal.</p> <p>Through Australia’s collective love, support and excitement behind the Matildas, we are in the process of forming our identity and becoming part of a family.</p> <p>We relate to people, we connect to people, we belong.</p> <p>These feelings have powerful effects on our wellbeing. Belonging <a href="https://www.taylorfrancis.com/chapters/edit/10.4324/9780203148211-19/role-emotion-engagement-coping-development-motivational-resilience-ellen-skinner-jennifer-pitzer-heather-brule">enhances self-esteem</a>, improves <a href="https://doi.org/10.1177/0146167213499186">psychological and behavioural functioning</a>, and improves <a href="https://psychology.org.au/for-members/publications/inpsych/2019/june/making-sense-of-belonging">the quality and meaning</a> of our lives.</p> <p>As our energy starts to rise, we begin to release <a href="https://www.healthline.com/health/happy-hormone">positive endorphins</a> such as serotonin, dopamine and adrenaline. Dopamine <a href="https://www.health.harvard.edu/mind-and-mood/dopamine-the-pathway-to-pleasure">enhances</a> our feelings of pleasure, satisfaction and motivation. Adrenaline <a href="https://www.healthline.com/health/adrenaline-junkie">makes you feel alive</a>. These neurotransmitters increase our sense of wellbeing.</p> <p>They are addictive and we are left feeling that we want more.</p> <p>Even as a newly minted fan, you are now part of the Matilda’s family and they’re counting on the Aussie social contagion to push through those cramping muscles, tired bodies and sweaty palms.</p> <p>You are about to be a part of history and those neurotransmitters won’t want to miss it for the world!<!-- 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/211526/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/sarah-tillott-1462234">Sarah Tillott</a>, Senior Lecturer, Faculty of Health, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross University</a> and <a href="https://theconversation.com/profiles/diarmuid-hurley-1462235">Diarmuid Hurley</a>, Lecturer, Faculty of Health, <a href="https://theconversation.com/institutions/southern-cross-university-1160">Southern Cross 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/connection-camaraderie-and-belonging-why-the-matildas-could-be-making-you-a-sports-fan-for-the-very-first-time-211526">original article</a>.</em></p>

Caring

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Tracking the shift in meanings of ‘anxiety’ and ‘depression’ over time

