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"Deeply distressed": Tragedy strikes Robert De Niro's family

<p>Robert De Niro's grandson, Leandro De Niro Rodriguez, has tragically passed away, as confirmed by his daughter, Drena De Niro.</p> <p>Drena De Niro, who is 51 years old and Robert De Niro's daughter from his previous marriage to Diahnne Abbott, shared the devastating news of her young son's passing on Instagram.</p> <p>In a heartfelt tribute, accompanied by a photo of her late son, she expressed her deep love for him, stating: "My beautiful sweet angel. I have loved you beyond words or description from the moment I felt you in my belly. You have been joy in my heart and all that was ever pure and real in my life."</p> <p>Overwhelmed by grief and yearning to be with her son, she continued, <span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">"I wish I was with you right now. I wish I was with you. I don't know how to live without you but I'll try to go on and spread the love and light that you so made me feel in getting to be your mama.</span></p> <p><span style="color: #343541; font-family: Söhne, ui-sans-serif, system-ui, -apple-system, 'Segoe UI', Roboto, Ubuntu, Cantarell, 'Noto Sans', sans-serif, 'Helvetica Neue', Arial, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; white-space-collapse: preserve;">"You were so deeply loved and appreciated and I wish that love alone could have saved you 😞 I'm so sorry my baby, I'm so sorry @carlosmare 😢💔. Rest in Peace and Eternal Paradise my darling boy."</span></p> <p> </p> <blockquote class="instagram-media" style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CuOES_xN6pO/?utm_source=ig_embed&utm_campaign=loading" data-instgrm-version="14"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"> </div> </div> </div> <div style="padding: 19% 0;"> </div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"> </div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <div style="padding: 12.5% 0;"> </div> <div style="display: flex; flex-direction: row; margin-bottom: 14px; align-items: center;"> <div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(0px) translateY(7px);"> </div> <div style="background-color: #f4f4f4; height: 12.5px; transform: rotate(-45deg) translateX(3px) translateY(1px); width: 12.5px; flex-grow: 0; margin-right: 14px; margin-left: 2px;"> </div> <div style="background-color: #f4f4f4; border-radius: 50%; height: 12.5px; width: 12.5px; transform: translateX(9px) translateY(-18px);"> </div> </div> <div style="margin-left: 8px;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 20px; width: 20px;"> </div> <div style="width: 0; height: 0; border-top: 2px solid transparent; border-left: 6px solid #f4f4f4; border-bottom: 2px solid transparent; transform: translateX(16px) translateY(-4px) rotate(30deg);"> </div> </div> <div style="margin-left: auto;"> <div style="width: 0px; border-top: 8px solid #F4F4F4; border-right: 8px solid transparent; transform: translateY(16px);"> </div> <div style="background-color: #f4f4f4; flex-grow: 0; height: 12px; width: 16px; transform: translateY(-4px);"> </div> <div style="width: 0; height: 0; border-top: 8px solid #F4F4F4; border-left: 8px solid transparent; transform: translateY(-4px) translateX(8px);"> </div> </div> </div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center; margin-bottom: 24px;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 224px;"> </div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 144px;"> </div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/CuOES_xN6pO/?utm_source=ig_embed&utm_campaign=loading" target="_blank" rel="noopener">A post shared by Drena (@drenadeniro)</a></p> </div> </blockquote> <p>Upon learning the tragic news, Robert De Niro expressed deep distress over his teenage grandson's passing.</p> <p>In a statement provided to the <em>New York Post's Page Six</em> section on Monday, Robert De Niro expressed his sorrow, saying, "I'm deeply distressed by the passing of my beloved grandson Leo."</p> <p>The statement was delivered through a spokesperson. He further added, "We're greatly appreciative of the condolences from everyone. We ask that we please be given privacy to grieve our loss of Leo."</p> <p>At present, the cause of Leandro's death remains unknown, although reports suggest that drugs and drug paraphernalia were found near his body.</p> <p>Leandro was the son of Drena De Niro and graffiti artist Carlos "Mare139" Rodriguez. Carlos commented on Drena's social media post, expressing his heartfelt emotions:</p> <p>"Words aren't enough to express the joy he gave us or the loss we now endure with our families and friends. He is God's child now. On this full moon, his spirit illuminates what could not be seen in the dark. You can't spell LOVE without LEO."</p> <p>Several celebrities, including Lenny Kravitz, Andy Cohen, and Naomi Campbell, expressed their support and condolences in the comments section of Drena's post.</p> <p>Drena De Niro is the eldest of Robert De Niro's seven children. He adopted her in 1976 after marrying her mother, Diahnne Abbott. Robert also has a son named Raphael, 46, with Ms. Abbott, as well as twins named Aaron and Julian, 27, with Toukie Smith.</p> <p>Additionally, he has a son named Elliot, 25, and a daughter named Helen, 11, with Grace Hightower. In May, Robert announced that he and his partner, Tiffany Chen, welcomed their seventh child, a daughter named Gia.</p> <p><em>Images: Instagram</em></p>

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‘He was horrific!’: Nearly two thirds of family historians are distressed by what they find – should DNA kits come with warnings?

<p><em><a href="https://theconversation.com/profiles/susan-moore-1446031">Susan Moore</a>, <a href="https://theconversation.com/institutions/swinburne-university-of-technology-767">Swinburne University of Technology</a></em></p> <p>In 1853, my great great grandmother Charlotte died giving birth to her 13th child, in a tent on the banks of the Yarra River in what is now South Melbourne – but was then an overcrowded, muddy hellhole known as <a href="https://blogs.slv.vic.gov.au/our-stories/canvas-town-a-floating-city-devoured-by-the-sun/">Canvas Town</a>. The baby, William, died shortly afterwards. Researching Charlotte’s story made me both sad for her loss and angry at the powerlessness of women’s lives then.</p> <p>I’m not the only one to have experienced intense emotions – both negative and positive – while researching my forebears.</p> <p>On Facebook pages, in <a href="https://time.com/5492642/dna-test-results-family-secret-biological-father/">media stories</a> and <a href="https://www.sbs.com.au/ondemand/tv-series/who-do-you-think-you-are">on TV</a>, you’ll find a flood of hobby genealogists discovering shocking things about their ancestors – or even their own identity.</p> <p>My recent research revealed about two thirds of family historians have experienced <a href="https://www.mdpi.com/2313-5778/7/2/26">strong negative emotions</a> like sorrow or anger through their hobby.</p> <p>And nearly all respondents had experienced strong positive emotions such as joy or pride.</p> <h2>Passionate ‘kin keepers’</h2> <p>In 2019, Doreen Rosenthal and I surveyed 775 Australian hobbyist family historians to examine their <a href="https://www.routledge.com/The-Psychology-of-Family-History-Exploring-Our-Genealogy/Moore-Rosenthal-Robinson/p/book/9780367820428">motivations</a>.</p> <p>They were adults aged between 21 and 93, but most were older and the median age was 63. The majority (85%) were women. This seems to be typical of hobbyist family historians. Women often take on the role of “kin keeper” – and have the time to devote to it when they’ve finished rearing children and have retired from paid work.</p> <p>Survey respondents described why they were passionately engaged with their hobby – and how it made them feel. Some 48% “sometimes” felt strong negative emotions about what they found, while 15% did “often”.</p> <p>There were five common distress triggers.</p> <h2>1. Ancestors behaving badly</h2> <p>The first and most common distress trigger was the discovery of ancestors who had behaved badly – either as individuals, or by profiting from unjust social conditions. Finding these forebears made family historians feel confronted, shocked and sometimes ashamed.</p> <p>They said things like: "[The worst thing was] finding the bigamist! He was horrific!! Very confronting thinking that I have some of his blood in my veins!"</p> <p>And: "[It was] difficult finding that ancestors may have been involved in unsavoury behaviours or events. The problem is trying to understand the context of how they were able to do things that are socially and legally unacceptable today and not things I can be proud of."</p> <h2>2. Ancestors treated cruelly</h2> <p>It was also distressing to discover ancestors who had been cruelly treated. This elicited disturbing, even “heartbreaking” feelings – and, at least implicitly, indignation at injustice. Many were deeply moved by what their ancestors experienced.</p> <p>As one survey respondent put it: "What is unexpected is the relationships that can be formed with those who are no longer with us. That I can be moved by the plight of my paternal step great great grandmother who was incarcerated in a mental institution from 1913 to 1948 without review, without visitors, to get her out of the way."</p> <h2>3. Sad stories</h2> <p>Sadness was often specifically mentioned. As in the case of my great great grandmother who died in childbirth, sadness was usually a response to the hardships and tragedies ancestors faced in more challenging times.</p> <p>Women commonly did not survive childbirth, neonatal deaths were frequent, people died of diseases medical science has now conquered. Poverty was rife and war a constant threat.</p> <p>"[It was difficult] discovering the tragedies encountered by my Irish ancestors who came to Australia and their struggles and heartbreaking stories of survival for the next three generations."</p> <p>"[It is distressing] to uncover particularly sad and desperate times in some ancestors’ lives. For example, a destitute widow who admitted her child to an orphan asylum for three years, only to have her child die of typhoid fever within two weeks of returning home."</p> <h2>4. Family secrets and betrayal</h2> <p>The fourth distress trigger was a belief by the family history researcher that they had been betrayed by other family members: through secrets, lies and feeling their lived experience was ignored or denied.</p> <p>This is particularly likely for those who discover “secrets” about their parentage – for example, the late-life discovery of adoption, parental infidelity or previously unknown siblings.</p> <p>Trust is damaged. If family members can lie about these important things, what else might they lie about?</p> <p>As one woman commented: "My mother’s half-sister did not accept that she shared a father with my mother. My great grandmother lied about who my grandfather’s father was. My great great grandmother also lied. All these lies were very distressing."</p> <h2>5. Moral dilemmas</h2> <p>Finally, several respondents expressed doubt and confusion at the moral dilemmas they faced on discovering information that could greatly distress other living relatives. Should they tell or not?</p> <p>An emotional burden attaches to withholding potentially distressing information of this kind. Yet there is also guilt and fear about the possible outcomes of sharing it.</p> <p>"I knew an aunt had an illegitimate child before she married. Through DNA I found her granddaughter. I have yet to inform this girl who she is. I don’t feel it’s my right as she has absolutely no idea of any adoption of her father."</p> <p>"A really distressing find was that my great aunt’s husband had committed a terrible murder. I have not been able to speak about this with the descendants of the couple."</p> <h2>Healthy outcomes from bad feelings</h2> <p>Sometimes these distressing feelings can promote healthy, growth-enhancing outcomes. After the initial shock, some traumatic genealogical discoveries lead to a greater understanding of the past and its influence.</p> <p>Placing ancestors’ maladaptive or distressing behaviours, or their misfortunes, into historical and social context can help with acceptance and forgiveness, and stimulate emotional healing and personal growth.</p> <p>Initial feelings of distress about past injustices and tragedies are sometimes replaced by admiration for the strength and resilience of one’s forebears. This can positively influence personal wellbeing and resilience.</p> <h2>How can family and professionals help?</h2> <p>I processed my great great grandmother’s story by writing it down and sharing it with family members. We reworked our sadness at her fate into a positive family narrative, emphasising her bravery and the strengths her surviving children showed.</p> <p>Support can mean just disclosing these stories to family members, friends and other family historians. But for some, it may be helpful to discuss these topics privately with a counsellor or therapist, especially if they’ve led to a breakdown in family relationships or an assault on one’s sense of identity.</p> <p>Counsellors and psychologists should develop strategies to support clients distressed by genealogical findings – and encourage them to use their new knowledge for personal growth and greater understanding of family dynamics.</p> <p>Should providers of genealogical research products (especially DNA tests) educate their customers about their products’ potential to cause distress?</p> <p>Trigger warnings might be overkill. But they could issue lists of support resources for those who are upset or disoriented by their findings.</p> <p>As more people gain access to more genealogical data – with the potential to challenge identity and uncover family secrets – it’s worth thinking about.<!-- 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/207430/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/susan-moore-1446031">Susan Moore</a>, Emeritus Professor, Faculty of Health, Arts and Design, <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/he-was-horrific-nearly-two-thirds-of-family-historians-are-distressed-by-what-they-find-should-dna-kits-come-with-warnings-207430">original article</a>.</em></p>

