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To tackle gendered violence, we also need to look at drugs, trauma and mental health

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/siobhan-odean-1356613">Siobhan O'Dean</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/lucinda-grummitt-1531503">Lucinda Grummitt</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/steph-kershaw-1466426">Steph Kershaw</a>, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p>After several highly publicised alleged murders of women in Australia, the Albanese government this week pledged <a href="https://ministers.pmc.gov.au/gallagher/2024/helping-women-leave-violent-partner-payment">more than A$925 million</a> over five years to address men’s violence towards women. This includes up to $5,000 to support those escaping violent relationships.</p> <p>However, to reduce and prevent gender-based and intimate partner violence we also need to address the root causes and contributors. These include alcohol and other drugs, trauma and mental health issues.</p> <h2>Why is this crucial?</h2> <p>The World Health Organization estimates <a href="https://iris.who.int/bitstream/handle/10665/341604/WHO-SRH-21.6-eng.pdf?sequence=1">30% of women</a> globally have experienced intimate partner violence, gender-based violence or both. In Australia, <a href="https://www.abs.gov.au/statistics/people/crime-and-justice/partner-violence/latest-release#key-statistics">27% of women</a> have experienced intimate partner violence by a co-habiting partner; <a href="https://pubmed.ncbi.nlm.nih.gov/37004184/">almost 40%</a> of Australian children are exposed to domestic violence.</p> <p>By gender-based violence we mean violence or intentionally harmful behaviour directed at someone due to their gender. But intimate partner violence specifically refers to violence and abuse occurring between current (or former) romantic partners. Domestic violence can extend beyond intimate partners, to include other family members.</p> <p>These statistics highlight the urgent need to address not just the aftermath of such violence, but also its roots, including the experiences and behaviours of perpetrators.</p> <h2>What’s the link with mental health, trauma and drugs?</h2> <p>The relationships between mental illness, drug use, traumatic experiences and violence are complex.</p> <p>When we look specifically at the link between mental illness and violence, most people with mental illness will not become violent. But there <a href="https://theconversation.com/bondi-attacker-had-mental-health-issues-but-most-people-with-mental-illness-arent-violent-227868">is evidence</a> people with serious mental illness can be more likely to become violent.</p> <p>The use of alcohol and other drugs also <a href="https://theconversation.com/alcohol-and-drug-use-exacerbate-family-violence-and-can-be-dealt-with-69986">increases the risk</a> of domestic violence, including intimate partner violence.</p> <p>About <a href="https://www.aihw.gov.au/family-domestic-and-sexual-violence/understanding-fdsv/factors-associated-with-fdsv">one in three</a> intimate partner violence incidents involve alcohol. These are more likely to result in physical injury and hospitalisation. The risk of perpetrating violence is even higher for people with mental ill health who are also <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1525086/">using alcohol or other drugs</a>.</p> <p>It’s also important to consider traumatic experiences. Most people who experience trauma do not commit violent acts, but there are <a href="https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(23)00075-0/fulltext">high rates</a> of trauma among people who become violent.</p> <p>For example, experiences of childhood trauma (such as witnessing physical abuse) <a href="https://www.sciencedirect.com/science/article/pii/S1359178915000828?via%3Dihub">can increase the risk</a> of perpetrating domestic violence as an adult.</p> <p>Early traumatic experiences can affect the brain and body’s <a href="https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-017-0895-4">stress response</a>, leading to heightened fear and perception of threat, and difficulty regulating emotions. This can result in aggressive responses when faced with conflict or stress.</p> <p>This response to stress increases the risk of <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9675346/">alcohol and drug problems</a>, developing <a href="https://pubmed.ncbi.nlm.nih.gov/30798897/">PTSD</a> (post-traumatic stress disorder), and <a href="https://psycnet.apa.org/record/2015-17349-001">increases the risk</a> of perpetrating intimate partner violence.</p> <h2>How can we address these overlapping issues?</h2> <p>We can reduce intimate partner violence by addressing these overlapping issues and tackling the root causes and contributors.</p> <p>The early intervention and treatment of <a href="https://doi.org/10.1186/s12905-019-0728-z">mental illness</a>, <a href="https://doi.org/10.1177/1541204020939645">trauma</a> (including PTSD), and <a href="https://doi.org/10.1016/j.avb.2015.06.001">alcohol and other drug use</a>, could help reduce violence. So extra investment for these are needed. We also need more investment to <a href="https://www.sciencedirect.com/science/article/pii/S2212657023000508">prevent mental health issues</a>, and preventing alcohol and drug use disorders from developing in the first place.</p> <p><a href="https://www.sciencedirect.com/science/article/pii/S074937972200023X?via%3Dihub">Preventing trauma</a> from occuring and supporting those exposed is crucial to end what can often become a vicious cycle of intergenerational trauma and violence. <a href="https://journals.sagepub.com/doi/10.1177/070674371105600505">Safe and supportive</a> environments and relationships can protect children against mental health problems or further violence as they grow up and engage in their own intimate relationships.</p> <p>We also need to acknowledge the widespread <a href="https://store.samhsa.gov/product/practical-guide-implementing-trauma-informed-approach/pep23-06-05-005">impact of trauma</a> and its effects on mental health, drug use and violence. This needs to be integrated into policies and practices to reduce re-traumatising individuals.</p> <h2>How about programs for perpetrators?</h2> <p>Most existing standard intervention programs for perpetrators <a href="https://journals.sagepub.com/doi/10.1177/1524838018791268">do not consider</a> the links between trauma, mental health and perpetrating intimate partner violence. Such programs tend to have <a href="https://psycnet.apa.org/doi/10.1037/a0012718">little</a> or <a href="https://doi.org/10.1016/j.cpr.2021.101974">mixed effects</a> on the behaviour of perpetrators.</p> <p>But we could improve these programs with a <a href="http://rcfv.archive.royalcommission.vic.gov.au/MediaLibraries/RCFamilyViolence/Reports/RCFV_Full_Report_Interactive.pdf">coordinated approach</a> including treating mental illness, drug use and trauma at the same time.</p> <p>Such “<a href="https://www.sciencedirect.com/science/article/pii/S014976341930449X?via%3Dihub">multicomponent</a>” programs show promise in meaningfully reducing violent behaviour. However, we need more rigorous and large-scale evaluations of how well they work.</p> <h2>What needs to happen next?</h2> <p>Supporting victim-survivors and improving interventions for perpetrators are both needed. However, intervening once violence has occurred is arguably too late.</p> <p>We need to direct our efforts towards broader, holistic approaches to prevent and reduce intimate partner violence, including addressing the underlying contributors to violence we’ve outlined.</p> <p>We also need to look more widely at preventing intimate partner violence and gendered violence.</p> <p>We need developmentally appropriate <a href="https://theconversation.com/4-things-our-schools-should-do-now-to-help-prevent-gender-based-violence-228993">education and skills-based programs</a> for adolescents to prevent the emergence of unhealthy relationship patterns before they become established.</p> <p>We also need to address the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7278040/">social determinants of health</a> that contribute to violence. This includes improving access to affordable housing, employment opportunities and accessible health-care support and treatment options.</p> <p>All these will be critical if we are to break the cycle of intimate partner violence and improve outcomes for victim-survivors.</p> <hr /> <p><em>The National Sexual Assault, Family and Domestic Violence Counselling Line – 1800 RESPECT (1800 737 732) – is available 24 hours a day, seven days a week for any Australian who has experienced, or is at risk of, family and domestic violence and/or sexual assault.</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. In an emergency, call 000.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/229182/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/siobhan-odean-1356613">Siobhan O'Dean</a>, Postdoctoral Research Associate, The Matilda Centre for Research in Mental Health and Substance Use, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>; <a href="https://theconversation.com/profiles/lucinda-grummitt-1531503">Lucinda Grummitt</a>, Postdoctoral Research Fellow, The Matilda Centre for Research in Mental Health and Substance Use, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a>, and <a href="https://theconversation.com/profiles/steph-kershaw-1466426">Steph Kershaw</a>, Research Fellow, The Matilda Centre for Research in Mental Health and Substance Use, <a href="https://theconversation.com/institutions/university-of-sydney-841">University of Sydney</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/to-tackle-gendered-violence-we-also-need-to-look-at-drugs-trauma-and-mental-health-229182">original article</a>.</em></p> </div>