<div class="copy"> <p>The mental health terms ‘anxiety’ and ‘depression’ have become increasingly pathologised since the 1970s, according to analysis by Australian researchers of more than a million academic and general text sources. </p> <p><a href="https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0288027" target="_blank" rel="noreferrer noopener">Publishing</a> in PLOS ONE, psychology and computer science researchers from the University of Melbourne tracked the frequency and meaning of the concepts ‘anxiety’ and ‘depression’ from 1970 to 2018, and words that occurred in their vicinity.</p> <p>Using natural language processing, the team analysed more than 630 million words across 871,340 academic psychology papers, as well as 400,000 texts from general sources such as magazines, newspapers and non-fiction books.</p> <p>Paper co-author psychologist Professor Nicholas Haslam has a long standing interest in how mental health terms change their meanings over time, particularly the way harm-related words like bullying, abuse and trauma tend to expand over time, incorporating new, and often less severe kinds of experiences.</p> <p>Haslam says that trend reflects progressive social change and a rising sensitivity to harm and suffering in our culture. “We emphasize [that’s] mostly a good thing,” he says.</p> <p><iframe title="The Emoji Squad: The Mysterious Group Behind the Little Icons We Love 🤝" src="https://omny.fm/shows/huh-science-explained/the-emoji-squad-the-mysterious-group-behind-the-li/embed?in_playlist=podcast&amp;style=Cover" width="100%" height="180" frameborder="0"></iframe></p> <p>The terms ‘anxiety’ and ‘depression’ were selected for analysis as prevalent, prominent mental health concepts.</p> <p>The researchers expected the emotional intensity and severity of the two terms to reduce over time as the frequency of their use increased.</p> <p>That expectation was informed by previous research using a similar approach, co-authored by Haslam and <a href="https://sciendo.com/article/10.58734/plc-2023-0002" target="_blank" rel="noreferrer noopener">publishing in</a> Sciendo, where increasing use of the word ‘trauma’ since the 1970s was associated with a shift in meaning including a broadening of use and declining severity.</p> <p>They hypothesised a similar trend for ‘anxiety’ and ‘depression’.</p> <p>“Well, we didn’t find what we expected,” Haslam says.</p> <p>Contrary to expectation, the emotional severity associated with anxiety and depression increased linearly over time. </p> <p>The authors say this is possibly due to growing pathologising of the terms, given their analysis shows use of the words increasingly linked to clinical concepts. </p> <p>In particular, the terms ‘disorder’ and ‘symptom’ have become more commonly associated with ‘anxiety’ and ‘depression’ in more recent decades, the paper says, finding similar patterns in both the academic and general texts. </p> <p>Anxiety and depression were also increasingly used together, compared to use in the ‘70s where the terms were more likely to refer to separate things.</p> <p>Haslam says, these shifts in meaning could reflect growing awareness of mental health in society and more research is needed into the implications, he says. </p> <p>But he notes this is an area where there can be “mixed blessings”.</p> <p>On the one hand, greater awareness of anxiety and depression can help people to seek appropriate treatment; and on the other, pathologising more ordinary variations in mood can risk become self-fulfilling or self-defeating.</p> <p>At a more systemic level, pathologising the milder end of the mental health spectrum could risk leading to a misallocation of resources away from the more severe and urgent mental health problems, Haslam says.</p> <p><em>Image credits: Getty Images</em></p> <p><em><a href="https://cosmosmagazine.com/people/social-sciences/tracking-the-shift-in-meanings-of-anxiety-and-depression-over-time/">This article</a> was originally published on <a href="https://cosmosmagazine.com">Cosmos Magazine</a> and was written by <a href="https://cosmosmagazine.com/contributor/petra-stock">Petra Stock</a>. </em></p> </div>