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

<p><em><a href="https://theconversation.com/profiles/christopher-patterson-308185">Christopher Patterson</a>, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/nicholas-procter-147517">Nicholas Procter</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180"><em>University of South Australia</em></a></em></p> <p>Hallucinations are often depicted in the movies as terrifying experiences. Think Jake Gyllenhaal seeing a monstrous rabbit in <em><a href="https://www.imdb.com/title/tt0246578/">Donnie Darko</a></em>, Leonardo DiCaprio experiencing the torture of <em><a href="https://www.psychologytoday.com/au/blog/reel-therapy/201002/shutter-island-separating-fact-fiction">Shutter Island</a></em>, Natalie Portman in <em><a href="https://www.imdb.com/title/tt0947798/">Black Swan</a></em>, or Joaquin Phoenix as the <em><a href="https://www.theguardian.com/film/2019/oct/21/joker-mental-illness-joaquin-phoenix-dangerous-misinformed">Joker</a></em>.</p> <p>Each character experiences some form of psychological distress. Scenes connect to, or even explain, a decline into chaos and violence.</p> <p>Experiencing hallucinations can be distressing for some people and their loved ones. However, focusing solely on such depictions perpetuates myths and misconceptions about hallucinations. They also potentially perpetuate harmful stereotypes of mental distress.</p> <p>Movies such as Joker use a broad, <a href="https://www.theguardian.com/film/2019/oct/21/joker-mental-illness-joaquin-phoenix-dangerous-misinformed">arguably incorrect</a>, brush to connect hallucinations, mental health issues and violence. This reinforces the misconception that hallucinations always indicate mental health issues, when this is not necessarily true.</p> <h2>What are hallucinations?</h2> <p>Hallucinations are perceptions that occur without a corresponding external stimulus. They can involve any of the human senses.</p> <p>Auditory hallucinations involve hearing things that aren’t there, such as voices or sounds. Visual hallucinations involve seeing things that aren’t there, such as lights, objects or people. Tactile hallucinations involve feeling things that aren’t there, such as a sensation of something crawling on your skin. Gustatory hallucinations involve taste and smell.</p> <p>People often confuse hallucinations and delusions. The two can be related, but they are not the same thing. Delusions are false beliefs, firmly held by a person despite evidence to the contrary. A person might believe someone is following them (a delusion), and see and hear that figure (a hallucination).</p> <p>Before the 17th century, hallucinations were commonly thought to be of <a href="https://www.frontiersin.org/articles/10.3389/fpsyg.2015.00991/full">cultural and religious</a> significance.</p> <p>However, between the mid-1600s and 1700s, hallucinations began to be understood as medical concerns, related to both mental and physical illnesses. This medical lens of hallucination remains. Now we know which <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2702442/">parts of the brain</a> are activated when someone has a hallucination.</p> <h2>What causes hallucinations?</h2> <p>Hallucinations can be a sign of serious mental health issues. The presence or experience of hallucinations is, for example, one of the criteria used to <a href="https://www.psychiatry.org/File%20Library/Psychiatrists/Practice/DSM/APA_DSM-5-Schizophrenia.pdf">diagnose schizophrenia</a> (delusions are another).</p> <p>Hallucinations may also provide insight into mental health issues such as bipolar disorder, post-traumatic stress disorder and depression.</p> <p>However, hallucinations can also be linked to other medical conditions.</p> <p>Hallucinations can be caused by fever, as well as disease or damage impacting the brain or <a href="https://theconversation.com/what-is-charles-bonnet-syndrome-the-eye-condition-that-causes-hallucinations-122322">optic nerves</a>. Parkinson’s disease causes visual, auditory and tactile hallucinations <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7116251/">in up to 75% of people</a>. Epilepsy and migraine headaches are also linked to hallucinations, and can cause perceptual disturbances, sometimes for days. Substance use, particularly of <a href="https://theconversation.com/weekly-dose-ayahuasca-a-cautionary-tale-for-tourists-eager-to-try-this-shamanic-brew-73953">hallucinogenic drugs</a> such as LSD or ketamine, can also cause hallucinations.</p> <p>Hallucinations can also occur in people without any underlying medical conditions. For example, some people may experience hallucinations during times of <a href="https://academic.oup.com/schizophreniabulletin/article/46/6/1367/5939754">extreme distress or grief</a>.</p> <p>Environmental factors such as <a href="https://www.frontiersin.org/articles/10.3389/fpsyt.2018.00303/full">sleep deprivation</a> can cause a range of perceptual disturbances, including visual and auditory hallucinations. <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4354964/">Sensory deprivation</a>, such as being placed in a soundproof room, can also cause hallucinations.</p> <p>But still, the common image that hallucinations are connected only to mental health issues persists.</p> <h2>Hallucinations can be frightening, but not always</h2> <p>Hallucinations can be frightening for people, and their families. And the <a href="https://journals.sagepub.com/doi/10.1177/0020764016675888">stigma</a> and misconceptions surrounding hallucinations can have a significant impact on someone who experiences them.</p> <p>People who have hallucinations may be afraid or embarrassed of being considered “bizarre” or “unsafe”, and therefore may avoid seeking help.</p> <p>But hallucinations are <a href="https://www.intervoiceonline.org/voices-visions/voices-as-a-gift">not always scary or disturbing</a>. Some hallucinations can be neutral or even pleasant. People have been sharing on social media their positive and empowering experience of hallucinations. In the example below, we see one person’s positive experience of hearing voices. Yet we rarely see such depictions of hallucinations in the movies.</p> <hr /> <p><iframe id="tc-infographic-853" class="tc-infographic" style="border: none;" src="https://cdn.theconversation.com/infographics/853/9f702c4fefadeb810f9d64d7b4512b39a655a262/site/index.html" width="100%" height="400px" frameborder="0"></iframe></p> <hr /> <h2>How to support someone having hallucinations</h2> <p>If you are with someone who is having hallucinations, particularly if these are new or distressing for them, here are several ways you can support them:</p> <ul> <li> <p>ask the person if they want to talk about what they are experiencing and listen to them without judgment: “I cannot hear what you are hearing, can you tell me about it?”</p> </li> <li> <p><a href="https://tuneinnotout.com/videos/r-u-ok-ask-experts-nicholas-procter/">listen</a>. Don’t argue or blame. Acknowledge that hallucinations are real to the person, even if they are seemingly unusual and not based in reality: “I cannot see what you see, but I do understand you see it.”</p> </li> <li> <p>empathise with how the person feels about their experiences. “I cannot feel or taste it, but I can imagine it would be a difficult experience. I can see how much it is concerning you.”</p> </li> <li> <p>support someone to seek care. Persistent or distressing hallucinations should always be evaluated by a qualified health professional. Establishing potential causes is important: “I cannot hear it like you, but let’s talk to a health professional about it. They can help us understand what might be happening.”</p> </li> <li> <p>encourage the person to <a href="https://www.intervoiceonline.org/national-networks#content">reach out to their peers</a> as well as to <a href="https://www.tandfonline.com/doi/full/10.1080/01612840.2023.2189953?src=recsys">hearing voices groups</a> for ongoing support.</p> </li> </ul> <p><em>We’d like to acknowledge <a href="https://www.nswmentalhealthcommission.com.au/staff-profile/tim-heffernan">Tim Heffernan</a>, Deputy Commissioner of the Mental Health Commission of New South Wales, who contributed to this article.</em></p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14. <!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></em></p> <p><em><a href="https://theconversation.com/profiles/christopher-patterson-308185">Christopher Patterson</a>, Senior Lecturer, School of Nursing, <a href="https://theconversation.com/institutions/university-of-wollongong-711">University of Wollongong</a> and <a href="https://theconversation.com/profiles/nicholas-procter-147517">Nicholas Procter</a>, Professor and Chair: Mental Health Nursing, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/hallucinations-in-the-movies-tend-to-be-about-chaos-violence-and-mental-distress-but-they-can-be-positive-too-204547">original article</a>.</em></p>

