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Hospice nurse explains why we shouldn't be afraid to die

<p>A hospice nurse has shared why we shouldn't be afraid to die, explaining all the ways in which our bodies "shut off" to make for a "peaceful" death. </p> <p>Julie McFadden, a nurse based in Los Angeles, has long been sharing videos and explanations about end of life care in an attempt to destigmatise the conversations and fear around death and dying. </p> <p>In her latest YouTube video, McFadden got candid with her followers as she confessed she isn't afraid to die and why no one else should be either.</p> <p>She went on to explain all the ways in which our bodies are supposed to "shut off" in our final moments, making for a "peaceful" and "natural" death. "</p> <p>"I'm not afraid of death and here's the science behind it, our body biologically helps us die, so here is what I've seen and learned as a hospice nurse over the years - our body is literally built to die," she said.</p> <p>The hospice nurse revealed that bodies began to slowly shut down in the six months leading up to death, explaining that a person nearing the end of their life would start "eating less, drinking less, and sleeping more."</p> <p>"Why is that happening? Because calcium levels in the body are going up and because calcium levels are going up the person is getting sleepier," Julie said.</p> <p>"Our brains have built in mechanisms to make us hungry and thirsty. Biologically, when the body knows it's getting towards the end of life those mechanisms shut off, so the person does not usually feel hungry and does not usually feel thirsty, which is helping the body slowly shut down."</p> <p><iframe title="YouTube video player" src="https://www.youtube.com/embed/CJEkzA0gt6s?si=CIzcf3xchddKtf1D" width="560" height="315" frameborder="0" allowfullscreen="allowfullscreen"></iframe></p> <p>She put minds at ease by debunking a common concern, saying that while certain diseases could make death more uncomfortable, dying in itself wasn't painful. </p> <p>"There are times when the disease that the person is experiencing can cause symptoms and it's more difficult because they're dying from a certain disease, but the actual process that the body is going through to help it die is actually helping that person," Julie added.</p> <p>"There have been many times as a hospice nurse that I have watched someone slowly die on hospice and I have not needed to give them any medication because their disease was not causing any symptoms - no pain, no shortness of breath, they were just more tired and weren't eating or drinking." </p> <p>"They still did all of the things any other person on hospice would be doing, like they slowly go unconscious, they slowly stop eating and drinking. I didn't have to give them any medications. They were perfectly comfortable and died a very peaceful death."</p> <p>Julie explained that death was even "comforting" in a way because when you're about to take your last breath, your body released endorphins, making you feel euphoric in your final moments.</p> <p>"The body slowly goes into something called ketosis, which releases endorphins. In that person's body those endorphins dull pain, dull nerves, and they also give that person a euphoric sense, so they feel good," she said.</p> <p>"There are many reasons why I don't fear death. Yes, I have had some pretty crazy spiritual experiences as a hospice nurse that led me to not fear death, but there are also biological, metabolical, and physiological things that happen in the body that truly, truly comforted me."</p> <p>She concluded, "Our bodies are built to die. The less we mess with that, the more peaceful it will be."</p> <p><em>Image credits: YouTube / Instagram </em></p>

Caring

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How much stress is too much? A psychiatrist explains the links between toxic stress and poor health − and how to get help

<p><a href="https://theconversation.com/profiles/lawson-r-wulsin-1493655">La<em>wson R. Wulsin</em></a><em>, <a href="https://theconversation.com/institutions/university-of-cincinnati-1717">University of Cincinnati </a></em></p> <p>COVID-19 taught most people that the line between tolerable and toxic stress – defined as persistent demands that lead to disease – varies widely. But some people will age faster and die younger from toxic stressors than others.</p> <p>So how much stress is too much, and what can you do about it?</p> <p>I’m a <a href="https://researchdirectory.uc.edu/p/wulsinlr">psychiatrist specializing in psychosomatic medicine</a>, which is the study and treatment of people who have physical and mental illnesses. My research is focused on people who have psychological conditions and medical illnesses as well as those whose stress exacerbates their health issues.</p> <p>I’ve spent my career studying mind-body questions and training physicians to treat mental illness in primary care settings. My <a href="https://www.cambridge.org/core/books/toxic-stress/677FA62B741540DBDB53E2F0A52A74B1">forthcoming book</a> is titled “Toxic Stress: How Stress is Killing Us and What We Can Do About It.”</p> <p>A 2023 study of stress and aging over the life span – one of the first studies to confirm this piece of common wisdom – found that four measures of stress all speed up the pace of biological aging in midlife. It also found that persistent high stress ages people in a comparable way to the <a href="https://doi.org/10.1097/PSY.0000000000001197">effects of smoking and low socioeconomic status</a>, two well-established risk factors for accelerated aging.</p> <figure><iframe src="https://www.youtube.com/embed/yiglpsqv5ik?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Children with alcoholic or drug-addicted parents have a greater risk of developing toxic stress.</span></figcaption></figure> <h2>The difference between good stress and the toxic kind</h2> <p>Good stress – a demand or challenge you readily cope with – is good for your health. In fact, the rhythm of these daily challenges, including feeding yourself, cleaning up messes, communicating with one another and carrying out your job, helps to regulate your stress response system and keep you fit.</p> <p>Toxic stress, on the other hand, wears down your stress response system in ways that have lasting effects, as psychiatrist and trauma expert Bessel van der Kolk explains in his bestselling book “<a href="https://www.penguinrandomhouse.com/books/313183/the-body-%20keeps-the-score-by-bessel-van-der-kolk-md/">The Body Keeps the Score</a>.”</p> <p>The earliest effects of toxic stress are often persistent symptoms such as headache, fatigue or abdominal pain that interfere with overall functioning. After months of initial symptoms, a full-blown illness with a life of its own – such as migraine headaches, asthma, diabetes or ulcerative colitis – may surface.</p> <p>When we are healthy, our stress response systems are like an orchestra of organs that miraculously tune themselves and play in unison without our conscious effort – a process called self-regulation. But when we are sick, some parts of this orchestra struggle to regulate themselves, which causes a cascade of stress-related dysregulation that contributes to other conditions.</p> <p>For instance, in the case of diabetes, the hormonal system struggles to regulate sugar. With obesity, the metabolic system has a difficult time regulating energy intake and consumption. With depression, the central nervous system develops an imbalance in its circuits and neurotransmitters that makes it difficult to regulate mood, thoughts and behaviors.</p> <h2>‘Treating’ stress</h2> <p>Though stress neuroscience in recent years has given researchers like me <a href="https://doi.org/10.1097/PSY.0000000000001051">new ways to measure and understand stress</a>, you may have noticed that in your doctor’s office, the management of stress isn’t typically part of your treatment plan.</p> <p>Most doctors don’t assess the contribution of stress to a patient’s common chronic diseases such as diabetes, heart disease and obesity, partly because stress is complicated to measure and partly because it is difficult to treat. In general, doctors don’t treat what they can’t measure.</p> <p>Stress neuroscience and epidemiology have also taught researchers recently that the chances of developing serious mental and physical illnesses in midlife rise dramatically when people are exposed to trauma or adverse events, especially during <a href="https://www.cdc.gov/violenceprevention/aces/ace-brfss.html">vulnerable periods such as childhood</a>.</p> <p>Over the past 40 years in the U.S., the alarming rise in <a href="https://www.cdc.gov/diabetes/health-equity/diabetes-by-the-numbers.html">rates of diabetes</a>, <a href="https://www.cdc.gov/nchs/data/hestat/obesity-child-17-18/overweight-obesity-child-H.pdf">obesity</a>, depression, PTSD, <a href="https://www.cdc.gov/nchs/products/databriefs/db433.htm">suicide</a> and addictions points to one contributing factor that these different illnesses share: toxic stress.</p> <p>Toxic stress increases the risk for the onset, progression, complications or early death from these illnesses.</p> <h2>Suffering from toxic stress</h2> <p>Because the definition of toxic stress varies from one person to another, it’s hard to know how many people struggle with it. One starting point is the fact that about 16% of adults report having been exposed to <a href="https://www.cdc.gov/violenceprevention/aces/fastfact.html">four or more adverse events in childhood</a>. This is the threshold for higher risk for illnesses in adulthood.</p> <p>Research dating back to before the COVID-19 pandemic also shows that about 19% of adults in the U.S. have <a href="https://doi.org/10.7249/TL221">four or more chronic illnesses</a>. If you have even one chronic illness, you can imagine how stressful four must be.</p> <p>And about 12% of the U.S. population <a href="https://blogs.worldbank.org/opendata/introducing-second-edition-world-banks-global-subnational-atlas-poverty">lives in poverty</a>, the epitome of a life in which demands exceed resources every day. For instance, if a person doesn’t know how they will get to work each day, or doesn’t have a way to fix a leaking water pipe or resolve a conflict with their partner, their stress response system can never rest. One or any combination of threats may keep them on high alert or shut them down in a way that prevents them from trying to cope at all.</p> <p>Add to these overlapping groups all those who struggle with harassing relationships, homelessness, captivity, severe loneliness, living in high-crime neighborhoods or working in or around noise or air pollution. It seems conservative to estimate that about 20% of people in the U.S. live with the effects of toxic stress.</p> <figure><iframe src="https://www.youtube.com/embed/WuyPuH9ojCE?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Exercise, meditation and a healthy diet help fight toxic stress.</span></figcaption></figure> <h2>Recognizing and managing stress and its associated conditions</h2> <p>The first step to managing stress is to recognize it and talk to your primary care clinician about it. The clinician may do an assessment involving a <a href="https://doi.org/10.1097/PSY.0000000000001051">self-reported measure of stress</a>.</p> <p>The next step is treatment. Research shows that it is possible to retrain a dysregulated stress response system. This approach, <a href="https://lifestylemedicine.org/">called “lifestyle medicine</a>,” focuses on improving health outcomes through changing high-risk health behaviors and adopting daily habits that help the stress response system self-regulate.</p> <p>Adopting these lifestyle changes is not quick or easy, but it works.</p> <p>The <a href="https://www.cdc.gov/diabetes/prevention/index.html">National Diabetes Prevention Program</a>, the <a href="https://www.ornish.com/">Ornish “UnDo” heart disease program</a> and the <a href="https://www.ptsd.va.gov/understand_tx/tx_basics.asp">U.S. Department of Veterans Affairs PTSD program</a>, for example, all achieve a slowing or reversal of stress-related chronic conditions through weekly support groups and guided daily practice over six to nine months. These programs help teach people how to practice personal regimens of stress management, diet and exercise in ways that build and sustain their new habits.</p> <p>There is now strong evidence that it is possible to treat toxic stress in ways that improve health outcomes for people with stress-related conditions. The next steps include finding ways to expand the recognition of toxic stress and, for those affected, to expand access to these new and effective approaches to treatment.<!-- 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/222245/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/lawson-r-wulsin-1493655"><em>Lawson R. Wulsin</em></a><em>, Professor of Psychiatry and Family Medicine, <a href="https://theconversation.com/institutions/university-of-cincinnati-1717">University of Cincinnati</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-much-stress-is-too-much-a-psychiatrist-explains-the-links-between-toxic-stress-and-poor-health-and-how-to-get-help-222245">original article</a>.</em></p>

Mind

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Why do airlines charge so much for checked bags? This obscure rule helps explain why

<p><em><a href="https://theconversation.com/profiles/jay-l-zagorsky-152952">Jay L. Zagorsky</a>, <a href="https://theconversation.com/institutions/boston-university-898">Boston University</a></em></p> <p>Five out of the six <a href="https://www.oag.com/blog/biggest-airlines-in-the-us">biggest U.S. airlines</a> have <a href="https://www.cnbc.com/2024/03/05/delta-is-the-latest-airline-to-raise-its-checked-bag-fee.html">raised their checked bag fees</a> since January 2024.</p> <p>Take American Airlines. In 2023, it cost US$30 to check a standard bag in with the airline; <a href="https://www.usatoday.com/story/travel/airline-news/2024/02/20/american-airlines-bag-fees-mileage-earning/72669245007/">today, as of March 2024, it costs $40</a> at a U.S. airport – a whopping 33% increase.</p> <p>As a <a href="https://www.bu.edu/questrom/">business school</a> <a href="https://www.bu.edu/questrom/profile/jay-zagorsky/">professor who studies travel</a>, I’m often asked why airlines alienate their customers with baggage fees instead of bundling all charges together. <a href="https://www.vox.com/2015/4/16/8431465/airlines-carry-on-bags">There are</a> <a href="https://www.usatoday.com/story/travel/columnist/2023/06/21/bag-fees-will-stay-a-while-cruising-altitude/70338849007/">many reasons</a>, but an important, often overlooked cause is buried in the U.S. tax code.</p> <h2>A tax-law loophole</h2> <p>Airlines pay the federal government <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D">7.5% of the ticket price</a> when <a href="https://www.pwc.com/us/en/services/tax/library/aircraft-club-nov-2023-air-transport-excise-tax-rates-for-2024.html">flying people domestically, alongside other fees</a>. The airlines dislike these charges, with their <a href="https://www.airlines.org/dataset/government-imposed-taxes-on-air-transportation/">trade association arguing</a> that they boost the cost to the consumer of a typical air ticket by around one-fifth.</p> <p>However, the U.S. Code of Federal Regulations <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D/section-49.4261-8">specifically excludes baggage</a> from the 7.5% transportation tax as long as “the charge is separable from the payment for the transportation of a person and is shown in the exact amount.”</p> <p>This means if an airline charges a combined $300 to fly you and a bag round-trip within the U.S., it owes $22.50 in tax. If the airline charges $220 to fly you plus separately charges $40 each way for the bag, then your total cost is the same — but the airline only owes the government $16.50 in taxes. Splitting out baggage charges saves the airline $6.</p> <p>Now $6 might not seem like much, but it can add up. Last year, passengers took <a href="https://www.transtats.bts.gov/Data_Elements.aspx?Data=1">more than 800 million trips on major airlines</a>. Even if only a fraction of them check their bags, that means large savings for the industry.</p> <p>How large? The government has <a href="https://www.bts.dot.gov/topics/airlines-and-airports/baggage-fees-airline-2023">tracked revenue from bag fees</a> for decades. In 2002, airlines charged passengers a total of $180 million to check bags, which worked out to around 33 cents per passenger.</p> <p>Today, as any flyer can attest, bag fees are a lot higher. Airlines collected over 40 times more money in bag fees last year than they did in 2002.</p> <p>When the full data is in for 2023, <a href="https://www.bts.dot.gov/baggage-fees">total bag fees</a> will likely top $7 billion, which is about $9 for the average domestic passenger. <a href="https://viewfromthewing.com/the-real-reason-airlines-charge-checked-bag-fees-and-its-not-what-you-think">By splitting out the cost of bags</a>, airlines avoided paying about half a billion dollars in taxes just last year.</p> <p>In the two decades since 2002, flyers paid a total of about $70 billion in bag fees. This means separately charging for bags saved airlines about $5 billion in taxes.</p> <p><iframe id="88MYD" class="tc-infographic-datawrapper" style="border: none;" src="https://datawrapper.dwcdn.net/88MYD/2/" width="100%" height="400px" frameborder="0"></iframe></p> <p>It seems clear to me that tax savings are one driver of the unbundling of baggage fees because of a quirk in the law.</p> <p>The U.S. government doesn’t apply the 7.5% tax to <a href="https://www.ecfr.gov/current/title-26/chapter-I/subchapter-D/part-49/subpart-D/section-49.4261-3">international flights that go more than 225 miles</a> beyond the nation’s borders. Instead, there are fixed <a href="https://www.airlines.org/dataset/government-imposed-taxes-on-air-transportation">international departure and arrival taxes</a>. This is why major airlines charge $35 to $40 <a href="https://www.aa.com/i18n/travel-info/baggage/checked-baggage-policy.jsp">for bags if you’re flying domestically</a>, but don’t charge a bag fee when you’re flying to Europe or Asia.</p> <h2>Do travelers get anything for that money?</h2> <p>This system raises an interesting question: Do baggage fees force airlines to be more careful with bags, since customers who pay more expect better service? To find out, I checked with the Bureau of Transportation Statistics, which has been <a href="https://www.bts.gov/content/mishandled-baggage-reports-filed-passengers-largest-us-air-carriersa">tracking lost luggage for decades</a>.</p> <p>For many years, it calculated the number of mishandled-baggage reports per thousand airline passengers. The government’s data showed mishandled bags peaked in 2007 with about seven reports of lost or damaged luggage for every thousand passengers. That means you could expect your luggage to go on a different trip than the one you are taking about once every 140 or so flights. By 2018, that estimate had fallen to once every 350 flights.</p> <p>In 2019, the government <a href="https://www.bts.gov/topics/airlines-and-airports/number-30a-technical-directive-mishandled-baggage-amended-effective-jan">changed how it tracks</a> mishandled bags, calculating figures based on the total number of bags checked, rather than the total number of passengers. The new data show about six bags per thousand checked get lost or damaged, which is less than 1% of checked bags. Unfortunately, the data doesn’t show improvement since 2019.</p> <p>Is there anything that you can do about higher bag fees? Complaining to politicians probably won’t help. In 2010, two senators <a href="https://www.nj.com/business/2010/04/us_senators_present_bill_to_ba.html">tried to ban bag fees</a>, and their bill went nowhere.</p> <p>Given that congressional action failed, there’s a simple way to avoid higher bag fees: <a href="https://www.cnn.com/travel/article/packing-expert-travel-world-handbag/index.html">travel light</a> and <a href="https://www.nytimes.com/2023/07/08/opinion/carry-on-packing-airlines-lost-luggage.html">don’t check any luggage</a>. It may sound tough not to have all your belongings when traveling, but it might be the best option as bag fees take off.<!-- 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/225857/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/jay-l-zagorsky-152952">Jay L. Zagorsky</a>, Associate Professor of Markets, Public Policy and Law, <a href="https://theconversation.com/institutions/boston-university-898">Boston University</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-do-airlines-charge-so-much-for-checked-bags-this-obscure-rule-helps-explain-why-225857">original article</a>.</em></p>

Travel Trouble

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Princess of Wales and King Charles: one in two people develop cancer during their lives – the diseases and treatments explained