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What is childhood dementia? And how could new research help?

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/kim-hemsley-1529322">Kim Hemsley</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a>; <a href="https://theconversation.com/profiles/nicholas-smith-1529324">Nicholas Smith</a>, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/siti-mubarokah-1529323">Siti Mubarokah</a>, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p>“Childhood” and “dementia” are two words we wish we didn’t have to use together. But sadly, around <a href="https://doi.org/10.1093/brain/awad242">1,400 Australian children and young people</a> live with currently untreatable childhood dementia.</p> <p>Broadly speaking, childhood dementia is caused by any one of <a href="https://www.childhooddementia.org/what-is-childhood-dementia#what">more than 100</a> rare genetic disorders. Although the causes differ from dementia acquired later in life, the progressive nature of the illness is the same.</p> <p><a href="https://doi.org/10.1093/brain/awad242">Half</a> of infants and children diagnosed with childhood dementia will not reach their tenth birthday, and most will die <a href="https://www.childhooddementia.org/what-is-childhood-dementia#what">before turning 18</a>.</p> <p>Yet this devastating condition has lacked awareness, and importantly, the research attention needed to work towards treatments and a cure.</p> <h2>More about the causes</h2> <p>Most types of childhood dementia are <a href="https://academic.oup.com/brain/article/146/11/4446/7226999">caused</a> by <a href="https://www.genome.gov/genetics-glossary/Mutation">mutations</a> (or mistakes) in our <a href="https://www.genome.gov/genetics-glossary/Deoxyribonucleic-Acid">DNA</a>. These mistakes lead to a range of rare genetic disorders, which in turn cause childhood dementia.</p> <p><a href="https://doi.org/10.1093/brain/awad242">Two-thirds</a> of childhood dementia disorders are caused by “<a href="https://www.ncbi.nlm.nih.gov/books/NBK459183/">inborn errors of metabolism</a>”. This means the metabolic pathways involved in the breakdown of carbohydrates, lipids, fatty acids and proteins in the body fail.</p> <p>As a result, nerve pathways fail to function, neurons (nerve cells that send messages around the body) die, and progressive cognitive decline occurs.</p> <h2>What happens to children with childhood dementia?</h2> <p>Most children initially appear unaffected. But after a period of apparently normal development, children with childhood dementia <a href="https://doi.org/10.1016/j.pediatrneurol.2023.09.006">progressively lose</a> all previously acquired skills and abilities, such as talking, walking, learning, remembering and reasoning.</p> <p>Childhood dementia also leads to significant changes in behaviour, such as aggression and hyperactivity. Severe sleep disturbance is common and vision and hearing can also be affected. Many children have seizures.</p> <p>The age when symptoms start can vary, depending partly on the particular genetic disorder causing the dementia, but the average is around <a href="https://doi.org/10.1093%2Fbrain%2Fawad242">two years old</a>. The symptoms are caused by significant, progressive brain damage.</p> <h2>Are there any treatments available?</h2> <p>Childhood dementia treatments currently <a href="https://www.childhooddementia.org/news/report-reveals-global-research-inequity">under evaluation</a> or approved are for a very limited number of disorders, and are only available in some parts of the world. These include gene replacement, <a href="https://doi.org/10.1002/jmd2.12378">gene-modified cell therapy</a> and protein or <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa1712649">enzyme replacement therapy</a>. Enzyme replacement therapy is available in Australia for <a href="https://australianprescriber.tg.org.au/articles/cerliponase-alfa-for-neuronal-ceroid-lipofuscinosis-type-2-disease.html">one form of childhood dementia</a>. These therapies attempt to “fix” the problems causing the disease, and have shown promising results.</p> <p>Other experimental therapies include ones that <a href="https://doi.org/10.3390/life12050608">target</a> faulty protein production or <a href="https://doi.org/10.1056/nejmoa2310151">reduce inflammation</a> in the brain.</p> <h2>Research attention is lacking</h2> <p>Death rates for Australian children with cancer <a href="http://www.childhooddementia.org/getasset/2WX39O">nearly halved</a> between <a href="https://www.aihw.gov.au/reports/children-youth/australias-children/contents/health/cancer-incidence-survival">1997 and 2017</a> thanks to research that has enabled the development of multiple treatments. But over recent decades, <a href="http://www.childhooddementia.org/getasset/2WX39O">nothing has changed</a> for children with dementia.</p> <p>In 2017–2023, research for childhood cancer received over four times more funding per patient compared to funding for <a href="https://www.childhooddementia.org/getasset/2WX39O">childhood dementia</a>. This is despite childhood dementia causing a <a href="https://doi.org/10.1093/brain/awad242">similar number of deaths</a> each year as childhood cancer.</p> <p>The success <a href="https://www.aihw.gov.au/reports/children-youth/australias-children/contents/health/cancer-incidence-survival">for childhood cancer sufferers</a> in recent decades demonstrates how adequately funding medical research can lead to improvements in patient outcomes.</p> <p>Another bottleneck for childhood dementia patients in Australia is the lack of access to clinical trials. An <a href="https://www.childhooddementia.org/news/report-reveals-global-research-inequity">analysis</a> published in March this year showed that in December 2023, only two clinical trials were recruiting patients with childhood dementia in Australia.</p> <p>Worldwide however, 54 trials were recruiting, meaning Australian patients and their families are left watching patients in other parts of the world receive potentially lifesaving treatments, with no recourse themselves.</p> <p>That said, we’ve seen a slowing in the establishment of <a href="https://www.childhooddementia.org/news/report-reveals-global-research-inequity">clinical trials</a> for childhood dementia across the world in recent years.</p> <p>In addition, we know from <a href="https://www.childhooddementia.org/join-us/professionals/impacts">consultation with families</a> that current care and support systems <a href="https://www.childhooddementia.org/getasset/44MLP8">are not meeting the needs</a> of children with dementia and their families.</p> <h2>New research</h2> <p>Recently, we were awarded <a href="https://www.premier.sa.gov.au/media-releases/news-items/major-funding-boost-for-research-into-childhood-dementia">new funding</a> for <a href="https://www.flinders.edu.au/giving/our-donors/impact-of-giving/improving-the-lives-of-children-with-dementia">our research</a> on childhood dementia. This will help us continue and expand studies that seek to develop lifesaving treatments.</p> <p>More broadly, we need to see increased funding in Australia and around the world for research to develop and translate treatments for the broad spectrum of childhood dementia conditions.</p> <p><em>Dr Kristina Elvidge, head of research at the <a href="https://www.childhooddementia.org/our-people">Childhood Dementia Initiative</a>, and Megan Maack, director and CEO, contributed to this article.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/228508/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/kim-hemsley-1529322">Kim Hemsley</a>, Head, Childhood Dementia Research Group, Flinders Health and Medical Research Institute, College of Medicine and Public Health, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a>; <a href="https://theconversation.com/profiles/nicholas-smith-1529324">Nicholas Smith</a>, Head, Paediatric Neurodegenerative Diseases Research Group, <a href="https://theconversation.com/institutions/university-of-adelaide-1119">University of Adelaide</a>, and <a href="https://theconversation.com/profiles/siti-mubarokah-1529323">Siti Mubarokah</a>, Research Associate, Childhood Dementia Research Group, Flinders Health and Medical Research Institute, College of Medicine and Public Health, <a href="https://theconversation.com/institutions/flinders-university-972">Flinders University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-is-childhood-dementia-and-how-could-new-research-help-228508">original article</a>.</em></p> </div>