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When someone living with dementia is distressed or violent, ‘de-escalation’ is vital

<p><em><a href="https://theconversation.com/profiles/steve-macfarlane-4722">Steve Macfarlane</a>, <a href="https://theconversation.com/institutions/monash-university-1065">Monash University</a></em></p> <p>Today’s <a href="https://www.abc.net.au/news/2023-05-18/cooma-aged-care-home-police-woman-in-hospital-taser/102361018">reporting</a> about the alleged tasering of a 95-year-old woman living at the Yallambee Lodge aged care home in New South Wales has brought the issue of behaviours and psychological symptoms of dementia into <a href="https://www.abc.net.au/news/2023-05-19/advocates-say-taser-clare-nowland-shows-aged-system-failure-/102365442">sharp focus</a>.</p> <p>Over half of those living in residential care <a href="https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/aged-care-and-support-services-used-by-people-with-dementia/residential-aged-care">have a dementia diagnosis</a> and up to 95% of those living with dementia will <a href="https://www.ncbi.nlm.nih.gov/books/NBK551552/#:%7E:text=Behavioral%20and%20psychological%20symptoms%20of,%2C%20and%20caregiver%20well%2Dbeing.">experience such behaviours</a> at some point during their passage through the illness. Common behaviours that might be shown by those living with advanced dementia include agitation, anxiety, attempts to leave care, aggression, apathy, sleep disturbance, aimless pacing, psychosis and aggression.</p> <p>The full circumstances surrounding Wednesday’s events are unclear and they are subject to an <a href="https://www.abc.net.au/news/2023-05-19/advocates-say-taser-clare-nowland-shows-aged-system-failure-/102365442">investigation</a> by police. That may take some time. What is clear, however, is that there is much room for improvement in the way behaviours and psychological symptoms of dementia are managed in residential care. Situations that end with police involvement should be avoided.</p> <h2>Calling for help</h2> <p>In its final report in March 2021, the <a href="https://agedcare.royalcommission.gov.au/">Royal Commission into Aged Care Quality and Safety</a> <a href="https://agedcare.royalcommission.gov.au/sites/default/files/2021-03/final-report-recommendations.pdf">recommended</a> “all workers engaged by providers who are involved in direct contact with people seeking or receiving services in the aged care system undertake regular training about dementia care and palliative care”.</p> <p>Currently, it is not infrequent for police to be called to respond to incidents in care homes. While programs have been implemented to better equip police to respond to the specific need of those <a href="https://www.nationaltribune.com.au/police-and-psos-better-equipped-to-support-people-living-with-dementia/">living with dementia</a> this work is still in its infancy.</p> <p>Aggression and agitation are two of the most common behavioural symptoms that lead to referral to specialist support services.</p> <p>Dementia Support Australia is a Commonwealth-funded service that has supported aged care homes and home-based carers in managing behaviours and psychological symptoms of dementia since 2016. There were <a href="https://www.aihw.gov.au/reports/dementia/dementia-in-aus/contents/aged-care-and-support-services-used-by-people-with-dementia/dementia-support-australia">8,702 referrals</a> to the service between January and June 2022. The number of referrals has increased in recent years.</p> <p>As an organisation at the frontline of dementia support, we extend our deepest sympathies to the 95-year-old aged care resident, her family, Yallambee Lodge staff and everyone else touched by this devastating incident.</p> <p>One of the advantages of having a national service such as this is that it has enabled the development of a national database that documents not only the nature and severity of the behaviours prompting the referral, but those factors that are most commonly identified as triggers for these behaviours.</p> <h2>3 leading causes</h2> <p>Aggression and agitation are not diagnoses in themselves, but symptoms. Symptoms have causes, and these must be identified in order to adequately address behaviour.</p> <p>The leading contributing factors we have identified in relation to behaviours are:</p> <p><strong>1. Unidentified or under-treated pain</strong></p> <p>This is relevant in over 50% of the cases we see. Earlier research on pain management in the setting of advanced dementia has shown those with a dementia diagnosis who are admitted to hospital with hip fractures tend to be prescribed only a fraction of the analgesia given to <a href="https://pubmed.ncbi.nlm.nih.gov/10799790/">those without dementia</a>.</p> <p><strong>2. Carer approach</strong></p> <p>Care staff receive only minimal levels of training in dementia care as part of their basic qualification and are often unfamiliar with communication strategies tailored towards those with cognitive impairment.</p> <p>Currently, the minimum qualification for a personal care worker involves no compulsory units in <a href="https://www.dementia.org.au/about-us/news-and-stories/news/are-aged-care-workers-required-have-dementia-training">dementia competency</a>. While we do not know the full circumstances from the events this week, the Royal Commission has made recommendations to improve care for those living with dementia. Carer approach is an issue in about a third of the cases we see.</p> <p><strong>3. Over- and under-stimulation</strong></p> <p>In about one quarter of Dementia Support Australia cases boredom and loneliness and/or an environment that does not take into account the specific needs of those living with dementia are an issue.</p> <p>Other common causes of changed behaviour include mood and anxiety disorders, communication difficulties, <a href="https://theconversation.com/what-is-delirium-194631">delirium</a>, sleep problems and poor carer knowledge of the specific likes/dislikes of the individuals they are caring for.</p> <figure><iframe src="https://www.youtube.com/embed/WE65yrnsrPk?wmode=transparent&amp;start=0" width="440" height="260" frameborder="0" allowfullscreen="allowfullscreen"></iframe><figcaption><span class="caption">People with dementia may react to uncertainty in unexpected ways.</span></figcaption></figure> <h2>Prevention and calming things down</h2> <p>The best way to manage most behavioural changes is to prevent the circumstances that lead to their development in the first place. Prevention is always better than cure.</p> <p>Once behaviours are occurring, there is no single correct way to <a href="https://www.dementia.org.au/national/support-and-services/carers/behaviour-changes/aggressive-behaviours">de-escalate</a> them. The appropriate de-escalation strategies will always be specific to what has caused the altered behaviour in the first place.</p> <p>Unfortunately, when behaviours have escalated to the point where police attendance is required, the responding officers are unlikely to be equipped with the necessary information about the person and their circumstances. That means they won’t be equipped to respond with effective and specific de-escalation strategies.</p> <p>One case in the United States from 2020 involved the arrest of a 73-year-old woman living with dementia, who had left a local store without paying for items <a href="https://edition.cnn.com/2021/04/27/us/loveland-police-officers-video-use-of-force/index.html">worth a small amount</a>. A <a href="https://edition.cnn.com/2021/04/16/us/loveland-lawsuit-use-of-force-arrest/index.html">lawsuit</a> filed following the arrest alleged it resulted in a fractured arm and a dislocated shoulder, and raised national concerns about the way first responders interact with those experiencing cognitive disabilities.</p> <p>Australia needs to learn from yesterday’s events and respond.</p> <p><em>If you are caring for someone with dementia there is help available. <a href="https://www.dementia.com.au/">Dementia Support Australia</a> is a free service, fully funded by the Australian government. Referrals can be made 24-hours a day by calling 1800 699 799.<!-- 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/205988/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 --></em></p> <p><em>Image credits: Shutterstock</em></p> <p><em><a href="https://theconversation.com/profiles/steve-macfarlane-4722">Steve Macfarlane</a>, Head of Clinical Services, dementia Support Australia, &amp; Associate Professor of Psychiatry, <a href="https://theconversation.com/institutions/monash-university-1065">Monash 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/when-someone-living-with-dementia-is-distressed-or-violent-de-escalation-is-vital-205988">original article</a>.</em></p>

Mind

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Bizarre, "distressing" survey given to new mums in hospital