<p><em><a href="https://theconversation.com/profiles/gavin-metcalf-1340598">Gavin Metcalf</a>, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a></em></p> <p>The Princess of Wales released a <a href="https://x.com/KensingtonRoyal/status/1771235267837321694?s=20">moving video message</a> on March 22 to address speculation about her health. In it, the future queen disclosed that she’d been <a href="https://www.bbc.co.uk/news/health-68641710">diagnosed with cancer</a> following tests conducted after she underwent major abdominal surgery at a clinic in London in January.</p> <p>Catherine explained that she was undergoing “preventative chemotherapy” – but emphasised that her surgery had been successful, and that she was “well” and “getting stronger every day”.</p> <p>The message was the <a href="https://www.theguardian.com/uk-news/2024/mar/22/princess-kate-cancer-royal-family-health-annus-horribilis">second announcement</a> of a royal family cancer diagnosis in recent weeks. On February 5, Buckingham Palace <a href="https://www.royal.uk/a-statement-from-buckingham-palace-5Feb24">published a statement</a> that King Charles III had been diagnosed with an undisclosed form of <a href="https://www.bbc.co.uk/news/uk-68208157">cancer, unrelated</a> to the treatment he had been receiving for an enlarged prostate.</p> <figure><iframe src="https://www.youtube.com/embed/3xzKooCaRXU?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>The statement said that he had begun “regular treatments”. The king postponed all public-facing duties during his treatment, but <a href="https://www.bbc.co.uk/news/uk-68213383">reportedly continued</a> with his “constitutional role as head of state, including completing paperwork and holding private meetings”.</p> <p>Cancer is the <a href="https://www.who.int/news-room/fact-sheets/detail/cancer">leading cause of death</a> worldwide. <a href="https://www.nhs.uk/conditions/cancer/#:%7E:text=The%20cancerous%20cells%20can%20invade,of%20cancer%20during%20their%20lifetime.">One in two</a> people will develop some form of cancer in their lifetime – so the condition will affect almost every family. However, many cancers can be cured if, as appears to be the case with the king, the condition is <a href="https://www.bbc.co.uk/news/uk-68213383">detected early</a> and treated effectively.</p> <h2>What is cancer?</h2> <p>Our bodies are made up of more than 100 billion cells, and cancer typically starts with changes in a small group of cells – or even a single one.</p> <p>We have different cell types depending upon where in the body they are and the function that the cell has. The size, amount and function of each of these cells is normally tightly regulated by genes – groups of codes held within our DNA – that instruct cells how to grow and divide.</p> <p>However, changes (mutations) to DNA can alter the way cells grow and multiply – often forming a lump, or solid tumour. Cancers can also develop in blood cells, such as white blood cell cancer which is known as leukaemia. This type of cancer does not form solid tumours; instead, the cancer builds up in the blood or sometimes the marrow in the core of bones, where blood cells are produced.</p> <p>In all, there are <a href="https://www.cancerresearchuk.org/about-cancer/what-is-cancer/how-cancer-starts/types-of-cancer#:%7E:text=For%20example%2C%20nerves%20and%20muscles,of%20cell%20they%20start%20in.">more than 200</a> types of cancer, but all start with mutations in the DNA contained within each and every cell.</p> <h2>What exactly are mutations?</h2> <p>Think of your DNA as a big recipe book, and your genes as individual recipes for making different dishes. Mutations are smudges or missing words from this recipe that can result in key ingredients not being added into the mix.</p> <figure><iframe src="https://www.youtube.com/embed/8BJ8_5Gyhg8?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Regardless of the type of cancer or the cells from which it develops, mutations in our genes can result in a cell no longer understanding its instructions.</p> <p>These mutations can happen by chance when dividing, but can also be the result of lifestyle choices such as <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6141049/">smoking</a>, <a href="https://www.ndph.ox.ac.uk/news/new-genetic-study-confirms-that-alcohol-is-a-direct-cause-of-cancer#:%7E:text=These%20mutations%20both%20disrupt%20the,aldehyde%20dehydrogenase%202%20(ALDH2).">drinking</a>, and <a href="https://www.cancer.gov/about-cancer/causes-prevention/risk/obesity/physical-activity-fact-sheet">inactivity</a>.</p> <p>Research has found that in order for a normal cell to turn into a cancerous cell, anywhere from <a href="https://www.sanger.ac.uk/news_item/1-10-mutations-are-needed-drive-cancer-scientists-find/">one to ten different mutations</a> are normally required.</p> <h2>How is cancer treated?</h2> <p>Treatment options for cancer depend on a variety of factors, including where your cancer is, how large it is, and whether it has spread to other parts of the body. The main treatments for cancer include surgery, chemotherapy, and radiotherapy.</p> <p>Chemotherapy uses drugs to target and kill cells that are rapidly dividing in our bodies. This approach is effective at targeting fast-growing cells in various cancers – but also has negative side effects. It also targets healthy cells that rapidly divide, such as hair and the cells lining our digestive system. This can lead to commonly reported <a href="https://www.nhs.uk/conditions/chemotherapy/side-effects/">side-effects</a> such as hair loss, nausea and diarrhoea.</p> <p><a href="https://www.cancerresearchuk.org/about-cancer/treatment/chemotherapy?gad_source=1&amp;gclid=Cj0KCQjw-_mvBhDwARIsAA-Q0Q6tyQxTuBzU7vVD7SHjQ5dF-fRdqnL7S74-k5LXyTqODydsrPfJVsoaAkgyEALw_wcB&amp;gclsrc=aw.ds">Chemotherapy</a> can be used both preventatively – as in the case of the princess – and therapeutically.</p> <figure><iframe src="https://www.youtube.com/embed/FkZn5u3MIiY?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe></figure> <p>Preventative chemotherapy, also known as <a href="https://www.cancer.gov/publications/dictionaries/cancer-terms/def/adjuvant-therapy">adjuvant chemotherapy</a>, is given after surgery or other primary treatments to eliminate any remaining cancer cells in the body. It aims to reduce the risk of the cancer returning (known as recurrence).</p> <p>Therapeutic chemotherapy is used as a treatment option for cancer that has spread or is well established, such as advanced-stage cancers.</p> <p><a href="https://www.cancerresearchuk.org/about-cancer/treatment/surgery/about">Surgery</a> involves the physical removal of cancerous tissues as well as nearby lymph nodes – small glands which act as filters in your body that cancers can spread through – to eliminate the tumour. Surgery is often used to remove localised cancers that haven’t spread throughout the body.</p> <p><a href="https://www.cancerresearchuk.org/about-cancer/treatment/radiotherapy">Radiotherapy</a> uses high-energy radiation beams that are able to target specific areas where tumour cells are located to destroy or shrink the tumour. Radiotherapy can be applied externally or internally.</p> <p>Chemotherapy, surgery, and radiotherapy are often combined in cancer treatment to improve outcomes for patients.</p> <p>Thanks to developments in cancer research over the last 50 years, survival rates have improved greatly – although the rate of improvement has <a href="https://news.cancerresearchuk.org/2024/02/02/world-cancer-day-2024/#:%7E:text=Improvements%20in%20cancer%20survival%20have%20slowed%20in%20recent%20years&amp;text=Survival%20increased%20three%20to%20five,consistently%20lags%20behind%20comparable%20countries.">slowed recently</a>. Cancer survival depends on various factors such as age – people under 40 have a <a href="https://www.cancer.gov/about-cancer/causes-prevention/risk/age">greater chance</a> of survival – overall health and fitness, as well as family history.</p> <h2>What you should do</h2> <p>Particular changes in your body or warning symptoms could indicate the presence of cancer. These include, but are not limited to:</p> <ul> <li>Unexplained weight loss;</li> <li>Fatigue that doesn’t improve with rest;</li> <li>Changes in bowel or bladder habits;</li> <li>Persistent cough or coughing up blood;</li> <li>Difficulty swallowing;</li> <li>Persistent pain;</li> <li>Noticing lumps, such as in a breast or testicle.</li> </ul> <p>The symptoms may not necessarily be the result of cancer. But it is important to get checked by a doctor if you notice anything out of the ordinary or have had persistent symptoms that don’t ease. Early detection and treatment can <a href="https://www.science.org/doi/full/10.1126/science.aay9040">significantly improve</a> outcomes for many types of cancer.<!-- 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/226456/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/gavin-metcalf-1340598">Gavin Metcalf</a>, Cancer Biologist and Lecturer in Biomedical Science, <a href="https://theconversation.com/institutions/anglia-ruskin-university-1887">Anglia Ruskin University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/princess-of-wales-and-king-charles-one-in-two-people-develop-cancer-during-their-lives-the-diseases-and-treatments-explained-226456">original article</a>.</em></p>

Caring

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Altitude sickness is typically mild but can sometimes turn very serious − a high-altitude medicine physician explains how to safely prepare

<p><em><a href="https://theconversation.com/profiles/brian-strickland-1506270">Brian Strickland</a>, <a href="https://theconversation.com/institutions/university-of-colorado-anschutz-medical-campus-4838">University of Colorado Anschutz Medical Campus</a></em></p> <p>Equipped with the latest gear and a thirst for adventure, mountaineers embrace the perils that come with conquering the world’s highest peaks. Yet, even those who tread more cautiously at high altitude are not immune from the health hazards waiting in the thin air above.</p> <p>Altitude sickness, which most commonly refers to <a href="https://medlineplus.gov/ency/article/000133.htm">acute mountain sickness</a>, <a href="https://doi.org/10.1016/j.pcad.2010.02.003">presents a significant challenge</a> to those traveling to and adventuring in high-altitude destinations. Its symptoms can range from <a href="https://doi.org/10.1089/ham.2017.0164">mildly annoying to incapacitating</a> and, in some cases, may progress to more <a href="https://doi.org/10.1183/16000617.0096-2016">life-threatening illnesses</a>.</p> <p>While <a href="https://doi.org/10.18111/9789284424023">interest in high-altitude tourism is rapidly growing</a>, general awareness and understanding about the hazards of visiting these locations <a href="https://doi.org/10.1089/ham.2022.0083">remains low</a>. The more travelers know, the better they can prepare for and enjoy their journey.</p> <p>As an <a href="https://som.cuanschutz.edu/Profiles/Faculty/Profile/36740">emergency physician specializing in high-altitude illnesses</a>, I work to improve health care in remote and mountainous locations around the world. I’m invested in finding ways to allow people from all backgrounds to experience the magic of the mountains in an enjoyable and meaningful way.</p> <h2>The science behind altitude sickness</h2> <p>Altitude sickness is rare in locations lower than 8,200 feet (2,500 meters); however, <a href="https://www.ncbi.nlm.nih.gov/books/NBK430716/">it becomes very common</a> when ascending above this elevation. In fact, it affects about <a href="https://wwwnc.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/high-elevation-travel-and-altitude-illness">25% of visitors to the mountains of Colorado</a>, where I conduct most of my research.</p> <p>The risk rapidly increases with higher ascents. Above 9,800 feet (3,000 meters), up to <a href="https://www.ncbi.nlm.nih.gov/books/NBK430716/">75% of travelers</a> may develop symptoms. Symptoms of altitude sickness are usually mild and consist of <a href="https://doi.org/10.1089/ham.2017.0164">headache, dizziness, nausea, fatigue and insomnia</a>. They usually <a href="https://doi.org/10.1016/j.rceng.2019.12.009">resolve after one to two days</a>, as long as travelers stop their ascent, and the symptoms quickly resolve with descent.</p> <p>When travelers do not properly acclimatize, they can be susceptible to life-threatening altitude illnesses, such as <a href="https://doi.org/10.1016/j.resp.2007.05.002">high-altitude pulmonary edema</a> or <a href="https://doi.org/10.1089/1527029041352054">high-altitude cerebral edema</a>. These conditions are characterized by fluid accumulation within the tissues of the lungs and brain, respectively, and are the <a href="https://wwwnc.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/high-elevation-travel-and-altitude-illness">most severe forms of altitude sickness</a>.</p> <p>Altitude sickness symptoms are thought to be caused by <a href="https://doi.org/10.1093%2Fbjaceaccp%2Fmks047">increased pressure surrounding the brain</a>, which results from the failure of the body to acclimatize to higher elevations.</p> <p>As people enter into an environment with lower air pressure and, therefore, <a href="https://doi.org/10.1001/jamanetworkopen.2023.18036">lower oxygen content</a>, their <a href="https://doi.org/10.1093%2Fbjaceaccp%2Fmks047">breathing rate increases</a> in order to compensate. This causes an increase in the amount of <a href="https://doi.org/10.1016/s1357-2725(03)00050-5">oxygen in the blood as well as decreased CO₂ levels</a>, which then increases blood pH. As a result, the <a href="https://doi.org/10.1093%2Fbjaceaccp%2Fmks047">kidneys compensate</a> by removing a chemical called bicarbonate from the blood into the urine. This process makes people urinate more and helps correct the acid and alkaline content of the blood to a more normal level.</p> <figure><iframe src="https://www.youtube.com/embed/iv1vQPIdX_k?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Tips for preventing or reducing the risk of altitude sickness.</span></figcaption></figure> <h2>The importance of gradual ascent</h2> <p>High-altitude medicine experts and other physicians <a href="https://doi.org/10.1016/s0140-6736(76)91677-9">have known for decades</a> that <a href="https://doi.org/10.1089/ham.2010.1006">taking time to slowly ascend is the best way</a> to prevent the development of altitude sickness.</p> <p>This strategy gives the body time to complete its natural physiologic responses to the changes in air pressure and oxygen content. In fact, spending just <a href="https://doi.org/10.1089/ham.2010.1006">one night at a moderate elevation</a>, such as Denver, Colorado, which is at 5,280 feet (1,600 meters), has been shown to <a href="https://doi.org/10.7326/0003-4819-118-8-199304150-00003">significantly reduce the likelihood of developing symptoms</a>.</p> <p>People who skip this step and travel directly to high elevations are <a href="https://doi.org/10.1093/jtm/taad011">up to four times more likely</a> to develop altitude sickness symptoms. When going to elevations greater than 11,000 feet, multiple days of acclimatization are necessary. Experts generally recommend ascending <a href="https://doi.org/10.1089/ham.2010.1006">no more than 1,500 feet per day</a> once the threshold of 8,200 feet of elevation has been crossed.</p> <p>Workers at high altitude, such as <a href="https://doi.org/10.1089/ham.2020.0004">porters in the Nepali Himalaya</a>, are at <a href="https://doi.org/10.1016/j.wem.2018.06.002">particular risk of altitude-related illness</a>. These workers often do not adhere to acclimatization recommendations in order to maximize earnings during tourist seasons; as a result, they are more likely to experience <a href="https://www.cdc.gov/travel/yellowbook/2024/environmental-hazards-risks/high-elevation-travel-and-altitude-illness">severe forms of altitude sickness</a>.</p> <h2>Effective medications</h2> <p>For more than 40 years, <a href="https://doi.org/10.1056/nejm196810172791601">a medicine called acetazolamide</a> has been used to <a href="https://medlineplus.gov/druginfo/meds/a682756.html">prevent the development of altitude sickness</a> and to treat its symptoms. Acetazolamide is <a href="https://www.ncbi.nlm.nih.gov/books/NBK557838/">commonly used as a diuretic</a> and for the <a href="https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/glaucoma">treatment of glaucoma</a>, a condition that causes increased pressure within the eye.</p> <p>If started <a href="https://doi.org/10.1378/chest.09-2445">two days prior</a> to going up to a high elevation, acetazolamide can <a href="https://doi.org/10.1378/chest.09-2445">prevent symptoms of acute illness</a> by speeding up the acclimatization process. Nonetheless, it does not negate the recommendations to ascend slowly, and it is <a href="https://doi.org/10.1016/j.wem.2019.04.006">routinely recommended only</a> when people cannot slowly ascend or for people who have a history of severe altitude sickness symptoms even with slow ascent.</p> <p>Other medications, including ibuprofen, have <a href="https://doi.org/10.1016/j.wem.2012.08.001">shown some effectiveness</a> in treating acute mountain sickness, although <a href="https://doi.org/10.1016/j.amjmed.2018.10.021">not as well as acetazolamide</a>.</p> <p>A <a href="https://pubmed.ncbi.nlm.nih.gov/2028586/">steroid medication called dexamethasone</a> is effective in both treating and preventing symptoms, but it does not improve acclimatization. It is <a href="https://doi.org/10.1016/j.wem.2019.04.006">recommended only when acetazolamide is not effective</a> or cannot be taken.</p> <p>Additionally, it is important to <a href="https://wwwnc.cdc.gov/travel/page/travel-to-high-altitudes">avoid alcohol during the first few days at higher altitudes</a>, as it impairs the body’s ability to acclimatize.</p> <h2>Unproven therapies and remedies are common</h2> <p>As high-altitude tourism becomes increasingly popular, multiple commercial products and remedies have emerged. Most of them are not effective or provide no evidence to suggest they work as advertised. Other options have mixed evidence, making them difficult to recommend.</p> <p>Medications such as <a href="https://doi.org/10.1089/ham.2007.1037">aspirin</a>, <a href="https://doi.org/10.1183/13993003.01355-2017">inhaled steroids</a> and <a href="https://doi.org/10.1089/ham.2011.0007">sildenafil</a> have been proposed as possible preventive agents for altitude sickness, but on the whole they have not been found to be effective.</p> <p><a href="https://doi.org/10.1093/qjmed/hcp026">Supplements and antioxidants have no proven benefit</a> in preventing or treating altitude sickness symptoms. Both normal and high-altitude exercise are popular ways to prepare for high elevations, especially among athletes. However, beyond <a href="https://doi.org/10.1097/jes.0b013e31825eaa33">certain pre-acclimatization strategies</a>, such as brief sojourns to high altitude, <a href="https://doi.org/10.1016/j.tmaid.2013.12.002">physical fitness and training is of little benefit</a>.</p> <p><a href="https://missouripoisoncenter.org/canned-oxygen-is-it-good-for-you">Canned oxygen</a> has also exploded in popularity with travelers. While <a href="https://doi.org/10.1016/0140-6736(90)93240-p">continuously administered medical oxygen</a> in a health care setting can alleviate altitude sickness symptoms, portable oxygen cans <a href="https://doi.org/10.1016/j.wem.2019.04.006">contain very little oxygen gas</a>, casting doubt on their effectiveness.</p> <p>Some high-altitude adventure travelers sleep in <a href="https://doi.org/10.2165/00007256-200131040-00002">specialized tents</a> that simulate increased elevation by lowering the quantity of available oxygen in ambient air. The lower oxygen levels within the tent are thought to accelerate the acclimatization process, but the tents aren’t able to decrease barometric pressure. This is an important part of the high-altitude environment that induces acclimatization. Without modifying ambient air pressure, these <a href="https://doi.org/10.1016/j.wem.2014.04.004">tents may take multiple weeks</a> to be effective.</p> <p>Natural medicines, such as <a href="https://doi.org/10.1580/08-weme-br-247.1">gingko</a> and <a href="https://doi.org/10.1186/s40794-019-0095-7">coca leaves</a>, are touted as natural altitude sickness treatments, but few studies have been done on them. The modest benefits and significant side effects of these options makes their use <a href="https://doi.org/10.1016/j.wem.2019.04.006">difficult to recommend</a>.</p> <p><a href="https://pubmed.ncbi.nlm.nih.gov/8469948/">Staying hydrated</a> is very important at high altitudes due to fluid losses from increased urination, dry air and increased physical exertion. <a href="https://doi.org/10.1186%2Fs12889-018-6252-5">Dehydration symptoms</a> can also mimic those of altitude sickness. But there is <a href="https://doi.org/10.1580/1080-6032(2006)17%5B215:AMSIOF%5D2.0.CO;2">little evidence that consuming excessive amounts of water</a> can prevent or treat altitude sickness.</p> <p>The mountains have something for visitors of all interests and expertise and can offer truly life-changing experiences. While there are health risks associated with travel at higher elevations, these can be lessened by making basic preparations and taking time to slowly ascend.<!-- 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/222057/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/brian-strickland-1506270"><em>Brian Strickland</em></a><em>, Senior Instructor in Emergency Medicine, <a href="https://theconversation.com/institutions/university-of-colorado-anschutz-medical-campus-4838">University of Colorado Anschutz Medical Campus</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/altitude-sickness-is-typically-mild-but-can-sometimes-turn-very-serious-a-high-altitude-medicine-physician-explains-how-to-safely-prepare-222057">original article</a>.</em></p>

Travel Trouble

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Mothers’ dieting habits and self-talk have profound impact on daughters − 2 psychologists explain how to cultivate healthy behaviors and body image