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Sydneysiders witnessed horrific scenes on Saturday. How do you process and recover from such an event?

<p><em><a href="https://theconversation.com/profiles/kim-felmingham-9075">Kim Felmingham</a>, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</a></em></p> <p>Like many, I watched the reports of the violent attack at Bondi Junction yesterday with shock, horror and disbelief. My heart goes out to the people involved, the courageous first responders and to those who have lost loved ones in this tragic event.</p> <p>I also feel for those who witnessed the horror and will be working out how to get through the initial shock and, over time, put it behind them.</p> <p>Distress and strong emotional reactions are <a href="https://kclpure.kcl.ac.uk/portal/en/publications/the-psychological-and-psychiatric-effects-of-terrorism-lessons-fr">common</a> after these types of mass violent events.</p> <p>But different people will have <a href="https://www.ptsd.va.gov/understand/types/mass_violence_help.asp">different emotional reactions</a> – and some may experience a range of shifting emotions.</p> <h2>The first few days and weeks</h2> <p>In the days and weeks after traumatic events like these, people <a href="https://www.ptsd.va.gov/understand/isitptsd/common_reactions.asp#:%7E:text=All%20kinds%20of%20trauma%20create,stop%20thinking%20about%20what%20happened.">often experience</a> a <a href="https://www.sciencedirect.com/science/article/abs/pii/S0306457320308670">range of emotions</a>: from fear and anxiety, anger, sadness and grief, disbelief and numbness, guilt and worry about safety. They may be jittery, more irritable or on edge, or it may affect their sleep.</p> <p>For many, their sense of risk may be heightened, particularly as such random violence occurred during such an ordinary event – shopping on a Saturday afternoon. This <a href="https://www.ptsd.va.gov/understand/types/mass_violence_help.asp">can lead to</a> a heightened awareness of danger and concern for safety.</p> <h2>What’s likely to happen over time?</h2> <p>For most people, as they begin to process and make sense of what happened, these feelings will gradually reduce in intensity and people will begin to recover. <a href="https://pubmed.ncbi.nlm.nih.gov/25311288/">Research shows</a> the majority of people recover from mass violent events within the initial few months.</p> <p>However, for people with more direct exposure to the trauma, these events and reactions may be more difficult to process. Some people <a href="https://pubmed.ncbi.nlm.nih.gov/26084284/">may go on</a> to develop mental health difficulties, most commonly anxiety, depression and post-traumatic stress disorder (PTSD).</p> <p>Understandably, those <a href="https://pubmed.ncbi.nlm.nih.gov/26084284/">more at risk</a> are people who were present during the trauma and experienced a direct threat, as well as those who witnessed the violence or aftermath, first responders (paramedics and police) and those who had loved ones injured or lost during the event.</p> <p>People who had more intense emotional responses during the trauma, or previous psychological difficulties or traumatic experiences, may also be <a href="https://pubmed.ncbi.nlm.nih.gov/26084284/">at greater risk</a>.</p> <h2>What helps – and hinders – your recovery?</h2> <p>To help process these traumatic events and promote recovery, social support is <a href="https://www.ptsd.va.gov/understand/types/mass_violence_help.asp">particularly important</a>.</p> <p>Spending time with trusted family and friends can help people process the events and their emotional reactions. Talking about your feelings with supportive people can help you understand and accept them. But even if you don’t want to talk about your feelings, spending time with loved ones is helpful.</p> <p>It is also fine to need some time to be alone, but try not to isolate yourself or withdraw.</p> <p>If you can’t talk about your feelings, try not to bottle them up or deal with them by using alcohol or drugs. Find <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957853/">another way to express them</a> – whether through writing, art or music, or exercise.</p> <p>Give yourself permission and time to feel these emotions. Remind yourself you have just been through something extremely traumatic, take things day by day, and don’t expect too much of yourself. Try not to judge yourself for your actions or how you are coping.</p> <p>Keep some structure in your day, setting small goals, and increase your self-care: eat well, rest (even if you can’t sleep well), try yoga or relaxation. When you’re ready, try to get back to your normal routine.</p> <p>Seek out information from <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7957853/">trusted sources</a>, but try to <a href="https://journals.sagepub.com/doi/10.1177/0886260517742915">avoid</a> being saturated by images or stories about the trauma, particularly graphic footage or speculation common on social media.</p> <h2>What if children have witnessed it, too?</h2> <p>If your children have been impacted, reassure them that they are safe and loved. When they are ready, talk to them gently about the trauma, acknowledge it and answer their questions.</p> <p>Encourage them to express their feelings and spend more time together doing family activities.</p> <p>Importantly, try to limit their exposure to graphic footage and images of the events in the media, and on social media.</p> <h2>When to seek mental health care</h2> <p>Reach out for professional mental health support if you experience ongoing difficulty with your emotional reactions, or if you’re having distressing memories of the trauma, difficulty sleeping or nightmares, or you want to avoid things that remind you of the traumatic event.</p> <p>Not everyone requires professional mental health support, but if you are experiencing these types of post-traumatic stress reactions a few weeks after the trauma, it’s important to speak to your GP to seek out professional support from psychologists or counselling services.</p> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call Lifeline on 13 11 14.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/227867/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/kim-felmingham-9075">Kim Felmingham</a>, Chair of Clinical Psychology, <a href="https://theconversation.com/institutions/the-university-of-melbourne-722">The University of Melbourne</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/sydneysiders-witnessed-horrific-scenes-on-saturday-how-do-you-process-and-recover-from-such-an-event-227867">original article</a>.</em></p>

