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The power of positivity: Starting the year with a positive mindset

<p>As we step into the New Year, many of us are hitting the reset button and focusing enthusiastically on achieving our resolutions. By harnessing this welcome surge in positivity, we can begin to direct our attention towards tackling our goals and embracing a shift in mindset, even after the glitter on New Year’s has settled. But how can we achieve this? Jacqui Manning, the resident psychologist at Connected Women, a female-founded organisation dedicated to cultivating friendships in women in their midlife, shares her tips on how to foster a more positive mindset, year-round. </p> <p>“Developing a positive mindset is all about being intentional, and it begins with a good routine. Carving out time within your week for activities that fill your cup and encourage a more optimistic outlook is key to embracing age with positivity,” Jacqui says. </p> <p>“Set realistic expectations – if you have a New Year’s resolution to make more time for yourself, pencilling time in the diary for self-care is going to be essential. Or, if your goal is to build new connections this year, be sure to set time aside at least once a week for networking. Whether it’s joining a local tennis club, attending a community event, or simply striking up a conversation at your local café, enriching your social circle can bring new perspectives, enhance feelings of optimism, and boost overall well-being,” Jacqui explains. </p> <p><strong>Don’t skimp on self-care!</strong></p> <p>Self-care involves dedicating the time to engage in activities that help to enhance overall well-being. As we age, it becomes increasingly important to develop an adequate self-care routine to support both our mental and physical health.   </p> <p>“Remember that taking time for yourself is essential. Small indulgences such as enjoying a quiet evening at home, book in hand, or heading outside for a leisurely evening stroll can quiet the mind and recharge your emotional batteries.”</p> <p>“As the year progresses, our self-care practices can tend to fall by the wayside. It’s essential to invest in ourselves, which includes prioritising sleep, regular exercise, remaining engaged in hobbies or preferred activities, and maintaining social connections,” Jacqui says. </p> <p>“Dedicating time for yourself helps to create the space necessary to support mental recharge. Goal setting, implementing boundaries to avoid overwhelm, or integrating wellness practices like meditation or mindfulness exercises act as stress-relievers and boost energy levels,” Jacqui explains. </p> <p><strong>Cultivating your crew</strong></p> <p>Research suggests that our social circle holds a meaningful influence over our mood and disposition. Friends have been found to act as a buffer against ageing, positively supporting both our health and overall cognitive function. </p> <p>“The first step to finding friendship is assessing – how supported do you feel within your relationships? Remember, friends exert significant influence over our feelings and behaviours, so finding a tribe that fulfils your emotional needs is essential,” Jacqui explains. </p> <p>“Nurturing successful relationships begins with finding individuals with shared values and interests. Actively engaging in open conversation is a magnet for developing authentic and emotionally fulfilling connections with others.” </p> <p>“Be open-minded – discussing topics like hobbies, future goals, anxieties, and challenges can encourage openness and conceive opportunities to offer support to one another. Openness also lays the foundations for more meaningful friendships to blossom,” Jacqui says. </p> <p>Friendships in adulthood are well worth the investment, and curating your immediate network could be the masterstroke in ageing with positivity (and boosts overall health and cognitive function to boot!). </p> <p>If forming new bonds heads up your list of New Year's resolutions, then joining a vibrant community group like Connected Women could be the ideal place to start. </p> <p><strong>Practice positive self-talk</strong></p> <p>Take a few minutes each day to reflect on the aspects of life that you’re grateful for – whether that be your health, family, friendships, or a stellar career. By focusing on the positive, it encourages a mental shift away from the negative and toward a more optimistic outlook on life (and age for that matter!). </p> <p>“Practicing techniques such as meditation, gentle movement, and journaling regularly can help to cultivate a more relaxed mind, boost serotonin levels in the brain, and decrease feelings of anxiety or depression,” Jacqui says. </p> <p>Jacqui suggests another technique for fostering a mental shift is to incorporate regular gratitude practices.</p> <p>“Reflecting on and recording the things you’re thankful for can be a valuable outlet. Expressing gratitude regularly serves as a reminder of the positive aspects in your current life and can be a useful tool on low days,” Jacqui says. </p> <p>By incorporating these tips, not only will you be working to foster a more optimistic mindset year-round, but you’ll also be laying the groundwork to build and nurture more meaningful relationships with others. </p> <p><em><strong>For more information visit <a href="https://www.connectedwomen.net" target="_blank" rel="noopener">connectedwomen.net</a> </strong></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 NSW and Victoria, with plans to grow its network to QLD, ACT and SA in the coming year. 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 meet ups and walks 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>

Mind

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Joh Griggs shares positive health update

<p>Joh Griggs has shared a positive health update for her fans, saying she is recovering well after undergoing surgery on her knee. </p> <p>The <em>Better Homes and Gardens</em> host shared a picture from a hospital bed, telling her Instagram followers that she is on the mend after the extensive surgery. </p> <p>She said the procedure was due to "years of damage", but she is now looking forward to being "pain free". </p> <p>In a lengthy caption, she wrote, "Not the most exciting pic I know, but I am happy to update that the surgery on my knee to clean up a couple of tears and years of damage went extremely well."</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/p/C1A8Y5IhpjF/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/C1A8Y5IhpjF/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Johanna Griggs AM (@johgriggs7)</a></p> </div> </blockquote> <p>“Huge thanks to orthopaedic surgeon Dr Julian Yu who lived up to his legendary reputation, and to all the staff at Northern Beaches Hospital Sydney who looked after me beautifully."</p> <p>“Enforced rest is a great way to start any holiday."</p> <p>“I’m so happy to have finally had this done and look forward to being pain free (and whinge free) once again."</p> <p>She concluded the post, saying, “Woohoo. This truly was an early Christmas present!”</p> <p>Griggs also thanked her husband, Todd Huggins, for being her “hospital Uber driver” and added the hashtag #feelinglucky to her post.</p> <p>The post was flooded with like and comments of well wishes, with her Channel Seven colleagues and loyal viewers wishing her a speedy recovery. </p> <p>“Sending love!!” wrote <em>7News</em> journalist Abbey Gelmi, while TV personality Barry Du Bois added, “Get well soon Joh, Merry Christmas to you and the family.”</p> <p>“Pleased it went so well!” one follower wrote. “Enjoy putting your feet up (even if enforced!)”</p> <p><em>Image credits: Instagram</em></p>

Caring

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Iconic Aussie singer returns Order of Australia Medal after Voice result

<p>Legendary Australian singer-songwriter Shane Howard has made headlines by returning his Order of Australia medal, a gesture that speaks volumes about his deep sense of sadness and disappointment following the Voice to Parliament referendum.</p> <p>Howard, the renowned frontman of the iconic band Goanna, first captured the hearts of music enthusiasts 41 years ago with the anthemic hit "Solid Rock," a song that passionately decried the colonisation and Indigenous dispossession of Australia.</p> <p>In a heartfelt letter addressed to the Australian Governor-General, Howard openly expresses his profound sorrow in the wake of the rejected referendum vote.</p> <p>He wrote: "At this point in history, I can't be proud of my nation and feel honour-bound to return my Order of Australia medal."</p> <p>This poignant decision resonates with the deep-seated desire Howard had when he penned "Solid Rock, Sacred Ground" four decades ago. “When I wrote the song, 'Solid Rock, Sacred Ground', 40 years ago, I wanted us to address the fundamental lie at the heart of our national story," he continued in the letter. "I dreamt of a country respectful of our ancient history and honest about our modern history. I wanted to be proud of my country.”</p> <p>Howard, whose great-grandfather was famously arrested at the Eureka Stockade, was awarded the Order of Australia Medal in 2016, honouring his significant contributions to the Australian music landscape. However, he now believes that the democratic principles his family fought for generations ago are facing an imminent threat.</p> <p>In a recent interview with <a href="https://www.abc.net.au/news/2023-10-18/goanna-shane-howard-returns-oam-referendum-result/102989978" target="_blank" rel="noopener">ABC Victorian Mornings</a>, Howard discussed the motivations behind his decision to return his medal. He emphasised that he felt compelled to make his voice heard in a world rife with disinformation and divisive politics. In his own words, "What else can I do, I'm an artist."</p> <p>Howard went on to share the distressing experiences he faced, noting that he encountered an alarming amount of abuse and racism on social media. "I copped an enormous amount of abuse that was very intimidating and at times, some stuff that was very, very racist through social media.</p> <p>"I would say it’s the first time we saw the Brexit or Trump style politics at play in the Australian political landscape."</p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CyapVUCS0xd/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CyapVUCS0xd/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Shane Howard (@goannafella)</a></p> </div> </blockquote> <p>Howard's heartfelt letter to the Governor-General underscores his respect for the democratic process that led to the referendum's outcome. However, he is deeply concerned that Australians may have missed "an important historical moment of destiny."</p> <p>His letter states that while he respects the democratic result, he fears Australians have missed "an important historical moment of destiny".</p> <p>"I love my birth country deeply but until we lose our colonial shackles, engage in Treaty-making with our First Peoples, commit to truth-telling about our history and embrace a post-colonial republic, I cannot be proud of my nation,” he said.</p> <p><em>Images: Instagram</em></p>