<p><em><a href="https://theconversation.com/profiles/janet-j-boseovski-451496">Janet J. Boseovski</a>, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> and <a href="https://theconversation.com/profiles/ashleigh-gallagher-1505989">Ashleigh Gallagher</a>, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a></em></p> <p>Weight loss is one of the most common health and appearance-related goals.</p> <p>Women and <a href="https://www.cdc.gov/nchs/products/databriefs/db340.htm">teen girls</a> are <a href="https://www.cdc.gov/nchs/products/databriefs/db313.htm">especially likely to pursue dieting</a> to achieve weight loss goals even though a great deal of research shows that <a href="https://theconversation.com/what-thin-people-dont-understand-about-dieting-86604">dieting doesn’t work over the long term</a>.</p> <p>We are a <a href="https://www.duck-lab.com/people">developmental psychologist</a> and a <a href="https://psy.uncg.edu/directory/ashleigh-gallagher/">social psychologist</a> who together wrote a forthcoming book, “Beyond Body Positive: A Mother’s Evidence-Based Guide for Helping Girls Build a Healthy Body Image.”</p> <p>In the book, we address topics such as the effects of maternal dieting behaviors on daughters’ health and well-being. We provide information on how to build a foundation for healthy body image beginning in girlhood.</p> <h2>Culturally defined body ideals</h2> <p>Given the strong influence of social media and other cultural influences on body ideals, it’s understandable that so many people pursue diets aimed at weight loss. <a href="https://communityhealth.mayoclinic.org/featured-stories/tiktok-diets">TikTok</a>, YouTube, Instagram and celebrity websites feature slim influencers and “how-tos” for achieving those same results in no time.</p> <p>For example, women and teens are engaging in rigid and extreme forms of exercise such as 54D, a program to <a href="https://54d.com/">achieve body transformation in 54 days</a>, or the <a href="https://health.clevelandclinic.org/75-hard-challenge-and-rules">75 Hard Challenge</a>, which is to follow five strict rules for 75 days.</p> <p>For teens, these pursuits are likely fueled by trendy body preoccupations such as the desire for “<a href="https://www.nytimes.com/2024/02/06/well/move/tiktok-legging-legs-eating-disorders.html">legging legs</a>.”</p> <p>Women and teens have also been been inundated with recent messaging around <a href="https://theconversation.com/drugs-that-melt-away-pounds-still-present-more-questions-than-answers-but-ozempic-wegovy-and-mounjaro-could-be-key-tools-in-reducing-the-obesity-epidemic-205549">quick-fix weight loss drugs</a>, which come with a lot of caveats.</p> <p>Dieting and weight loss goals are highly individual, and when people are intensely self-focused, it is <a href="https://doi.org/10.1521/jscp.2000.19.1.70">possible to lose sight of the bigger picture</a>. Although women might wonder what the harm is in trying the latest diet, science shows that dieting behavior doesn’t just affect the dieter. In particular, for women who are mothers or who have other girls in their lives, these behaviors affect girls’ emerging body image and their health and well-being.</p> <h2>The profound effect of maternal role models</h2> <p>Research shows that mothers and maternal figures <a href="https://doi.org/10.1016/j.brat.2017.11.001">have a profound influence on their daughters’ body image</a>.</p> <p>The opportunity to influence girls’ body image comes far earlier than adolescence. In fact, research shows that these influences on body image <a href="https://www.teenvogue.com/story/how-toxic-diet-culture-is-passed-from-moms-to-daughters">begin very early in life</a> – <a href="https://doi.org/10.1016/bs.acdb.2016.10.006">during the preschool years</a>.</p> <p>Mothers may feel that they are being discreet about their dieting behavior, but little girls are watching and listening, and they are far more observant of us than many might think.</p> <p>For example, one study revealed that compared with daughters of nondieting women, 5-year-old girls whose mothers dieted <a href="https://doi.org/10.1016/S0002-8223(00)00339-4">were aware of the connection between dieting and thinness</a>.</p> <p>Mothers’ eating behavior does not just affect girls’ ideas about dieting, but also their daughters’ eating behavior. The amount of food that mothers eat <a href="https://doi.org/10.1016/j.appet.2018.04.018">predicts how much their daughters will eat</a>. In addition, daughters whose mothers are dieters are <a href="https://doi.org/10.1016/j.appet.2018.04.018">more likely to become dieters themselves</a> and are also <a href="https://doi.org/10.1016/j.eatbeh.2007.03.001">more likely to have a negative body image</a>.</p> <p>Negative body image is <a href="https://theconversation.com/mounting-research-documents-the-harmful-effects-of-social-media-use-on-mental-health-including-body-image-and-development-of-eating-disorders-206170">not a trivial matter</a>. It affects girls’ and women’s mental and physical well-being in a <a href="https://doi.org/10.1177/1359105317710815">host of ways</a> and <a href="https://doi.org/10.1016/j.brat.2011.06.009">can predict the emergence of eating disorders</a>.</p> <h2>Avoiding ‘fat talk’</h2> <p>What can moms do, then, to serve their daughters’ and their own health?</p> <p>They can focus on small steps. And although it is best to begin these efforts early in life – in girlhood – it is never too late to do so.</p> <p>For example, mothers can consider how they think about and talk about themselves around their daughters. Engaging in “fat talk” may inadvertently send their daughters the message that larger bodies are bad, <a href="https://doi.org/10.1016/j.bodyim.2020.07.004">contributing to weight bias</a> and negative self-image. Mothers’ fat talk also <a href="https://doi.org/10.1080/15267431.2021.1908294">predicts later body dissatisfaction in daughters</a>.</p> <p>And negative self-talk isn’t good for mothers, either; it is associated with <a href="https://doi.org/10.1177/1359105318781943">lower motivation and unhealthful eating</a>. Mothers can instead practice and model self-compassion, which involves treating oneself the way <a href="https://doi.org/10.1016/j.bodyim.2016.03.003">a loving friend might treat you</a>.</p> <p>In discussions about food and eating behavior, it is important to avoid moralizing certain kinds of food by labeling them as “good” or “bad,” as girls may extend these labels to their personal worth. For example, a young girl may feel that she is being “bad” if she eats dessert, if that is what she has learned from observing the women around her. In contrast, she may feel that she has to eat a salad to be “good.”</p> <p>Moms and other female role models can make sure that the dinner plate sends a healthy message to their daughters by showing instead that all foods can fit into a balanced diet when the time is right. Intuitive eating, which emphasizes paying attention to hunger and satiety and allows flexibility in eating behavior, is associated with <a href="https://doi.org/10.1007/s40519-020-00852-4">better physical and mental health in adolescence</a>.</p> <p>Another way that women and especially moms can buffer girls’ body image is by helping their daughters <a href="https://doi.org/10.1016/j.bodyim.2021.12.009">to develop media literacy</a> and to think critically about the nature and purpose of media. For example, moms can discuss the misrepresentation and distortion of bodies, such as the use of filters to enhance physical appearance, on social media.</p> <h2>Focusing on healthful behaviors</h2> <p>One way to begin to focus on health behaviors rather than dieting behaviors is to develop respect for the body and to <a href="https://theconversation.com/body-neutrality-what-it-is-and-how-it-can-help-lead-to-more-positive-body-image-191799">consider body neutrality</a>. In other words, prize body function rather than appearance and spend less time thinking about your body’s appearance. Accept that there are times when you may not feel great about your body, and that this is OK.</p> <p>To feel and look their best, mothers can aim to stick to a <a href="https://theconversation.com/whats-the-best-diet-for-healthy-sleep-a-nutritional-epidemiologist-explains-what-food-choices-will-help-you-get-more-restful-zs-219955">healthy sleep schedule</a>, manage their stress levels, <a href="https://theconversation.com/fiber-is-your-bodys-natural-guide-to-weight-management-rather-than-cutting-carbs-out-of-your-diet-eat-them-in-their-original-fiber-packaging-instead-205159">eat a varied diet</a> that includes all of the foods that they enjoy, and <a href="https://theconversation.com/the-runners-high-may-result-from-molecules-called-cannabinoids-the-bodys-own-version-of-thc-and-cbd-170796">move and exercise their bodies regularly</a> as lifelong practices, rather than engaging in quick-fix trends.</p> <p>Although many of these tips sound familiar, and perhaps even simple, they become effective when we recognize their importance and begin acting on them. Mothers can work toward modeling these behaviors and tailor each of them to their daughter’s developmental level. It’s never too early to start.</p> <h2>Promoting healthy body image</h2> <p>Science shows that several personal characteristics are associated with body image concerns among women.</p> <p>For example, research shows that women who are <a href="https://doi.org/10.1016/j.bodyim.2020.02.001">higher in neuroticism</a> <a href="https://doi.org/10.1186/2050-2974-1-2">and perfectionism</a>, <a href="https://doi.org/10.3389/fpsyg.2022.983534">lower in self-compassion</a> or <a href="https://doi.org/10.1016/j.bodyim.2013.08.001">lower in self-efficacy</a> are all more likely to struggle with negative body image.</p> <p>Personality is frequently defined as a person’s characteristic pattern of thoughts, feelings and behaviors. But if they wish, <a href="https://doi.org/10.1002/per.1945">mothers can change personality characteristics</a> that they feel aren’t serving them well.</p> <p>For example, perfectionist tendencies – such as setting unrealistic, inflexible goals – can be examined, challenged and replaced with more rational thoughts and behaviors. A woman who believes she must work out every day can practice being more flexible in her thinking. One who thinks of dessert as “cheating” can practice resisting moral judgments about food.</p> <p>Changing habitual ways of thinking, feeling and behaving certainly takes effort and time, but it is far more likely than diet trends to bring about sustainable, long-term change. And taking the first steps to modify even a few of these habits can positively affect daughters.</p> <p>In spite of all the noise from media and other cultural influences, mothers can feel empowered knowing that they have a significant influence on their daughters’ feelings about, and treatment of, their bodies.</p> <p>In this way, mothers’ modeling of healthier attitudes and behaviors is a sound investment – for both their own body image and that of the girls they love.<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/221968/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><a href="https://theconversation.com/profiles/janet-j-boseovski-451496"><em>Janet J. Boseovski</em></a><em>, Professor of Psychology, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a> and <a href="https://theconversation.com/profiles/ashleigh-gallagher-1505989">Ashleigh Gallagher</a>, Senior Lecturer, <a href="https://theconversation.com/institutions/university-of-north-carolina-greensboro-2069">University of North Carolina – Greensboro</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/mothers-dieting-habits-and-self-talk-have-profound-impact-on-daughters-2-psychologists-explain-how-to-cultivate-healthy-behaviors-and-body-image-221968">original article</a>.</em></p>

Mind

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How to make a perfect romcom – an expert explains the recipe for romance

<p><em><a href="https://theconversation.com/profiles/christina-wilkins-1454385">Christina Wilkins</a>, <a href="https://theconversation.com/institutions/university-of-birmingham-1138">University of Birmingham</a></em></p> <p>Picture the scene: it’s a dreary weeknight evening, you’re tired from work, and you want to watch something that will pick you up. My guess is that some of you – perhaps more than would admit it – would pick a romantic comedy.</p> <p>Over the years the romcom has been designated as “chick flick”, dismissed at awards ceremonies (the best picture Oscar primarily goes to <a href="https://www.backstage.com/magazine/article/movie-genres-perform-best-oscars-2179/">drama films</a>) and frequently panned by critics. Yet, critics are not the only ones buying cinema tickets or watching streaming services.</p> <p>A 2013 <a href="https://archive.nytimes.com/economix.blogs.nytimes.com/2013/08/14/reviewing-the-movies-audiences-vs-critics/">article</a> from the New York Times found that the romcom was one of the genres most likely to divide audience and critical opinion. Like many other things that are classified as “women’s things”, the romcom is often spoken of as a “guilty pleasure”.</p> <p>Researchers such as Claire Mortimer, who <a href="https://www.routledge.com/Romantic-Comedy/Mortimer/p/book/9780415548632">writes about comedy</a> and women, argue that the dismissal is not just down to the genre’s <a href="https://stjohnslis.libguides.com/c.php?g=1277106&amp;p=9378728">status as “women’s films”</a> but also because romcoms are genre films. Such films are often seen as repetitive – they rely on a number of tropes to be wheeled out again and again and we come to expect certain styles, stories and characters. Some films become key examples of a genre, a kind of “best of”, and form a template which the others either imitate or diverge from.</p> <p>That’s not to say that all romcoms are the same. But there’s a dominant form that we think of as being definitive, called the “neo-traditional romcom”. Tamar McDonald, a professor in film, <a href="https://books.google.co.uk/books?id=9Bk-mkvdPYcC&amp;printsec=copyright&amp;redir_esc=y#v=onepage&amp;q&amp;f=false">argues that</a> this is the main form of the genre now – one that “has no use for realism”.</p> <p>This can be seen in characters running through airports, the absurd lack of communication between love interests and the convenient mishaps. Without these elements though, the resolution wouldn’t be as sweet.</p> <h2>The perfect romcom</h2> <p>So what are the ingredients for a perfect romcom? Looking at the lists of the <a href="https://www.timeout.com/film/the-70-best-romcoms-of-all-time">best romcoms of all time</a> – which the internet <a href="https://www.vanityfair.com/hollywood/2018/08/best-romantic-comedies-list">isn’t short of</a> – we see similar tropes popping up repeatedly. One popular favourite, <a href="https://www.timeout.com/film/the-70-best-romcoms-of-all-time">When Harry Met Sally</a> (1989), features the “friends to lovers” storyline. This reoccurs in more recent films like <a href="https://www.youtube.com/watch?v=iHBcWHY9lN4">Always Be My Maybe</a> (2019).</p> <p>Within a romcom, there typically has to be miscommunication – and lots of it. Although a relationship can blossom steadily, often unknown to the characters themselves, romcoms usually feature a pivotal moment where one character is not understood by the person they want.</p> <p>This miscommunication is also underpinned by conflict. Leger Grindon, an expert <a href="https://www.google.co.uk/books/edition/The_Hollywood_Romantic_Comedy/okkZPTEnYqMC?hl=en&amp;gbpv=1&amp;dq=Leger+Grindon+rom+coms&amp;printsec=frontcover%22%22">in romantic comedies</a>, breaks these kinds of conflict into three major fields: between parents and children, the two characters who are dating, or when someone has to choose between personal development and sacrifice.</p> <p>We’ve seen examples of all of three over the years. Children defying their parents’ wishes to be with someone they love is a common theme in the queer love story, like <a href="https://www.youtube.com/watch?v=h58HkQV1gHY">Happiest Season</a> (2020), but is also present in other films, like My <a href="https://www.youtube.com/watch?v=O2mecmDFE-Q">Big Fat Greek Wedding</a> (2002).</p> <figure><iframe src="https://www.youtube.com/embed/O2mecmDFE-Q?wmode=transparent&amp;start=19" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">My Big Fat Greek Wedding hinges on conflict between family and love.</span></figcaption></figure> <p>Conflict between the needs of the love interests can be seen in <a href="https://www.youtube.com/watch?v=zZKAA5DRF4A">What Women Want</a> (2000). And the conflict between personal development and sacrifice has been a common theme of many recent Netflix romcoms such as <a href="https://www.youtube.com/watch?v=MX6wAGuIMCg">Hello, Goodbye and Everything in Between</a> (2022) or <a href="https://www.youtube.com/watch?v=km7gv28_uX0">The Holiday Calendar</a> (2019). In Hallmark Christmas films (their own sub-genre of the romcom) like <a href="https://www.youtube.com/watch?v=GWKYnKGN8OA">Just In Time for Christmas</a> (2015), women often have to choose between their career and their relationship, a common recurrence for the Christmas sub-genre especially.</p> <p>Romcoms can provide escapism, but at their heart the glue of the genre is finding connection through love and laughter. How realistic this is may be shifting, with more recent examples in film and television providing more cultural critique (see comedian Rose Matafeo’s brilliant <a href="https://www.youtube.com/watch?v=AtHC1VmrNXM">Starstruck</a> series, streaming on BBC Three for example).</p> <p>The parameters for the characters of these stories are also changing. Once predominantly white and straight, the genre is opening up to a range of different stories. Recent examples like <a href="https://theconversation.com/red-white-and-royal-blue-review-this-queer-romcom-puts-a-new-spin-on-the-us-and-uks-special-relationship-211533">Red, White, and Royal Blue</a> (2023) and <a href="https://www.imdb.com/title/tt9731598/">Bros</a> (2022) put gay male romance front and centre, while <a href="https://www.imdb.com/title/tt15893750/">Rye Lane</a> (2023) and <a href="https://theconversation.com/crazy-rich-asians-a-movie-and-a-movement-101568">Crazy Rich Asians</a> (2018) foreground non-white protagonists.</p> <p>Perhaps this is because – as <a href="https://www.routledge.com/Romantic-Comedy/Mortimer/p/book/9780415548632">Mortimer</a> argues – the genre is concerned with “perennial themes” of love and identity. In a moment where definitions and understandings of identity are shifting, the romcom provides an ideal place to think through these issues in a comforting way. Or perhaps we just need the optimism we associate with the genre at a time of war and economic crisis.</p> <p>Although there may be classics and new challengers emerging for the title of the best, the perfect romcom is one that shows that, despite all the challenges life may throw at us, there is sometimes a happy ending.</p> <p><em><a href="https://theconversation.com/profiles/christina-wilkins-1454385">Christina Wilkins</a>, Lecturer in Film and Creative Writing, <a href="https://theconversation.com/institutions/university-of-birmingham-1138">University of Birmingham</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/how-to-make-a-perfect-romcom-an-expert-explains-the-recipe-for-romance-212487">original article</a>.</em></p>

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

<p><em><a href="https://theconversation.com/profiles/james-overs-1458017">James Overs</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a>; <a href="https://theconversation.com/profiles/david-homewood-1458022">David Homewood</a>, <a href="https://theconversation.com/institutions/melbourne-health-950">Melbourne Health</a>; <a href="https://theconversation.com/profiles/helen-elizabeth-oconnell-ao-1458226">Helen Elizabeth O'Connell AO</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/simon-robert-knowles-706104">Simon Robert Knowles</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em></p> <p>We all know that feeling when nature calls – but what’s far less understood is the psychology behind it. Why, for example, do we get the urge to pee just before getting into the shower, or when we’re swimming? What brings on those “nervous wees” right before a date?</p> <p>Research suggests our brain and bladder are in constant communication with each other via a neural network called the <a href="https://www.einj.org/journal/view.php?doi=10.5213/inj.2346036.018">brain-bladder axis</a>.</p> <p>This complex web of circuitry is comprised of sensory neural activity, including the sympathetic and parasympathetic nervous systems. These neural connections allow information to be sent <a href="https://doi.org/10.3390/diagnostics12123119">back and forth</a> between the brain and bladder.</p> <p>The brain-bladder axis not only facilitates the act of peeing, but is also responsible for telling us we need to go in the first place.</p> <h2>How do we know when we need to go?</h2> <p>As the bladder fills with urine and expands, this activates special receptors detecting stretch in the nerve-rich lining of the bladder wall. This information is then relayed to the “periaqueductal gray” – a part of the brain in the brainstem which <a href="https://www.nature.com/articles/nrn2401">constantly monitors</a> the bladder’s filling status.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=1000&amp;fit=clip"><img src="https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=454&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=454&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=454&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=570&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=570&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/547931/original/file-20230913-19-2kgkhk.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=570&amp;fit=crop&amp;dpr=3 2262w" alt="" /></a><figcaption><span class="caption">The periaqueductal gray is a section of gray matter located in the midbrain section of the brainstem.</span> <span class="attribution"><a class="source" href="https://en.wikipedia.org/wiki/Brainstem#/media/File:1311_Brain_Stem.jpg">Wikimedia/OpenStax</a>, <a class="license" href="http://creativecommons.org/licenses/by-sa/4.0/">CC BY-SA</a></span></figcaption></figure> <p>Once the bladder reaches a certain threshold (roughly 250-300ml of urine), another part of the brain called the “pontine micturition centre” is activated and signals that the bladder needs to be emptied. We, in turn, <a href="https://pubmed.ncbi.nlm.nih.gov/16254993/">register this</a> as that all-too-familiar feeling of fullness and pressure down below.</p> <p>Beyond this, however, a range of situations can trigger or exacerbate our need to pee, by increasing the production of urine and/or stimulating reflexes in the bladder.</p> <h2>Peeing in the shower</h2> <p>If you’ve ever felt the need to pee while in the shower (no judgement here) it may be due to the sight and sound of running water.</p> <p>In a 2015 study, <a href="https://doi.org/10.1371/journal.pone.0126798">researchers demonstrated</a> that males with urinary difficulties found it easier to initiate peeing when listening to the sound of running water being played on a smartphone.</p> <p>Symptoms of overactive bladder, including urgency (a sudden need to pee), have also been <a href="https://www.alliedacademies.org/articles/environmental-cues-to-urgency-and-incontinence-episodes-in-chinesepatients-with-overactive-urinary-bladder-syndrome.html">linked to</a> a range of environmental cues involving running water, including washing your hands and taking a shower.</p> <p>This is likely due to both physiology and psychology. Firstly, the sound of running water may have a relaxing <em>physiological</em> effect, increasing activity of the parasympathetic nervous system. This would relax the bladder muscles and prepare the bladder for emptying.</p> <p>At the same time, the sound of running water may also have a conditioned <em>psychological</em> effect. Due to the countless times in our lives where this sound has coincided with the actual act of peeing, it may trigger an instinctive reaction in us to urinate.</p> <p>This would happen in the same way <a href="https://www.simplypsychology.org/pavlov.html">Pavlov’s dog learnt</a>, through repeated pairing, to salivate when a bell was rung.</p> <h2>Cheeky wee in the sea</h2> <p>But it’s not just the sight or sound of running water that makes us want to pee. Immersion in cold water has been shown to cause a “cold shock response”, <a href="https://pubmed.ncbi.nlm.nih.gov/19945970">which activates</a> the sympathetic nervous system.</p> <p>This so-called “fight or flight” response drives up our blood pressure which, in turn, causes our kidneys to filter out more fluid from the bloodstream to stabilise our blood pressure, in a process called “<a href="https://link.springer.com/article/10.1007/BF00864230">immersion diuresis</a>”. When this happens, our bladder fills up faster than normal, triggering the urge to pee.</p> <p>Interestingly, immersion in very warm water (such as a relaxing bath) may also increase urine production. In this case, however, it’s due to activation of the parasympathetic nervous system. <a href="https://doi.org/10.1007/s004210050065">One study</a> demonstrated an increase in water temperature from 40℃ to 50℃ reduced the time it took for participants to start urinating.</p> <p>Similar to the effect of hearing running water, the authors of the study suggest being in warm water is calming for the body and activates the parasympathetic nervous system. This activation can result in the relaxation of the bladder and possibly the pelvic floor muscles, bringing on the urge to pee.</p> <h2>The nervous wee</h2> <p>We know stress and anxiety can cause bouts of nausea and butterflies in the tummy, but what about the bladder? Why do we feel a sudden and frequent urge to urinate at times of heightened stress, such as before a date or job interview?</p> <p>When a person becomes stressed or anxious, the body goes into fight-or-flight mode through the activation of the sympathetic nervous system. This triggers a cascade of physiological changes designed to prepare the body to face a perceived threat.</p> <p>As part of this response, the muscles surrounding the bladder may contract, leading to a more urgent and frequent need to pee. Also, as is the case during immersion diuresis, the increase in blood pressure associated with the stress response may <a href="https://doi.org/10.1172/JCI102496">stimulate</a> the kidneys to produce more urine.</p> <h2>Some final thoughts</h2> <p>We all pee (most of us several times a day). Yet <a href="https://doi.org/10.5489/cuaj.1150">research has shown</a> about 75% of adults know little about how this process actually works – and even less about the brain-bladdder axis and its role in urination.</p> <p><a href="https://www.continence.org.au/about-us/our-work/key-statistics-incontinence#:%7E:text=Urinary%20incontinence%20affects%20up%20to,38%25%20of%20Australian%20women1.">Most Australians</a> will experience urinary difficulties at some point in their lives, so if you ever have concerns about your urinary health, it’s extremely important to consult a healthcare professional.</p> <p>And should you ever find yourself unable to pee, perhaps the sight or sound of running water, a relaxing bath or a nice swim will help with getting that stream to flow.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/210808/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/james-overs-1458017"><em>James Overs</em></a><em>, Research Assistant, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a>; <a href="https://theconversation.com/profiles/david-homewood-1458022">David Homewood</a>, Urology Research Registrar, Western Health, <a href="https://theconversation.com/institutions/melbourne-health-950">Melbourne Health</a>; <a href="https://theconversation.com/profiles/helen-elizabeth-oconnell-ao-1458226">Helen Elizabeth O'Connell AO</a>, Professor, University of Melbourne, Department of Surgery. President Urological Society Australia and New Zealand, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/simon-robert-knowles-706104">Simon Robert Knowles</a>, Associate Professor and Clinical Psychologist, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/does-running-water-really-trigger-the-urge-to-pee-experts-explain-the-brain-bladder-connection-210808">original article</a>.</em></p>