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Princess Diana's childhood home up for rent

<p>The house Princess Diana spent her childhood and teenage years in is now available for the public to rent. </p> <p>Althorp House, located in West Northamptonshire in England, is owned by Diana's brother Earl Spencer, who has lived on the sprawling property as custodian of the estate since 1992. </p> <p>The expansive property has been listed for royal fans with deep pockets to rent on <a href="https://www.elysian-estates.co.uk/althorp/" target="_blank" rel="noopener">Elysian Estates</a>, an upmarket equivalent of Airbnb.</p> <p>Althorp House, which is a 90 minute drive out of London, was built in 1508 and has been in the Spencer family for 19 generations.</p> <p>Lady Diana lived in the 90-room stately home for most of her childhood and teenage years, before she married the then-Prince Charles in 1981.</p> <p>Not just one grand property, the estate covers 13,000 acres of countryside as it encompasses cottages, farms, woodlands and villages, which are open to visitors but only at certain times of the year.</p> <p>Now, the home is once again available to rent via Elysian Estates.</p> <p>"Althorp offers unparalleled levels of service, privacy and luxury to rival the finest properties anywhere in the world; yet retains the truly welcoming and homely feel that makes Althorp so special," the listing says.</p> <p>"Walk in the footsteps of kings and queens, feast or celebrate in spectacular surroundings, marvel at the sense of history and artwork, and slumber in pure luxury."</p> <p>In the main house, there are six state bedrooms to choose from offering "a level of opulence befitting royalty, with these very rooms playing as much a part of English history as any royal palace".</p> <p>Prices for the rental are not yet publicly available as an enquiry must be sent to reserve the opulent property.</p> <p>The listing stated that the stay includes "butler service, a team of private chefs and housekeeping, with a dedicated concierge service".</p> <p>Althorp is today most famous for being the final resting place of Princess Diana following her death in Paris.</p> <p><em>Image credits: Getty Images / Instagram</em></p>

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What is ‘fawning’? How is it related to trauma and the ‘fight or flight’ response?