Music

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"That's it?": Project host's hopes after dismay at Voice result

<p><em>The Project</em> host Rachel Corbett has shared her disappointment over the quick defeat of the Voice referendum, saying she is still "really hopeful" that Australians are on the right path to reconciliation. </p> <p>Labor's proposed Voice to Parliament referendum was widely voted against in Saturday's vote, with only a single state or territory – the ACT – voting for constitutional change. </p> <p>The defeat sparked a wave of grief and upset from pubic figures who were hopeful the Voice would pass, despite the polls predicting the defeat. </p> <p>On Sunday night, Corbett told her fellow panellists that she was having difficulty coming to terms with the fact it was over in an instant. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-permalink="https://www.instagram.com/reel/CyaZDi5voIe/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/reel/CyaZDi5voIe/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by The Project (@theprojecttv)</a></p> </div> </blockquote> <p>“I could not believe how quickly it was decided. That’s it, we voted no. I am just really hopeful that the majority of people voted no for a specific thing,” she said. </p> <p>“That they weren’t comfortable with this specific version of the Voice being enshrined, and not because they don't want to improve the lives of Indigenous people.”</p> <p>Corbett feared Aboriginal Australians might take away from the vote that they’re not cared about, and that other Australians don’t “want to do something” to close to gap between white Australians and First Nations people. </p> <p>“I‘m really hopeful that if this is not the solution, that we then find something else. Not that people were saying, we don’t want to help you.” Ms Corbett said.</p> <p>Co-host Hamish McDonald said it was now the job of the country’s leaders to find the “common thread” between those who voted “Yes” and “No” on Saturday.</p> <p>“Whose responsibility is it now to, as a nation, drive us forward on this path of reconciliation, which I think broadly people say is still desired or desirable,” he said.</p> <p>“There are some indigenous leaders stepping back. Now, there are other leaders who’ve, I suppose, come to the fore during this. Is it on their shoulders? "</p> <p>“Who it is that will emerge and carry this on their shoulders, or whether actually is all of us... I suppose that’s the bit that I’m wondering about today.”</p> <p><em>Image credits: The Project </em></p>

TV

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Kath & Kim star's positive health update

<p><em>Kath &amp; Kim </em>star Magda Szubanski has candidly opened up about her struggles with binge eating, and in a more positive update, announced that she is no longer pre-diabetic. </p> <p>The 62-year-old took to Instagram to share the major health update, as she shared a photo of her Gordon Ramsay-inspired breakfast. </p> <p>“Have got my Hba1c out of pre-diabetes and back in the normal range,” she wrote in the caption. </p> <p>“I’m far from perfect but I just keep trying.”</p> <p>Pre-diabetes is a condition where blood glucose levels are higher than normal, but not high enough for a type 2 diabetes diagnoses. The HbA1c is a blood test that helps diagnose type 2 diabetes or monitor blood glucose levels in diabetics.</p> <p>“Check out #magdasbignationalhealthcheck #magdashealthcheck on @abctv to find out how sugar is F*CKING with us and why it is so hard to be healthy in Australia,” she added in the caption.</p> <p>“50 per cent of aussies live with chronic illness.</p> <p>“Let’s change that! One brekkie at a time!" she concluded. </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CxjO38cyBZV/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CxjO38cyBZV/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank" rel="noopener">A post shared by Magda Szubanski (@magda_szubanski)</a></p> </div> </blockquote> <p><em>Magda’s Big National Health Check</em>,  which aired on ABC, showcases the actress' personal journey to uncover what health looks like in Australia today. </p> <p>In an old episode which aired in November, the star candidly opened up about how she sought comfort from her overwhelmingly negative feelings by binge eating.</p> <p>Szubanski burst into tears as she revealed that she struggled  with “being able to forgive myself”.</p> <p>“Because I know people are like, ‘Well, why has she done that to herself?’, and it’s like, I felt I had no choice,” she said.</p> <p>“It was the only sane decision I could make given the alternatives that I faced, and then you become this f***ing shame magnet, and it’s like you’re not supposed to fight back.</p> <p>“You’re not allowed to defend yourself, you’re supposed to just hang your head again in shame and say, ‘I’ve brought this upon myself’.”</p> <p>In a previous Instagram update, the star also shared that he had been working to heal her relationship with her body and exercise.</p> <p>“I’m trying to find a way to frame this as not struggling or fighting but accepting resistance,” she said. </p> <p><em>Image: Getty</em></p>

Caring

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Positive news for injured WA police officer in Croatia

<p>A fundraiser set up for a WA police officer who was injured in an<a href="https://www.oversixty.com.au/health/caring/police-officer-in-critical-condition-after-terrifying-cliff-fall" target="_blank" rel="noopener"> unfortunate cliff fall </a>reached its $500,000 target. </p> <p>Ella Cutler was left fighting for her life after falling off a cliff top while on vacation in Croatia, and her loved ones set up a GoFundMe to help pay for her medical bills and bring her home via air ambulance. </p> <p>Now, Ella is out of the ICU with horrific injuries to her body, including her head and spine.</p> <p>Her friends and family members have been overwhelmed with the outpouring of love and support from strangers who donated, and said that Ella still has a "long road" to recovery, with many surgeries to go. </p> <p>"There's been people that have donated, which is just so heartwarming to see Ella's story has really touched them," friend and fellow police officer Constable Dani Morrison said. </p> <p>"They've never met her and they still donated."</p> <p>Ella will undergo another surgery next week before she can fly home to Perth. </p> <p>Ella, and a 34-year-old Australian man were both injured after they fell 10 metres from a cliff near Fort Lovrijenac, in the Dubrovnik suburb of Piles on August 26.</p> <p>Her family have asked for donations after revealing that Ella's travel insurance denied her claim. </p> <p>As of today, the <a href="https://www.gofundme.com/f/please-help-us-bring-ella-home#xd_co_f=NDIzY2U3YjUtNTQ2Yi00MjhjLWEwNTMtNGNhZTMyZmNiMzc0~" target="_blank" rel="noopener">GoFundMe</a> has raised $517,125. </p> <p><em>Image: WA Police</em></p>

Caring

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Julie Bishop’s warning over the Voice result

<p dir="ltr">Julie Bishop has warned that if the Voice to Parliament results in a “no” vote, it could send a “very negative message” to the rest of the world. </p> <p dir="ltr">The former foreign minister said that the Voice was an opportunity to “get things right” for Indigenous Australians. </p> <p dir="ltr">“We’ve done a great deal of research and analysis on the Uluru Statement from the Heart, the Yes campaign, the referendum, and we believe that this is an opportunity to get things right,” she told a Yes campaign event in Perth on Monday.</p> <p dir="ltr">Bishop was then quizzed about what a “no” vote would mean for Australia's international reputation, to which she said she was “most concerned at the message” it would send to our global friends. </p> <p dir="ltr">“It’s not a front-of-mind issue for most people, but I know that Australia’s international reputation can be affected by a No vote,” she said.</p> <p dir="ltr">“I have no doubt that it would be sending a very negative message about the openness, and the empathy, and the respect and responsibility that the Australian people have for Aboriginal and Torres Strait Islanders.”</p> <p dir="ltr">The Voice referendum, like any Australian referendum, requires both a national majority and a majority in at least four of the six states in order to pass. </p> <p dir="ltr">Reports have suggested that support for the “Yes” campaign is slipping in Western Australia, hence Bishop’s appearance in Perth which was followed by Prime Minister Anthony Albanese’s appearance on a local radio station. </p> <p dir="ltr">Albo described the Voice as “just an advisory group so that people can listen to what Indigenous people have to say about programs that affect their lives.”</p> <p dir="ltr">“That is all this is about, so as to get better results,” he said.</p> <p dir="ltr">“The constitutional change is really straightforward, recognition, listening through a voice in order to get better results. It won’t change the way that parliament functions, it won’t have a right of veto.”</p> <p dir="ltr">Albanese will announce the date of the referendum at a campaign event in Adelaide on Wednesday, with reports suggesting it will be held on October 14th. </p> <p dir="ltr"><em>Image credits: Getty Images</em></p>