Mind

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If anxiety is in my brain, why is my heart pounding? A psychiatrist explains the neuroscience and physiology of fear

<p><em><a href="https://theconversation.com/profiles/arash-javanbakht-416594">Arash Javanbakht</a>, <a href="https://theconversation.com/institutions/wayne-state-university-989">Wayne State University</a></em></p> <p>Heart in your throat. Butterflies in your stomach. Bad gut feeling. These are all phrases many people use to describe fear and anxiety. You have likely felt anxiety inside your chest or stomach, and your brain usually doesn’t hurt when you’re scared. Many cultures tie cowardice and bravery more <a href="https://afosa.org/the-meaning-of-heart-qalb-in-quran/">to the heart</a> <a href="https://byustudies.byu.edu/article/bowels-of-mercy/">or the guts</a> than to the brain.</p> <p>But science has traditionally seen the brain as the birthplace and processing site of fear and anxiety. Then why and how do you feel these emotions in other parts of your body?</p> <p>I am a <a href="https://scholar.google.com/citations?user=UDytFmIAAAAJ&amp;hl=en">psychiatrist and neuroscientist</a> who researches and treats fear and anxiety. In my book “<a href="https://rowman.com/ISBN/9781538170380/Afraid-Understanding-the-Purpose-of-Fear-and-Harnessing-the-Power-of-Anxiety">Afraid,</a>” I explain how fear works in the brain and the body and what too much anxiety does to the body. Research confirms that while emotions do originate in your brain, it’s your body that carries out the orders.</p> <h2>Fear and the brain</h2> <p>While your brain evolved to save you from a falling rock or speeding predator, the anxieties of modern life are often a lot more abstract. Fifty-thousand years ago, being rejected by your tribe could mean death, but not doing a great job on a public speech at school or at work doesn’t have the same consequences. Your brain, however, <a href="https://doi.org/10.1006/nimg.2002.1179">might not know the difference</a>.</p> <p>There are a few key areas of the brain that are heavily involved in processing fear.</p> <p>When you perceive something as dangerous, whether it’s a gun pointed at you or a group of people looking unhappily at you, these sensory inputs are first relayed to <a href="https://doi.org/10.1038%2Fnpp.2009.121">the amygdala</a>. This small, almond-shaped area of the brain located near your ears detects salience, or the emotional relevance of a situation and how to react to it. When you see something, it determines whether you should eat it, attack it, run away from it or have sex with it.</p> <p><a href="https://theconversation.com/the-science-of-fright-why-we-love-to-be-scared-85885">Threat detection</a> is a vital part of this process, and it has to be fast. Early humans did not have much time to think when a lion was lunging toward them. They had to act quickly. For this reason, the amygdala evolved to bypass brain areas involved in logical thinking and can directly engage physical responses. For example, seeing an angry face on a computer screen can immediately trigger a <a href="https://doi.org/10.1006/nimg.2002.1179">detectable response from the amygdala</a> without the viewer even being aware of this reaction.</p> <figure><iframe src="https://www.youtube.com/embed/xoU9tw6Jgyw?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">In response to a looming threat, mammals often fight, flee or freeze.</span></figcaption></figure> <p><a href="https://doi.org/10.1038/npp.2009.83">The hippocampus</a> is near and tightly connected to the amygdala. It’s involved in memorizing what is safe and what is dangerous, especially in relation to the environment – it puts fear in context. For example, seeing an angry lion in the zoo and in the Sahara both trigger a fear response in the amygdala. But the hippocampus steps in and blocks this response when you’re at the zoo because you aren’t in danger.</p> <p>The <a href="https://doi.org/10.1176/appi.ajp.2016.16030353">prefrontal cortex</a>, located above your eyes, is mostly involved in the cognitive and social aspects of fear processing. For example, you might be scared of a snake until you read a sign that the snake is nonpoisonous or the owner tells you it’s their friendly pet.</p> <p>Although the prefrontal cortex is usually seen as the part of the brain that regulates emotions, it can also teach you fear based on your social environment. For example, you might feel neutral about a meeting with your boss but immediately feel nervous when a colleague tells you about rumors of layoffs. Many <a href="https://theconversation.com/trump-the-politics-of-fear-and-racism-how-our-brains-can-be-manipulated-to-tribalism-139811">prejudices like racism</a> are rooted in learning fear through tribalism.</p> <h2>Fear and the rest of the body</h2> <p>If your brain decides that a fear response is justified in a particular situation, it activates a <a href="https://doi.org/10.1093/med/9780190259440.003.0019">cascade of neuronal and hormonal pathways</a> to prepare you for immediate action. Some of the fight-or-flight response – like heightened attention and threat detection – takes place in the brain. But the body is where most of the action happens.</p> <p>Several pathways prepare different body systems for intense physical action. The <a href="https://doi.org/10.3389/fnins.2014.00043">motor cortex</a> of the brain sends rapid signals to your muscles to prepare them for quick and forceful movements. These include muscles in the chest and stomach that help protect vital organs in those areas. That might contribute to a feeling of tightness in your chest and stomach in stressful conditions.</p> <figure><iframe src="https://www.youtube.com/embed/0IDgBlCHVsA?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Your sympathetic nervous system is involved in regulating stress.</span></figcaption></figure> <p>The <a href="https://www.ncbi.nlm.nih.gov/books/NBK542195/">sympathetic nervous system</a> is the gas pedal that speeds up the systems involved in fight or flight. Sympathetic neurons are spread throughout the body and are especially dense in places like the heart, lungs and intestines. These neurons trigger the adrenal gland to release hormones like adrenaline that travel through the blood to reach those organs and increase the rate at which they undergo the fear response.</p> <p>To assure sufficient blood supply to your muscles when they’re in high demand, signals from the sympathetic nervous system increase the rate your heart beats and the force with which it contracts. You feel both increased heart rate and contraction force in your chest, which is why you may connect the feeling of intense emotions to your heart.</p> <p>In your lungs, signals from the sympathetic nervous system dilate airways and often increase your breathing rate and depth. Sometimes this results in a feeling of <a href="https://theconversation.com/pain-and-anxiety-are-linked-to-breathing-in-mouse-brains-suggesting-a-potential-target-to-prevent-opioid-overdose-deaths-174187">shortness of breath</a>.</p> <p>As digestion is the last priority during a fight-or-flight situation, sympathetic activation slows down your gut and reduces blood flow to your stomach to save oxygen and nutrients for more vital organs like the heart and the brain. These changes to your gastrointestinal system can be perceived as the discomfort linked to fear and anxiety.</p> <h2>It all goes back to the brain</h2> <p>All bodily sensations, including those visceral feelings from your chest and stomach, are relayed back to the brain through the pathways <a href="https://www.ncbi.nlm.nih.gov/books/NBK555915/">via the spinal cord</a>. Your already anxious and highly alert brain then processes these signals at both conscious and unconscious levels.</p> <p><a href="https://doi.org/10.1176/appi.ajp.2016.16030353">The insula</a> is a part of the brain specifically involved in conscious awareness of your emotions, pain and bodily sensations. The <a href="https://doi.org/10.1038%2Fs41598-019-52776-4">prefrontal cortex</a> also engages in self-awareness, especially by labeling and naming these physical sensations, like feeling tightness or pain in your stomach, and attributing cognitive value to them, like “this is fine and will go away” or “this is terrible and I am dying.” These physical sensations can sometimes create a loop of increasing anxiety as they make the brain feel more scared of the situation because of the turmoil it senses in the body.</p> <p>Although the feelings of fear and anxiety start in your brain, you also feel them in your body because your brain alters your bodily functions. Emotions take place in both your body and your brain, but you become aware of their existence with your brain. As the rapper Eminem recounted in his song “Lose Yourself,” the reason his palms were sweaty, his knees weak and his arms heavy was because his brain was nervous.<!-- 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/210871/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/arash-javanbakht-416594"><em>Arash Javanbakht</em></a><em>, Associate Professor of Psychiatry, <a href="https://theconversation.com/institutions/wayne-state-university-989">Wayne State University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/if-anxiety-is-in-my-brain-why-is-my-heart-pounding-a-psychiatrist-explains-the-neuroscience-and-physiology-of-fear-210871">original article</a>.</em></p>

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

<p><em><a href="https://theconversation.com/profiles/jeannie-marie-paterson-6367">Jeannie Marie Paterson</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/nicholas-t-van-dam-389879">Nicholas T. Van Dam</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/piers-gooding-207492">Piers Gooding</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>There are thousands of mental health apps available on the app market, offering services including meditation, mood tracking and counselling, among others. You would think such “health” and “wellbeing” apps – which often present as solutions for conditions such as <a href="https://www.headspace.com/">anxiety</a> and <a href="https://www.calm.com">sleeplessness</a> – would have been rigorously tested and verified. But this isn’t necessarily the case.</p> <p>In fact, many may be taking your money and data in return for a service that does nothing for your mental health – at least, not in a way that’s backed by scientific evidence.</p> <h2>Bringing AI to mental health apps</h2> <p>Although some mental health apps connect users with a <a href="https://www.betterhelp.com/get-started/?go=true&amp;utm_source=AdWords&amp;utm_medium=Search_PPC_c&amp;utm_term=betterhelp+australia_e&amp;utm_content=133525856790&amp;network=g&amp;placement=&amp;target=&amp;matchtype=e&amp;utm_campaign=15228709182&amp;ad_type=text&amp;adposition=&amp;kwd_id=kwd-401317619253&amp;gclid=Cj0KCQjwoeemBhCfARIsADR2QCtfZHNw8mqpBe7cLfLtZBD-JZ5xvAmDCfol8npbAAH3ALJGYvpngtoaAtFlEALw_wcB¬_found=1&amp;gor=start">registered therapist</a>, most provide a fully automated service that bypasses the human element. This means they’re not subject to the same standards of care and confidentiality as a registered mental health professional. Some aren’t even designed by mental health professionals.</p> <p>These apps also increasingly claim to be incorporating artificial intelligence into their design to make personalised recommendations (such as for meditation or mindfulness) to users. However, they give little detail about this process. It’s possible the recommendations are based on a user’s previous activities, similar to Netflix’s <a href="https://help.netflix.com/en/node/100639">recommendation algorithm</a>.</p> <p>Some apps such as <a href="https://legal.wysa.io/privacy-policy#aiChatbot">Wysa</a>, <a href="https://www.youper.ai/">Youper</a> and <a href="https://woebothealth.com/">Woebot</a> use AI-driven chatbots to deliver support, or even established therapeutic interventions such as cognitive behavioural therapy. But these apps usually don’t reveal what kinds of algorithms they use.</p> <p>It’s likely most of these AI chatbots use <a href="https://www.techtarget.com/searchenterpriseai/feature/How-to-choose-between-a-rules-based-vs-machine-learning-system">rules-based systems</a> that respond to users in accordance with predetermined rules (rather than learning on the go as adaptive models do). These rules would ideally prevent the unexpected (and often <a href="https://www.vice.com/en/article/pkadgm/man-dies-by-suicide-after-talking-with-ai-chatbot-widow-says">harmful and inappropriate</a>) outputs AI chatbots have become known for – but there’s no guarantee.</p> <p>The use of AI in this context comes with risks of biased, discriminatory or completely inapplicable information being provided to users. And these risks haven’t been adequately investigated.</p> <h2>Misleading marketing and a lack of supporting evidence</h2> <p>Mental health apps might be able to provide certain benefits to users <em>if</em> they are well designed and properly vetted and deployed. But even then they can’t be considered a substitute for professional therapy targeted towards conditions such as anxiety or depression.</p> <p>The <a href="https://theconversation.com/pixels-are-not-people-mental-health-apps-are-increasingly-popular-but-human-connection-is-still-key-192247">clinical value</a> of automated mental health and mindfulness apps is <a href="https://www.sciencedirect.com/science/article/abs/pii/S1077722918300233?casa_token=lwm1E6FhcG0AAAAA:saV7szbZl4DqbvmZiomLG9yMWi_4-zbmy3QCtQzVEQr957QX1E7Aiqkm5BcEntR0mVFgfDVo">still being assessed</a>. Evidence of their efficacy is generally <a href="https://journals.plos.org/digitalhealth/article?id=10.1371/journal.pdig.0000002">lacking</a>.</p> <p>Some apps make ambitious claims regarding their effectiveness and refer to studies that supposedly support their benefits. In many cases these claims are based on less-than-robust findings. For instance, they may be based on:</p> <ul> <li><a href="https://sensa.health/">user testimonials</a></li> <li>short-term studies with narrow <a href="https://www.wired.co.uk/article/mental-health-chatbots">or homogeneous cohorts</a></li> <li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9533203/">studies involving</a> researchers or funding from the very group <a href="https://www.theguardian.com/us-news/2022/apr/13/chatbots-robot-therapists-youth-mental-health-crisis">promoting the app</a></li> <li>or evidence of the benefits of a <a href="https://www.headspace.com/meditation/anxiety">practice delivered face to face</a> (rather than via an app).</li> </ul> <p>Moreover, any claims about reducing symptoms of poor mental health aren’t carried through in contract terms. The fine print will typically state the app does not claim to provide any physical, therapeutic or medical benefit (along with a host of other disclaimers). In other words, it isn’t obliged to successfully provide the service it promotes.</p> <p>For some users, mental health apps may even cause harm, and lead to increases in the very <a href="https://pubmed.ncbi.nlm.nih.gov/34074221/">symptoms</a> people so often use them to address. The may happen, in part, as a result of creating more awareness of problems, without providing the tools needed to address them.</p> <p>In the case of most mental health apps, research on their effectiveness won’t have considered <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9505389/">individual differences</a> such as socioeconomic status, age and other factors that can influence engagement. Most apps also will not indicate whether they’re an inclusive space for marginalised people, such as those from culturally and linguistically diverse, LGBTQ+ or neurodiverse communities.</p> <h2>Inadequate privacy protections</h2> <p>Mental health apps are subject to standard consumer protection and privacy laws. While data protection and <a href="https://cybersecuritycrc.org.au/sites/default/files/2021-07/2915_cscrc_casestudies_mentalhealthapps_1.pdf">cybersecurity</a> practices vary between apps, an investigation by research foundation Mozilla <a href="https://foundation.mozilla.org/en/privacynotincluded/articles/are-mental-health-apps-better-or-worse-at-privacy-in-2023">concluded that</a> most rank poorly.</p> <p>For example, the mindfulness app <a href="https://www.headspace.com/privacy-policy">Headspace</a> collects data about users from a <a href="https://foundation.mozilla.org/en/privacynotincluded/headspace/">range of sources</a>, and uses those data to advertise to users. Chatbot-based apps also commonly repurpose conversations to predict <a href="https://legal.wysa.io/privacy-policy">users’ moods</a>, and use anonymised user data to train the language models <a href="https://www.youper.ai/policy/privacy-policy">underpinning the bots</a>.</p> <p>Many apps share so-called <a href="https://theconversation.com/popular-fertility-apps-are-engaging-in-widespread-misuse-of-data-including-on-sex-periods-and-pregnancy-202127">anonymised</a> data with <a href="https://www.wysa.com/">third parties</a>, such as <a href="https://www.headspace.com/privacy-policy">employers</a>, that sponsor their use. Re-identification of <a href="https://www.unimelb.edu.au/newsroom/news/2017/december/research-reveals-de-identified-patient-data-can-be-re-identified">these data</a> can be relatively easy in some cases.</p> <p>Australia’s Therapeutic Goods Administration (TGA) doesn’t require most mental health and wellbeing apps to go through the same testing and monitoring as other medical products. In most cases, they are lightly regulated as <a href="https://www.tga.gov.au/how-we-regulate/manufacturing/medical-devices/manufacturer-guidance-specific-types-medical-devices/regulation-software-based-medical-devices">health and lifestyle</a> products or tools for <a href="https://www.tga.gov.au/sites/default/files/digital-mental-health-software-based-medical-devices.pdf">managing mental health</a> that are excluded from TGA regulations (provided they meet certain criteria).</p> <h2>How can you choose an app?</h2> <p>Although consumers can access third-party rankings for various mental health apps, these often focus on just a few elements, such as <a href="https://onemindpsyberguide.org/apps/">usability</a> or <a href="https://foundation.mozilla.org/en/privacynotincluded/categories/mental-health-apps/">privacy</a>. Different guides may also be inconsistent with each other.</p> <p>Nonetheless, there are some steps you can take to figure out whether a particular mental health or mindfulness app might be useful for you.</p> <ol> <li> <p>consult your doctor, as they may have a better understanding of the efficacy of particular apps and/or how they might benefit you as an individual</p> </li> <li> <p>check whether a mental health professional or trusted institution was involved in developing the app</p> </li> <li> <p>check if the app has been rated by a third party, and compare different ratings</p> </li> <li> <p>make use of free trials, but be careful of them shifting to paid subscriptions, and be wary about trials that require payment information upfront</p> </li> <li> <p>stop using the app if you experience any adverse effects.</p> </li> </ol> <p>Overall, and most importantly, remember that an app is never a substitute for real help from a human professional.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211513/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/jeannie-marie-paterson-6367">Jeannie Marie Paterson</a>, Professor of Law, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>; <a href="https://theconversation.com/profiles/nicholas-t-van-dam-389879">Nicholas T. Van Dam</a>, Associate Professor, School of Psychological Sciences, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a>, and <a href="https://theconversation.com/profiles/piers-gooding-207492">Piers Gooding</a>, Postdoctoral Research Fellow, Disability Research Initiative, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/not-all-mental-health-apps-are-helpful-experts-explain-the-risks-and-how-to-choose-one-wisely-211513">original article</a>.</em></p>

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Women get far more migraines than men – a neurologist explains why, and what brings relief