<p>A survey sent to Queensland mothers who had recently given birth at a Brisbane hospital has been slammed for its inappropriate and “distressing” questions.</p> <p>Some of the questions asked mothers to rate their own behaviour during labour and if they had any fantasies of their newborns facing harm.</p> <p>Two surveys went out to mothers who had given birth at the Mater hospital in Brisbane, one prior to the birth and one six weeks afterwards.</p> <p>One question asked mothers to rate their experience, including “what happened when labour was most intense”, where they were given a scale of “I behaved extremely badly” to “I did not behave badly at all”.</p> <p>Another question asked, “Had you, during the labour and delivery, had any fantasies that your child would die during labour/delivery?” where mothers could respond between “never” and “very often”.</p> <p>In the surveys sent to mothers prior to delivery, they were asked to rate how they expected they’d behave during pregnancy.</p> <p>The survey was part of the CERPA study and asked several questions.</p> <p>The study explores the “CErebro Placental RAtio as (an) indicator for delivery following perception of reduced fetal movements”, according to an online entry.</p> <p>The survey questions were originally written in Swedish and were translated to English.</p> <p>A potential mistranslation has copped the blame for why the questions were so alarming.</p> <p>“Mater recognises the English translation in some questions is unsuitable and regrets that this may have caused distress to respondents,” a spokesperson for Mater Hospital said.</p> <p>One mother, Toni-Ann Drury, visited the Mater hospital toward the end of her pregnancy after she moved to Queensland.</p> <p>She received a call from the hospital soon after visiting, where they asked her to answer questions via email.</p> <p>“I had no idea that it was as part of a research program or anything like that,” she explained.</p> <p>They informed her during the call she should expect more questions thrown her way six months after giving birth.</p> <p>Drury described that the questions in both surveys were “distressing”.</p> <p>“How do women behave badly during labour?" she said.</p> <p>“I don’t think that labour and birth should be put in the same sentence as behaving badly.</p> <p>“Women go through extreme pain and body changes and all that sort of stuff, so I don’t think that any woman should associate the way that they responded to pain with behaviour.</p> <p>“The other questions were quite distressing in nature and the wording that was used.”</p> <p>Drury added that the mistranslation explanation is not a good enough reason.</p> <p>“I think Mater Hospital, as fantastic as they are, have a responsibility to the women that they’re providing services to,” she said.</p> <p>“To protect them from the stuff that they are delivering, ultimately, because their name is on that email that is going out.”</p> <p>The Maternity Consumer Network described the questions on the survey as “some of the worst, paternalistic, misogynistic, thoughtless BS we’ve ever seen asked of women”.</p> <p><em>Image credit: Shutterstock</em></p>

Caring

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Damsels in distress: two new Australian novels fail to achieve their literary ambitions

<p>The covers of two new Australian novels, <a href="https://transitlounge.com.au/shop/hydra/" target="_blank" rel="noopener">Hydra</a> and <a href="https://www.penguin.com.au/books/faithless-9780143791201" target="_blank" rel="noopener">Faithless</a>, play into a current design trend in Australian publishing. Faceless women in various states of melodramatic distress – either flung over furniture, or pictured against blurred or monochromatic backgrounds. Arms, hands or long, dishevelled hair conceal their faces. It’s a trend spurred on, no doubt, by the runaway success of Meg Mason’s <a href="https://www.harpercollins.com.au/9781460757222/sorrow-and-bliss/" target="_blank" rel="noopener">Sorrow and Bliss</a>.</p> <p>These are our new literary damsels, more muted in their elegant colour-coordinated breakdowns than their Hollywood golden age predecessors. The design did not suit the outrageously funny tone of Mason’s novel, but works well enough here as a portent. In Hydra, of an interior descent into mania. In Faithless, of longing in a decidedly calming shade of forest green.</p> <h2>Hydra’s ‘unhinged’ heroine</h2> <p>We first meet Anja, the heroine of <a href="https://transitlounge.com.au/shop/hydra/" target="_blank" rel="noopener">Hydra</a>, on her first day back at work in the high-end, cut-throat world of antique dealing, after a disastrous trip to the titular Greek island – where her marriage has seemingly fallen apart.</p> <p>We will not know why, nor get to those scenes, for another 140 pages – one in a series of structural missteps that will test the contract between writer and reader. Not knowing these details for so long effects our ability to fully understand Anja’s subsequent “unhinged” behaviour, or realise the island doesn’t, in the end, have much significance to this novel at all. Instead, Hydra refers to an Australian naval base: the HMAS Hydra, somewhere on the south coast of Victoria. Anja takes up a 100-year lease on a beach cottage there after being cast out of the antiques world for acting like a crazy woman.</p> <p>Initially, we roll with the refreshingly bad behaviour, as Anja goes to war with her ambitious, delightfully brassy underling Fran at Geoffrey Brown Auction House. Howell conjures this world well and it’s shame we move away from it so quickly, though we do understand why. The unforgivable act that closes out chapter two (and leads to Anja’s ejection from the antiques world) hits the reader hard: a poor old dame selling off her son’s estate ends up with a smashed coccyx, thanks to Anja’s actions. We strap ourselves in ready for more of the same.</p> <p>Howell is very good at keeping the reader on their toes and this novel is never dull. Major plot points explode like hand grenades as the hybrid narrative shifts between Anja’s highwire point of view, investigative reports from HMAS Hydra’s archives, and other assorted documents presented literally in the text. Despite a building sense of confusion and disbelief, we keep going.</p> <h2>Big cat mystery</h2> <p>The central mystery of this book is a cat. A big one. From the moment Anja first moves into the cottage, strange things start happening. Shit and dead animals left on her windblown porch, yellow eyes in the trees, a disquieting aura of being watched and hounded. At first, we’re not sure who or what is responsible for these trespasses that have Anja rushing home before nightfall and sleeping with a knife under her bed.</p> <p>Gradually, we learn the HMAS Hydra was gifted a cougar by their American allies. As more and more information is revealed to either counter or support the suggestion of a supernatural presence, we oscillate between beliefs. Is the cat real, a figment of her unravelling mind, a haunting, or the result of some sort of sinister naval experiment?</p> <p>By the time we hit the last third of the novel, we’re in a whirling dervish of jump scares – not rendered entirely successfully. The balance between plausibility and mystery stretches beyond breaking point. In a pivotal scene, where Anja’s unravelling really begins to take hold, a giant navy vessel visible from her house, grounded for decades, is struck by a bolt of lightning in an intense storm. It sinks in a matter of minutes. Anja abruptly falls asleep.</p> <p>In another, after getting sloshed to calm her mind, Anja clambers down the huge cliff face, glass in hand. She cuts her hand and leaps off a rock into the ocean – where she contemplates suicide for a while, clambers out again, can’t find her way back up, leaps onto some more rocks, smashes her teeth in, then lies on her back and laughs manically. She spends the rest of the novel walking around toothless.</p> <p>Conceptually, each twist and turn might be justified, but we lose all sense of narrative security – and our confidence that Howell is adequately guiding us out of the eye of this adrenaline-fuelled storm falters. In the end, like Anja, we’re asked to take too many implausible leaps.</p> <h2>Faithless – a ‘questionable plot’</h2> <p>Take away all the literary allusions and carefully constructed prose and the plot of <a href="https://www.penguin.com.au/books/faithless-9780143791201" target="_blank" rel="noopener">Faithless</a>, by two-time novelist Alice Nelson, skates very close to highly commercial romance.</p> <p>Max – a famous, handsome, married, middle-aged writer – meets Cressida, a beautiful young English girl, on her family’s estate in India. It’s recently been converted into a boutique hotel, due to her dead daddy’s mishandling of money. Their affair continues for decades, as she burrows away in her garret back in England working on translations, meeting Max for “clandestine liaisons” where they spend more hours wandering in gardens “rampant with the smell of wisteria” and quoting Goethe and Proust to each other than they do having sex.</p> <p>Until along comes the “vastly generous” Leo – another handsome man who relieves her of her money troubles, so she can finally write and become fabulously famous and rich herself. The to and fro between Leo and Max continues until fate decides for them all – and Cressida heads to the village town of Dunwich, where Max once lived, to mooch about in her memories under “listless” skies by “roiling” seas, accompanied by the mysterious orphan Clara.</p> <p>Any potential entertainment value offered by this questionable plot is further weakened by its delivery – everything has already happened and is being told to us. Cressida is writing one long letter to her dead lover Max: “Oh we had delight Max, hour after hour of pure pleasure.” These second-person sections are framed by shorter scenes in contemporary Dunwich, where nothing much happens. This structural decision means the grand love affair, the “all consuming” love Cressida feels for Max, is rendered passionless in recall.</p> <p>Max is also, unfortunately, a pretentious cad. The first time he kisses Cressida doesn’t happen until page 91. And he tends to accompany each kiss or interaction with her with a quote, such as, “Now no discourse, except it be of love.” (From Shakespeare’s Two Gentlemen of Verona.) A similar loftiness inhabits the prose, where even the sex (what little there is of it) is strangely sexless and cliched.</p> <blockquote> <p>On Sunday we woke early, just as the sun was rising in a vast plume of orange above the mountains. We made love slowly, with a tenderness that made me want to weep. You stared down at me as if you were gazing at something extraordinary, something slightly bewildering. It was always the face I believed most revealed you. Max; the one you turned to me as you rose above me in bed.</p> </blockquote> <p>If this is a book about love and literature, it operates in a rarefied world I do not believe or recognise. Perhaps I’ve seen a guy like Max wandering around a writer’s festival: a lavender cashmere sweater draped around his shoulders, his long-suffering, much younger mistress drinking in his lame references to dead white males.</p> <p>Maybe, but that image is also cliched. Neither the plot nor the writing is up to the literary ambition that defines this novel. Endless quotes and allusions to the greatness of others cannot save it.</p> <p><strong>This article originally appeared on <a href="https://theconversation.com/damsels-in-distress-two-new-australian-novels-fail-to-achieve-their-literary-ambitions-187089" target="_blank" rel="noopener">The Conversation</a>.</strong></p>

Books

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"A lot of distress": Rebel Wilson discusses being "outed" by media outlet