Legal

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Opioids don’t relieve acute low back or neck pain – and can result in worse pain, new study finds

<p><em><a href="https://theconversation.com/profiles/christine-lin-346821">Christine Lin</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/andrew-mclachlan-255312">Andrew McLachlan</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/caitlin-jones-1263090">Caitlin Jones</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/christopher-maher-826241">Christopher Maher</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>Opioids are the one of the most prescribed pain-relief for people with low back and neck pain. In Australia, around <a href="https://link.springer.com/article/10.1007/s00586-017-5178-4">40% of people</a> with low back and neck pain who present to their GP and <a href="https://qualitysafety.bmj.com/content/28/10/826">70% of people</a> with low back pain who visit a hospital emergency department are prescribed opioids such as oxycodone.</p> <p>But our <a href="https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(23)00404-X/fulltext">new study</a>, published today in the Lancet medical journal, found opioids do not relieve “acute” low back or neck pain (lasting up to 12 weeks) and can result in worse pain.</p> <p>Prescribing opioids for low back and neck pain can also cause <a href="https://www.healthdirect.gov.au/taking-opioid-medicines-safely">harms</a> ranging from common side effects – such as nausea, constipation and dizziness – to <a href="https://www.aihw.gov.au/reports/illicit-use-of-drugs/opioid-harm-in-australia/summary">misuse, dependency, poisoning and death</a>.</p> <p>Our findings show opioids should <em>not</em> be recommended for acute low back pain or neck pain. A change in prescribing for low back pain and neck pain is urgently needed in <a href="https://www.tga.gov.au/resources/publication/publications/addressing-prescription-opioid-use-and-misuse-australia">Australia</a> and <a href="https://www.thelancet.com/commissions/opioid-crisis">globally</a> to reduce opioid-related harms.</p> <h2>Comparing opioids to a placebo</h2> <p>In our trial, we randomly allocated 347 people with acute low back pain and neck pain to take either an opioid (oxycodone plus naloxone) or <a href="https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/placebo-effect">placebo</a> (a tablet that looked the same but had no active ingredients).</p> <p>Oxycodone is an opioid pain medicine which can be given orally. <a href="https://www.nps.org.au/radar/articles/oxycodone-with-naloxone-controlled-release-tablets-targin-for-chronic-severe-pain">Naloxone</a>, an opioid-reversal drug, reduces the severity of constipation while not disrupting the pain relieving effects of oxycodone.</p> <p>Participants took the opioid or placebo for a maximum of six weeks.</p> <p>People in the both groups also received <a href="https://www.sciencedirect.com/science/article/pii/S1836955321000941">education and advice</a> from their treating doctor. This could be, for example, advice on returning to their normal activities and avoiding bed rest.</p> <p>We assessed their outcomes over a one-year period.</p> <h2>What did we find?</h2> <p>After six weeks of treatment, taking opioids did not result in better pain relief compared to the placebo.</p> <p>Nor were there benefits to other outcomes such as physical function, quality of life, recovery time or work absenteeism.</p> <p>More people in the group treated with opioids experienced nausea, constipation and dizziness than in the placebo group.</p> <p>Results at one year highlight the potential long-term harm of opioids even with short-term use. Compared to the placebo group, people in the opioid group experienced slightly worse pain, and reported a higher risk of <a href="https://academic.oup.com/painmedicine/article/20/1/113/4728236#129780622">opioid misuse</a> (problems with their thinking, mood or behaviour, or using opioids differently from how the medicines were prescribed).</p> <p>More people in the opioid group reported pain at one year: 66 people compared to 50 in the placebo group.</p> <h2>What will this mean for opioid prescribing?</h2> <p>In recent years, international low back pain guidelines have shifted the focus of treatment from drug to non-drug treatment due to <a href="https://www.thelancet.com/article/S0140-6736(18)30489-6/fulltext">evidence</a> of limited treatment benefits and concern of medication-related harm.</p> <p>For acute low back pain, <a href="https://link.springer.com/article/10.1007/s00586-018-5673-2">guidelines</a> recommend patient education and advice, and if required, anti-inflammatory pain medicines such as ibuprofen. Opioids are <a href="https://link.springer.com/article/10.1007/s00586-018-5673-2">recommended only</a> when other treatments haven’t worked or aren’t appropriate.</p> <p>Guidelines for <a href="https://pubmed.ncbi.nlm.nih.gov/33064878/">neck</a> pain similarly discourage the use of opioids.</p> <p>Our latest research clearly demonstrates the benefits of opioids do not outweigh possible harms in people with acute low back pain and neck pain.</p> <p>Instead of advising opioid use for these conditions in selected circumstances, opioids should be discouraged without qualification.</p> <h2>Change is possible</h2> <p>Complex problems such as opioid use need smart solutions, and another study we recently conducted provides convincing data opioid prescribing can be successfully reduced.</p> <p>The <a href="https://qualitysafety.bmj.com/content/30/10/825">study</a> involved four hospital emergency departments, 269 clinicians and 4,625 patients with low back pain. The intervention comprised of:</p> <ul> <li>clinician education about <a href="https://aci.health.nsw.gov.au/networks/musculoskeletal/resources/low-back-pain">evidence-based management</a> of low back pain</li> <li>patient education using posters and handouts to highlight the benefits and harms of opioids</li> <li>providing heat packs and anti-inflammatory pain medicines as alternative pain-management treatments</li> <li>fast-tracking referrals to outpatient clinics to avoid long waiting lists</li> <li>audits and feedback to clinicians on information about opioid prescribing rates.</li> </ul> <p>This intervention reduced opioid prescribing from <a href="https://qualitysafety.bmj.com/content/30/10/825">63% to 51% of low back pain presentations</a>. The <a href="https://emj.bmj.com/content/early/2023/04/02/emermed-2022-212874">reduction was sustained for 30 months</a>.</p> <p>Key to this successful approach is that we worked with clinicians to develop suitable pain-management treatments without opioids that were feasible in their setting.</p> <p>More work is needed to evaluate this and other interventions aimed at reducing opioid prescribing in other settings including GP clinics.</p> <p>A nuanced approach is often necessary to avoid causing <a href="https://theconversation.com/opioid-script-changes-mean-well-but-have-left-some-people-in-chronic-pain-156753">unintended consequences</a> in reducing opioid use.</p> <p>If people with low back pain or neck pain are using opioids, especially at higher doses over an extended period of time, it’s important they seek advice from their doctor or pharmacist before stopping these medicines to avoid <a href="https://www.healthdirect.gov.au/opioid-withdrawal-symptoms">unwanted effects when the medicines are abruptly stopped</a>.</p> <p>Our research provides compelling evidence opioids have a limited role in the management of acute low back and neck pain. The challenge is getting this new information to clinicians and the general public, and to implement this evidence into practice.<!-- 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/203244/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/christine-lin-346821">Christine Lin</a>, Professor, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/andrew-mclachlan-255312">Andrew McLachlan</a>, Head of School and Dean of Pharmacy, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/caitlin-jones-1263090">Caitlin Jones</a>, Postdoctoral Research Associate in Musculoskeletal Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/christopher-maher-826241">Christopher Maher</a>, Professor, Sydney School of Public Health, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</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/opioids-dont-relieve-acute-low-back-or-neck-pain-and-can-result-in-worse-pain-new-study-finds-203244">original article</a>.</em></p>

Body

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"Ice in his veins": Stunning result in First Ashes Test