Mind

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Gratitude amplified: Unlocking the key to happiness and deep connections

<p>In today's fast-paced world, filled with negative news, challenging experiences, and personal losses, finding joy and gratitude can often be a difficult task.</p> <p>As we naturally tend to focus on the negative aspects of life, it becomes essential to pause and cultivate gratitude, which can have a profound impact on our lives and the lives of those around us.</p> <p><strong>What is gratitude? </strong></p> <p>Gratitude involves showing appreciation for the things in life that are important to you, and taking a moment to notice and acknowledge these moments have proven benefits of lifting mood and helping you feel more positive throughout the day. Have you ever stopped to notice that there is something to be grateful for every day if we just take stock? It could be a person who kindly let you merge into traffic, a refreshing breeze on a scorching day, a beautiful rainbow after a heavy downpour, or a thoughtful call or text from a friend. </p> <p>Gratitude is strongly and consistently associated with greater happiness. Gratitude helps people feel more positive emotions, relish good experiences, improve their health, deal with adversity, and build strong relationships. We also know that Gratitude begets gratitude, meaning that any kind act is likely to bring kindness back, in spades! </p> <p><strong>Practice Gratitude – Write down 3 things per day</strong></p> <p><a href="https://theresilienceproject.com.au/">The Resilience Project</a> changed my life by introducing a simple practice: at the end of each day, we take five minutes to write down three things we are grateful for that happened that day. It could be as simple as a walk in the sun, a phone call from a friend, a stroll with your dog, or even a comforting cup of tea. </p> <p>Engaging in this exercise helps you articulate your gratitude and realise the abundance of things to be grateful for in our everyday lives.</p> <p>I personally experienced the transformative power of gratitude during the two years of COVID lockdown in Victoria while working full-time and home schooling my two boys, aged 8 and 10. Our family embraced this practice each night, which not only changed our outlook on life but also sparked positive conversations during dinner.</p> <p>Surprisingly, it was often the simplest things we were all grateful for, like homemade meals or cherished moments of togetherness.</p> <p>I distinctly remember preparing a hot meal and passing it over our neighbour's fence when their family was unwell with COVID. To our surprise, a few weeks later, they reciprocated with a homecooked meal. In those challenging times, a sense of community became such a source of positivity, and we were immensely grateful for the love that went into that dinner.</p> <p>So why not take the time to stop and smell the roses and practice gratitude? Who knows, over time, you may start to notice your stress levels decreasing, your relationships improving, and be blessed with a strengthened sense of community.</p> <p><strong><em>Melissa Cutajar is <a href="https://www.connectedwomen.net/">Connected Women</a>’s Member Experience and Partnerships Manager. With a deep interest in health and wellness, Melissa is a source of positivity and creativity to the Connected Women team.</em></strong></p> <p><strong><em><a href="http://connectedwomen.net/">Connected Women</a> provides a community for women over 50 to connect with each other and build meaningful friendships. With a rapidly growing communities in Perth, Sydney, Wollongong, and Melbourne, Connected Women provides a safe and welcoming space for women to come together and share experiences. To learn more about the organisation and how you can get involved, visit connectedwomen.net.</em></strong></p> <p><em>Image credits: Getty Images</em></p>