<p>Rebel Wilson has opened up about her "pain" and distress" over being outed by a Sydney Morning Herald reporter. </p> <p>The publication was condemned by the Australian Press Council for “outing” her relationship with girlfriend Ramona Agruma, prompting Rebel to break her silence on the ordeal. </p> <p>The actress slammed the “grubby” behaviour of the journalist in question, sharing the “pain” of having to announce her new relationship prematurely.</p> <p>The 42-year-old announced her relationship with the American fashion designer Agruma in June, one month after publicly revealing she was “happily in a relationship”.</p> <p>After making the announcement, Sydney Morning Herald gossip columnist Andrew Hornery called out the actress who “opted to gazump the story”.</p> <p>Horney claimed he contacted the actress and gave her two days to comment before he would out her and publish a story on her same-sex relationship.</p> <p>The Sydney Morning Herald have since removed the article, calling it a "big mistake" to publish the article.</p> <p>Wilson stayed silent until the Australian Press Council condemned the publication, stating that the article was “likely to cause substantial offence and distress”.</p> <p>“Just seeing the news that the Australian Press Council has condemned the Sydney Morning Herald and their journalists for their recent grubby behaviour in trying to out my same-sex relationship,” Wilson began in an Instagram post.</p> <p>“And while I didn’t personally ask for any action to be taken I am glad that this has been officially recorded and recognised.”</p> <p>“Their actions did cause Ramona and I a lot of distress and while we’ve remained classy, there are still pains from having to rush this news publicly which we are dealing with,” she continued.</p> <p>“We move on, focusing on all the absolutely amazing new things in our life though! Sending love to everyone 💗 #loveislove,” her post ended.</p> <p>The ruling from the Australian Press Council deemed that the publication had breached the council’s principles.</p> <p>“The tenor of the publication’s communications with Ms Wilson concerning a deeply personal matter, and the associated commentary on a matter which had no apparent connection to her public activities, intruded on her reasonable expectations of privacy,” a statement said, published on the Herald’s website.</p> <p><em>Image credits: Getty Images</em></p>

Relationships

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Mental distress is rising, especially for low-income middle-aged women. Medicare needs a major shakeup to match need

<p>Mental health services are poorly targeted, outcomes are getting worse, and out-of-pocket payments are increasing. The new government faces a tough challenge in improving mental health.</p> <p>This year marks 30 years since the first <a href="https://journals.sagepub.com/doi/10.1080/00048679309075767">national mental health policy</a>. The latest <a href="https://www.health.gov.au/resources/publications/the-australian-governments-national-mental-health-and-suicide-prevention-plan">national mental health and suicide prevention plan</a> is the sixth of its kind. But services are increasingly <a>fragmented and chaotic</a> and the number of people reporting <a href="https://doi.org/10.3389/fpsyt.2022.815904">very high psychological distress</a> was rising even before COVID.</p> <p>Medicare spending and out-of-pocket mental health-care costs are increasing but those most needing care aren’t getting it: mental health services use <a href="https://theconversation.com/when-its-easier-to-get-meds-than-therapy-how-poverty-makes-it-hard-to-escape-mental-illness-114505">goes up in better-off areas</a> where mental health-care needs are lower. A new government needs to address this mental health triple-whammy of spending, costs and areas of need.</p> <h2>Middle-aged women on low incomes are struggling</h2> <p>Very high psychological distress is rising most steeply in the middle-aged; <a href="https://doi.org/10.3389/fpsyt.2022.815904">more than doubling</a> for women aged 55–64 (3.5% to 7.2%) from 2001–2018.</p> <p>Earning less is associated with much <a href="https://doi.org/10.3389/fpsyt.2022.815904">worse mental health</a>. When we combine gender and income, we see that of men in the highest 20% income bracket, just 0.4% have very high psychological distress. The rate of this high level of distress is 28 times greater (11.9%) for women in the lowest 20% income bracket.</p> <p>So, mental health services should be targeted to people with low incomes, particularly middle-aged women. But Medicare for mental health fails any reasonable <a href="https://doi.org/10.5694/mja14.00330">test of universality</a> that would mean equitable delivery of mental health care for all Australians. </p> <p>Rather, it follows an “<a href="https://theconversation.com/three-charts-on-why-rates-of-mental-illness-arent-going-down-despite-higher-spending-97534">inverse care law</a>” that sees those needing the most getting the least. Often, poorer individuals in mid-life and in poorer communities – who really need psychological, allied health and psychiatric services – only get a minimal level of GP treatment, sometimes so restricted in range that it <a href="https://doi.org/10.1177%2F0004867419857821">makes mental health worse</a>.</p> <h2>Help is out of reach for many</h2> <p>This mismatch between need and services follows from a market-driven service model. </p> <p>Most Commonwealth government mental health-care support is through Medicare rebates – supporting services by GPs, psychiatrists and psychologists. </p> <p>Medicare rebates are for services provided by individual clinicians, rather than oriented toward team-based care. A GP can unlock additional mental health support through a “mental health treatment plan”, or a psychiatrist referral, allowing Medicare rebates for visits to psychologists or other professionals. </p> <p>But here’s the rub. These visits often require out-of-pocket payments of more than <a href="https://grattan.edu.au/wp-content/uploads/2022/03/Not-so-universal-how-to-reduce-out-of-pocket-healthcare-payments-Grattan-Report.pdf">A$200 per year</a>, with only about 40% of people having all their Medicare-subsidised psychologist services bulk-billed. And these plans are only [reviewed by their GP about <a href="https://www.mja.com.au/journal/2019/210/7/runaway-giant-ten-years-better-access-program#panel-article">half the time</a>.</p> <p>So Medicare support for psychiatrists and psychologists is inequitable and poorly targeted. Essentially, both psychologists and psychiatrists are out of reach for people on low incomes.</p> <h2>Agree on where we’re heading</h2> <p>Taxpayers get better value for money when there is a closer alignment between spending and need. The first step in service redesign is agreeing on a destination. </p> <p>The current expression of what the mental health system should look like, in operational terms rather than policy waffle, is the <a>national mental health strategic planning framework</a>. But this does not consistently guide planning and it needs revision. It should incorporate how social drivers of health, including relative disadvantage, affect community mental health-care needs. </p> <p>The government also needs to decide whether it will direct more money into mental health; there was no pre-election commitment to this. Mental health needs – especially for people on low incomes – are not being met. Without extra money, redistribution of funding will be required. The current “haves” will argue vociferously against redistribution to the “have-nots”, causing political pain.</p> <h2>A fresh frame</h2> <p>Commonwealth responses to addressing mental health needs have been siloed and poorly integrated into broader health care. Labor’s pre-election <a href="https://www.alp.org.au/policies/strengthening-medicare-taskforce">Strengthening Medicare policy</a> provides new context and the potential for a more integrated response to mental health needs.</p> <p>In the next five to ten years, <a href="https://www.smh.com.au/politics/federal/australians-encouraged-to-register-with-a-gp-under-new-funding-model-20211111-p59858.html">block payments to GPs</a> for patients enrolled with their practice will supplement fee-for-service and performance payments. But where will mental health fit in? And what opportunities might enrolment present for improving access to integrated primary mental health care for everyone? </p> <p>Enrolment-based funding will need to be risk-adjusted, with higher payments for patients with greater needs. Mental health status should be calculated as a health factor in the new formula. Then, general practices caring and supporting more people living with mental illness would attract higher funding. </p> <p>Risk-adjustment also should be higher for people with social or economic drivers of poor mental health, such as unemployment. Then we need to figure out what services and support GPs would provide for the new enrolment payments. </p> <p>A low payment, implying few extra services, would not drive the significant transformations needed in mental health-care provision. A higher payment, perhaps phased in, could help reshape mental health care. Existing funding for mental health-care plans could be collapsed into the enrolment payment. So could the cost of a psychologist and other services which these plans unlock. </p> <h2>A new funding model</h2> <p>Funding should allow allied health professional such as social workers and occupational therapists to use their discipline-specific skills. GPs would be able to employ psychologists and other providers directly or subcontract them. Primary health networks might also have a role here in accrediting services or developing service networks with GPs.</p> <p>A new funding model, involving funding weighted for those in greatest need, and more closely integrated into general practice, could transform access to mental health services. It would be more equitable and seamless, leading to higher quality care for the same cost.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/mental-distress-is-rising-especially-for-low-income-middle-aged-women-medicare-needs-a-major-shakeup-to-match-need-184635" target="_blank" rel="noopener">The Conversation</a>.</em></p> <div style="caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; text-decoration: none; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(51,168,204,0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; background-color: transparent; border: 0px; font-size: 18px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;" data-react-class="Tweet" data-react-props="{&quot;tweetId&quot;:&quot;1514384866103947268&quot;}"> <div style="--tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(51,168,204,0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; background-color: transparent; border: 0px; font-size: 18px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline; caret-color: #000000; color: #000000; font-family: 'Libre Baskerville', Georgia, Times, 'Times New Roman', serif; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; word-spacing: 0px; -webkit-text-stroke-width: 0px; text-decoration: none;"> <div style="--tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(51,168,204,0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; background-color: transparent; border: 0px; font-size: 18px; margin: 0px; outline: 0px; padding: 0px; vertical-align: baseline;"> </div> </div> </div> <p style="caret-color: #000000; color: #000000; font-style: normal; font-variant-caps: normal; font-weight: normal; letter-spacing: normal; orphans: auto; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: auto; word-spacing: 0px; -webkit-text-size-adjust: auto; -webkit-text-stroke-width: 0px; text-decoration: none; --tw-translate-x: 0; --tw-translate-y: 0; --tw-rotate: 0; --tw-skew-x: 0; --tw-skew-y: 0; --tw-scale-x: 1; --tw-scale-y: 1; --tw-scroll-snap-strictness: proximity; --tw-ring-offset-width: 0px; --tw-ring-offset-color: #fff; --tw-ring-color: rgba(51,168,204,0.5); --tw-ring-offset-shadow: 0 0 #0000; --tw-ring-shadow: 0 0 #0000; --tw-shadow: 0 0 #0000; --tw-shadow-colored: 0 0 #0000; background-color: transparent; border: 0px; font-size: 18px; margin: 0px 0px 18px; outline: 0px; padding: 0px; vertical-align: baseline;"> </p>