<p>Australia has emerged victorious in the first Ashes Test, with captain Pat Cummins chasing down 281 with just two wickets left inside the final five overs on the last day at Edgbaston.</p> <p>Cummins scored an unbeaten 44 as he and Nathan Lyon (16) put on 55 for the ninth wicket to bag the win — a thrilling reversal of Australia’s famous two-run loss at the same ground in 2005.</p> <p>The captain and Lyon hit occasional boundaries, wearing several short balls on the body before Cummins got a thick edge to third man off Robinson and Harry Brook’s fumble on the boundary saw Aussie fans and players erupt in raptures — reigning in a 1-0 lead in the series.</p> <p>"Ice in his veins," England great Michael Atherton said in commentary when Cummins' boundary sealed the result.</p> <p>"Pat Cummins has led his side to a famous victory here at Edgbaston.</p> <p>"Seventy-two they needed when he came to the crease and he has got his team over the line.”</p> <p>Aussie cricket legend Ricky Ponting was astounded.</p> <p>"What an end to a Test match, what a game of cricket," the former captain said.</p> <p>Needing 174 runs to win at the start of the day, in-form opener Usman Khawaja laid a platform for the late charge with 65 off 197 balls, before being bowled late in the day.</p> <p>He admitted he was “Sh****ng [himself]” as he watched the rest of the brutal run chase from the sheds.</p> <p>Despite being confined to a knee brace, Ben Strokes brought himself on to bowl and claimed the wicket of the eventual man of the match, Usman Khawaja.</p> <p>As the Aussie dressing room spiralled into a frenzy, an elated Cummins raced over to Lyon at the opposite end of the wicket and lifted his batting partner off the ground.</p> <p>The pair were then seen in a triumphant embrace as ecstatic Aussies in the Birmingham crowd celebrated the incredible result.</p> <p>The victory — initially appearing highly unlikely when Lyon joined Cummins with the visitors needing 54 runs to win — made for Australia’s highest successful run chase against England since 1948.</p> <p><em>Image credit: Getty</em></p>

News

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Ratings results after Shirvo’s first day in Kochie’s chair

<p dir="ltr">The results are in and <em>Seven</em> has maintained its position on top, with thousands of viewers tuning in to watch newly appointed <em>Sunrise </em>co-host Matt Shirvington <a href="https://www.oversixty.com.au/news/news/kochie-s-sunrise-replacement-revealed" target="_blank" rel="noopener">replace Kochie</a> on the breakfast TV show.</p> <p dir="ltr">Over 235,000 metro viewers tuned in to Seven on Monday, while Nine’s Today drew around 188,000 viewers, and 104,000 watched ABC’s News Breakfast.</p> <p dir="ltr">The reactions were positive and many took to social media to share their well-wishes for the former sprinter after his first day on the show.</p> <p dir="ltr">“Your first morning Shirvo, great, So natural,” one viewer posted on Instagram.</p> <p dir="ltr">“The best person to replace Kochie,” wrote another.</p> <p dir="ltr">“Matt Shirvo is exactly what Sunrise needed,” another viewer added.</p> <p dir="ltr">“I am so glad they went with Shirvo. A fresh start for Sunrise,” commented another.</p> <p dir="ltr">The 44-year-old was<a href="https://www.oversixty.com.au/news/news/kochie-s-sunrise-replacement-revealed" target="_blank" rel="noopener"> announced as the new host</a> alongside Nat Barr on June 5, and officially replaced Kochie a week later.</p> <p dir="ltr">He has shared his delight and excitement over joining the show, and even posted an <a href="https://www.instagram.com/p/CtWFmBhPAT4/?utm_source=ig_web_copy_link&amp;igshid=MzRlODBiNWFlZA==" target="_blank" rel="noopener">image </a>of all the alarms he set in preparation for his new job.</p> <p dir="ltr">“I’m so excited but also humbled by the opportunity to co-host such an important show to so many Australians,” he said last week.</p> <p><em>Image: Sunriseon7 Instagram</em></p>

TV

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Hallucinations in the movies tend to be about chaos, violence and mental distress. But they can be positive too

<p><em><a href="https://theconversation.com/profiles/christopher-patterson-308185">Christopher Patterson</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/nicholas-procter-147517">Nicholas Procter</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180"><em>University of South Australia</em></a></em></p> <p>Hallucinations are often depicted in the movies as terrifying experiences. Think Jake Gyllenhaal seeing a monstrous rabbit in <em><a href="https://www.imdb.com/title/tt0246578/">Donnie Darko</a></em>, Leonardo DiCaprio experiencing the torture of <em><a href="https://www.psychologytoday.com/au/blog/reel-therapy/201002/shutter-island-separating-fact-fiction">Shutter Island</a></em>, Natalie Portman in <em><a href="https://www.imdb.com/title/tt0947798/">Black Swan</a></em>, or Joaquin Phoenix as the <em><a href="https://www.theguardian.com/film/2019/oct/21/joker-mental-illness-joaquin-phoenix-dangerous-misinformed">Joker</a></em>.</p> <p>Each character experiences some form of psychological distress. Scenes connect to, or even explain, a decline into chaos and violence.</p> <p>Experiencing hallucinations can be distressing for some people and their loved ones. However, focusing solely on such depictions perpetuates myths and misconceptions about hallucinations. They also potentially perpetuate harmful stereotypes of mental distress.</p> <p>Movies such as Joker use a broad, <a href="https://www.theguardian.com/film/2019/oct/21/joker-mental-illness-joaquin-phoenix-dangerous-misinformed">arguably incorrect</a>, brush to connect hallucinations, mental health issues and violence. This reinforces the misconception that hallucinations always indicate mental health issues, when this is not necessarily true.</p> <h2>What are hallucinations?</h2> <p>Hallucinations are perceptions that occur without a corresponding external stimulus. They can involve any of the human senses.</p> <p>Auditory hallucinations involve hearing things that aren’t there, such as voices or sounds. Visual hallucinations involve seeing things that aren’t there, such as lights, objects or people. Tactile hallucinations involve feeling things that aren’t there, such as a sensation of something crawling on your skin. Gustatory hallucinations involve taste and smell.</p> <p>People often confuse hallucinations and delusions. The two can be related, but they are not the same thing. Delusions are false beliefs, firmly held by a person despite evidence to the contrary. A person might believe someone is following them (a delusion), and see and hear that figure (a hallucination).</p> <p>Before the 17th century, hallucinations were commonly thought to be of <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2015.00991/full">cultural and religious</a> significance.</p> <p>However, between the mid-1600s and 1700s, hallucinations began to be understood as medical concerns, related to both mental and physical illnesses. This medical lens of hallucination remains. Now we know which <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702442/">parts of the brain</a> are activated when someone has a hallucination.</p> <h2>What causes hallucinations?</h2> <p>Hallucinations can be a sign of serious mental health issues. The presence or experience of hallucinations is, for example, one of the criteria used to <a href="https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM-5-Schizophrenia.pdf">diagnose schizophrenia</a> (delusions are another).</p> <p>Hallucinations may also provide insight into mental health issues such as bipolar disorder, post-traumatic stress disorder and depression.</p> <p>However, hallucinations can also be linked to other medical conditions.</p> <p>Hallucinations can be caused by fever, as well as disease or damage impacting the brain or <a href="https://theconversation.com/what-is-charles-bonnet-syndrome-the-eye-condition-that-causes-hallucinations-122322">optic nerves</a>. Parkinson’s disease causes visual, auditory and tactile hallucinations <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7116251/">in up to 75% of people</a>. Epilepsy and migraine headaches are also linked to hallucinations, and can cause perceptual disturbances, sometimes for days. Substance use, particularly of <a href="https://theconversation.com/weekly-dose-ayahuasca-a-cautionary-tale-for-tourists-eager-to-try-this-shamanic-brew-73953">hallucinogenic drugs</a> such as LSD or ketamine, can also cause hallucinations.</p> <p>Hallucinations can also occur in people without any underlying medical conditions. For example, some people may experience hallucinations during times of <a href="https://academic.oup.com/schizophreniabulletin/article/46/6/1367/5939754">extreme distress or grief</a>.</p> <p>Environmental factors such as <a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00303/full">sleep deprivation</a> can cause a range of perceptual disturbances, including visual and auditory hallucinations. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4354964/">Sensory deprivation</a>, such as being placed in a soundproof room, can also cause hallucinations.</p> <p>But still, the common image that hallucinations are connected only to mental health issues persists.</p> <h2>Hallucinations can be frightening, but not always</h2> <p>Hallucinations can be frightening for people, and their families. And the <a href="https://journals.sagepub.com/doi/10.1177/0020764016675888">stigma</a> and misconceptions surrounding hallucinations can have a significant impact on someone who experiences them.</p> <p>People who have hallucinations may be afraid or embarrassed of being considered “bizarre” or “unsafe”, and therefore may avoid seeking help.</p> <p>But hallucinations are <a href="https://www.intervoiceonline.org/voices-visions/voices-as-a-gift">not always scary or disturbing</a>. Some hallucinations can be neutral or even pleasant. People have been sharing on social media their positive and empowering experience of hallucinations. In the example below, we see one person’s positive experience of hearing voices. Yet we rarely see such depictions of hallucinations in the movies.</p> <hr /> <p><iframe id="tc-infographic-853" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/853/9f702c4fefadeb810f9d64d7b4512b39a655a262/site/index.html" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <h2>How to support someone having hallucinations</h2> <p>If you are with someone who is having hallucinations, particularly if these are new or distressing for them, here are several ways you can support them:</p> <ul> <li> <p>ask the person if they want to talk about what they are experiencing and listen to them without judgment: “I cannot hear what you are hearing, can you tell me about it?”</p> </li> <li> <p><a href="https://tuneinnotout.com/videos/r-u-ok-ask-experts-nicholas-procter/">listen</a>. Don’t argue or blame. Acknowledge that hallucinations are real to the person, even if they are seemingly unusual and not based in reality: “I cannot see what you see, but I do understand you see it.”</p> </li> <li> <p>empathise with how the person feels about their experiences. “I cannot feel or taste it, but I can imagine it would be a difficult experience. I can see how much it is concerning you.”</p> </li> <li> <p>support someone to seek care. Persistent or distressing hallucinations should always be evaluated by a qualified health professional. Establishing potential causes is important: “I cannot hear it like you, but let’s talk to a health professional about it. They can help us understand what might be happening.”</p> </li> <li> <p>encourage the person to <a href="https://www.intervoiceonline.org/national-networks#content">reach out to their peers</a> as well as to <a href="https://www.tandfonline.com/doi/full/10.1080/01612840.2023.2189953?src=recsys">hearing voices groups</a> for ongoing support.</p> </li> </ul> <p><em>We’d like to acknowledge <a href="https://www.nswmentalhealthcommission.com.au/staff-profile/tim-heffernan">Tim Heffernan</a>, Deputy Commissioner of the Mental Health Commission of New South Wales, who contributed to this article.</em></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. <!-- 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 --></em></p> <p><em><a href="https://theconversation.com/profiles/christopher-patterson-308185">Christopher Patterson</a>, Senior Lecturer, School of Nursing, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/nicholas-procter-147517">Nicholas Procter</a>, Professor and Chair: Mental Health Nursing, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</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/hallucinations-in-the-movies-tend-to-be-about-chaos-violence-and-mental-distress-but-they-can-be-positive-too-204547">original article</a>.</em></p>