<p><em><a href="https://theconversation.com/profiles/danielle-wilhour-1337610">Danielle Wilhour</a>, <a href="https://theconversation.com/institutions/university-of-colorado-anschutz-medical-campus-4838">University of Colorado Anschutz Medical Campus</a></em></p> <p>A migraine is far <a href="https://americanmigrainefoundation.org/resource-library/what-is-migraine/">more than just a headache</a> – it’s a debilitating disorder of the nervous system.</p> <p>People who have migraines experience severe throbbing or pulsating pain, typically on one side of the head. The pain is often accompanied by nausea, vomiting and <a href="https://theconversation.com/migraine-sufferers-have-treatment-choices-a-neurologist-explains-options-beyond-just-pain-medication-181348">extreme sensitivity to light or sound</a>. An attack may last for hours or days, and to ease the suffering, some people spend time isolated in dark, quiet rooms.</p> <p>About 800 million people worldwide <a href="https://doi.org/10.1001/jama.2021.21857">get migraine headaches</a>; in the U.S. alone, <a href="https://americanmigrainefoundation.org/resource-library/what-is-migraine/">about 39 million</a>, or approximately 12% of the population, have them regularly.</p> <p>And most of these people are women. More than <a href="https://www.npr.org/sections/health-shots/2012/04/16/150525391/why-women-suffer-more-migraines-than-men">three times as many women</a> as compared to men get migraines. For women ages 18 to 49, migraine is the leading <a href="https://doi.org/10.1186/s10194-020-01208-0">cause of disability throughout the world</a>.</p> <p>What’s more, research shows that women’s migraines are <a href="https://doi.org/10.1007/s10072-020-04643-8">more frequent, more disabling and longer-lasting</a> than men’s. Women are more likely than men to <a href="https://doi.org/10.1007/s10072-015-2156-7">seek medical care and prescription drugs</a> for migraines. And women who have migraines <a href="https://doi.org/10.1186/s10194-021-01281-z">tend to have more mental health issues</a>, including anxiety and depression.</p> <p><a href="https://som.cuanschutz.edu/Profiles/Faculty/Profile/29586">As a board-certified neurologist</a> who specializes in headache medicine, I find the gender differences in migraines to be fascinating. And some of the reasons why these differences exist may surprise you.</p> <figure><iframe src="https://www.youtube.com/embed/lorXYK2OtAA?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">A variety of medications and therapies offer relief for migraines.</span></figcaption></figure> <h2>Migraines and hormones</h2> <p>There are several factors behind why men and women experience migraine attacks differently. These include hormones, genetics, how certain genes are activated or deactivated – an <a href="https://www.psychologytoday.com/us/basics/epigenetics">area of study called epigenetics</a> – and the environment.</p> <p>All of these factors play a role in shaping the structure, function and adaptability of the brain when it comes to migraines. The hormones <a href="https://www.healthline.com/health/womens-health/estrogen-vs-progesterone#functions">estrogen and progesterone</a>, through different mechanisms, play a role in regulating many biological functions. They affect various chemicals in the brain and may contribute to <a href="https://doi.org/10.1093/brain/aws175">functional and structural differences</a> in specific brain regions that are involved in the development of migraines. Additionally, sex hormones can <a href="https://doi.org/10.1007/s10072-020-04643-8">quickly change the size of blood vessels</a>, which can predispose people to migraine attacks.</p> <p>During childhood, both boys and girls have an <a href="https://doi.org/10.1177/0333102409355601">equal chance of experiencing migraines</a>. It’s estimated that about <a href="https://www.ncbi.nlm.nih.gov/books/NBK557813/">10% of all children will have them</a> at some point. But when girls reach puberty, their likelihood of getting migraines increases.</p> <p>That’s due to the <a href="https://doi.org/10.3389/fmolb.2018.00073">fluctuating levels of sex hormones</a>, primarily <a href="https://www.hopkinsmedicine.org/health/conditions-and-diseases/estrogens-effects-on-the-female-body">estrogen</a>, associated with puberty – although other hormones, including <a href="https://my.clevelandclinic.org/health/body/24562-progesterone">progesterone</a>, may be involved too.</p> <p>Some girls have their first migraine around the time <a href="https://doi.org/10.1002/jnr.23903">of their first menstrual cycle</a>. But migraines are often most common and intense <a href="https://doi.org/10.1136%2Fbmj.39559.675891.AD">during a woman’s reproductive and child-bearing years</a>.</p> <p>Researchers estimate about 50% to 60% of women with migraines <a href="https://americanmigrainefoundation.org/resource-library/menstrual-migraine-treatment-and-prevention/">experience menstrual migraines</a>. These migraines typically occur in the days leading up to menstruation or during menstruation itself, when the <a href="https://doi.org/10.1007/s10194-012-0424-y">drop in estrogen levels can trigger migraines</a>. Menstrual migraines can be more severe and last longer than migraines at other times of the month.</p> <p>A class of medicines that came out in the 1990’s – <a href="https://www.healthline.com/health/triptan-migraine#side-effects">triptans</a> – are commonly used to treat migraines; certain triptans can be used specifically for menstrual migraines. Another category of medications, called <a href="https://my.clevelandclinic.org/health/drugs/11086-non-steroidal-anti-inflammatory-medicines-nsaids">nonsteroidal anti-inflammatory drugs</a>, have also been effective at lessening the discomfort and length of menstrual migraines. So can a variety of birth control methods, which help by keeping hormone levels steady.</p> <h2>Migraine with aura</h2> <p>But women who have <a href="https://www.mayoclinic.org/diseases-conditions/migraine-with-aura/symptoms-causes/syc-20352072">migraine with aura</a>, which is a distinct type of migraine, should generally avoid using estrogen containing hormonal contraceptives. The combination can increase the risk of stroke because estrogen can promote <a href="https://doi.org/10.1016/j.thromres.2020.05.008">the risk of blood clot formation</a>. Birth control options for women with auras include progesterone-only birth control pills, the Depo-Provera shot, and intrauterine devices.</p> <p>Auras affect about 20% of the people who have migraines. Typically, prior to the migraine, the person most commonly begins to see dark spots and zigzag lines. Less often, about 10% of the time, an inability to speak clearly, or tingling or weakness on one side of the body, also occurs. These symptoms slowly build up, generally last less than an hour before disappearing, and are commonly followed by head pain.</p> <p>Although these symptoms resemble what happens during a stroke, an aura tends to occur slowly, over minutes – while strokes usually happen instantaneously.</p> <p>That said, it may be difficult and dangerous for a nonmedical person to try to discern the difference between the two conditions, particularly in the midst of an attack, and determine whether it’s migraine with aura or a stroke. If there is any uncertainty as to what’s wrong, a call to 911 is most prudent.</p> <figure><iframe src="https://www.youtube.com/embed/Tn91p-PY2h8?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">If you’re a woman and your migraines happen at the same time every month, it might be menstrual migraines.</span></figcaption></figure> <h2>Migraines during pregnancy, menopause</h2> <p>For women who are pregnant, migraines can be particularly <a href="https://www.stanfordchildrens.org/en/topic/default?id=headaches-in-early-pregnancy-134-3">debilitating during the first trimester</a>, a time when morning sickness is common, making it difficult to eat, sleep or hydrate. Even worse, missing or skipping any of these things can make migraines more likely.</p> <p>The good news is that migraines generally tend to lessen in severity and frequency throughout pregnancy. For some women, they disappear, especially as the pregnancy progresses. But then, for those who experienced them during pregnancy, migraines tend <a href="https://americanmigrainefoundation.org/resource-library/postpartum-headache/">to increase after delivery</a>.</p> <p>This can be due to the decreasing hormone levels, as well as sleep deprivation, stress, dehydration and other environmental factors related to caring for an infant.</p> <p>Migraine attacks can also increase during <a href="https://my.clevelandclinic.org/health/diseases/21608-perimenopause">perimenopause</a>, a woman’s transitional phase to menopause. Again, fluctuating hormone levels, <a href="https://www.verywellhealth.com/perimenopause-and-migraines-4009311">particularly estrogen, trigger them</a>, along with the chronic pain, depression and sleep disturbances that can occur during this time.</p> <p>But as menopause progresses, migraines generally decline. In some cases, they completely go away. In the meantime, there are treatments that can help lessen both the frequency and severity of migraines throughout menopause, including <a href="https://www.webmd.com/menopause/menopause-hormone-therapy">hormone replacement therapy</a>. Hormone replacement therapy contains female hormones and is used to replace those that your body makes less of leading up to or after menopause.</p> <h2>Men’s migraines</h2> <p>The frequency and severity of migraines slightly increase for <a href="https://doi.org/10.1177/0333102409355601">men in their early 20s</a>. They tend to slow down, peak again around age 50, then slow down or stop altogether. Why this happens is not well understood, although a combination of genetic factors, environmental influences and lifestyle choices may contribute to the rise.</p> <p>Medical researchers still have more to learn about why women and men get migraines. Bridging the gender gap in migraine research not only empowers women, but it also advances understanding of the condition as a whole and creates a future where migraines are better managed.<!-- 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/207606/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/danielle-wilhour-1337610">Danielle Wilhour</a>, Assistant Professor of Neurology, <a href="https://theconversation.com/institutions/university-of-colorado-anschutz-medical-campus-4838">University of Colorado Anschutz Medical Campus</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/women-get-far-more-migraines-than-men-a-neurologist-explains-why-and-what-brings-relief-207606">original article</a>.</em></p>

Body

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Why do dogs sploot?

<p><strong>Why do dogs sploot? Veterinarians explain the cute canine behaviour</strong></p> <p>Our pups have a knack for expressing all kinds of dog behaviour through facial and body language, including their dog sleeping position. One of the cutest things they do is the dog sploot. Although adorable, seeing your dog in this unnatural position is kind of strange – so you might wonder if dog splooting is normal. “Most dogs sploot because they are keeping cool, stretching out and relaxing,” says veterinarian Linda Simon. Well, that’s a relief.</p> <p>Still, there are times when splooting could be a sign that something is amiss, which is why learning more facts about dogs can help us understand them better.</p> <p><strong>What is splooting?</strong></p> <p>‘Splooting’, or ‘frogging’ is defined as the posture a dog takes when their belly is flat against the ground and their hind legs are stretched out behind them,” says veterinarian Jamie Whittenburg. But where did the word sploot come from?</p> <p>Who coined the word is a mystery, but Dictionary.com says that lexicographer Grant Barrett suspects sploot may stem from ‘splat’, to describe the appearance of the pose. The word sploot may be part of a growing vocabulary of doggy slang that uses cute, deliberate misspellings to lovingly describe our dogs’ quirks and physical appearances.</p> <p><strong>Is splooting OK for dogs?</strong></p> <p>Overall, splooting is harmless and doesn’t cause pain. Though it’s important to know that every dog is different, and while splooting may be the ultimate way to stretch and relax for one dog, it might not ever be another dog’s thing. “Certain dogs may have physical limitations or conditions that make splooting uncomfortable or even painful for them,” says Dr Beach. Additionally, dogs with joint issues, muscle strains or injuries may find certain positions, including splooting, uncomfortable.</p> <p><strong>Why might a dog sploot?</strong></p> <p>Most dogs lie on the ground this way to feel good. While it’s not common, a splooting dog may have certain medical conditions too. Here are a few reasons why dogs do it.</p> <p><strong>To stretch and relax</strong></p> <p>Dogs know splooting feels good, but you might be wondering why it does. This cute doggy pose can relieve tension or pressure on their lower back and hips and stretch and help align their spine. “Splooting requires flexibility of the hip joints as well as the muscles in the hind legs,” says Dr Whittenburg. “Dogs tend to [go into] this position when they are relaxed and comfortable.” Usually, puppies and younger dogs have an easier time sprawling out into a sploot, but you might see older dogs doing it too.</p> <p><strong>To cool off</strong></p> <p>Though panting is the primary way to cool down after a lightning round of dog zoomies or a long walk on a hot day, some dogs may sploot to drop their body temperature. “Dogs cool their bellies on the floor, since they don’t sweat like humans do,” says veterinarian Marla Beach.</p> <p>Dogs that sploot may seek out surfaces like cold tiles, timber flooring or a grassy area in the shade. “The dog stretches out and gets more of their abdomen in contact with cooler ground in an effort to dissipate more heat,” says Dr Simon.</p> <p><strong>The dog has short legs</strong></p> <p>Various dog breeds can do the dog sploot, but the adorable short-leg dog breeds naturally ease into this yoga-esque pose more comfortably than other breeds. For example, the body of corgis, dachshunds, staffys and French bulldogs allow for a greater range of movement in the hip joints, making it easier to stretch their hind legs. “The anatomical structure of their hips and joints may be more flexible, enabling them to adopt positions like splooting more effortlessly compared with breeds with different body proportions,” says Dr Beach. </p> <p>Still, even if you have a dog breed known for splooting, each dog has their favourite stretch, and splooting may not be one of their go-to moves.</p> <p><strong>The dog has arthritis </strong></p> <p>If your older dog has never splooted before, they’re probably not doing it to relax or cool down. “Splooting would not be an expected new behaviour in an older dog,” says Dr Simon. “Rather, when the behaviour starts in their senior years, this would be a sign of an emerging medical issue such as arthritis.” Arthritis is a common health issue that can severely limit your dog’s quality of life as they get older. It can cause the bones and joints to rub together due to tissue damage or cartilage loss.</p> <p>Since dogs can’t speak to us to say they’re hurting, pet owners have to look for warning signs that they are in pain. Dogs may have difficulty getting up after sleeping or napping, have less interest in walking or playing or have a limp or overall stiffness. When your dog is in pain, they might not want to be touched or petted and be a bit cranky. Speak to your vet right away if you notice any of these symptoms. With arthritis, the most effective pain management for dogs begins sooner rather than later.</p> <p><strong>The dog has hip dysplasia </strong></p> <p>It’s rare, but joint problems such as hip dysplasia, a deformity of the ball and socket joint of the hip, may lead to splooting in some cases. But there should be other signs that the dog has hip dysplasia too. “When splooting is associated with hip dysplasia, we may notice a ‘bunny hop’ run, stiff walking or reluctance to play,” says Dr Simon.</p> <p>Hip dysplasia is typically seen in larger dog breeds. During puppyhood, the ball and joint should grow at equal rates. When they don’t, the joint has too much laxity, which causes pain that may lead to degenerative joint osteoarthritis or joint disease. Treatment options include medicine, supplements, physical therapy or surgery.</p> <p><strong>When should I worry about a dog splooting?</strong></p> <p>Generally, dog splooting is nothing to worry about, but if you have an older dog that has never splooted before and begins to do so, this should sound an alarm bell. “Older dogs are more prone to certain musculoskeletal diseases, including arthritis and ruptured knee ligaments,” says Dr Simon.</p> <p>For dogs of any age that have never splooted before, have difficulty getting up, appear to be in pain or are showing signs of heat stroke in dogs, seek veterinary care right way, adds Dr Whittenburg.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/food-home-garden/pets/why-do-dogs-sploot" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

Family & Pets

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Is Eurovision finally cool? That depends on your definition – ‘cool theory’ expert explain

<p><em><a href="https://theconversation.com/profiles/vanessa-brown-142590">Vanessa Brown</a>, <a href="https://theconversation.com/institutions/nottingham-trent-university-1338"><em>Nottingham Trent University</em></a></em></p> <p>With an aesthetic dependent on novelty and spectacle, and a structure that’s both disjointed and drawn-out, Eurovision – for some – cannot fail to fail. In its “failed seriousness” (the phrase writer Susan Sontag <a href="https://www.artandobject.com/news/what-camp-met-tries-define-ineffable">used to describe “camp”</a>), the song contest has all the exaggerated expressiveness that audiences associate with kitsch. So, how could it possibly be cool?</p> <p>I’m interested in viewing the show through the lens of <a href="https://irep.ntu.ac.uk/id/eprint/45239/1/1507168_Brown.pdf">cool theory</a> (which identifies different kinds of cool and breaks those down into core qualities). “Coolness” itself is a <a href="https://www.tandfonline.com/doi/full/10.1080/14797585.2021.2000837">slippery and controversial term</a> that can mean almost opposing things.</p> <p>For some, “cool” is simply what is fashionable. It can also be a rebellion against what is fashionable. Or an anti-social attitude in which nothing and no one else matters beyond your own stylish persona.</p> <p>Indeed Sam Ryder – the UK’s near-win Eurovision act of 2022 whose high energy performance combined epic, earnest vocals with flowing natural locks, pearly teeth and a bejewelled one-piece – told the Guardian in 2022 that cool is “<a href="https://www.theguardian.com/tv-and-radio/2022/may/19/cool-is-the-enemy-eurovision-hero-sam-ryder-on-how-he-ditched-his-ego-and-found-his-joy">the enemy</a>”.</p> <p>The profile of Ryder claimed he had no interest in the “detached rock star” exterior. This refers to the sense of unwillingness of “cool” musicians to have their dignity compromised by other people’s rules – an unwillingness to be caught making an effort.</p> <p>But Eurovision is all about effort. A publicised drama of rehearsals and heats, nervous waving and nail biting in the green room – the performers are just generally far too eager. Because whether it’s death metal or pared back electronica, being liked is what these musicians are here for.</p> <figure><iframe src="https://www.youtube.com/embed/RZ0hqX_92zI?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">Sam Ryder’s 2022 Eurovision performance.</span></figcaption></figure> <p>On the other hand, it’s hard to imagine the uber-cool 1960s <a href="https://www.loudersound.com/features/krautrock-communism-and-chaos-the-anarchic-story-of-can">krautrock band Can</a> giving two hoots what a jury in Brussels would make of their genre-defining understated rock. Nor the jazz men Miles Davis, Charlie Parker or Lester Young, who set the parameters of cool performance with their sharp, formal attire and <a href="https://www.bloomsbury.com/uk/cool-shades-9780857854643/">refusal to acknowledge the audience</a>.</p> <h2>What kind of ‘cool’ is Eurovision?</h2> <p>Although the performers of Eurovision aren’t detached, the audience can be. Sociologist Janna Michael’s <a href="https://journals.sagepub.com/doi/abs/10.1177/1469540513493206?journalCode=joca">2015 study</a> of European urban hipsters revealed that the point of cool is not what is liked, so much as how it is liked. This goes some way to explaining Eurovision’s appeal.</p> <p>Since the 1980s, Eurovision has been presented (certainly in Britain) as something to enjoy in a specifically detached way, through irony. From 1973 to 2008, former commentator Terry Wogan’s flippant narration allowed the audience to collude in a knowing superiority over the event, finding its failed seriousness funny.</p> <p>The cult following of Eurovision among those with a camp sensibility was further endorsed by the appointment of comedian Graham Norton as Wogan’s more obviously camp successor.</p> <p>Do these fans love Eurovision because they enjoy the catharsis of the unabashed release of “bad taste”? Or because they enjoy feeling superior to those people (and nations) who genuinely engage with the drama of the competition? This is a side of <a href="https://www.abebooks.co.uk/9780719066153/Kitsch-Cultural-Politics-Taste-Ruth-0719066158/plp">cool’s ironic detachment that celebrates disdain for others</a>.</p> <p>However, many British fans now speak enthusiastically about the tolerance and openness of Eurovision. As <a href="https://www.liverpoolecho.co.uk/news/showbiz-news/eurovisions-rylan-clark-blown-away-26873868">host Rylan Clark said this year</a>: “Everyone is welcome.” In recent years Eurovision has become more obviously and consciously open to gender diversity and aligned to LGBTQ+ tastes.</p> <p>This was crystallised by bearded Austrian drag queen Conchita’s winning performance in 2014. The <a href="https://metro.co.uk/2023/05/11/eurovision-alesha-dixon-and-hannah-waddingham-turned-into-drag-queens-18770837/">drag makeovers given to all three semi-final hosts this year</a> confirmed the contest’s status as a space which endorses self-creation, individuality and tolerance – all aspects of the cool attitude.</p> <h2>Becoming mainstream</h2> <p>In the past, scholars of the theory of coolness have often focused too heavily on men and masculine, emotionally blank forms of “cool”, with composure and self-possession at their heart. Though this brand of cool is eloquently expressed in jazz, it is also visible in the consummate performer of drag.</p> <p>Thanks to the popularity of shows such as RuPaul’s Drag Race, drag – once enjoyed purely in LGBTQ+ subcultures – is now mainstream entertainment. This is perhaps one reason Eurovision has suddenly become perceived as “cool” <a href="https://www.sciencedaily.com/releases/2012/06/120607180110.htm">by some</a>. But experiences of exclusion and marginalisation have historically been the conditions in which modern cool has been forged.</p> <p>The very fact that Eurovision has been viewed for decades as a cultural white elephant, a place of almost inconsequential melodrama, gives it the potential to be resurrected as cool.</p> <p>Liking Eurovision was once an anti-mainstream position. This gave the show the potential to become “cool”, through both its exaggeration of qualities seen as undesirable by dominant social tastes, and its willingness to push the boundaries of convention, despite the detractors.</p> <p>The concept of cool is complicated – and it is changing. Indeed, <a href="https://www.sciencedaily.com/releases/2012/06/120607180110.htm">some recent studies</a> have shown that perception of coolness is connected to activism and pro-social traits. Eurovision may seem like sparkly fluff, but perhaps now more than ever, it is also a vehicle for promoting greater acceptance of other ways of life. It’s all cool.<!-- 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/205600/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/vanessa-brown-142590">Vanessa Brown</a>, Course Leader MA Culture, Style and Fashion, <a href="https://theconversation.com/institutions/nottingham-trent-university-1338">Nottingham Trent University</a></em></p> <p><em>Image credits: Getty </em><em>Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/is-eurovision-finally-cool-that-depends-on-your-definition-cool-theory-expert-explains-205600">original article</a>.</em></p>