<p><em><a href="https://theconversation.com/profiles/alix-woolard-409037">Alix Woolard</a>, <a href="https://theconversation.com/institutions/telethon-kids-institute-1608">Telethon Kids Institute</a></em></p> <p>You have probably heard of “fight or flight” responses to distressing situations. You may also be familiar with the tendency to “freeze”. But there is another defence or survival strategy a person can have: “fawn”.</p> <p>When our brain perceives a threat in our environment, our <a href="https://www.healthline.com/health/mental-health/fight-flight-freeze#in-the-body">sympathetic nervous system</a> takes over and a person can experience any one or combination of the <a href="https://pete-walker.com/fourFs_TraumaTypologyComplexPTSD.htm">four F</a> responses.</p> <h2>What are the four Fs?</h2> <p>The <strong>fawn</strong> response usually occurs when a person is being attacked in some way, and they try to appease or placate their attacker to protect themselves.</p> <p>A <strong>fight</strong> response is when someone reacts to a threat with aggression.</p> <p><strong>Flight</strong> is when a person responds by fleeing – either literally by leaving the situation, or symbolically, by distracting or avoiding a distressing situation.</p> <p>A <strong>freeze</strong> response occurs when a person realises (consciously or not) that they cannot resist the threat, and they detach themselves or become immobile. They may “space out” and not pay attention, feel disconnected to their body, or have difficulty speaking after they feel threatened.</p> <h2>What does fawning look like?</h2> <p>Previously known as appeasement or “people pleasing”, the term “fawning” was coined by psychotherapist <a href="http://pete-walker.com/complex_ptsd_book.html">Pete Walker</a> in his 2013 book <a href="https://www.goodreads.com/book/show/20556323-complex-ptsd">Complex PTSD: From Surviving to Thriving</a>.</p> <p>A fawn response can look like:</p> <ul> <li>people-pleasing (doing things for others to gain their approval or to make others like you)</li> <li>being overly reliant on others (difficulty making decisions without other people’s input)</li> <li>prioritising the needs of others and ignoring your own</li> <li>being overly agreeable</li> <li>having trouble saying no</li> <li>in more severe cases, <a href="https://www.sciencedirect.com/science/article/pii/S0149763421004917?casa_token=FzabbqNoE0UAAAAA:DAr_QkVegIa70Zheq6vTkCrsYPJdw06kdds659h-VHSRtPSUErDzVgj-YsLunjvGkn4Mwyb1">dissociating</a> (disconnecting from your mind and/or body).</li> </ul> <p>While there isn’t yet much research on this response, the fawn response is seen more in people who have experienced <a href="https://www.tandfonline.com/doi/abs/10.1080/00958964.2022.2163220?journalCode=vjee20">complex trauma</a> in their childhood, including among children who grew up with emotionally or physically abusive caregivers.</p> <p>Fawning is also observed in people who are in situations of <a href="https://europepmc.org/article/MED/37052112">interpersonal violence</a> (such as domestic violence, assault or kidnappings), when the person needs to appease or calm a perpetrator to survive.</p> <p>Fawning is also different to the other F responses, in that it seems to be a uniquely human response.</p> <h2>Why do people fawn?</h2> <p><a href="https://www.proquest.com/docview/2447256147/abstract/13E401AC2C1C40C6PQ/1">Research</a> suggests people fawn for two reasons:</p> <ol> <li>to protect themselves or others from physical or emotional harm (such as childhood trauma)</li> <li>to create or improve the emotional connection to the perpetrator of harm (for example, a caregiver).</li> </ol> <p>This type of response is adaptive at the time of the traumatic event(s): by appeasing an attacker or perpetrator, it helps the person avoid harm.</p> <p>However, if a person continues to use this type of response in the long term, as an automatic response to everyday stressors (such difficult interactions with your boss or neighbour), it can have negative consequences.</p> <p>If a person is continually trying to appease others, they may experience issues with boundaries, forming a cohesive identity, and may not feel safe in relationships with others.</p> <h2>What can I do if I ‘fawn’?</h2> <p>Because fawning is typically a response to interpersonal or complex trauma, using it in response to everyday stressors may indicate a need for healing.</p> <p>If this is you, and you have a history of complex trauma, seek psychological support from a professional who is trained in trauma-informed practice. Trauma-informed means the psychological care is holistic, empowering, strengths-focused, collaborative and reflective.</p> <p>Evidence-based therapies that are helpful following trauma include:</p> <ul> <li> <p><a href="https://www.emdr.com/what-is-emdr/">eye movement desensitisation therapy</a>, which focuses on <a href="https://theconversation.com/what-is-emdr-therapy-and-how-does-it-help-people-who-have-experienced-trauma-161743">processing traumatic memories</a></p> </li> <li> <p><a href="https://www.apa.org/ptsd-guideline/patients-and-families/exposure-therapy#:%7E:text=In%20this%20form%20of%20therapy,reduce%20fear%20and%20decrease%20avoidance.">exposure therapy</a> to help expose people to things they fear and avoid</p> </li> <li> <p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4396183/">trauma-focused cognitive behavioural therapy</a> that aims to alleviate trauma symptoms by overcoming unhelpful thoughts and behaviours.</p> </li> </ul> <p>Depending on where you live, <a href="https://www.childabuseroyalcommissionresponse.gov.au/support-services">free counselling services</a> may be available for people who have experienced childhood abuse.</p> <p>Setting healthy boundaries is also a common focus when working with the fawn response, which you can do by yourself or alongside a therapist.</p> <p><em>If this article has raised issues for you or you’re concerned about someone you know, call Lifeline on 13 11 14.</em><!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/205024/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/alix-woolard-409037">Alix Woolard</a>, Senior Researcher, <a href="https://theconversation.com/institutions/telethon-kids-institute-1608">Telethon Kids Institute</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/what-is-fawning-how-is-it-related-to-trauma-and-the-fight-or-flight-response-205024">original article</a>.</em></p>

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Readers respond: What did your mum or dad make for dinner growing up that you haven't had in ages?

<p>Sometimes love and affection comes in the form of food, especially when it’s made by our parents.</p> <p>As we grow older and start our own lives we begin to miss the things we got used to as we grow up, especially the food our parents made. </p> <p>Here are some dishes our Over60 readers grew up with that they miss dearly. </p> <p><strong>Keralie Stack </strong>- Mums apple pie, lemon meringue pie. Beautiful meat and kidney pies. Roasted meat in winter cooked in the fuel stove , along with a big pot of pea and ham soup in winter, followed with damper and scones for dinner</p> <p><strong>Peter Lord</strong> - Mums meat and potato pie! I’ve made it and it’s not bad but it’s nowhere near as good as mum’s!</p> <p><strong>Lee Pavey</strong> - A big roast dinner with roast veges &amp; gravy made with the juices of the meat. </p> <p><strong>Jenny Yaun</strong> - In my young 8 years old Living in Indonesia I loved Mum's Nasi Goreng made with tin corn beef, I still make now and again. I'm Dutch/Australian</p> <p><strong>Marie Manson </strong>- Dads fabulous vege soup..</p> <p> </p> <p><strong>Dawn Holmes</strong> - Triple and onions!!! Can't say I miss it but they liked it!! But then mum was a great home cook with her baked goods and tasty soups and stews!!</p> <p><strong>Jennifer Sabatino</strong> - Shepherd’s Pie made with leftover lamb from the Sunday roast and apple sponge (apples with the sponge baked on top), baked custard, baked rice custard and bread &amp; butter pudding.</p> <p><strong>Kathy Bloor</strong> - Mince on toast. I have never made it for myself and I am 70</p> <p><strong>Keith Carter</strong> - I haven't had PLOT TOFFEE FOR 65 years. Just got the recipe from my 86 yo sister. So now thats the go.</p> <p><strong>Lorna Turner Prunes</strong> - and custard. I still cook all the foods my mum and dad cooked except for prunes and custard.</p>

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Australian researchers confirm world’s first case of dementia linked to repetitive brain trauma in a female athlete