Mind

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After the floods, the distressing but necessary case for managed retreat

<p>From Brisbane to Sydney, many thousands of Australians have been reliving a devastating experience they hoped – in 2021, 2020, 2017, 2015, 2013, 2012 or 2010/11 – would never happen to them again.</p> <p>For some suburbs built on the flood plains of the Nepean River in western Sydney, for example, these floods are their <a href="https://www.smh.com.au/environment/weather/sydney-homeowners-devastated-by-three-floods-in-two-years-20220304-p5a1y0.html" target="_blank" rel="noopener">third in two years</a>.</p> <p>Flooding is a part of life in parts of Australia. But as climate change intensifies the frequency and severity of floods, fires and other disasters, and recovery costs soar, two big questions arise.</p> <p>As a society, should we be setting up individuals and families for ruin by allowing them to build back in areas where they can’t afford insurance? And is it fair for taxpayers to carry the huge burden of paying for future rescue and relief costs?</p> <p><strong>Considering ‘managed retreat’</strong></p> <p>Doing something about escalating disaster risks require multiple responses. One is making insurance as cheap as possible. Another is investing in mitigation infrastructure, such as flood levees. Yet another is about making buildings more disaster-resistant.</p> <p>The most controversial response is the policy of “managed retreat” – abandoning buildings in high-risk areas.</p> <p>In Australia this policy has been mostly discussed as something to consider some time in the future, and mostly for coastal communities, for homes that can’t be saved from rising sea levels and storm surges.</p> <p>It’s a sensitive subject because it uproots families, potentially hollows outs communities and also affects house prices – an unsettling prospect when economic security is tied to home ownership.</p> <p>But managed retreat may also be better than the chaotic consequences of letting the market alone try to work out the risks to individuals and communities.</p> <p><strong>Grand Forks: a case study</strong></p> <p>The strategy is already being implemented in parts of western Europe and North America. An example from Canada is the town of Grand Forks, a community of about 4,000 people 300 kilometres east of Vancouver.</p> <p>The town is located where two rivers meet. In May 2018 it experienced its worst flooding in seven decades, after days of extreme rain <a href="https://www.theweathernetwork.com/en/news/climate/impacts/an-old-growth-forest-in-b-c-was-cut-down-then-a-nearby-town-flooded" target="_blank" rel="noopener">attributed to</a> higher than normal winter snowfall melting quickly in hotter spring temperatures. Deforestation has been blamed for exacerbating the flood.</p> <figure class="align-center "><img src="https://images.theconversation.com/files/450871/original/file-20220309-22-v2begh.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/450871/original/file-20220309-22-v2begh.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/450871/original/file-20220309-22-v2begh.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/450871/original/file-20220309-22-v2begh.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=450&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/450871/original/file-20220309-22-v2begh.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/450871/original/file-20220309-22-v2begh.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/450871/original/file-20220309-22-v2begh.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=566&amp;fit=crop&amp;dpr=3 2262w" alt="" /><figcaption><span class="caption">Flooding in Grand Forks, British Columbia.</span> <span class="attribution">Shutterstock</span></figcaption></figure> <p>The flood damaged about 500 buildings in Grand Forks, with <a href="https://www2.gov.bc.ca/assets/gov/environment/climate-change/adaptation/resources/social_impacts_grand_forks_flood.pdf" target="_blank" rel="noopener">lowest-income neighbourhoods</a> in low-lying areas the worst-affected.</p> <p>In the aftermath the local council received C$53 million from the federal and provincial governments for flood mitigation. This included work to reinforce river banks and build dikes. About a <a href="https://www.rosslandnews.com/news/grand-forks-flood-affected-properties-to-be-bought-at-post-flood-value/" target="_blank" rel="noopener">quarter of the money</a> was allocated to acquire about 80 homes in the most flood-prone areas.</p> <p>The decision to demolish these homes – <a href="https://www12.statcan.gc.ca/census-recensement/2016/dp-pd/prof/details/page.cfm?Lang=E&amp;Geo1=POPC&amp;Code1=0333&amp;Geo2=PR&amp;Code2=59&amp;SearchText=Grand%20Forks&amp;SearchType=Begins&amp;SearchPR=01&amp;B1=All&amp;GeoLevel=PR&amp;GeoCode=0333&amp;TABID=1&amp;type=0" target="_blank" rel="noopener">about 5%</a> of the town’s housing – and return the area to flood plain has been contentious.</p> <p>Some residents simply didn’t <a href="https://building.ca/flood-victims-in-grand-forks-b-c-in-limbo-more-than-one-year-after-disaster/" target="_blank" rel="noopener">want to sell</a>. Adding to the pain was owners being paid the post-flood market value of their homes (saving the council <a href="https://www.cbc.ca/news/canada/british-columbia/grand-forks-houses-assessed-post-flood-value-buyout-1.5197831" target="_blank" rel="noopener">about C$6 million</a>). There were also long delays, with residents stuck in limbo <a href="https://building.ca/flood-victims-in-grand-forks-b-c-in-limbo-more-than-one-year-after-disaster/" target="_blank" rel="noopener">for more than year</a> while authorities finalised transactions.</p> <p><strong>A sensitive subject</strong></p> <p>Grand Forks shares similarities to Lismore, the epicentre of the disaster affecting northern NSW and southern Queensland.</p> <p>Lismore is also built on a flood plain where two rivers meet. Floods are a regular occurrence, with the last major disaster being in 2017. Insuring properties in town’s most flood-prone areas was already <a href="https://www.theguardian.com/business/2022/mar/02/lismore-businesses-that-couldnt-afford-insurance-premiums-face-huge-flood-damage-bills" target="_blank" rel="noopener">unaffordable for some</a>. In the future it may be impossible.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/451512/original/file-20220311-17-yd0jtm.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/451512/original/file-20220311-17-yd0jtm.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/451512/original/file-20220311-17-yd0jtm.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/451512/original/file-20220311-17-yd0jtm.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/451512/original/file-20220311-17-yd0jtm.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=400&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/451512/original/file-20220311-17-yd0jtm.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/451512/original/file-20220311-17-yd0jtm.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/451512/original/file-20220311-17-yd0jtm.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=503&amp;fit=crop&amp;dpr=3 2262w" alt="Lismore resident Robert Bialowas cleans out his home on March 3 2022." /></a><figcaption><span class="caption">Lismore resident Robert Bialowas cleans out his home on March 3 2022.</span> <span class="attribution"><span class="source">Jason O'Brien/AAP</span>, <a class="license" href="http://creativecommons.org/licenses/by/4.0/" target="_blank" rel="noopener">CC BY</a></span></figcaption></figure> <p>Last week NSW premier Dominic Perrottet said about 2,000 of the town’s 19,000 homes would need to be demolished and rebuilt, a statement the local council general manager downplayed, saying in the majority of cases “<a href="https://www.abc.net.au/news/2022-03-07/thousands-of-flooded-buildings-in-north-nsw-may-not-be-condemned/100889230" target="_blank" rel="noopener">people will not have to worry</a>”.</p> <p>For a community traumatised by loss, overwhelmed by the recovery effort and angry at the perceived tardiness of <a href="https://www.abc.net.au/news/2022-03-11/morrison-lismore-community-calls-for-action-on-flood-disaster/100900496" target="_blank" rel="noopener">government relief efforts</a>, discussing any form of managed retreat is naturally emotionally charged.</p> <p>But there’s never an ideal time to talk about bulldozing homes and relocating households.</p> <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/451510/original/file-20220311-13-64nek3.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/451510/original/file-20220311-13-64nek3.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/451510/original/file-20220311-13-64nek3.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=600&amp;h=371&amp;fit=crop&amp;dpr=1 600w, https://images.theconversation.com/files/451510/original/file-20220311-13-64nek3.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=600&amp;h=371&amp;fit=crop&amp;dpr=2 1200w, https://images.theconversation.com/files/451510/original/file-20220311-13-64nek3.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=600&amp;h=371&amp;fit=crop&amp;dpr=3 1800w, https://images.theconversation.com/files/451510/original/file-20220311-13-64nek3.jpg?ixlib=rb-1.1.0&amp;q=45&amp;auto=format&amp;w=754&amp;h=467&amp;fit=crop&amp;dpr=1 754w, https://images.theconversation.com/files/451510/original/file-20220311-13-64nek3.jpg?ixlib=rb-1.1.0&amp;q=30&amp;auto=format&amp;w=754&amp;h=467&amp;fit=crop&amp;dpr=2 1508w, https://images.theconversation.com/files/451510/original/file-20220311-13-64nek3.jpg?ixlib=rb-1.1.0&amp;q=15&amp;auto=format&amp;w=754&amp;h=467&amp;fit=crop&amp;dpr=3 2262w" alt="Lismore residents Tim Fry and Zara Coronakes and son Ezekiel outside their home on March 11 2022." /></a><figcaption><span class="caption">Lismore residents Tim Fry and Zara Coronakes and son Ezekiel outside their home on March 11 2022.</span> <span class="attribution"><span class="source">Jason O'Brien/AAP</span>, <a class="license" href="http://creativecommons.org/licenses/by/4.0/" target="_blank" rel="noopener">CC BY</a></span></figcaption></figure> <p><strong>Uprooting communities</strong></p> <p>Managed retreat has far-reaching financial ramifications. As in Grand Forks, the first questions are what homes are targeted, who pays, and how much.</p> <p>Some residents may be grateful to sell up and move to safe ground. Others may not, disputing the valuation offered or being reluctant to leave at any price.</p> <p>Managed retreat policies also affect many more than just those whose homes are being acquired. Demolishing a block or suburb can push down values in neighbouring areas, due to fears these homes may be next. Those households are also customers for local businesses. Their loss can potentially send a town economy into decline.</p> <p>No wonder many people want no mention of managed retreat in their communities.</p> <p><strong>Pricing in climate change</strong></p> <p>Markets, however, are already starting to “price in” rising climate risks.</p> <p>Insurance premiums are going up. The value of homes in high-risk areas will drop as buyers look elsewhere, particularly in the wake of increasingly frequent disasters.</p> <p>The economic fallout, both for individual households and local communities, could be disastrous.</p> <p>The Reserve Bank of Australia <a href="https://www.rba.gov.au/publications/bulletin/2021/sep/climate-change-risks-to-australian-banks.html" target="_blank" rel="noopener">warned</a> in September 2021 that climate-related disasters could rapidly drive house prices down, particularly in areas that have previously experienced rapid house price growth.</p> <p>These disasters are also amplifying inequality, with poorer households more likely to live in high-risk locations and also to be uninsured.</p> <p>In Lismore, for example, more than 80% of households flooded in 2017 were in the lowest <a href="https://link.springer.com/article/10.1007/s11069-020-03887-z" target="_blank" rel="noopener">20% of incomes</a>. These trends will intensify as growing climate risks translate into higher insurance premiums and lower house prices.</p> <p>A deliberate strategy of managed retreat, though distressing and difficult, can help to minimise the upheaval in housing markets as climate risks become increasingly apparent.</p> <p>We can do better than leaving the most socially and economically vulnerable households to live in high-risk areas, while those with enough money can move away to better, safer futures. Managed retreat can play a key role.<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; text-shadow: none !important;" src="https://counter.theconversation.com/content/178641/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/antonia-settle-1019551" target="_blank" rel="noopener">Antonia Settle</a>, Academic (McKenzie Postdoctoral Research Fellow), <a href="https://theconversation.com/institutions/the-university-of-melbourne-722" target="_blank" rel="noopener">The University of Melbourne</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com" target="_blank" rel="noopener">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/after-the-floods-the-distressing-but-necessary-case-for-managed-retreat-178641" target="_blank" rel="noopener">original article</a>.</em></p> <p><em>Image: Getty Images</em></p>