Music

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Ever feel like your life is a performance? Everyone does – and this 1959 book explains roles, scripts and hiding backstage

<p>Shakespeare’s adage — “All the world’s a stage” — suggests human beings are conditioned to perform, and to possess an acute social awareness of how they appear in front of others.</p> <p>It resonates in the age of social media, where we’re all performing ourselves on our screens and watching each other’s performances play out. Increasingly, those screen performances are how we meet people, and how we form relationships: from online dating, to remote work, to staying in touch with family.</p> <p>While the idea of performance as central to social life has been around for centuries, <a href="https://www.oxfordbibliographies.com/display/document/obo-9780199756384/obo-9780199756384-0228.xml">Erving Goffman</a> was the first to attempt a comprehensive account of society and everyday life using theatre as an analogy.</p> <p>His influential 1959 book <a href="https://www.penguin.com.au/books/the-presentation-of-self-in-everyday-life-9780241547991">The Presentation of Self in Everyday Life</a> is something of a “bible” for scholars interested in questions of how we operate in everyday life. It became a surprise US bestseller on publication, crossing over to a general readership.</p> <p>Goffman wrote about how we perform different versions of ourselves in different social environments, while keeping our “backstage” essential selves private. He called his idea <a href="https://www.taylorfrancis.com/chapters/edit/10.4324/9781003160861-3/dramaturgy-charles-edgley?context=ubx&amp;refId=6e9b71d0-973c-4ebe-b90b-41a372d12623">dramaturgy</a>.</p> <p>Playwright Alan Bennett <a href="https://www.lrb.co.uk/the-paper/v03/n19/alan-bennett/cold-sweat">wrote admiringly</a> of him, “Individuals knew they behaved in this way, but Goffman knew everybody behaved like this and so did I.”</p> <h2>Goffman as influencer (and suspected spy)</h2> <p>In a <a href="https://www.isa-sociology.org/en/about-isa/history-of-isa/books-of-the-xx-century">poll of professional sociologists</a>, Goffman’s book ranked in the top ten publications of the 20th century.</p> <p>It influenced playwrights such as <a href="https://journals.sagepub.com/doi/abs/10.1177/019027250907200402">Tom Stoppard</a> and, of course, Bennett, who <a href="https://www.routledge.com/Alan-Bennett-A-Critical-Introduction/OMealy/p/book/9780815335405">was interested in</a> depicting and analysing the role-playing of everyday life that Goffman identified.</p> <p>Goffman was <a href="https://onlinelibrary.wiley.com/doi/abs/10.1002/9781444396621.ch24">born in Mannville</a>, Alberta in 1922 to Ukrainian Jewish parents who migrated to Canada. The sister of the man who would become famous for his theatre analogies was an actor, <a href="https://www.imdb.com/name/nm0062844/">Frances Bay</a>: late in life, she would play quirky, recognisable roles such as the “marble rye” lady on <a href="https://theconversation.com/science-of-seinfeld-131606">Seinfeld</a> and a recurring part on <a href="https://theconversation.com/ill-see-you-again-in-25-years-the-return-to-twin-peaks-32624">Twin Peaks</a> (as Mrs Tremond/Chalfant).</p> <p>The path to Goffman’s book was an unusual one. It didn’t come from directly studying the theatre, or even from asking questions about theatregoers.</p> <p>While completing postgraduate studies at the the University of Chicago, Goffman was given the opportunity to conduct fieldwork in the Shetland Islands, an isolated part of northern Scotland, for his <a href="https://www.mediastudies.press/pub/ns-ccic/release/4">PhD dissertation</a>.</p> <p>Goffman pretended to be there to <a href="https://onlinelibrary.wiley.com/doi/10.1002/9780470999912.ch3">study agricultural techniques</a>. But his actual reason was to examine the everyday life of the Shetland Islanders. As he observed the everyday practices and rituals of the remote island community, he had to negotiate suspicions he may <a href="https://www.amazon.com/Goffman-Social-Organization-Sociological-Routledge/dp/0415112044">have been a spy</a>.</p> <p>In Goffman’s published book, the ethnography of the Shetland Islands takes a back seat to his dramaturgical theory.</p> <h2>More than a popular how-to manual</h2> <p><a href="https://www.penguin.com.au/books/the-presentation-of-self-in-everyday-life-9780241547991">The Presentation of Self in Everyday Life</a> quickly became <a href="https://www.amazon.com.au/Sociological-Bent-InsideMetro-Culture/dp/0170120015">a national bestseller</a>. It was picked up by general readers “as a guide to social manners and on how to be clever and calculating in social intercourse without being obvious”.</p> <p>This fascinating and complex academic work could indeed be read as a “how-to” manual on how to impress others and mitigate negative impressions. But Goffman <a href="https://www.routledge.com/Erving-Goffman/Smith/p/book/9780415355919">didn’t mean</a> “performance” literally. Reading the book as a guide to middle-class etiquette misses some of its nuances.</p> <p>One is the sophisticated understanding of how reality and contrivance relate to each other. A good performance is one that appears “unselfconscious”; a “contrived” performance is one where the fact the social actor is performing a role is “painstakingly evident”.</p> <p>In everyday language, we tend to describe the latter as trying too hard. But Goffman is making a more general point, about the way we all perform ourselves, all the time – whether the effort is visible or not.</p> <p>If “All the world is not, of course, a stage”, then “the crucial ways in which it isn’t are not easy to specify”.</p> <h2>Playing roles and being in character</h2> <p>Today, we regularly use theatrical terms like “role”, “script”, “props”, “audience” and being “in and out of character” to describe how people behave in their everyday social life. But Goffman is the one who introduced these concepts, which have become part of our shared language.</p> <p>Together, they highlight how social life depends on what Goffman terms a shared definition of particular situations.</p> <p>Whether we are performing our work roles, having dinner with someone for whom we have romantic affections, or dealing with strangers in a public setting, we need to produce and maintain the appropriate definition of that reality.</p> <p>These activities are “performances”, according to Goffman, because they involve mutual awareness or attentiveness to the information others emit. This mutual awareness, or attention to others, means humans are constantly performing for audiences in their everyday lives.</p> <h2>Being in and out of character</h2> <p>It matters who the audience is – and what type of audience we have for our performances. When thinking about how people adapt their behaviour for others, Goffman differentiates between “front regions” and “back regions”.</p> <p>Front regions are where we must present what is often referred to as the “best version of ourselves”. In an open-plan office, a worker needs to look busy if their supervisor is about. So, in the front region, they need to look engaged, industrious and generally perform the role of being a worker. In an open-plan office, a worker needs to be constantly “in character”, as Goffman puts it.</p> <p>Back regions are where a social actor can “let their guard down”. In the context of a workplace, the back regions might refer to the bathroom, the lunchroom or anywhere else where the worker can relax their performance and potentially resort to “out of character” behaviour.</p> <p>If the worker takes a diversionary break to gossip with a colleague when their supervisor is no longer in earshot, they could be said to be engaging in back region conduct.</p> <p>Front and back regions are not defined by physical locations. A back region is any situation in which the individual can relax and drop their performance. (Of course, this means regions overlap with physical locations to some extent – people are more likely to be able to relax when they’re in more private settings.)</p> <p>Thus, <a href="https://www.nytimes.com/2022/09/08/opinion/open-plan-office-awful.html">open-plan offices</a> are often unpopular because workers feel they are constantly under surveillance. Conversely, the work-from-home arrangements that have become more common since the era of COVID lockdowns are popular because they allow people to relax their work personae.</p> <p>Renowned writer Jenny Diski <a href="https://www.lrb.co.uk/the-paper/v26/n05/jenny-diski/think-of-mrs-darling">reflected</a> in 2004, "reading Goffman now is alarmingly claustrophobic. He presents a world where there is nowhere to run; a perpetual dinner party of status seeking, jockeying for position and saving face. Any idea of an authentic self becomes a nonsense. You may or may not believe in what you are performing; either type of performance is believed in or it is not."</p> <h2>21st-century Goffman</h2> <p>Dramaturgy has survived the onset of our new media environment, where the presentation of the self has migrated to platforms as diverse as <a href="https://theconversation.com/instagram-and-facebook-are-stalking-you-on-websites-accessed-through-their-apps-what-can-you-do-about-it-188645">Facebook</a> and <a href="https://theconversation.com/its-corn-how-the-online-viral-corn-kid-is-on-a-well-worn-path-to-fame-in-the-child-influencer-industry-189974">TikTok</a>. In some ways, it’s more relevant than ever.</p> <p>Goffman’s approach has been applied to <a href="https://global.oup.com/academic/product/no-sense-of-place-9780195042313?cc=au&amp;lang=en&amp;">electronic media</a>, radio and <a href="https://www.google.com.au/books/edition/The_Media_and_Modernity/asB7QgAACAAJ?hl=en">television</a> <a href="https://www.taylorfrancis.com/chapters/edit/10.4324/9781003160861-19/reception-goffman-work-media-studies-peter-lunt">studies</a>, <a href="https://mitpress.mit.edu/9780262515047/new-tech-new-ties/">mobile phones</a> – and, more recently, <a href="https://journals.sagepub.com/doi/10.1177/13548565211036797">social media</a> and even <a href="https://journals.sagepub.com/doi/full/10.1177/0263276419829541">AI studies</a>.</p> <p>The “successful staging” (as Goffman terms it) of our social roles has only become more complex. This is perfectly illustrated by “BBC Dad” Robert Kelly, whose 2017 <a href="https://junkee.com/bbc-dad-pictures-kids-now-marion-james/324165">live television interview</a> from his home study was interrupted when his children wandered into the room. This was before COVID lockdowns, when our home and work lives (and personae) increasingly merged.</p> <p>“Everyone understands that now,” <a href="https://junkee.com/bbc-dad-pictures-kids-now-marion-james/324165">wrote Reena Gupta</a> in 2022. “You or someone in your family or circle of friends has been BBC Dad.”</p> <p>Maintaining and maximising performances still matters. And so does Goffman.</p> <p><em>This article originally appeared on <a href="https://theconversation.com/ever-feel-like-your-life-is-a-performance-everyone-does-and-this-1959-book-explains-roles-scripts-and-hiding-backstage-195939" target="_blank" rel="noopener">The Conversation</a>.</em></p> <p><em>Images: Getty</em></p>

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As the global musical phenomenon turns 50, a hip-hop professor explains what the word ‘dope’ means to him

<p>After I finished my Ph.D. in 2017, several newspaper reporters wrote about the job I’d accepted at the University of Virginia as an assistant professor of hip-hop.</p> <p>“A.D. Carson just scored, arguably, the dopest job ever,” one <a href="https://www.usatoday.com/story/news/2017/07/03/virginia-ad-carson-hip-hop-professor/435032001/">journalist wrote</a>.</p> <p>The writer may not have meant it the way I read it, but the terminology was significant to me. Hip-hop’s early luminaries transformed the word’s original meanings, using it as a synonym for cool. In the 50 years since, it endures as an expression of respect and praise – and illegal substances.</p> <p>In that context, dope has everything to do with my work. </p> <p>In the year I graduated from college, one of my best friends was sent to federal prison for possession of crack cocaine with intent to distribute. He served nearly a decade and has been back in prison several times since.</p> <p>But before he went to prison, he helped me finish school by paying off my tuition.</p> <p>In a very real way, dope has as much to do with me finishing my studies and becoming a professor as it does with him serving time in a federal prison.</p> <h2>Academic dope</h2> <p>For my Ph.D. dissertation in Rhetorics, Communications, and Information Design, I wrote a <a href="http://phd.aydeethegreat.com/">rap album</a> titled “Owning My Masters: The Rhetorics of Rhymes &amp; Revolutions.” A peer-reviewed, mastered version of the album is due out this summer from University of Michigan Press.</p> <p>Part of my reasoning for writing it that way involved my ideas about dope. I want to question who gets to determine who and what are dope and whether any university can produce expertise on the people who created hip-hop.</p> <p>While I was initially met with <a href="https://www.theatlantic.com/national/archive/2016/04/clemson-university-arrests/478455/">considerable resistance</a> for my work at Clemson, the university eventually became supportive and touted “<a href="https://news.clemson.edu/clemson-doctoral-student-produces-rap-album-for-dissertation-it-goes-viral/">a dissertation with a beat</a>.”</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">A Dissertation with a Beat. 🔊🎤 🔊<a href="https://twitter.com/hashtag/Clemson?src=hash&amp;ref_src=twsrc%5Etfw">#Clemson</a> doctoral student produces rap album for dissertation; it goes viral ➡️ <a href="https://t.co/wgiM9LS6k5">https://t.co/wgiM9LS6k5</a> <a href="https://t.co/r1lmBYXV2S">pic.twitter.com/r1lmBYXV2S</a></p> <p>— Clemson University (@ClemsonUniv) <a href="https://twitter.com/ClemsonUniv/status/845990987440652289?ref_src=twsrc%5Etfw">March 26, 2017</a></p></blockquote> <p>Clemson is not the only school to recognize hip-hop as dope. </p> <p>In the 50 years since its start at <a href="https://theconversation.com/hip-hop-holiday-signals-a-turning-point-in-education-for-a-music-form-that-began-at-a-back-to-school-party-in-the-bronx-165525">a back-to-school party</a> in the South Bronx, hip-hop, the culture and its art forms have come a long way to a place of relative prominence in educational institutions. </p> <p>Since 2013, Harvard University has housed the <a href="https://hutchinscenter.fas.harvard.edu/institutes/hiphop-archive-research-institute">Hiphop Archive &amp; Research Institute</a> and the <a href="https://hutchinscenter.fas.harvard.edu/faq/nasir-jones-hiphop-fellowship">Nasir Jones Hiphop Fellowship</a> that funds scholars and artists who demonstrate “exceptional scholarship and creativity in the arts in connection with Hiphop.”</p> <p>UCLA announced an <a href="https://www.latimes.com/entertainment-arts/music/story/2022-03-28/ucla-hip-hop-initiative-chuck-d">ambitious Hip Hop Initiative</a> to kick off the golden anniversary. The initiative includes artist residencies, community engagement programs, a book series and a digital archive project.</p> <p>Perhaps my receiving tenure and promotion at the University of Virginia is part of the school’s attempt to help codify the existence of hip-hop scholarship.</p> <p>When I write about “dope,” I’m thinking of Black people like drugs to which the U.S. is addicted. </p> <p>Dope is a frame to help clarify the attempts, throughout American history, at outlawing and <a href="https://www.ilsos.gov/departments/archives/online_exhibits/100_documents/1853-black-law.html">legalizing</a> the presence of Black people and Black culture. As dope, Black people are America’s constant ailment and cure.</p> <p>To me, dope is an aspiration and a methodology to acknowledge and resist America’s steady surveillance, scrutiny and criminalization of Blackness.</p> <p>By this definition, dope is not only what we are, it’s also who we want to be and how we demonstrate our being. </p> <p>Dope is about what we can make with what we are given. </p> <p>Dope is a product of conditions created by America. It is also a product that helped create America.</p> <p>Whenever Blackness has been seen as lucrative, businesses like record companies and institutions like colleges and universities have sought to capitalize. To remove the negative stigmas associated with dope, these institutions cast themselves in roles similar to a pharmacy. </p> <p>Even though I don’t believe academia has the power or authority to bestow hip-hop credibility, a question remains – does having a Ph.D and producing rap music as <a href="https://theconversation.com/hip-hop-professor-looks-to-open-doors-with-worlds-first-peer-reviewed-rap-album-153761">peer-reviewed publications</a>change my dopeness in some way?</p> <h2>Legalizing dope</h2> <p>Though I earned a Ph.D by rapping, my own relationship to hip-hop in academic institutions remains fraught. </p> <p>Part of the problem was noted in 2014 by Michelle Alexander, a legal scholar and author of “<a href="http://newjimcrow.com/">The New Jim Crow</a>,” when she talked about <a href="http://www.drugpolicy.org/resource/new-jim-crow-whats-next-talk-michelle-alexander-and-dpas-asha-bandele">her concerns about</a> the legalization of marijuana in different U.S. states.</p> <p>“In many ways the imagery doesn’t sit right,” she said. “Here are white men poised to run big marijuana businesses … after 40 years of impoverished black kids getting prison time for selling weed, and their families and futures destroyed. Now, white men are planning to get rich doing precisely the same thing?”</p> <p>I feel the same way about dopeness in academia. Since hip-hop has emerged as a global phenomenon largely embraced by many of the “academically trained” music scholars who initially rejected it, how will those scholars and their schools now make way for the people they have historically excluded?</p> <p>This is why that quote about me “scoring, arguably, the dopest job ever” has stuck with me. </p> <p>I wonder if it’s fair to call what I do a form of legalized dope.</p> <h2>America’s dope-dealing history</h2> <p>In the late 1990s, I saw how fast hip-hop had become inescapable across the U.S., even in the small Midwestern town of Decatur, Illinois, where I grew up with my friend who is now serving federal prison time. </p> <p>He and I have remained in contact. Among the things we discuss is how unlikely it is that I would be able to do what I do without his doing what he did.</p> <p>Given the economic realities faced by people after leaving prison, we both know there are limitations to his opportunities if we choose to see our successes as shared accomplishments.</p> <p>Depending on how dope is interpreted, prisons and universities serve as probable destinations for people who make their living with it. It has kept him in prison roughly the same amount of time as it has kept me in graduate school and in my profession. </p> <p>This present reality has historical significance for how I think of dope, and what it means for people to have their existence authorized or legalized, and America’s relationship to Black people. </p> <p>Many of the buildings at Clemson were built in the late 1880s using “<a href="http://glimpse.clemson.edu/convict-labor/">laborers convicted of mostly petty crimes</a>” that the state of South Carolina leased to the university. </p> <p>Similarly, the University of Virginia was built by <a href="https://dei.virginia.edu/resources">renting enslaved laborers</a>. The University also is required by state law to purchase office furniture from a state-owned company that <a href="https://www.insidehighered.com/news/2020/02/14/public-universities-several-states-are-required-buy-prison-industries">depends on imprisoned people for labor</a>. The people who make the furniture are paid very little to do so. </p> <p>The people in the federal prison where my friend who helped me pay for college is now housed work for paltry wages making towels and shirts for the U.S. Army.</p> <p>Even with all of the time and distance between our pasts and present, our paths are still inextricably intertwined – along with all those others on or near the seemingly transient line that divides “legal” and “illegal” dope.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/as-the-global-musical-phenomenon-turns-50-a-hip-hop-professor-explains-what-the-word-dope-means-to-him-200872" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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Why do musicians like Elton John find retirement so tough? A music psychology expert explains