<p><em><a href="https://theconversation.com/profiles/stephen-townsend-501829">Stephen Townsend</a>, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a>; <a href="https://theconversation.com/profiles/alan-pearce-734804">Alan Pearce</a>, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a>, and <a href="https://theconversation.com/profiles/rebecca-olive-944640">Rebecca Olive</a>, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p>Researchers at the <a href="https://www.brainbank.org.au/">Australian Sports Brain Bank</a> have today reported the world’s first diagnosis of chronic traumatic encephalopathy (CTE) in a <a href="https://rdcu.be/dfQiz">female athlete</a>.</p> <p>With the consent of her family, the diagnosis was made on the brain of Heather Anderson, a 28-year-old AFLW athlete <a href="https://www.abc.net.au/news/2022-11-14/adelaide-aflw-premiership-player-heather-anderson-dies-aged-28/101653188">who died</a> last November. Heather’s family donated her brain to the Australian Sports Brain Bank hoping to better understand why she died.</p> <p>The findings, which Professor Alan Pearce co-authored with the Australian Sports Brain Bank, raise questions about how a lifetime of contact sport may have contributed to her death. They come as Australia’s <a href="https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Community_Affairs/Headtraumainsport">Senate inquiry</a> works on its report into concussions and repeated head trauma in contact sport, due in August.</p> <p>Given how hard women have fought to participate in football codes and contact sports in recent years, this diagnosis has major implications for women’s sport in Australia. It also highlights the significant lack of research about women athletes in sport science and medicine.</p> <h2>What is chronic traumatic encephalopathy?</h2> <p><a href="https://www.mayoclinic.org/diseases-conditions/chronic-traumatic-encephalopathy/symptoms-causes/syc-20370921">CTE</a> is a devastating form of dementia which causes a decline in brain functioning and increased risk of mental illness. It is increasingly associated with athletes who play contact sports, such as football, boxing and martial arts.</p> <p>It is incurable and can only be <a href="https://www.brainbank.org.au/cte-diagnosis/">diagnosed post-mortem</a>. Recently, a number of high-profile former Australian footballers were found to have been suffering from CTE when they died, including former AFL stars <a href="https://www.abc.net.au/news/2023-04-26/danny-frawley-family-urges-afl-to-act-on-cte-concussion/102269648">Danny Frawley</a> and <a href="https://www.abc.net.au/news/2022-08-25/brain-disease-killed-shane-tuck-not-mental-health-says-sister/101362740">Shane Tuck</a>, and former NRL player and coach <a href="https://www.abc.net.au/news/2022-10-22/qld-paul-green-brain-scans-reveal-brain-disease-cte-diagnosis/101566032">Paul Green</a>.</p> <blockquote class="twitter-tweet"> <p dir="ltr" lang="en">Adelaide AFLW premiership player Heather Anderson dies aged 28 <a href="https://t.co/ihy2i9UcRl">https://t.co/ihy2i9UcRl</a></p> <p>— ABC News (@abcnews) <a href="https://twitter.com/abcnews/status/1592079585201381377?ref_src=twsrc%5Etfw">November 14, 2022</a></p></blockquote> <p>Concussions in contact sports have long been associated with long-term neurodegeneration in <a href="https://www.frontiersin.org/articles/10.3389/fspor.2021.676463/full">Australia</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3987576/">internationally</a>. While the public and researchers are rightly concerned about serious concussions, a study published last month in <a href="https://urldefense.com/v3/__https:/www.nature.com/articles/s41467-023-39183-0__;!!PDiH4ENfjr2_Jw!FvAmUDcX-ESwwl8nG_BNNkRyB2J4TBq1oXkBTE1bBcdRGEQTl4u7qmgGsLguHpGNlFpWkz-SjKg3HGwdNYxIfEWW9U6ifytx%24">Nature Communications</a> confirmed that repetitive brain trauma over time – even seemingly mild head knocks or whiplash – is the strongest predictor for an athlete developing CTE. Athletes with long careers in contact sport are at particular risk, especially if they play from an early age.</p> <h2>A sporting life</h2> <p>Heather Anderson began playing rugby league at age five before transferring to Australian rules football in her early teens. She played representative football in the Australian Capital Territory and Northern Territory before being drafted into the inaugural season of the AFLW in 2017.</p> <p>Anderson played a single season with the <a href="https://crowshistory.afc.com.au/aflw-players/heather-anderson#:%7E:text=Biography&amp;text=An%20army%20medic%2C%20Heather%20Anderson,year%20and%20starred%20for%20Waratah.">Adelaide Crows</a>, during which she won a premiership and suffered a career-ending shoulder injury. She then returned to her role as a medic with the Australian Army, a physical career which also carries a <a href="https://www.defence.gov.au/adf-members-families/health-well-being/programs-initiatives/military-health-outcomes-program">heightened risk of brain injury</a>.</p> <p>Anderson’s family donated her brain in the hope of knowing whether a lifetime of exposure to repetitive head trauma contributed to her death.</p> <h2>Was this diagnosis expected?</h2> <p>Concussion researcher Anne McKee predicted earlier this year it was a <a href="https://www.1news.co.nz/2023/02/20/its-coming-experts-worried-about-female-athlete-brain-injuries/">matter of time</a> before CTE was found in the brain of a woman athlete.</p> <p>The Australian Sports Brain Bank team believe Anderson is a “<a href="https://www.ncbi.nlm.nih.gov/books/NBK564388/">sentinel case</a>” we can learn from. She is the first female athlete diagnosed with CTE, but she will not be the last.</p> <p>Although Australian women have historically been excluded from the sports most associated with repeated head injuries, this is changing. In 2022, there were almost one million women and girls playing some form of <a href="https://www.clearinghouseforsport.gov.au/kb/women-in-sport">contact sport</a> in Australia. As women’s participation in contact sport continues to grow, so too does their risk of repetitive brain trauma.</p> <h2>Are women more prone to CTE than men?</h2> <p>There is emerging evidence that women are at significantly higher risk of mild traumatic brain injury (concussion) and may suffer more severe symptoms.</p> <p>Concussion alone does not cause CTE, but an athlete’s number of concussions is a reliable indicator of their cumulative exposure to brain trauma, which is the biggest predictor of CTE.</p> <p>While knowledge on the topic is still developing, researchers <a href="https://www.nature.com/articles/d41586-021-02089-2">propose a mix of physiological and social explanations</a> for women’s increased concussion risk. These include "[…] differences in the microstructure of the brain to the influence of hormones, coaching regimes, players’ level of experience and the management of injuries."</p> <p>More research is needed to understand sporting brain injuries specifically in women and girls. Given their growth in participation and the enhanced risks they face in sport, it is concerning that women and girls are <a href="https://bjsm.bmj.com/content/56/17/981">underrepresented</a> in concussion research.</p> <p>This is representative of a <a href="https://journals-humankinetics-com.ap1.proxy.openathens.net/view/journals/wspaj/29/2/article-p146.xml">broader trend</a> in sport and exercise science research to exclude women from studies because their bodies are perceived as <a href="https://link.springer.com/article/10.1007/s40279-021-01435-8">more complex</a> than men’s and thus more difficult to accommodate in testing.</p> <h2>A disease that does not discriminate</h2> <p>This world-first report of CTE in a female athlete is proof the disease does not discriminate and lends urgency to calls for <a href="https://theconversation.com/sports-concussions-affect-men-and-women-differently-female-athletes-need-more-attention-in-brain-research-160097">greater representation</a> of women in brain injury studies.</p> <p>Efforts to reduce concussion in women’s sport must first address resource inequalities between men’s and women’s sport. This includes giving women access to quality training and coaching support, as well as <a href="https://theconversation.com/new-study-much-of-what-were-told-about-gym-exercises-and-resistance-training-is-from-studies-of-males-by-men-205753">greater attention</a> from sport science and medical research.</p> <p>The health of <a href="https://www.tandfonline.com/doi/full/10.1080/14443058.2019.1575262">women athletes and women’s sport</a> will only progress if researchers, policymakers and sport governance bodies ensure the attention and resources required to address concussion and brain disease are not focused solely on men.</p> <hr /> <p><em>If this article has raised issues for you, or if you’re concerned about someone you know, call <a href="https://www.lifeline.org.au/">Lifeline</a> on 13 11 14.<!-- 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/208929/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><a href="https://theconversation.com/profiles/stephen-townsend-501829">Stephen Townsend</a>, Lecturer, School of Human Movement and Nutrition Sciences, <a href="https://theconversation.com/institutions/the-university-of-queensland-805">The University of Queensland</a>; <a href="https://theconversation.com/profiles/alan-pearce-734804">Alan Pearce</a>, Professor, College of Science, Health, Engineering, <a href="https://theconversation.com/institutions/la-trobe-university-842">La Trobe University</a>, and <a href="https://theconversation.com/profiles/rebecca-olive-944640">Rebecca Olive</a>, Vice Chancellor's Senior Research Fellow, <a href="https://theconversation.com/institutions/rmit-university-1063">RMIT University</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/australian-researchers-confirm-worlds-first-case-of-dementia-linked-to-repetitive-brain-trauma-in-a-female-athlete-208929">original article</a>.</em></p>