Caring

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Expert reveals the worst sleeping position for your body

<p>James Leinhardt, a “posture expert” from the United Kingdom, has revealed the worst possible sleeping position for any body. </p> <p>In a video posted to TikTok, he warns viewers about the perils of sleeping on their stomach, claiming that the common position can actually do more harm than good - from muscle strain to the back and spine to chronic pain.</p> <p>“This is literally the worst ever sleeping position,” he declared, after demonstrating what he likes to call “the car crash position”. </p> <p>“You’re rotating your neck, you’re twisting it, you’re putting your head up, you’re fighting all the natural curves of your spine, you’re compressing your vertebrae, you’re getting pins and needles, neck and back pain,” he went on. </p> <p>“And you still do it every night, why? It’s not comfy, it’s just what you’re familiar with. It’s just what your body’s used to. Does this look comfy to you?”</p> <div class="embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-size: 16px; vertical-align: baseline; outline: none !important;"><iframe class="embedly-embed" style="box-sizing: inherit; margin: 0px; padding: 0px; border: 0px; font-size: 16px; vertical-align: baseline; outline: none !important; width: 610.266px; max-width: 100%;" title="tiktok embed" src="https://cdn.embedly.com/widgets/media.html?src=https%3A%2F%2Fwww.tiktok.com%2Fembed%2Fv2%2F7227913453904710939&amp;display_name=tiktok&amp;url=https%3A%2F%2Fwww.tiktok.com%2F%40levitex%2Fvideo%2F7227913453904710939&amp;image=https%3A%2F%2Fp16-sign-va.tiktokcdn.com%2Fobj%2Ftos-useast2a-p-0037-aiso%2FoYaEwDEnQGRBcOqebHkRDDAMISdXgTQErJfS7P%3Fx-expires%3D1684810800%26x-signature%3DXA9MNq0Ii1CdE0GzHN5fy%252BuJMx0%253D&amp;key=5b465a7e134d4f09b4e6901220de11f0&amp;type=text%2Fhtml&amp;schema=tiktok" width="340" height="700" frameborder="0" scrolling="no" allowfullscreen="allowfullscreen"></iframe></div> <p>Luckily, Leinhardt came equipped with a few tips and tricks to help break free from the “awful front sleeping” habit to the “beautiful side sleeping”. </p> <p>To begin, he recommended having a pillow between the tip of the ear and the tip of the shoulder, as well as one between the knees and angles, to help “support and stabilise this hip and keep you feeling safer and you’re less likely to bring that leg over.”</p> <p>Of his next tip, hugging a secondary pillow, he noted that “you’re going to de-weight that top shoulder, hug it, and again you’re more stable and less likely to roll over.” </p> <p>He suggested trying his tips out for just 30 minutes, and “if you don’t like it, if it doesn’t work out, go back to that car crash of a sleeping position and start again tomorrow.” </p> <p>“Please listen to me,” he encouraged, “this is absolutely easy for you to achieve, just try it.”</p> <p>And while many were grateful for Leinhardt’s tips, and keen to try them out, there were still those who had no interest in abandoning their comfy old habits, no matter the cost.</p> <p>“It's comfy in the beginning,” one viewer wrote. “Morning is full of regrets though.”</p> <p>“That looks freakin fantastic to me!” another declared. “I mean I would rather sleep like that than not sleep at all, sooooo that’s why we sleep like that, BECAUSE we sleep”.</p> <p>Meanwhile, one simply wanted to know “why all the pleasures of life are forbidden”.</p> <p><em>Images: TikTok</em></p>

Body

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Hugh Jackman reveals skin cancer results

<p dir="ltr">Hugh Jackman has shared an update on his skin cancer scare just <a href="https://www.oversixty.com.au/health/caring/hugh-jackman-s-health-scare">two days after revealing he had undergone two biopsies</a> to determine whether or not he had basal cell carcinomas. </p> <p dir="ltr">At the time, Hugh explained “basal cell” to be “the least dangerous of them all” when it came to skin cancers, and that he would get his results in a matter of days. It’s also the most commonly occurring, and typically approached with surgery if the biopsy doesn’t remove the cancer first.</p> <p dir="ltr">And now, Hugh has shared his good news, informing his 31.1 million followers on Instagram that his “biopsies came back NEGATIVE!!!” </p> <p dir="ltr">“Thank you ALL for the love,” he continued in his story post, “I feel it! And to the media for helping get this very important message out.”</p> <p dir="ltr">He concluded his statement by reminding everyone to “wear sunscreen with a high level of SPF (no matter the season)”. </p> <p dir="ltr">It was an important message that echoed what he’d told his supporters just two days before, when he explained that “I know you’ve heard me talk about my basal cell carcinomas before. I’m going to keep talking about them, if need be.</p> <p dir="ltr">“And if it reminds even one person to put on sunscreen with a high SPF, then I’m happy.”</p> <p dir="ltr">He went on to add that no matter how much someone might want to tan, it wasn’t worth it, and that his scares were the result of “stuff that happened 25 years ago”.</p> <p dir="ltr">In 2015, Hugh explained to <em>ABC News</em> that his childhood was spent outdoors, and that his “dad or mum ever bought it [sunscreen] or made us put it on”.</p> <p dir="ltr">And in another clip posted to Instagram during one of his previous cancer scares - of which Hugh has had numerous - he urged followers again to take care of their skin health, and prioritise their approach to being in the sun.</p> <p dir="ltr">“If you’re like me and you didn’t really know any better when you were young, and you didn’t wear sunscreen, and you were in the Australian sun, then you need to get a check-up even more.</p> <p dir="ltr">“I just had mine done, I just had a little biopsy. It’s precancerous, it’s not much, but I’m really glad I went.”</p> <p dir="ltr">In total, the <em>Wolverine</em> and upcoming <em>Deadpool 3 </em>star has had six skin cancer removals from his face - all of which took place in 2017 - and another biopsy in 2021. The latter returned an inconclusive result for the actor, when the worst he could have faced was also basal cell carcinomas.</p> <p dir="ltr"><em>Images: Instagram</em></p>

Body

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Madeleine McCann's parents speak out after DNA test results