Domestic Travel

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Roger Federer’s distressing announcement

<p><span>Roger Federer has announced his withdrawal from the upcoming Tokyo Olympics after a major “setback” in his knee injury recovery.</span><br /><br /><span>The 20-time Grand Slam champion was beaten by Hubert Hurkacz during Wimbledon in the quarter-finals last week.</span><br /><br /><span>Last year however, the 39-year-old underwent two surgeries on his right knee.</span><br /><br /><span>He has been training to win an Olympic singles gold medal, but now it looks like the star might have to wait another four years.</span></p> <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-captioned="" data-instgrm-permalink="https://www.instagram.com/p/CRRhJdfFBgE/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="13"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" rel="noopener" href="https://www.instagram.com/p/CRRhJdfFBgE/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank">A post shared by Roger Federer (@rogerfederer)</a></p> </div> </blockquote> <p><br /><span>The global pandemic delayed the 2020 Olympic Games by a year, and while it will still go ahead – it will largely be held behind closed doors.</span><br /><br /><span>Strict health restrictions will also be in place.</span><br /><br /><span>The Olympic singles title is the only major tournament Federer is yet to win.</span><br /><br /><span>The tennis star lost during the semi-finals in 2000, in Sydney.</span><br /><br /><span>In 2012, he would go on to be beaten by Andy Murray in London, just weeks after dominating the Brit on the same Centre Court in the Wimbledon final.</span><br /><br /><span>Federer did however win doubles gold with Stan Wawrinka in Beijing 13 years ago.</span><br /><br /><span>The star’s loss to Hurkacz was only his 14th defeat at Wimbledon in over 119 matches.</span><br /><br /><span>It is also the first time he has been beaten in the tournament in straight sets since 2002.</span><br /><br /><span>Additionally, it was Federer’s first time he’s lost a set 6-0 at Wimbledon, and just the third time at a Slam.</span><br /><br /><span>“With everything that comes after Wimbledon, we were always going to sit down and talk about it because clearly now Wimbledon is over,” Federer announced.</span><br /><br /><span>“I got to take a few days. Just see, OK, what do I need to do to get in better shape so I can be more competitive.”</span><br /><br /><span>He slipped to ninth in the ATP rankings after Wimbledon, which is his lowest position since March 2017.</span></p>

News

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ALDI shopper's plea after distressing incident at the checkout

<p>Customers have requested for ALDI checkout staff to scan items at a slower pace after a woman witnessed an elderly shopper become overwhelmed trying to pack her groceries.</p> <p>The scene unfolded at an ALDI store in NSW last week when the elderly customer battled to keep up with the quick pace of her cashier.</p> <p>The woman watched on as the shopper, who refused her help, struggle with what she described as ALDI's "rush in, rush out" approach.</p> <p>“Once her goods were beginning to scan the cashier was going so fast, I could see the poor lady struggle to put it back into her trolley, by the time she walked a short distance to the end of the cashier table, a third of her goods were sitting there already,” the observer wrote on ALDI’s Facebook page.</p> <p>“The cashier had to stop scanning as there was no space left... the queue had built up so far, despite this the cashier didn't call for another register to open.”</p> <p>The woman revealed the cashier began putting the shopper's items into her trolley to clear space for more items to be scanned.</p> <p>“The lady was visibly upset by how rushed she was. At the end she paid for her goods as the cashier loaded up the last of her goods into her trolley and told her to use the bench to sort it out,” she wrote.</p> <p>She added while she usually has no issue personally with using the separate bench to pack her groceries, seeing the older woman struggle changed her mind.</p> <p>“It was complete chaos and now the poor lady had to spend more time getting pushed about trying to sort her trolley after the cashier just threw things everywhere (eggs under milk cartons, bread loaf under tins, toilet paper squashing everything).”</p> <p>The woman implored ALDI to consider a re-evaluation of its “rush in, rush out” attitude, revealing she struggled with anxiety each time she approached the registers to check out.</p> <p>“I know the cashiers scan things as fast as possible and will then try to throw all my stuff in the trolley. I hate this. Why not just slow down the pace a little?” she wrote.</p> <p>An employer for the supermarket responded to the shopper's post, saying they were concerned upon hearing what she had to say and would "look into this further".</p> <p>An Aldi spokesperson said staff adjusted the speed they scan groceries based on each individual shopper.</p> <p>“Our employees will review and adjust their scan speed based on how quickly or slowly each customer packs their shopping,” the spokesperson told Yahoo News Australia in a statement.</p> <p>“If any customer would like an Aldi employee to slow down at the checkout, we encourage them to kindly request this. Our stores are designed to ensure customers can do their weekly shop in an efficient and convenient way.</p> <p>“One way we can do this is by asking customers to place their groceries back in their trolley once they have been scanned, and then pack at their own pace at the long bench behind the tills.”</p>

Food & Wine

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Truck driver charged over deaths of four Victorian police officers breaks his silence

<p>A truck driver charged with killing four police officers on a freeway in Melbourne has said that he is “distressed and saddened at the tragic consequences of his acts”.</p> <p>Mohinder Singh, 47, has expressed regret and sadness through a statement released by his lawyer on Sunday.</p> <p>He has been charged with culpable driving which caused the deaths of Leading Senior Constable Lynnette Taylor, Senior Constable Kevin King and constables Glen Humphris and Josh Prestney as they were impounding a Porsche on the Eastern Freeway in Melbourne’s inner east on April 22.</p> <p>"Mr Singh is genuinely sorry and saddened that four people have lost their lives as a result of the collision," the short statement from Mr Pica reads.</p> <p>"He is acutely aware of the impact upon the families, friends and work colleagues of those that lost their lives."</p> <p>"Mr Singh remains distressed and saddened at the tragic consequences of his acts," he said.</p> <p>Singh remained silent and kept his head down when he faced the Melbourne Magistrates Court on Monday.</p> <p>Mr Pica told the court Singh had anxiety and depression and may have had an undiagnosed psychiatric issue his whole life.</p> <p>Singh did not apply for bail and is due to return to court for a committal mention on October 1.</p> <p>The statement comes after police lined the side of the road and saluted Constable Glen Humphris on Saturday.</p> <p>Funerals have also been held in line with coronavirus restrictions for senior constables Taylor and King, with a funeral for constable Josh Prestney to be held on Monday.</p> <p><em>Photo credits:<span> </span><a rel="noopener noreferrer" href="https://www.facebook.com/victoriapolice/posts/3777825052289603" target="_blank">Victoria Police</a></em></p>

News

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“Ball of flames”: Firefighter’s distress call after watching waterbomber plane crash