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‘Psychological debriefing’ right after an accident or trauma can do more harm than good – here’s why

<p><em><a href="https://theconversation.com/profiles/richard-bryant-161">Richard Bryant</a>, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p>The recent <a href="https://www.abc.net.au/news/2023-06-18/hunter-valley-wedding-bus-crash-survivors-remain-in-hospital/102487630">tragic bus accident</a> in the New South Wales Hunter Valley has again raised the issue of how we address the potential psychological effects of traumatic events.</p> <p>It is interesting we revisit the same debate after each disaster, and few lessons have apparently been learned after decades of research. After the Hunter Valley accident, immediate psychological counselling was <a href="https://www.theguardian.com/australia-news/2023/jun/15/hunter-valley-bus-crash-company-issued-with-defect-notices-after-police-raid">offered to those affected</a>.</p> <p>While we can’t say what form of counselling was offered, the traditional approach is known as “<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1118833/">psychological debriefing</a>”. This typically involves counsellors providing trauma survivors with a single counselling intervention within days of the event.</p> <p>Although the content of the intervention can vary, it usually involves education about stress reactions, encouragement to disclose their memories of the experience, some basic stress-coping strategies and possibly referral information.</p> <p>But the evidence shows this approach, however well-meaning, may not help – or worse, do harm.</p> <h2>The belief that feelings must be shared</h2> <p>The encouragement of people to discuss their emotional reactions to a trauma is the result of a long-held notion in psychology (dating back to the classic writings of Sigmund Freud) that disclosure of one’s emotions is invariably beneficial for one’s mental health.</p> <p>Emanating from this perspective, the impetus for psychological debriefing has traditionally been rooted in the notion trauma survivors are vulnerable to psychological disorders, such as post-traumatic stress disorder (PTSD), if they do not “talk through their trauma” by receiving this very <a href="https://journals.sagepub.com/doi/full/10.1177/1529100610387086">early intervention</a>.</p> <p>The scenario of trauma counsellors appearing in the acute aftermath of traumatic events has been commonplace for decades in Australia and elsewhere.</p> <p>Following the 9/11 terrorist attacks in New York City in 2001, up to 9,000 counsellors were mobilised and more than <a href="https://www.nytimes.com/2002/07/22/nyregion/finding-cure-for-hearts-broken-sept-11-is-as-difficult-as-explaining-the-cost.html">US$200 million</a> was projected to meet a surge in mental health needs. But fewer people than expected sought help under this program and $90 million remained <a href="https://theconversation.com/9-11-anniversary-a-watershed-for-psychological-response-to-disasters-2975">unspent</a>.</p> <h2>What do we know about psychological reactions to disasters?</h2> <p>The overwhelming evidence indicates the majority of people will <a href="http://www.psychologicalscience.org/publications/journals/pspi/weighing-the-costs-of-disaster.html">adapt</a> to traumatic events without any psychological intervention.</p> <p>Long-term studies indicate approximately 75% of trauma survivors will not experience any long-term distress. Others will experience short-term distress and subsequently adapt. A minority (usually about 10%) will <a href="https://journals.sagepub.com/doi/10.1177/1529100610387086">experience chronic psychological problems</a>.</p> <p>This last group are the ones who require care and attention to reduce their mental health problems. Experts now agree other trauma survivors can rely on their own <a href="https://www.rcpsych.ac.uk/mental-health/problems-disorders/coping-after-a-traumatic-event">coping resources and social networks</a> to adapt to their traumatic experience.</p> <p>The finding across many studies that most people adapt to traumatic experiences <a href="https://journals.sagepub.com/doi/10.1177/1529100610387086">without formal mental health interventions</a> has been a major impetus for questioning the value of psychological debriefing in the immediate aftermath of disasters.</p> <p>In short, the evidence tells us universal interventions – such as psychological debriefing for everyone involved in a disaster – that attempt to prevent PTSD and other psychological disorders in trauma survivors are not indicated. These attempts <a href="https://journals.sagepub.com/doi/10.1177/1529100610387086#bibr448-1529100610387086">do not prevent</a> the disorder they are targeting.</p> <h2>Not a new conclusion</h2> <p>In the aftermath of the 2004 Indian Ocean earthquake and tsunami, the World Health Organization listed a warning (which <a href="https://www.who.int/teams/mental-health-and-substance-use/treatment-care/mental-health-gap-action-programme/evidence-centre/other-significant-emotional-and-medical-unexplained-somatic-complaints/psychological-debriefing-in-people-exposed-to-a-recent-traumatic-event">still stands</a>) that people should not be given single-session psychological debriefing because it is <a href="https://journals.sagepub.com/doi/10.1177/1529100610387086#bibr448-1529100610387086">not supported</a> by evidence.</p> <p>Worse than merely being ineffective, debriefing can be <a href="https://www.jenonline.org/article/S0099-1767(19)30453-2/fulltext#:%7E:text=It%20is%20for%20these%20reasons,%2C%20anxiety%20or%20depressive%20symptoms.%E2%80%9D">harmful for some people</a> and may increase the risk of PTSD.</p> <p>The group of trauma survivors that are most vulnerable to the toxic effects of debriefing are those who are more distressed in the acute phase right after the trauma. This group of people have worse mental health outcomes if they are provided with early debriefing.</p> <p>This may be because their trauma memories are over-consolidated as a result of the emotional disclosure so shortly after the event, when <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181836/#:%7E:text=Brain%20areas%20implicated%20in%20the,norepinephrine%20responses%20to%20subsequent%20stressors.">stress hormones</a> are still highly active.</p> <p>In normal clinical practice a person would be assessed in terms of their suitability for any psychological intervention. But in the case of universal psychological debriefing there is no prior assessment. Therefore, there’s no assessment of the risks the intervention may pose for the person.</p> <h2>Replacing debriefing</h2> <p>Most international bodies have shifted away from psychological debriefing. Early intervention might now be offered as “<a href="https://www.sciencedirect.com/topics/medicine-and-dentistry/psychological-first-aid">psychological first aid</a>”.</p> <p>This newer approach is meant to provide <a href="https://www.who.int/publications/i/item/9789241548205">fundamental support and coping strategies</a> to help the person manage the immediate aftermath of adversity. One of the most important differences between psychological first aid and psychological debriefing is that it does not encourage people to disclose their emotional responses to the trauma.</p> <p>But despite the increasing popularity of psychological first aid, it is difficult to assess its effectiveness as it does not explicitly aim to prevent a disorder, such as PTSD.</p> <h2>Wanting to help</h2> <p>So if there is so much evidence, why do we keep having this debate about the optimal way to assist psychological adaptation after disasters? Perhaps it’s because it’s human nature to want to help.</p> <p>The evidence suggests we should monitor the most vulnerable people and target resources towards them when they need it – usually some weeks or months later when the dust of the trauma has settled. Counsellors might want to promote their activities in the acute phase after disasters, but it may not be in the best interest of the trauma survivors.</p> <p>In short, we need to develop better strategies to ensure we are meeting the needs of the survivors, rather than the counsellors.</p> <hr /> <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.<!-- 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/208139/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><a href="https://theconversation.com/profiles/richard-bryant-161">Richard Bryant</a>, Professor &amp; Director of Traumatic Stress Clinic, <a href="https://theconversation.com/institutions/unsw-sydney-1414">UNSW Sydney</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/psychological-debriefing-right-after-an-accident-or-trauma-can-do-more-harm-than-good-heres-why-208139">original article</a>.</em></p>