<p>Madeleine McCann's parents have spoken out after the results of Julia Faustyna's DNA test have returned. </p> <p>Julia Faustyna, a 21-year-old Polish woman, has been claiming to be the missing British child in a high-profile campaign that has seen her undergo a DNA test to prove her identity.</p> <p>The DNA results determined that Julia is not Maddie, despite Julia's claims of having similar facial features, suffering an abusive childhood and had starting to question her parentage as a result. </p> <p>Private detective Dr Fia Johansson arranged for Julia to give samples in the US for extensive DNA tests - including a DNA test similar to a 23andMe test, which established she is not Madeleine.</p> <p>The test looked into her heritage, and showed that she is from Poland, with some Lithuanian and Romanian heritage, <a href="https://www.thesun.co.uk/news/21808585/who-julia-wendell-madeleine-mccann/" target="_blank" rel="noopener"><em>The Sun</em></a> reported, but nothing to suggest any link to the McCann's. </p> <p>In response, a spokesman for Madeleine’s parents Kate and Gerry McCann said, “There isn’t anything to report at this time. If and when there is, it will come from The Metropolitan Police.”</p> <p>Julia is also facing a nervous wait for the results of further health tests as doctors fear she <a href="https://oversixty.com.au/news/news/sad-health-news-for-woman-claiming-to-be-madeleine-mccann" target="_blank" rel="noopener">may have leukaemia</a>, Dr Johansson - with Julia’s permission - revealed to <em>The Sun</em>.</p> <p>She said, “Her health is very poor she has bad asthma and she suffers lots of pain in her bones."</p> <p>“She is booked in for a CT and MRI scan because of the pain in her bones."</p> <p>“Her blood work is also abnormal so my doctor here in the US is investigating whether she could have leukaemia so we are awaiting the results of that."</p> <p>“And if she needs any treatment we will make sure she gets that.”</p> <p><em>Image credits: Getty Images</em></p>

News

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5 books for kids and teens that positively portray trans and gender-diverse lives

<p><a href="https://www.stonewall.org.uk/about-us/blog/trans-day-visibility-global-perspective">International Transgender Day of Visibility</a> is an opportunity to celebrate trans and gender-diverse people – and to raise awareness of the ongoing discrimination they experience.</p> <p>Trans and gender-diverse people <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7826417/">experience</a> higher levels of depression, anxiety, self-harm and suicidal behaviours than the general population. </p> <p>Recent events in <a href="https://www.theguardian.com/australia-news/2023/mar/25/whats-behind-the-terrifying-backlash-against-australias-queer-community">Australia</a>, <a href="https://time.com/6250646/united-kingdom-scotland-transgender-bill/">the United Kingdom</a> and <a href="https://www.vice.com/en/article/5d378d/anti-trans-bills-2023">the US</a> remind us of the need to promote acceptance of trans and gender-diverse young people, and to support their mental health and wellbeing.</p> <p>Community, school and family <a href="https://link.springer.com/article/10.1007/s40894-019-00118-w">are vital</a> tools for this. </p> <p>So are books that positively represent trans and gender-diverse experiences, themes and issues. Such books can expand young people’s awareness, understanding and acceptance of gender differences from an early age. They also validate the lived experience of trans and gender-diverse youth.</p> <p>The five books below all positively portray trans and gender-diverse lives in age-appropriate ways.</p> <h2>1. My Shadow is Purple by Scott Stuart (ages 4-9)</h2> <p>This picture book, <a href="https://larrikinhouse.com.au/products/my-shadow-is-purple">My Shadow Is Purple</a>, considers gender diversity through the use of colour. The story focuses on a boy whose shadow is purple: presumably a blend of masculine blue and feminine pink.</p> <p>Early in the story, the boy celebrates his gender hybridity, enjoying a range of both traditionally masculine and feminine activities. Stuart also explores the way society regulates and limits gender expression, and how this can have negative effects on individuals.</p> <p>That said, the picture book is positive and offers a promising message to readers. Through both resistance and collective support, we can acknowledge and celebrate the spectrum of colours our shadows might take.</p> <h2>2. Too Bright to See by Kyle Lukoff (ages 10-12)</h2> <p>In his <a href="http://www.kylelukoff.com/my-books/tbts">award-winning</a> junior novel, <a href="https://www.penguin.com.au/books/too-bright-to-see-9780593111178">Too Bright to See</a>, Kyle Lukoff uses the ghost story to explore <a href="https://www.nhs.uk/conditions/gender-dysphoria/">gender dysphoria</a> and grief. </p> <p>Trans boy Bug, aged 11, lives in a house with relatively benign spirits. However, during the summer before school starts, Bug’s uncle dies and a new ghost takes up residence in the house.</p> <p>It is not only the grief of his uncle’s death that Bug must learn to live with. His best friend, Moira, is eager to give him a feminine makeover and the new ghostly resident seems intent on sending him a message.</p> <p>Bug’s investigation of the ghost and his journey of self-discovery and self-acceptance is sensitive and nuanced, allowing readers to learn about transgender issues (and grief) alongside Bug.</p> <h2>3. Euphoria Kids by Alison Evans (ages 12+)</h2> <p><a href="https://www.echopublishing.com.au/books/euphoria-kids">Euphoria Kids</a> is an urban fantasy young adult novel that centres on three trans and gender-diverse teenagers: Iris, who grew from a seed; Babs, the daughter of a local witch; and the boy, named so because his current name does not fit him.</p> <p>The world Evans creates is one of strange magic, free from the trauma and gender dysphoria often associated with representations of transgenderism <a href="https://theconversation.com/friday-essay-transgenderism-in-film-and-literature-71809">in literature and film</a>. The characters’ quest to break a curse enables them to demonstrate their resilience, develop their confidence and experience euphoria.</p> <p>Evans explains (in the author note) their decision to create a positive narrative for trans youth, "I want people to know about gender euphoria. I want them to learn about it before gender dysphoria. I want young trans kids that will read this book to be proud of who they are, and imagine wonderful magic lives for themselves."</p> <h2>4. Meet Cute Diary by Emery Lee (ages 14+)</h2> <p><a href="https://www.harpercollins.com.au/9780063038837/meet-cute-diary/">Meet Cute Diary</a>, a heartfelt young adult romantic comedy, explores gender identity and sexuality – and recognises self-discovery entails continuous questioning, rather than a linear progression.</p> <p>Noah Ramirez, a Japanese, white, Afro-Caribbean 16-year-old trans boy, loves the idea of falling in love. He writes fictional trans love stories for his blog, “Meet Cute Diary”. Noah is confronted in real life by Drew, a white cisgender boy who Noah has featured on his blog. After Noah explains his actions, Drew agrees to pretend to date him, in order to validate his stories. Their pretending quickly becomes real.</p> <p>Things become complicated, though, when Noah finds himself attracted to his nonbinary and asexual coworker, Devin. The narrative explores the changing nature of relationships and love.</p> <p>Lee creates interesting characters and complex relationships that respect gender fluidity and recognise the blurry boundary between the platonic and romantic.</p> <h2>5. Felix Ever After by Kacen Callender (ages 14+)</h2> <p>Felix, the 17-year-old protagonist of <a href="https://www.harpercollins.com/products/felix-ever-after-kacen-callender?variant=32280909578274">Felix Ever After</a>, is Black, queer and trans. The marginalisation and transphobia he experiences are exacerbated when pre-transition images of him are prominently displayed at his school. Felix’s search for revenge sees him open up more about himself to others. And he forms new relationships, including with his friend, Ezra Patel.</p> <p>Similar to Lee’s depiction of self-discovery in Meet Cute Diary, Callender suggests that learning about yourself and your identity is an ongoing process. Felix continues to make new discoveries about himself, including the realisation that he is not a boy but a <a href="https://queerintheworld.com/what-does-demiboy-mean/">demiboy</a>.</p> <p>Callender’s writing is engaging, and the cast of diverse characters that populate the narrative reflects the variation in our communities. This tender trans young adult romance sensitively explores the complexity of friendship, forgiveness and self-discovery.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/5-books-for-kids-and-teens-that-positively-portray-trans-and-gender-diverse-lives-202832" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Books

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Teenagers who have positive relationships with their parents tend to have better outcomes as adults