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Why does my back get so sore when I’m sick? The connection between immunity and pain

<p><em><a href="https://theconversation.com/profiles/joshua-pate-1399299">Joshua Pate</a>, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> and <a href="https://theconversation.com/profiles/mark-hutchinson-105409">Mark Hutchinson</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a></em></p> <p>Have you ever wondered why your back aches when you’re down with the flu or a cold? Or COVID?</p> <p>This discomfort, common during many illnesses, is not just a random symptom. It’s a result of complex interactions between your immune system and your brain called the “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3314453/">neuroimmune synapse</a>”.</p> <p>A fascinating and yet-to-be-understood consequence of this conversation between the immune and brain systems during sickness is that it is particularly noticeable in the <a href="https://academic.oup.com/brain/article/145/3/1098/6370954">lower back</a>. This is thought to be one of the body’s most sensitive regions to neuroimmune threats.</p> <h2>Immunology basics</h2> <p>Our immune system is a double-edged sword. Yes, it fights off infections for us – but it also makes us acutely aware of the job it is doing.</p> <p>When our body detects an infection, our immune system releases molecules including signalling proteins called <a href="https://www.researchgate.net/publication/227831648_The_functions_of_cytokines_and_their_uses_in_toxicology">cytokines</a>. These proteins coordinate our immune system to fight off the infection and talk to our brain and spinal cord to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2740752/#:%7E:text=Production%20of%20proinflammatory%20cytokines%20induces,to%20depression%20in%20vulnerable%20individuals.">change our behaviour</a> and physiology.</p> <p>This can result in symptoms like fatigue, loss of appetite, fever and increased sensitivity to pain. Classically, we think of this as a beneficial behavioural change to help us conserve energy to fight off the infection. It’s why we often feel the need to rest and withdraw from our usual activities when we’re sick – and also why we are grumpier than usual.</p> <h2>Invisibly small changes</h2> <p>Part of this self-protective response is a change in how we perceive threats, including sensory stimuli.</p> <p>When we are sick, touch can become painful and muscles can ache. Many changes in behaviour and sensory systems are <a href="https://doi.org/10.1159/000521476">believed</a> to have origins at the nanoscale. When molecular changes occur in part of the brain linked to cognition or mood, we think and feel differently. If these neuroimmune synapse changes happen in the sensory processing regions of the brain and spinal cord, we feel more pain.</p> <p>Such sensory changes, known as <a href="https://www.iasp-pain.org/resources/fact-sheets/allodynia-and-hyperalgesia-in-neuropathic-pain/#:%7E:text=Allodynia%20is%20pain%20due%20to,stimulus%20that%20normally%20provokes%20pain.">allodynia and hyperalgesia</a>, can lead to heightened pain sensitivity, even in areas not directly affected by the infection – <a href="https://www.sciencedirect.com/science/article/abs/pii/S0889159114001731?via%3Dihub">such as the lower back</a>.</p> <h2>Immune memories</h2> <p>This immune response happens with a range of bacterial infections and viruses like COVID or the flu. In fact, the sick feeling we sometimes get after a vaccination is the good work our immune system is doing to contribute to <a href="https://theconversation.com/you-cant-get-influenza-from-a-flu-shot-heres-how-it-works-118916">a protective immune memory</a>.</p> <p>Some of that immune-cellular conversation also alerts our brains that we are sick, or makes us think we are.</p> <p>After some viral infections, the sick feeling persists longer than the virus. We are seeing a long-term response to COVID in some people, termed <a href="https://theconversation.com/when-does-covid-become-long-covid-and-whats-happening-in-the-body-when-symptoms-persist-heres-what-weve-learnt-so-far-188976">long COVID</a>.</p> <p>Women, who generally have a <a href="https://www.nature.com/articles/nri.2016.90">stronger immune response</a> than men, may be more likely to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7937378/">experience pain symptoms</a>. Their heightened immune response (while beneficial in resisting infections) also predisposes women to a higher risk of inflammatory conditions like <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7980266/">autoimmune diseases</a>.</p> <h2>When to worry and what to do</h2> <p>If the pain is severe, persistent, or accompanied by other concerning symptoms, seek medical attention. Mild to moderate pain is a common symptom during illness and we often notice this in the lower back. The good news is it usually subsides as the infection clears and the sickness resolves.</p> <p>While treating the underlying infection is crucial, there are also ways to dial down sickness-induced neuroimmune pain.</p> <p>Maintaining a diverse microbiome (the collection of microorganisms living in and on your body) by <a href="https://pubmed.ncbi.nlm.nih.gov/31704402/">eating well and getting outside</a> can help. Getting quality sleep, staying hydrated and minimising inflammation <a href="https://karger.com/bbe/article/97/3-4/197/821576/Sickness-and-the-Social-Brain-How-the-Immune">helps too</a>.</p> <p>Amazingly, there is <a href="https://pubmed.ncbi.nlm.nih.gov/34404209/">research</a> suggesting your grandmother’s traditional chicken broth recipe decreases the immune signals at the neuroimmune synapse.</p> <p>Scientists are also <a href="https://pubmed.ncbi.nlm.nih.gov/24799686/">showing</a> mindfulness meditation, cold water therapy and controlled breathing can drive profound cellular and molecular changes to help activate bodily systems like the autonomic nervous system and alter the immune response. These practices might not only help manage pain but also add an anti-inflammatory component to the immune response, reducing the severity and duration of sickness.</p> <p>Heat treatment (with a pack or hot water bottle) might <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8401625/">provide some relief</a> due to increased circulation. Over-the-counter pain relief maybe also be helpful but seek advice if you are taking other medications.</p> <h2>All in the mind?</h2> <p>Is this all mind over matter? A little of yes and a lot of no.</p> <p>The little of yes comes from <a href="https://pubmed.ncbi.nlm.nih.gov/26194270/">research</a> supporting the idea that if you expect your breathing, meditation and cold bath therapy to work, it may well make a difference at the cellular and molecular level.</p> <p>But by understanding the mechanisms of back pain during illness and by using some simple strategies, there is hope to manage this pain effectively. Always remember to seek medical help if your symptoms are severe or persist longer than expected. Your health and comfort are paramount.<!-- 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/207222/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/joshua-pate-1399299">Joshua Pate</a>, Senior Lecturer in Physiotherapy, <a href="https://theconversation.com/institutions/university-of-technology-sydney-936">University of Technology Sydney</a> and <a href="https://theconversation.com/profiles/mark-hutchinson-105409">Mark Hutchinson</a>, Professor, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</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/why-does-my-back-get-so-sore-when-im-sick-the-connection-between-immunity-and-pain-207222">original article</a>.</em></p>

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