<p>With his <a href="https://www.eltonjohn.com/stories/farewell-yellow-brick-road">Farewell Yellow Brick Road tour</a>, Elton John confirmed his latest plans for retirement. The final show of the tour in July 2023 will be his last. However, deja vu suggests this might not be the last we see of Elton.</p> <p>The singer has announced plans to retire <a href="https://www.musictimes.com/articles/8902/20140817/elton-john-career-false-retirements-brief-chronological-look.htm">at least five times</a> since 1984 but is still going strong. By the end of his current tour, Elton John will have performed in over 300 concerts in the UK, the US and Europe and he shows no sign of slowing down. He’ll perform a <a href="https://www.billboard.com/music/pop/elton-john-final-uk-show-glastonbury-festival-1235180982/">headline slot at Glastonbury</a> in 2023.</p> <p>Elton is not the only performer with a history of retiring and unretiring. He is in good company with <a href="https://abcnews.go.com/Entertainment/story?id=113477&amp;page=1">Barbra Streisand</a>, <a href="https://twitter.com/justinbieber/status/415683404462436352?lang=en">Justin Bieber</a>, <a href="https://www.revolt.tv/article/2022-07-14/180311/jay-z-explains-2003-retirement-i-thought-i-was-burned-out/">Jay-Z</a>, <a href="https://www.nme.com/news/music/lily-allen-hints-she-may-not-retire-just-yet-after-olivia-rodrigo-glastonbury-performance-3258600">Lily Allen</a> and <a href="https://ultimateclassicrock.com/phil-collins-retired/">Phil Collins</a>. </p> <p>Hip-hop star <a href="https://www.upi.com/Entertainment_News/2022/02/04/Nicki-Minaj-returns-music-new-single-Do-We-Have-Problem/9811643982091/">Nicki Minaj’s</a> retirement lasted for only 22 days, while heavy metal singer <a href="https://ultimateclassicrock.com/ozzy-osbourne-retirement-1992/">Ozzy Osbourne’s</a> valedictory No More Tours tour in 1992 preceded a further 30 years of performance.</p> <p>In contrast with handsomely rewarded performances on the global stage, retirement can be an intermittent pipe dream for many musicians. Long, unsociable hours in the music industry often offer modest remuneration and few of the perks available in other sectors. </p> <p>There is <a href="https://www.gov.uk/working-retirement-pension-age">no compulsory retirement age</a> in the UK, which can be a godsend for lower paid professional performers who find that saving for an adequate pension is beyond their means. In these cases, working <a href="https://theconversation.com/ageing-activism-why-we-need-to-give-voice-to-the-new-third-age-50305">beyond the third age</a> is a necessity.</p> <p>For Elton and his internationally acclaimed peers, however, the incentive to return to performing is less likely to be financial. So why do some successful musicians find it so hard to stick to retirement?</p> <h2>The motivation of the stage</h2> <p>The key to understanding this lies in motivation. </p> <p>For many musicians, the motivation to perform is intrinsic rather than extrinsic. Extrinsically motivated performers are interested in tangible rewards such as money. <a href="https://journals.sagepub.com/doi/full/10.1177/0305735617721637">Intrinsic motivation</a> meanwhile, is present when a musician performs mainly because of a strong inner desire to make music.</p> <p>For intrinsically motivated performers, making music is inherently pleasurable and a means unto itself. This partly explains why the music profession remains attractive even if it does not always bring the financial security of other careers. It also explains why some celebrated performers find it difficult to stay out of the public arena.</p> <p>Among those with a passion for music, the rewards of performance often exceed the financial benefits. The status and accolades derived from a celebrated performance career provide a source of affirmation which can become difficult to obtain elsewhere. </p> <p>Once human beings have fulfilled their basic needs of food, water, shelter and relationships, <a href="http://eznow7jgmenpjz.pic3.eznetonline.com/upload/MASLOW_YQfG.pdf">self-actualisation</a> becomes a significant driving force. For dedicated performers, achievement in the musical sphere can become an irreplaceable vehicle for attaining self esteem, personal growth and the satisfaction of fulfilling their potential.</p> <h2>You’re only as good as your last performance</h2> <p>Identity is also a central component in the motivation to perform. Continuing to perform professionally <a href="https://westminsterresearch.westminster.ac.uk/download/fbc3b0a7fd80bcb648344f9d298414ece784f56ff9018d267fd77a7fce70a980/519636/Gross%20%26%20Musgrave%20%282017%29%20Can%20Muic%20Make%20You%20Sick%20Pt2.pdf">can provide validation</a> for musicians, regardless of the level of income and recognition.</p> <p>For many, being a musician is inextricably linked with their sense of self. Their self worth is then strongly affected by their capacity to perform. This is especially true for singers, as voice is an integral part of <a href="https://www.researchgate.net/profile/Jane-Oakland/publication/258173213_Re-defining_'Me'_Exploring_career_transition_and_the_experience_of_loss_in_the_context_of_redundancy_for_professional_opera_choristers/links/00b7d52d6675946763000000/Re-defining-Me-Exploring-career-transition-and-the-experience-of-loss-in-the-context-of-redundancy-for-professional-opera-choristers.pdf">identity formation and expression</a>.</p> <p>There is some truth in the old saying; “You’re only as good as your last performance.” If you’re not performing at all, how good can you be? </p> <p>For retired musicians, <a href="https://www.researchgate.net/profile/Jane-Oakland/publication/280067238_AGEING_AND_RETIREMENT_TOWARDS_AN_UNDERSTANDING_OF_THE_EXPERIENCES_OF_SYMPHONY_MUSICIANS_AS_THEY_APPROACH_RETIREMENT/links/55a640e008aee8aaa765644b/AGEING-AND-RETIREMENT-TOWARDS-AN-UNDERSTANDING-OF-THE-EXPERIENCES-OF-SYMPHONY-MUSICIANS-AS-THEY-APPROACH-RETIREMENT.pdf">it can be challenging</a> to find a comparable way to channel the energy they once dedicated to performance.</p> <p>Musicians, like other professional groups, are diverse in many ways, but there are some personality traits different types of musicians tend to share. </p> <p>For example, classical musicians typically score highly on introversion, which partly accounts for <a href="https://journals.sagepub.com/doi/pdf/10.1177/03057356810090010201">their ability to focus</a> on the solitary practice necessary for developing technique before engaging in ensemble playing.</p> <p>In contrast, rock and pop musicians tend to <a href="https://journals.sagepub.com/doi/epdf/10.1177/0305735694222006">score highly</a> on extroversion, often learning and rehearsing more informally in collaboration with their peers. Extroverted performers often derive their energy from audience interaction so it can be difficult to achieve that “buzz” once the music stops.</p> <h2>Don’t stop me now</h2> <p>Performing music is <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2015.00906/full">widely recognised</a> as a way of achieving the highly desired state of “flow”, otherwise known as “peak performance” or being “in the zone”.</p> <p>Providing that the challenge of performing closely matches the skill level of the performer, <a href="https://nuovoeutile.it/wp-content/uploads/2015/12/2002-Flow.pdf">music can become an all-absorbing activity</a>, which is so immersive that it distorts our sense of time and distracts us from our everyday concerns. During live concerts, the audience and performers can experience a sense of <a href="https://sociologicalscience.com/download/vol-6/january/SocSci_v6_27to42.pdf">“collective effervescence”</a> rarely achieved elsewhere.</p> <p>Add in the emotional high derived from the adrenaline released in public performance and we can begin to understand why the rewards of performance can be difficult to replace in retirement.</p> <p>Rihanna’s <em><a href="https://www.youtube.com/watch?v=yd8jh9QYfEs">Don’t Stop the Music</a></em>, Queen’s <em><a href="https://www.youtube.com/watch?v=HgzGwKwLmgM">Don’t Stop Me Now</a></em> and Elton’s <em><a href="https://www.youtube.com/watch?v=ZHwVBirqD2s">I’m Still Standing</a></em> are these musicians ways of telling us that they want to be in the limelight, just as much as their audiences want them to stay there.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/why-do-musicians-like-elton-john-find-retirement-so-tough-a-music-psychology-expert-explains-197362" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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What to expect at King Charles’s coronation: The details and traditions, explained

<h2>The coronation of King Charles</h2> <p>All eyes will be on England for King Charles’s coronation this spring – and not just across the pond. Just as millions around the world watched the UK’s biggest royal weddings and Queen Elizabeth’s funeral, we’ll be doing the same with this event. But we might have a few more questions than our British friends about all the pomp and circumstance. Where do these traditions come from, and how are they being adapted for a new monarch, the first to be crowned in Britain in 70 years?</p> <p>“The coronation has traditional, religious and symbolic significance,” says royal expert Nicoletta Gullace, an associate professor of history at the University of New Hampshire who specialises in modern British history. “It is the moment the crown is placed upon the king’s head, and it signifies Charles’s authority in a long line of rulers ostensibly going back to the time of William the Conqueror in 1066.”</p> <p>In addition to the ceremony itself, there will be plenty of festivities – but not quite to the extent we’ve seen at other royal events, including Queen Elizabeth’s coronation back in 1953. “Charles wants to have a ‘slimmed-down monarchy,’ so he is trying to avoid the appearance of extravagance,” Gullace says. Still, no one does royal celebrations like the Brits, so no doubt the festivities will be filled with all the grandeur we’ve come to expect.</p> <p>Let’s delve into what you can expect from King Charles III’s coronation, from the timeline of events to the history of the rituals and the crown jewels, as well as the potential snubs and drama. (Harry and Meghan, we’re looking at you!) Plus, find out who from the British royal family tree will be there, what Queen Camilla’s coronation crown will be like and if King Charles III’s role in government will change after the big day.</p> <h3>When is King Charles’s coronation?</h3> <p>King Charles’s coronation date is Saturday, May 6, 2023. “Plans for the coronation of Charles III and his Queen Consort Camilla have been underway for a long time under the code name Operation Golden Orb,” says historian and author Tony McMahon.</p> <h3>How long will it take for Charles to be coronated?</h3> <p>“The coronation will be much shorter than the three-hour royal marathon Queen Elizabeth II endured,” McMahon says. “There’s clearly a sense that attention spans are not what they once were. Shorter will be better.” Expect the ceremony to last an hour or two max. The celebratory events, however, will continue through Monday, May 8.</p> <p>Interestingly, May 6 is also the birthday of Prince Harry’s son, Archie, who will be turning 4 years old. It is also the date that the late Princess Margaret (Queen Elizabeth’s sister) married Antony Armstrong-Jones, as well as the wedding anniversary of Camilla’s daughter, Laura.</p> <h3>Why did the royal family wait so long to have a coronation?</h3> <p>It’s a tradition that dates back centuries. “Shortly after the previous king or queen dies, the new monarch is proclaimed at St. James’s Palace and throughout the kingdom, but there is a gap between that event and the coronation,” McMahon says. “That doesn’t mean we are without a sovereign. The Latin phrase rex nunquam moritur applies in these circumstances, which broadly translates as ‘the king never dies.’ So, we have a monarch – it’s just that a crown has yet to be popped on their head.”</p> <p>Queen Elizabeth’s coronation was 18 months after the death of her father, so the gap between Charles’s accession to the throne upon her death on September 8, 2022, and his coronation isn’t unusual or particularly long, McMahon says. In fact, it’s quite a bit shorter, at just around eight months.</p> <p>“The reason for a gap between the accession and coronation is the requirement for a period of respectful mourning, and on the more practical side, getting things organised for the big day,” McMahon says. “If anything, coronations have become bigger logistical nightmares [starting] in the 20th century. Getting guests to Westminster Abbey from all over the world was not a concern for a medieval monarch.” Queen Elizabeth’s coronation in 1953 was the first to be televised, which added considerations for cameras, lighting and audio.</p> <h3>Will the coronation be televised?</h3> <p>Absolutely. Prince Philip, Queen Elizabeth’s husband, famously championed televising her coronation, and major royal events have been standard viewing ever since. In addition to the BBC in England, many international news channels will likely televise the event. (No official announcements have yet been made.) You’ll probably also be able to watch it online via live streaming.</p> <p>But King Charles’s coronation probably won’t come close to the recent royal weddings in terms of viewership numbers.</p> <p>“Given the Queen’s Platinum Jubilee last summer, her extremely long funeral event and all of Prince Harry’s Netflix specials and book talks, people may be royaled out,” Gullace says. King Charles also doesn’t have the same popularity as the younger royals or the late queen.</p> <h2>What will happen at the coronation?</h2> <p>The coronation isn’t just a political event – it’s also a religious ceremony. “King Charles is literally being anointed as God’s chosen ruler,” McMahon says. “That may seem weird to us today in the 21st century, but it’s still what legitimises having a monarch.” At the ceremony, Charles will be affirmed as the head of the Church of England, and his power as the symbolic ruler of the realm will be solidified, Gullace says. “It is a solemn occasion, but it will be accompanied by a festive public holiday, a pop concert, a light show at Windsor Castle, extended pub hours and community luncheons,” she says. Here’s a full timeline of the events.</p> <h3>The procession to Westminster Abbey</h3> <p>From Buckingham Palace, “King Charles and Queen Consort Camilla will process to Westminster Abbey through central London,” McMahon says. This is known as the King’s Procession. Westminster Abbey, by the way, also hosted Queen Elizabeth and Prince Philip’s wedding, Prince William and Kate Middleton’s wedding and the queen’s funeral – and it is the spot for royal coronations. “The first coronation at Westminster Abbey was in 1066, when William the Conqueror [who invaded England from Normandy] was crowned king,” says royal expert and author Marlene Koenig. “Charles will be the 40th monarch crowned at the abbey.”</p> <p>Fun fact: Only two kings since 1066 were not crowned – Edward V, who reigned for two months in 1483 before mysteriously vanishing, and Edward VIII, who abdicated in 1936. Having King Charles’s coronation here connects him with his ancestors through the ritual and the place where it will be held, Gullace says.</p> <h2>The coronation ceremony</h2> <p>The ceremony itself has been largely the same since medieval times. “The service is defined in a medieval Latin manuscript called the Liber Regalis, basically a manual for a coronation, which is first and foremost a religious service,” Koenig says. The Archbishop of Canterbury, the head of the Church of England, will anoint King Charles with holy oil, and he will swear to uphold the Christian faith and the laws of England.</p> <p>After taking the oath and being anointed, Charles will be given the orb, coronation ring and sceptre, which symbolise his divinely ordained role as king of the United Kingdom. He will then be crowned – but not quite in the same way as the last king. “Back in 1937, the late Queen Elizabeth’s father King George VI was [also] crowned as Emperor of India, King of the Union of South Africa, the dominions of Canada and Australia, and all the colonies in the empire,” McMahon says. “Charles will be king of a lot less. He may be the last British head of state in some countries where sentiment is growing for a president.”</p> <h3>A representation of other faiths</h3> <p>This will be a change from previous coronations. “King Charles III is the head of the Church of England, but he’s always been keen to position himself as a royal for all faiths,” he says. “There are going to be more representatives of faiths this time round, other than the Church of England. So, expect to see leaders from the Muslim, Hindu, Jewish, Sikh and Roman Catholic faiths playing some kind of role.”</p> <h2>Prince William’s tribute to the king</h2> <p>Only Prince William, as heir to the throne, will pay homage to the king, but none of the other royal dukes will, as they did in previous coronations. “Charles scrapped this to avoid Andrew and Harry having a role in the coronation,” Koenig says. (Charles’s brother Prince Andrew, Duke of York, was involved in a sexual-assault scandal and stripped of his royal duties; and Prince Harry, Duke of Sussex, relinquished his royal duties.)</p> <p>However, the decision also excludes the other royal dukes, the Duke of Gloucester and the Duke of Kent, from paying homage. Prince Edward, Charles’s youngest brother, who was just given the title Duke of Edinburgh, will also unfortunately be left out because of the new rule.</p> <p>What does paying homage entail? “William will say, ‘I, William, Prince of Wales, do become your liege man of life and limb, and of earthly worship; and faith and truth I will bear unto you, to live and die against all manner of folks. So help me God,’” Koenig says.</p> <h2>Camilla’s anointing</h2> <p>“Camilla, queen consort, will also be anointed with holy oil and crowned,” McMahon says. Interestingly, only female consorts are crowned at coronations, not male consorts. “We are used to the image of Queen Elizabeth II sitting alone in 1953 while Prince Philip watched, but this coronation will see two crownings, not just one,” McMahon explains. “Camilla will be crowned in a similar way to the queen mother in 1937, when she sat alongside King George VI.”</p> <p>Although public sentiment has shifted in Camilla’s favour over the last few decades, since the death of Charles’s first wife, Princess Diana, there’s still a major question remaining. “One mystery will be whether Charles dares to drop the word consort from Camilla’s royal title, making her queen of the realm,” Gullace says. As a second wife, she didn’t automatically receive that title.</p> <p>Camilla’s family may also have a role in the ceremony. “There were reports that the queen’s five grandchildren would carry the canopy, normally carried by duchesses, for the anointing, but this has not been confirmed,” Koenig says. “Her two children and son-in-law will, of course, have prominent seating.”</p> <h3>The procession to Buckingham Palace</h3> <p>“The coronation will be followed by a procession back to Buckingham Palace,” McMahon says. Called the Coronation Procession, this ceremonial parade will be a larger event than the one that brought Charles and Camilla to the abbey. The newly crowned couple will also be joined by other members of the royal family.</p> <h2>The balcony appearance</h2> <p>Next up: the grand finale. “It’s all rounded off with the obligatory balcony appearance and lots of waving to the adoring crowds below,” McMahon says. The big question: Who will be on the balcony? As Charles wants to streamline the monarchy, it’s likely only the working royals who will join the king and queen, as with the Queen’s Jubilee in 2022. This will include William, Kate and their children, Charles’s sister Princess Anne, and Prince Edward and his wife, Sophie. Several of Queen Elizabeth’s cousins, including the previously mentioned Dukes of Gloucester and Kent, who are also working royals, are likely to appear as well.</p> <p>“People will probably want to see who is on the balcony when the Red Arrows have their fly-over, but the assurance that everything will be ‘slimmed down’ and economical is unlikely to raise expectations,” Gullace says.</p> <h2>Coronation weekend</h2> <p>The fun’s not over yet! If Saturday marks the formal, solemn occasion, Sunday is the day to party. “On Sunday, May 7, there will be a dazzling coronation concert at Windsor Castle with big-name rock, pop and music stars,” McMahon says. The concert will lead up to “Lighting Up the Nation,” which will feature illuminated famous locations around the UK. “As was the case with the late queen’s jubilees, expect a surfeit of laser and drone displays, which are fast becoming a hallmark of major royal occasions,” McMahon says. “Plus, the more traditional fireworks and lots of military bands crashing cymbals, banging drums and droning bagpipes.”</p> <p>Throughout the weekend, people will also be organising street parties called Coronation Big Lunches in their communities to connect with their neighbours and partake in the revelry. In part to facilitate this, Monday, May 8, will be a holiday in the UK. In addition, “people are being encouraged to do good deeds in their communities, described as ‘Big Help Out’ activities,” McMahon says. “The idea is to make the coronation something more community-focused as opposed to a display of aristocratic baubles.”</p> <h3>What royal traditions will King Charles’s coronation incorporate?</h3> <p>All the royal coronation regalia hold special significance. These items are used to display the longevity of the ritual, Gullace explains. “The big day will see the coronation regalia brought out of the glass cases and put to their intended use, instead of being gawped at by tourists in the Tower of London,” McMahon says. And while it’s not part of the royal coronation traditions, King Charles will probably wear the ring on his pinky that he always wears.</p> <h2>The coronation chair</h2> <p>King Charles won’t sit on the actual throne until after he is crowned. For most of the ceremony, he will be perched on this 700-year-old wooden chair. Made for King Edward I in 1296, it is normally kept at Windsor Castle’s St. George’s Chapel. The chair originally contained the legendary Stone of Scone, a large rock that was seized from Scotland. “In 1996, the government agreed to return the stone to Scotland,” Koenig says. “The agreement to return the Stone of Scone more than 700 years after it was taken by Edward I included the proviso that it would be brought to London for the coronation of a monarch.” The stone will be reunited with the chair for King Charles’s coronation, for the first time since 1996.</p> <h3>The crown</h3> <p>King Charles will wear the same crown as the queen did at her coronation. Only used at the actual moment of crowning, St Edward’s Crown is a “copy” made in 1661 for King Charles II, as the earlier medieval crown was destroyed when the monarchy was briefly overthrown by a rebellion led by Oliver Cromwell in the 17th century. Made of gold and set with gemstones including rubies, sapphires and amethysts, King Charles’s coronation crown weighs in at a whopping 2.2kg.</p> <p>“Charles III will be the seventh monarch to wear it, and this will be the only time he wears this crown,” Koenig says. “For the rest of the service, he will wear the Imperial State Crown, which was made for King George VI’s coronation and last seen on Queen Elizabeth II’s casket.”</p> <h3>The coronation spoon</h3> <p>This medieval utensil isn’t something the king will be eating with! “The coronation spoon is the oldest crown jewel, as it survived Cromwell’s destruction of royal regalia,” McMahon says. Luckily, it was sold instead of being melted down with all the other royal gold. “It dates back to the 12th century and is used to anoint the king with holy oil – the most sacred part of the whole ceremony.” The spoon is the only piece of royal goldsmith’s work still in existence from the 12th century; it was later set with pearls when it was returned to the monarchy, post-Cromwell.</p> <h2>The orb and sceptre</h2> <p>These items represent the sovereignty of the monarch, and both date from 1661, like St Edward’s Crown. “The sceptre is a magnificent piece of bling that includes the largest colourless cut diamond in the world, one of several king-sized diamonds cut from the mega Cullinan Diamond discovered in 1905 in present-day South Africa,” McMahon says. The diamond was added to the sceptre in 1911. Representing the Christian world, the orb will be held by the monarch in his right hand. Topped with a cross, it contains diamonds, rubies, emeralds, sapphires and pearls.</p> <h3>Camilla’s crown</h3> <p>“Camilla will be the first consort in several centuries to not have a new crown for the coronation,” Koenig says. “She will wear Queen Mary’s coronation crown, the consort of George V, Charles’s great-grandparents.” Created for the 1911 coronation, the crown will be altered somewhat for Camilla. According to McMahon, three of the Cullinan diamonds will be inserted and some of the crown’s arches will be removed to create a different look.</p> <p>Notably, the revised crown will leave out another stone that was in the original 1911 version: the supposedly cursed Koh-i-Nur diamond, which was taken from India in 1849 and seen as a symbol of conquest. This is an attempt by Charles and Camilla to distance themselves from the British monarchy’s history of colonialism. However, the Cullinan diamond is not without its own controversy: It was a “gift” from South Africa, another former British colony.</p> <h2>The coronation emblem</h2> <p>Charles has a new emblem for his coronation, which will be used on flags, online materials and other branded merchandise for the event. Created by British designer Sir Jony Ive, the emblem represents Charles’s longstanding love of nature and conservation, and incorporates the British symbols of St. Edward’s Crown and the Union Jack flag’s red, white and blue colour scheme. Using illustrations of flowers from the four nations of the United Kingdom, the emblem features the rose of England, the thistle of Scotland, the daffodil of Wales and the shamrock of Northern Ireland.</p> <h3>The pomp and circumstance</h3> <p>Although the coronation has followed the same basic ceremony for a thousand years, the grandeur we associate with the event is a relatively recent tradition. “The type of grandiose public pageantry and national holiday we enjoy today dates back to the late 19th century,” Gullace says. “At this time, the palace became adept at putting on magnificent public spectacles to enhance the prestige of the crown.”</p> <h2>Who will perform at the coronation?</h2> <p>During the ceremony itself on May 6, the music will feature 12 new orchestral, choral and organ pieces commissioned for the event – including the coronation anthem from famed Broadway composer Andrew Lloyd Webber. Expect Greek Orthodox music as well, as a tribute to Charles’s father, Prince Philip, who was born in Greece.</p> <p>The party really gets started, though, with a pop concert the next day at Windsor Castle, which will be broadcast on the BBC; 5,000 pairs of tickets will also be released to the public and drawn by lottery. But the lineup hasn’t yet been announced, and Charles reportedly has had issues securing entertainers for the event. Adele, Harry Styles, Ed Sheeran and the Spice Girls all declined the palace’s request to perform. Some of the artists said they had conflicts or were on tour, but several top choices, including Adele, were reported not to have gigs that day, Gullace notes.</p> <p>In addition to famous musicians, “there will also be some singing by the Coronation Choir, created from community groups and amateur singers reflecting the UK’s diverse population,” McMahon says. The choral group will include refugee choirs, LGBTQ+ singers and deaf signing choirs.</p> <h3>Who will attend the royal coronation?</h3> <p>An astonishing 8,000 people attended Queen Elizabeth’s coronation – even though Westminster Abbey only seats about 2,200 people, McMahon says. Extra grandstands with tiered seating needed to be built to fit everyone. But that won’t be the case for Charles, who is keeping costs top of mind. “This time, the numbers will be kept down to around 2,000 – so, no massive building work for this coronation,” McMahon says. So, who will snag a seat?</p> <h3>Heads of state</h3> <p>“We can expect the ceremony to be attended by nobility, heads of state, eminent clergy and likely a smattering of ordinary Britons who have contributed in exceptional ways to British well-being, such as nurses, military personnel and activists promoting causes dear to Charles,” Gullace says.</p> <p>The royalty of Europe – and the world – will likely show up, including the royal houses of Norway, Sweden, Denmark, the Netherlands, Belgium, Spain and Luxembourg, McMahon says. “Prince Albert and Princess Charlene of Monaco were the first Euro-royals to RSVP,” he says. “From Japan, Crown Prince Akishino and Crown Princess Kiko will also be there.” Political leaders of the Commonwealth nations (which used to be ruled by Britain) – including Nigeria, Australia, Canada, Bangladesh, Malta and the Bahamas – will also attend, according to McMahon.</p> <h3>A few lucky citizens</h3> <p>Will any regular people get to attend the coronation? Yes – but only in certain circumstances. “Up until the start of February 2023, members of the public were invited to apply to be at the coronation if they could prove that a relative had taken part in a previous coronation. This is an ancient, 700-year-old tradition,” McMahon says. “They were told to apply to the newly created Coronation Claims Office. Back in 1953, a body called the Court of Claims considered similar requests.”</p> <h2>The royal family</h2> <p>Of course, the various members of royal family, including Queen Elizabeth’s grandchildren, will be there, and it’s incredibly important for the monarchy to present a strong, unified front. As the next in line to the throne, Prince William will be front and centre in the audience, and as noted earlier, he will also be part of the ceremony. The big question, of course is whether Prince Harry will show up. The Duke and Duchess of Sussex have received a formal invitation, and some sources say the couple is working out the terms of their attendance – including whether they will get to appear on the balcony of Buckingham Palace, which is now supposed to be a privilege for working royals.</p> <p>McMahon’s prediction? “They’ve hardly endeared themselves to the royal family,” he says, referencing the couple’s recent Netflix series and Harry’s tell-all memoir, Spare, which were both critical of Harry’s family and the institution of the monarchy. “They will either opt to miss the big day or, if they turn up, they won’t get front-row seats. The royals are experts at calculated snubs, and the Sussexes will no doubt sense the lingering displeasure of ‘The Firm’ if they make an appearance.”</p> <h3>Who won’t attend the royal coronation?</h3> <p>Besides the question of Meghan and Harry, the limited seating may mean that some of Britain’s nobility will be excluded from the ceremony guest list. “Not all members of the aristocracy will be invited,” Gullace says, “and those who are not will feel snubbed.”</p> <p>Prince William’s older children, Prince George and Princess Charlotte, will likely attend, with George possibly having a role in the ceremony, since he’s the future heir to the throne. But 4-year-old Prince Louis didn’t attend the queen’s funeral service, so it’s possible he might skip the coronation as well. Harry and Meghan’s children, the newly titled Prince Archie and Princess Lilibet, have reportedly not been invited (at least not yet).</p> <p>One additional question mark is US President Joe Biden. Although an anonymous Time magazine source claimed Biden is “unlikely” to attend, the White House confirmed to People magazine that “the US will be represented at the coronation,” but declined to say more “regarding presidential travel or regarding a potential delegation at this time.” If Biden himself won’t be there, someone else (maybe First Lady Jill Biden?) will go in his stead.</p> <h3>What will happen after the coronation?</h3> <p>After the coronation and the celebratory concert the next day, “there will be a bank holiday on Monday, with the option to get involved in parades, street parties and other celebratory events,” McMahon says. “Some may simply choose to have a nice day off.” A bank holiday is basically a national holiday in which banks and businesses are closed, and it will be seen as a treat from the new king to his people.</p> <p>But what about the new monarch and his family: Will King Charles’s role change in any way? “No one’s role will change – this is a formal service where the king and queen are crowned,” Koenig says. But plans have already been put in place to shore up the roles and importance of working members of “The Firm,” including Prince Edward, Princess Anne and Prince William.</p> <p>Plus, Charles will try to be a “modern” monarch, pursuing serious public service and causes such as environmental conservation. He’ll want to be seen as useful, practical and restrained, so he’s unlikely to have any other flashy events like the coronation anytime soon. “Charles will be 75 in November and could have a service of Thanksgiving, but with the coronation in the same year, perhaps not,” Koenig says. “Apart from state dinners and the annual Trooping the Colour ceremonies [on June 17], there will be no other event similar to the coronation.”</p> <p>Due to his probable short reign, he’s unlikely to leave the same mark as Queen Elizabeth’s legacy. But he’ll want to be remembered as the king who successfully transferred the monarchy to the next generation of the 21st century and beyond.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/culture/what-to-expect-at-king-charless-coronation-the-details-and-traditions-explained?pages=1" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