<p><span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;">Parenting teenagers can be challenging, but a new study shows that those efforts ultimately pay off.</span></p> <div class="copy"> <p>When teenagers report higher levels of “parental warmth”,” communication” and time spent together, they are more likely to experience significantly higher general health, optimism and romantic relationships in early adulthood. </p> <p>That’s according to a paper by US paediatricians and social workers <a href="https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2802677" target="_blank" rel="noreferrer noopener">published</a> in <em>JAMA Network.</em></p> <p>“The overall pattern of these results suggests strong relationships between adolescents and their mothers and fathers leads to better health and well-being in young adulthood,” <a href="https://www.chop.edu/news/chop-researchers-find-strong-adolescent-parent-relationships-lead-better-long-term-health" target="_blank" rel="noreferrer noopener">said the paper’s lead author</a>, Dr Carol Ford from the Children’s Hospital of Philadelphia.</p> <p>“Efforts to strengthen parent-adolescent relationships may have important long-term health benefits.”</p> <p>Using data from the US National Longitudinal Study of Adolescent to Adult Health, the study followed a cohort of more than 15,000 adolescents aged 12-17 years in 1994-95 through to young adulthood (24-32 years) in 2008-09.</p> <p>The researchers found positive teen-parent relationships were also associated with lower levels of stress, depressive symptoms, nicotine dependence and substance abuse in young adults.</p> <p>The data was gathered by asking secondary-school-aged participants a series of detailed questions about their relationships with each parent, including topics such as warmth, communication, time together, academic expectations, discipline, relationship satisfaction. </p> <p>The aim of the study was to better understand the significance of parent-adolescent relationships for adult health. The study looked at the characteristics of mother-teenager and father-teenager relationships and tried to define what a “warm” relationship is, and what “communication” means.</p> <p>The researchers followed up with the participants once they reached adulthood, to ask about health, mental health, sexual behaviour, substance use and injury.</p> <p>“Adolescents’ perception of parental warmth had the most consistent favourable associations with adult outcomes across domains,” the researchers found.<span style="font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> </span></p> <p><img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=240457&amp;title=Teenagers+who+have+positive+relationships+with+their+parents+tend+to+have+better+outcomes+as+adults" width="1" height="1" data-spai-target="src" data-spai-orig="" data-spai-exclude="nocdn" /> <!-- End of tracking content syndication --></div> <div id="contributors"> <p><em>This article was originally published on <a href="https://cosmosmagazine.com/health/teenagers-positive-relationships-with-parents-benefits/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Petra Stock. </em></p> <p><em><br />Images: Getty</em></p> </div>

Relationships

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Why loneliness is both an individual thing and a shared result of the cities we create

<p>If you’re feeling lonely, you’re not alone. Loneliness is an <a href="https://www.ipsos.com/en/loneliness-increase-worldwide-increase-local-community-support">increasingly common experience</a>, and it can have severe consequences. People who feel lonely are at <a href="https://doi.org/10.1007/s12160-010-9210-8">higher risk of serious health issues</a>, including heart disease, immune deficiency and depression.</p> <p>Traditionally, loneliness has been viewed as an individual problem requiring individual solutions, such as psychological therapy or medication. Yet loneliness is caused by feeling disconnected from society. It therefore makes sense that treatments for loneliness should focus on the things that help us make these broader connections. </p> <p>The places where we live, work and play, for example, can promote meaningful social interactions and help us build a sense of connection. Careful planning and management of these places can create <a href="https://www.gov.uk/government/publications/loneliness-annual-report-the-third-year/tackling-loneliness-annual-report-february-2022-the-third-year">population-wide improvements in loneliness</a>.</p> <p>Our research team is investigating how the way we design and plan our cities impacts loneliness. We have just published a <a href="https://authors.elsevier.com/c/1gNq14pqpjtIuw">systematic review</a> of research from around the world. Overall, we found many aspects of the built environment affect loneliness. </p> <p>However, no single design attribute can protect everyone against loneliness. Places can provide opportunities for social interactions, or present barriers to them. Yet every individual responds differently to these opportunities and barriers.</p> <h2>What did the review look at?</h2> <p>Our review involved screening over 7,000 published studies covering fields such as psychology, public health and urban planning. We included 57 studies that directly examined the relationship between loneliness and the built environment. These studies covered wide-ranging aspects from neighbourhood design, housing conditions and public spaces to transport infrastructure and natural spaces.</p> <p>The research shows built environments can present people with options to do the things we know help reduce loneliness. Examples include chatting to the people in your street or neighbourhood or attending a community event.</p> <p>However, the link between the built environment and loneliness is complex. Our review found possibilities for social interaction depend on both structural and individual factors. In other words, individual outcomes depend on what the design of a space enables a person to do as well as on whether, and how, that person takes advantage of that design.</p> <p>Specifically, we identified some key aspects of the built environment that can help people make connections. These include housing design, transport systems and the distribution and design of open and natural spaces.</p> <h2>So what sort of situations are we talking about?</h2> <p>Living in small apartments, for example can increase loneliness. <a href="https://link.springer.com/article/10.1007/s10901-020-09816-7">For some people</a>, this is because the smaller space reduces their ability to have people over for dinner. Others who live in <a href="https://doi.org/10.1017/S0144686X15000112">poorly maintained housing</a> report similar experiences.</p> <p>More universally, living in areas with good access to <a href="https://doi.org/10.1017/S0144686X19001569">community centres</a> and <a href="https://doi.org/10.1093/ije/dyab089">natural spaces</a> helps people make social connections. These spaces allow for both planned and unexpected social interactions.</p> <p>Living in environments with good access to destinations and transport options also protects against loneliness. In particular, it benefits individuals who are able to use <a href="https://doi.org/10.1093/gerona/glu069">active transport (walking and cycling) and high-quality public transport</a>. </p> <p>This finding should make sense to anyone who walks or takes the bus. We are then more likely to interact in some way with those around us than when locked away in the privacy of a car.</p> <p>Similarly, built environments <a href="https://doi.org/10.1002/jcop.21711">designed to be safe</a> — from crime, traffic and pollution — also enable people to explore their neighbourhoods easily on foot. Once again, that gives them more opportunities for social interactions that can, potentially, reduce loneliness.</p> <p>Environments where people are able to express themselves were also found to protect against loneliness. For example, residents of housing they could personalise and “make home” reported feeling less lonely. So too did those who felt able to “<a href="https://doi.org/10.7870/cjcmh-2002-0010">fit in</a>”, or identify with the people living close by.</p> <h2>Other important factors are less obvious</h2> <p>These factors are fairly well defined, but we also found less tangible conditions could be significant. For example, studies consistently showed the importance of socio-economic status. The interplay between economic inequalities and the built environment can deny many the right to live a life without loneliness.</p> <p>For example, <a href="https://doi.org/10.1080/19491247.2021.1940686">housing tenure</a> can be important because people who rent are less able to personalise their homes. People with lower incomes can’t always afford to <a href="https://doi.org/10.1177/1440783320960527">live close to friends</a> or in a neighbourhood where they feel accepted. Lower-income areas are also notoriously under-serviced with <a href="https://doi.org/10.1016/j.jtrangeo.2020.102869">reliable public transport</a>, <a href="https://link.springer.com/article/10.1186/1471-2458-14-292">well-maintained natural spaces</a> and <a href="https://doi.org/10.1016/j.healthplace.2007.11.002">well-designed public spaces</a>.</p> <p>Our review reveals several aspects of the built environment that can enhance social interactions and minimise loneliness. Our key finding, though, is that there is no single built environment that is universally “good” or “bad” for loneliness. </p> <p>Yes, we can plan and build our cities to help us meet our innate need for social connection. But context matters, and different individuals will interpret built environments differently.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/why-loneliness-is-both-an-individual-thing-and-a-shared-result-of-the-cities-we-create-198069" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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Can ‘voluntourism’ outgrow the white saviour stereotype and make a positive change post-pandemic?