<p>An audio clip has emerged of a ground staff member calling for help following the crash of an aerial water tanker in southern NSW.</p> <p>In the distress call aired on the <em>Today</em> show, the staff could be heard calling the Rural Fire Service (RFS) command after witnessing the plane plummet in Eurobodalla on Thursday afternoon.</p> <p>“Fire comms… message red, speak to your captain. Message this is red,” the person could be heard saying.</p> <p>“Yeah fire comms... It's just a ball of flames... over.”</p> <blockquote class="twitter-tweet"> <p dir="ltr">Three fire fighters have tragically been killed, their water-bombing aircraft crashing in New South Wales. <a href="https://twitter.com/hashtag/9Today?src=hash&amp;ref_src=twsrc%5Etfw">#9Today</a> <a href="https://t.co/F2dprzAU0H">pic.twitter.com/F2dprzAU0H</a></p> — The Today Show (@TheTodayShow) <a href="https://twitter.com/TheTodayShow/status/1220416053613879296?ref_src=twsrc%5Etfw">January 23, 2020</a></blockquote> <p>All three US aerial firefighting specialists on the Lockheed C-130 Hercules tanker died in the incident. The plane was fighting the Clyde Mountain fire when it crashed to the ground and exploded in a “large fireball”, NSW RFS Commissioner Shane Fitzsimmons said.</p> <p>“Three remarkable men, coming down here to Australia once again this season, helping us to save and protect people but tragically this year, they won’t be going home to the United States,” said Commissioner Fitzsimmons.</p> <p>The Commissioner said while the aircraft’s explosion was “absolutely a loss to the aviation capabilities”, the RFS could “adapt and accommodate the loss of [this asset] as we have a number of others operating in NSW”.</p> <p>Investigators from the Australian Transport Safety Bureau (ATSB) are set to visit the crash site to collect evidence.</p> <p>“Should a critical safety issue be identified during the course of the investigation, the ATSB will immediately notify relevant stakeholders so appropriate and timely safety action can be taken,” the bureau said in a statement.</p>

Caring

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“Deeply distressed” Elton John defends Harry and Meghan against ‘malicious’ tabloids

<p>Sir Elton John has slammed media coverage of Prince Harry and Duchess Meghan, comparing it to the “intrusion” that led to Princess Diana’s “untimely death”.</p> <p>In a number of Twitter posts overnight, Sir Elton revealed he paid for the Duke and Duchess of Sussex to travel by private jet to visit his $26 million home in Nice.</p> <p>The 72-year-old admitted to providing the lavish 12-seater Cessna plane, that would have set him back $36,000 to hire due to the “high level of much-needed protection”.</p> <p>The Rocket Man singer defended the couple online as he requested for “fair coverage” after photographs were released of the family boarding the luxury jet with their son Archie.</p> <p>He said: “After a hectic year continuing their hard work and dedication to charity, David and I wanted the young family to have a private holiday inside the safety and tranquillity of our home.</p> <blockquote class="twitter-tweet tw-align-center" data-lang="en-gb"> <p dir="ltr">Prince Harry’s Mother, Diana Princess Of Wales was one of my dearest friends. I feel a profound sense of obligation to protect Harry and his family from the unnecessary press intrusion that contributed to Diana’s untimely death.</p> — Elton John (@eltonofficial) <a href="https://twitter.com/eltonofficial/status/1163479333689860099?ref_src=twsrc%5Etfw">19 August 2019</a></blockquote> <p>“To maintain a high level of much-needed protection, we provided them with a private jet flight.</p> <p>“To support Prince Harry’s commitment to the environment, we ensured their flight was carbon neutral, by making the appropriate contribution to Carbon Footprint.”</p> <p>After making their way to Nice Airport on Wednesday, the family-of-three were transported in a Mercedes limo complete with police protection, and taken to Sir Elton’s stunning French Riviera villa, Castel Mont-Alban.</p>

International Travel

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The heartwarming moment Novak Djokovic pauses match to help distressed fan

<p>Novak Djokovic has been praised by fans for stopping a tennis match in Paris to help a distressed fan in the crowd.</p> <p>The Serbian tennis star was competing against Joao Sousa in the second round of Paris Masters on Wednesday when he made the thoughtful gesture.</p> <p>Serving for the match at 5-1, Djokovic stopped to hand a towel to a spectator who seemed unwell and who wiped his forehead with it.</p> <p>“It seemed he was sweating and he seemed dizzy, so he just needed help,” Djokovic said.</p> <p>“I just gave him the towel.”</p> <blockquote class="twitter-tweet" data-lang="en"> <p dir="ltr">The fans look after Novak, Novak looks after the fans ❤️<a href="https://twitter.com/DjokerNole?ref_src=twsrc%5Etfw">@DjokerNole</a> <a href="https://twitter.com/hashtag/RolexParisMasters?src=hash&amp;ref_src=twsrc%5Etfw">#RolexParisMasters</a> <a href="https://t.co/LOXzwiKO63">pic.twitter.com/LOXzwiKO63</a></p> — Tennis TV (@TennisTV) <a href="https://twitter.com/TennisTV/status/1057385897354772480?ref_src=twsrc%5Etfw">October 30, 2018</a></blockquote> <p>Despite Djokovic taking the victory for the match with a 7-5, 6-1 win against Sousa, the second-ranked Serb revealed that he was also not feeling very well on the court.</p> <p>“I wasn’t,” he said. “I don’t want to get into details but I think it’s a minor thing.”</p> <p>Djokovic set up match point with an ace and sealed victory on his third match point when Sousa returned a second serve long.</p> <p>The tennis champ has won four of the last five tournaments he has entered, including Wimbledon, the US Open and the Shanghai Masters.</p> <p>Djokovic is seeking to reclaim the top ranking from Rafael Nadal and take home a record-extending fifth Paris Masters title.</p> <p>Djokovic's next match will be against Bosnia's Damir Dzumhur.</p>

Caring

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The Block's Shaynna Blaze on her big move: “It was distressing!”

<p>Shaynna Blaze is not stranger to helping people move with her work on <em>The Block</em> and <em>Selling Houses Australia</em>, but as <a href="https://www.nowtolove.com.au/celebrity/celeb-news/shaynna-blaze-moves-house-46593" target="_blank"><em><span style="text-decoration: underline;"><strong>Now to Love reports</strong></span></em></a> that doesn’t mean it makes it any easier for her.</p> <p>The celebrity interior designer has revealed just how hard it was to part with her four-bedroom property in the Melbourne suburb of Ringwood North last year.</p> <p>"I thought it wouldn't get to me," Shaynna, 55, admits. "I help people make the transition every day, so I figured it would be easy.</p> <p>"But when we were packing everything up, it became very personal and I realised how much stuff I'd accumulated."</p> <p>The house had been a family home, and while her children Carly, 29, and Jesse, 28, had already moved out, it was hard to ignore the pangs of nostalgia.</p> <p>"So many memories in that house," Shaynna laughs.</p> <p>"I had to put myself in the Selling Houses shoes and just get it done. But I remembered how distressing it was. We ended up putting everything in storage."</p> <p>Shaynna has now settled down in Hawthorn with her personal trainer husband Steve Vaughan, and is loving life in Melbourne’s inner east.</p> <p>"The kids moved out, we needed to downsize and where we ended up was determined by what we could afford," Shaynna explains.</p> <p>Take a look at the home Shaynna said goodbye to in the gallery above, it’s a stunner!</p> <p>Have you ever downsized?</p>

Home & Garden

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Distressed elderly couple find out their life insurance is worthless

<p>Imagine pouring tens of thousands of dollars of your hard-earned savings into a life insurance policy only to be told that, unless you die in the next six weeks, your family will receive nothing.</p> <p>It sounds utterly ludicrous, but that’s the reality for Aussie couple George and Irene Nesbitt, who have been told by their insurer that the policy they’ve paid more than $31,000 for over almost 25 years will become essentially worthless when they turn 90 next year.</p> <p><img width="500" height="270" src="https://oversixtydev.blob.core.windows.net/media/7265474/4724139500000578-5162155-image-a-23_1512809144190_500x270.jpg" alt="4724139500000578-5162155-image -a -23_1512809144190" style="display: block; margin-left: auto; margin-right: auto;"/></p> <p>The devastated couple, who admitted they have just a few hundred dollars to their name, told <em>A Current Affair</em> that they were relying on the insurance payout to fund their funerals.</p> <p>“I think it’s disgusting, I never would have paid into an insurance like that, I would have cut it off,” Irene said. “For our children’s sake I wanted to cover our funerals so they wouldn’t have to lay out any money.”</p> <p>Earning a fortnightly pension of just $1,334, the life insurance policy took thousands out of their already meagre bank account, so to learn that money would be going to nothing is an even bigger kick in the teeth.</p> <p>The couple had no idea about the cruel technicality that their life cover (the payout of which was promised to be $8,000 each) would cease upon turning 90 – it was only when sorting through documents last month that Irene discovered the rule. “I didn't look at that clause... I didn’t realise that meant you didn't get any money,” she said.</p> <p>George and Irene’s daughter Diane told the TV program she was heartbroken to see her parents in strife. “They’re 89 – both of them – and they’ve worked hard all their life... all they’ve cared about is that we don't have to worry about their funeral costs."</p> <p>The Commonwealth Bank, who own the Nesbitts’ insurance provider Colonial, issued a statement to the <a href="http://www.dailymail.co.uk/news/article-5162155/Elderly-couple-disgusted-outlive-life-insurance.html" target="_blank"><strong><em><span style="text-decoration: underline;">Daily Mail</span></em></strong></a> confirming they were unable to extend the couple’s cover. “We are in touch with the Nesbitts to explore if there is any kind of assistance that we can offer,” they said.</p> <p>Do you think it’s fair for life insurance cover to stop at 90? Share your thoughts with us in the comments below.</p>

Retirement Income

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