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What is air turbulence?

<p>You probably know the feeling: you’re sitting on a plane, happily cruising through the sky, when suddenly the seat-belt light comes on and things get a little bumpy.</p> <p>Most of the time, turbulence leads to nothing worse than momentary jitters or perhaps a spilled cup of coffee. In rare cases, passengers or flight attendants might end up with some injuries.</p> <p>What’s going on here? Why are flights usually so stable, but sometimes get so unsteady?</p> <p>As a meteorologist and atmospheric scientist who studies air turbulence, let me explain.</p> <h2>What is air turbulence?</h2> <p>Air turbulence is when the air starts to flow in a chaotic or random way. </p> <p>At high altitudes the wind usually moves in a smooth, horizontal current called “laminar flow”. This provides ideal conditions for steady flight.</p> <p>Turbulence occurs when something disrupts this smooth flow, and the air starts to move up and down as well as horizontally. When this happens, conditions can change from moment to moment and place to place.</p> <p>You can think of normal flying conditions as the glassy surface of the ocean on a still day. But when a wind comes up, things get choppy, or waves form and break – that’s turbulence.</p> <h2>What causes air turbulence?</h2> <p>The kind of turbulence that affects commercial passenger flights has three main causes.</p> <p>The first is thunderstorms. Inside a thunderstorm, there is strong up-and-down air movement, which makes a lot of turbulence that can spread out to the surrounding region. Thunderstorms can also create “atmospheric waves”, which travel through the surrounding air and eventually break, causing turbulence. </p> <p>Fortunately, pilots can usually see thunderstorms ahead (either with the naked eye or on radar) and will make efforts to go around them.</p> <p>The other common causes of turbulence create what’s typically called “clear-air turbulence”. It comes out of air that looks perfectly clear, with no clouds, so it’s harder to dodge.</p> <p>The second cause of turbulence is jet streams. These are high-speed winds in the upper atmosphere, at the kind of altitudes where passenger jets fly. </p> <p>While air inside the jet stream moves quite smoothly, there is often turbulence near the top and bottom of the stream. That’s because there is a big difference in air speed (called “wind shear”) between the jet stream and the air outside it. High levels of wind shear create turbulence.</p> <p>The third thing that makes turbulence is mountains. As air flows over a mountain range, it creates another kind of wave – called, of course, a “mountain wave” – that disrupts air flow and can create turbulence.</p> <h2>Can air turbulence be avoided?</h2> <p>Pilots do their best to avoid air turbulence – and they’re pretty good at it!</p> <p>As mentioned, thunderstorms are the easiest to fly around. For clear-air turbulence, things are a little trickier.</p> <p>When pilots encounter turbulence, they will change altitude to try to avoid it. They also report the turbulence to air traffic controllers, who pass the information on to other flights in the area so they can try to avoid it. </p> <p>Weather forecasting centres also provide turbulence forecasts. Based on their models of what’s happening in the atmosphere, they can predict where and when clear-air turbulence is likely to occur.</p> <h2>Will climate change make turbulence worse?</h2> <p>As the globe warms and the climate changes in coming decades, we think air turbulence will also be affected.</p> <p>One reason is that the jet streams which can cause turbulence are shifting and may become more intense. As Earth’s tropical climate zones spread away from the equator, the jet streams are moving with them.</p> <p>This is likely to increase turbulence on at least some flight routes. Some studies also <a href="https://www.nature.com/articles/s41586-019-1465-z">suggest</a> the wind shear around jet streams has become more intense.</p> <p>Another reason is that the most severe thunderstorms are also likely to become more intense, partly because a warmer atmosphere can hold more water vapour. This too is likely to generate more intense turbulence.</p> <p>These predictions are largely based on climate models, because it is difficult to collect the data needed to identify trends in air turbulence. These data largely come from reports by aircraft, the quality and extent of which are changing over time. These measurements are quite different from the long-term, methodically gathered data usually used to detect trends in the weather and climate.</p> <h2>How dangerous is air turbulence?</h2> <p>Around the globe, air turbulence causes hundreds of injuries each year among passengers and flight attendants on commercial aircraft. But, given the hundreds of millions of people who fly each year, those are pretty good odds.</p> <p>Turbulence is usually short-lived. What’s more, modern aircraft are engineered to comfortably withstand all but the most extreme air turbulence. </p> <p>And among people who are injured, the great majority are those who aren’t strapped in. So if you’re concerned, the easiest way to protect yourself is to wear your seat belt.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/what-is-air-turbulence-196872" target="_blank" rel="noopener">The Conversation</a>.</em></p>

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Prince Harry forced to explain why he keeps exposing royal family's secrets

<p>Prince Harry has been grilled in an intense interview, as he has been forced to explain why he decided to expose secrets of the royal family in his tell-all memoir. </p> <p>The Duke of Sussex sat down with Tom Bradby for <em>Britain’s ITV </em>to discuss the release of <em>Spare</em>, as the journalist asked a series of hard-hitting questions the public has wanted to know ever since Harry and Meghan took a step back as senior royals. </p> <p>“The thing that’s saddest is it never needed to be this way – it never needed to get to this point,” said Harry.</p> <p>“None of this is intentionally to harm anyone in my family.”</p> <p>Bradby, who has been a close friend of the royal family, hit back at Harry's claims saying, “But the portrait of your brother in the book is harmful to him.”</p> <p>His comment is in reference to the allegations made by Harry in <em>Spare</em> that William once initiated a <a href="https://www.oversixty.co.nz/lifestyle/family-pets/prince-harry-alleges-physical-fight-with-brother-william" target="_blank" rel="noopener">physical confrontation</a> between the brothers. </p> <p>The journalist also suggested what William’s defence may be to some of Harry’s accusations, prompting a frustrated Harry to hit back that it was merely “a list of assumptions you’re making”.</p> <p>Despite the extensive criticism, Harry said he is open to a reconciliation with his family, although he doesn't believe his father or brother are going to read his book. </p> <p>“I really hope they do, but I don’t think they will. And with regard to this interview, I don’t know if they’ll be watching this or not - but what I have to say to them, and what they have to say to me, will be in private and I hope it can stay that way.”</p> <p>Bradby replied bluntly saying, “People might say, you’ve destroyed any chance of a reconciliation.”</p> <p>Harry responded, “Well, they’ve shown absolutely no willingness to reconcile up until this point and I’m not sure how honesty is burning bridges. Silence only allows the abuser to abuse. So I don’t know how staying silent is gonna make things better. That’s genuinely what I believe.” </p> <p><em>Image credits: ITV</em></p>

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Why do people tailgate? A psychologist explains what’s behind this common (and annoying) driving habit

<p>It’s hot, you’ve had a battle to get the kids in the car, and now you’re going to be late for the family lunch. </p> <p>You turn onto the freeway only to get stuck behind a slow driver in the fast lane. You want them to move over or speed up, so you drive a little closer. Then closer. Then so close it would be difficult to avoid hitting them if they stopped suddenly. </p> <p>When that doesn’t work you honk the horn. Nothing. Finally, frustrated, you dart into the left lane and speed past them.</p> <p>Today was one of those days where many small annoyances have led to you being aggressive on the road. This isn’t how you usually drive. So why was today different?</p> <h2>Aren’t holidays supposed to be relaxing?</h2> <p>Holiday driving may look a lot different to your usual commute. It may involve driving longer distances, or involve more frequent driving with more passengers than usual in the car. </p> <p>Holiday driving comes with <a href="https://www.bitre.gov.au/publications/ongoing/road_deaths_australia_monthly_bulletins">increased risk</a> (road deaths tend to spike during the holidays). That’s why news bulletins often carry the latest “road toll” figures around public holidays. </p> <p>But whether you drive differently to normal comes down to the value you place on your <a href="https://doi.org/10.1016/S0001-4575(03)00037-X">time</a>, rather than when you drive. </p> <p>If you are in a rush, your time becomes more precious because you have less of it. If something, or someone, infringes on that time, you may become frustrated and aggressive.</p> <p>This is basic human psychology. You can get angry when someone gets in the way of what you are trying to achieve. You get angrier when you think they are acting <a href="https://doi.org/10.1037/0033-2909.106.1.59">unfairly or inappropriately</a>.</p> <p>Usually before you respond, you evaluate what has happened, asking who is at fault and if they could have done things differently. </p> <p>But when you are driving, you have less time and resources to make detailed evaluations. Instead, you make quick judgements of the situation and how best to deal with it. </p> <p>These judgements can be based on how you are <a href="https://psycnet.apa.org/doiLanding?doi=10.1037%2F0022-3514.81.1.146">feeling</a> at the time. If you are frustrated before getting in the car, you are likely to be easily frustrated while driving, blame other drivers more for your circumstances, and express this through aggressive driving.</p> <p>Tailgating and speeding <a href="https://doi.org/10.1016/S0005-7967(01)00063-8">are examples</a> of this aggression.</p> <p>A driver frustrated by the perception that someone is driving too slowly, or in the wrong lane, might speed past the offending driver, and maintain this speed for some time <a href="https://doi.org/10.1080/02699931.2010.551184">after the event</a>. </p> <p>Aggressive tailgating may be seen as reprimanding the driver for their perceived slow speeds, or to encourage them to move out of the way. </p> <p>The problem is, when you are angry, you underestimate the risk of these behaviours, while <a href="https://psycnet.apa.org/doiLanding?doi=10.1037%2F0022-3514.81.1.146">over-estimating</a> how much control you have of the situation. It’s not worth the risk. </p> <p>A <a href="https://doi.org/10.1073/pnas.1513271113">study of real-world driving</a> shows both tailgating and speeding increase the odds of being in a crash more than if driving while holding or dialling a mobile phone. Drivers who are tailgating or speeding have a 13 to 14-fold increase in odds of being in a crash, compared to when they are driving more safely.</p> <h2>Here’s what you can do</h2> <p>One way to stay safe on the roads these holidays is to recognise the situations that may lead to your own dangerous behaviours. </p> <p>The Monash University Accident Research Centre has <a href="https://doi.org/10.1016/j.jsr.2022.07.011">developed a program</a> to help drivers reduce their aggressive driving. This helps drivers develop their own strategies to stay calm while driving, recognising that one strategy is unlikely to suit every driver. </p> <p>Almost 100 self-identified aggressive drivers <a href="https://www.sciencedirect.com/science/article/pii/S0022437522000998?via%3Dihub">developed</a> four types of tips to remain calm while driving:</p> <ol> <li> <p>before driving: tips include better journey planning, allowing enough time for the trip and recognising how you are feeling before you get in the car </p> </li> <li> <p>while driving: this includes travelling in the left lane to avoid slow drivers in the right lane, or pulling over when feeling angry</p> </li> <li> <p>in your vehicle: such as deep breathing or listening to music</p> </li> <li> <p>‘rethinking’ the situation: acknowledge that in some situations, the only thing you can change is how you think about it. For example, ask yourself is it worth the risk? Or personalise the other driver. What if that was your loved one in the car in front?</p> </li> </ol> <p>Four months after completing the program, drivers reported less anger and aggression while driving than before the program. The strategies that worked best for these drivers were listening to music, focusing on staying calm and rethinking the problem.</p> <p>A favourite rethink was a 5x5x5 strategy. This involved asking yourself whether the cause of your anger will matter in five minutes, five hours or five days. If it is unlikely to matter after this time, it is best to let go. </p> <p>The holidays are meant to be relaxing and joyous. Let’s not jeopardise that through reactions to other drivers.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/why-do-people-tailgate-a-psychologist-explains-whats-behind-this-common-and-annoying-driving-habit-193462" target="_blank" rel="noopener">The Conversation</a>. </em></p>

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