<p>As the tourism industry emerges from pandemic shutdowns and border closures, so too is “voluntourism”, the sometimes controversial combination of overseas volunteer work and more traditional tourist experiences.</p> <p>Although hard to measure, pre-pandemic estimates suggest voluntourism was worth <a href="https://sites.lsa.umich.edu/mje/2022/01/22/the-paradox-of-voluntourism-how-international-volunteering-impacts-host-communities/">US$2 billion annually</a>, with up to <a href="https://www.cbi.eu/market-information/tourism/save-tourism/market-potential">ten million volunteers</a> globally. While COVID shut the practice down for the duration, it remains a <a href="https://roadbook.com/opinion/negative-effects-of-voluntourism/">multi-billion-dollar industry</a>, now poised to <a href="https://www.sbs.strath.ac.uk/blogs/SBS/post.aspx?id=1420">return and rebuild</a>.</p> <p>But volunteer tourism has met with considerable criticism. Voluntourists have been accused of putting <a href="https://www.stuff.co.nz/travel/news/109983663/nz-school-students-pay-thousands-to-visit-orphanages-and-volunteer-overseas">vulnerable people at risk</a> (<a href="https://drivingchange.org/do-no-harm-the-dark-side-of-voluntourism/">including children</a>), <a href="https://tourismteacher.com/commodification-volunteer-tourism/">commodifying volunteer work</a>, perpetuating <a href="https://darbymatt.medium.com/voluntourism-is-neo-colonialism-56b6a25f6924">neo-colonialism</a> and <a href="https://www.euronews.com/travel/2022/02/21/how-white-saviour-voluntourism-gets-you-famous-on-tiktok">reinforcing</a> a “white saviour” complex.</p> <p>Voluntourism is also <a href="https://www.thenewhumanitarian.org/2021/06/14/travel-opens-again-aid-voluntourism-needs-get-real">largely unregulated</a>, raising important <a href="https://journalofethics.ama-assn.org/article/voluntourism/2019-09">ethical questions</a> about who it really aims to serve – travellers or hosts. These issues are now being felt in the Pacific, where voluntourism is a relatively new but growing industry. As <a href="https://e-tangata.co.nz/reflections/the-problem-with-white-saviours/">Simone Kaho wrote</a> of her experience in Tonga:</p> <blockquote> <p>In many cases, voluntourism asks the local community to stand back, and allow themselves to be helped. It turns helping into a business model.</p> </blockquote> <p><a href="https://blog.geographydirections.com/2019/09/03/global-encounters-voluntourism-in-fiji/">My research</a> in Fiji has also highlighted the problems associated with the commercialisation and commodification of volunteering. These are real and important issues that need close examination as tourism in general picks up.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">End voluntourism and the white saviour industrial complex <a href="https://t.co/gMHkZfTlsf">https://t.co/gMHkZfTlsf</a> via <a href="https://twitter.com/mailandguardian?ref_src=twsrc%5Etfw">@mailandguardian</a></p> <p>— NGO Watch Africa (@NGOWatchAfrica) <a href="https://twitter.com/NGOWatchAfrica/status/1582376611449491457?ref_src=twsrc%5Etfw">October 18, 2022</a></p></blockquote> <p><strong>Behind the ‘bula smile’</strong></p> <p>The Fiji case study – conducted with an international, for-profit, specialist voluntourism agency – tells a complex story about the benefits and downsides of voluntourism.</p> <p>Volunteers are hosted by local families and included in household life, attending church or religious functions, learning to cook Fijian food, and spending time with children and other family members. Through this, they gain an understanding of life behind the famous “bula” smile. As one staff member said:</p> <blockquote> <p>The host may get angry with you if you leave the light on, you may feel like you are back living with mum and dad because they may give you a lunch box, things like that. But it’s important that they see the person who is paid to smile at the Hilton, what they are like at home with their kids, how they make ends meet, how they eat.</p> </blockquote> <p>Hosts often put considerable energy into sharing their way of life and teaching volunteers Fijian culture. Most hosts and staff took pride in helping travellers find their way around and teaching them Fijian ways. In turn, this helped Fijian staff build knowledge and pride in their own culture.</p> <blockquote> <p>Also the good thing is that we keep up with our culture. Because if you are talking about it every day and you show them and try to talk about it, then the history remains […] Now when we go to the village we do the <em>sevusevu</em> [kava ceremony] and all those things, and we go with the elders. It was our mothers that did that, but now we are doing it, the next generation.</p> <p>When we have volunteers in a Fijian village we will go to any lengths to give them what they want, to try and serve them […] But of course then the volunteers change to become more Fijian!</p> </blockquote> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Are you itching to start travelling, but want to do it with care?</p> <p>Listen to this week's <a href="https://twitter.com/hashtag/WisdomWalks?src=hash&amp;ref_src=twsrc%5Etfw">#WisdomWalks</a> to discover how you can avoid traps like voluntourism and greenwashing when travelling.</p> <p>🎧 27 mins.<a href="https://t.co/f366FJcyQG">https://t.co/f366FJcyQG</a></p> <p>— Curio (@curioio) <a href="https://twitter.com/curioio/status/1587821837932797953?ref_src=twsrc%5Etfw">November 2, 2022</a></p></blockquote> <p><strong>A chance to improve voluntourism</strong></p> <p>The growth of voluntourism in Fiji follows half a century of <a href="https://medium.com/tourism-geographic/paradise-the-noble-savage-and-the-white-savior-in-fiji-7ac7e302e5ec">mass tourism</a>, in which contact between Fijians and tourists has been largely limited and manufactured. Hosts embrace the opportunity to interact with tourists more directly and to build connections across the globe.</p> <p>However, the commercial nature of the encounter has the potential to significantly undermine these connections. The large fees paid by voluntourists mean they – like any tourist – are consumers.</p> <p>Volunteers have certain expectations, ranging from the mundane (internet access, good food and logistical support) to the more profound (a sense of accomplishment, a feeling they’ve made a difference). They will complain if these expectations aren’t met.</p> <p>The pandemic also raised questions about the sustainability of voluntourism. The organisation I studied cut its global workforce significantly. In Fiji it had provided jobs for about a dozen Fijian staff, as well as home-stay income for many households.</p> <p>While there is evidence that <a href="https://theconversation.com/traditional-skills-help-people-on-the-tourism-deprived-pacific-islands-survive-the-pandemic-148987">reliance on customary knowledge, systems and practices</a> helped tourism workers to survive and even thrive during the pandemic, the future for many is uncertain.</p> <p>COVID-19 has been something of a wake-up call that we need to move beyond voluntourism as a pseudo-development practice or as a commodified, profit-making experience. This is an opportunity for the industry to take on board the criticisms, examine past practice and reassess the role and impact of volunteering.</p> <p>Rather than rush back to business as usual, this is the perfect moment to look at reconfiguring the industry in line with the principles of sustainability and <a href="https://medium.com/activate-the-future/understanding-the-opportunity-of-regenerative-tourism-894136cafd3b">regenerative tourism</a>. In the process, perhaps voluntourism’s strengths – building cross-cultural relationships, learning and solidarity – can contribute more to meaningful social and environmental change.<!-- 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/195719/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>Writen by Sharon McLennan. Republished with permission from <a href="https://theconversation.com/can-voluntourism-outgrow-the-white-saviour-stereotype-and-make-a-positive-change-post-pandemic-195719" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Image: Getty Images</em></p>

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Mother dies in her sleep just hours after testing positive to Covid

<p>A family in Sydney have bene left devastated after a mother-of-two died in her sleep just hours after testing positive to Covid. </p> <p>Melaine Leffler was only experiencing minor symptoms of the virus, such as a stuffy nose and are throat, when she tested positive after taking a rapid antigen test.</p> <p>The healthcare worker had received four vaccinations, and was "feeling fine" when she said goodnight to her family on November 19th. </p> <p>Her husband Mick Hogan and their daughters Clemmie, 4, and Lottie, 9 months, had no idea it would be last time they would speak to her, as the 39-year-old mum died in her sleep that night. </p> <p>Her sudden death left her family reeling, as her husband shared the news of her passing on Facebook. </p> <p>“It is with great sadness and a heavy heart that I have to announce to you this way though social media,” Mick wrote.</p> <p>“My loving wife and the mother of 2 beautiful children, Mel Leffler, sadly passed away in her sleep this morning."</p> <p>“She tested positive for Covid last night with a rat test, but only had a runny nose and slightly sore throat. Other than that she was feeling fine.”</p> <p>Melanie’s father Wayne described his daughter as “beautiful, intelligent and loving” person, adding that he and her mother Roz were “deeply shocked and saddened” by her death.</p> <p>“Roz and I lost our beautiful, intelligent and loving 39 y.o. daughter, Mel, overnight,” he wrote in a poignant Facebook post.</p> <p>“To say we’re shocked and deeply saddened would be an understatement. Suddenly, nothing else matters in life other than ensuring the support and wellbeing of Mick and our 2 beautiful granddaughters."</p> <p>“No child should ever pre-decease their parents. It’s just not right."</p> <p>“I awoke hoping Mel’s passing was just a bad dream. I’ve never felt so low. We’re devastated – things will never be the same.”</p> <p>Melanie’s cause of death is yet to be confirmed by a coroner’s report, but her brother Kris Leffler firmly believes it was heart-related.</p> <p>He also revealed that Melanie was inspired to study medical science after a bout of Wilms’ tumour – a rare kidney cancer that primarily affects children – left her with just one kidney.</p> <p>A <a title="www.gofundme.com" href="https://www.gofundme.com/f/Support-Mick-and-his-beautiful-girls?qid=9ed7dd72fb7bcc06a9e07907ace02451" target="_blank" rel="noopener">GoFundMe</a> has been set up to financially support widower Mick and his two daughters, with the page stating “Mel’s beautiful soul will forever live on in her two darling girls”.</p> <p><em>Image credits: GoFundMe / Facebook</em></p>

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