Caring

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Readers respond: What memento from your childhood do you still have today?

<p>From jewellery and stuffed toys to war-time relics, we find sentimental value in all kinds of mementos. </p> <p>We asked our readers what items from their childhood do they still have in their possession, and the response was overwhelming. </p> <p>Here's what they said. </p> <p><strong>Trish George</strong> - My silver medals for reciting poetry at the Eisteddfod.</p> <p><strong>Carol Hamilton</strong> - My teddy bear. He's 65 and a bit worn, but I love him.</p> <p><strong>Judy Tracey</strong> - My baby bracelet l got for my Christening 67 years ago, and a second hand Heidi book I got when l was 6.</p> <p><strong>Helen Bain</strong> - My bible from 1964, an award certificate from 1959 for an essay, all my husbands letters from Vietnam, and my Aunt's cookbook from 1930s.</p> <p><strong>Joanne Starkey</strong> - My memento is a beautiful Koala which was gifted to me as a baby. It is in excellent condition handmade with rabbit fur and looks exactly like a real Koala... it is now 77 years old.</p> <p><strong>Nola Schmidt</strong> - I have several items from my childhood including a silver mug and a money box given to me for my baptism in January 1950. I was 3 months old.</p> <p><strong>Donna Clarke</strong> - A signet ring gifted to me by my Parents 52 years ago. I have never taken it off... couldn’t now if I wanted to.</p> <p><strong>Gwenda Flaye</strong> - A string of pearls my godmother gave me when I was 12.</p> <p><strong>Anne Creber</strong> - A bible my grandmother gave me for my 12th birthday, not that I’m religious but I’ve always kept it.</p> <p><strong>John Skinner</strong> - My teddy that my nanna gave me on my first birthday. I turn 71 next month, like me he looks a bit worse for wear!</p> <p><strong>Maureen Fisk</strong> - A birthday card from grandmother seventy years ago.</p> <p><strong>Lyn Hutton</strong> - The only thing I have is a prayer book which I took to Mass every Sunday from a very young age. Haven't been to church now for a very long time, but when I found it tucked away at the back if a cupboard, I couldn't bring myself to throw it away!</p> <p><strong>Dawn Dominick</strong> - A pearl tiara that l wore when l was probably about 8 years old to a dance concert.</p> <p><strong>Doreen Douglas</strong> - My doll. Santa gave her to me when I was 5. I’m now 79 and still have her.</p> <p><strong>Frances Williams</strong> - My father gave me the book Peter Pan, shortly after I was born. I still have it at 79, although it’s a little tattered. All my life I’ve been an avid reader, this was my first book.</p> <p><em>Image credits: Getty Images</em></p>

Home & Garden

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Why difficult childhood experiences could make you age prematurely

<p>We know that comparatively disadvantaged people, even in rich countries, have worse health and <a href="https://www.huffingtonpost.com.au/2017/01/31/low-socioeconomic-status-affects-life-expectancy-more-than-obesi_a_21704449/">shorter life expectancy</a> than others. But what is it exactly about socioeconomic disadvantage and other environmental difficulties that affects our biology? And at what age are we most vulnerable to these effects?</p> <p>While it is unclear exactly how the social environment influences a person’s biology at the molecular level, processes related to ageing are likely to be involved. One such process is DNA methylation, a mechanism used by cells to control gene expression. Specifically, it determines whether and when a gene is turned on, turned off or dialled up or down. Now a new study, <a href="https://academic.oup.com/aje/advance-article/doi/10.1093/aje/kwy155/5060528?guestAccessKey=df5d8e87-4e2d-4bff-b0fb-72ad5319f825#119252619">published in the American Journal of Epidemiology</a>, suggests that this process may be affected by circumstances in our youth – ultimately affecting how we age.</p> <p>All cells in the human body – from blood and skin cells to neurons – share the same genetic code. So how are they so different? The answer lies in gene expression: which of the many thousands of genes in each human cell are switched on, to what extent, and at which stage in the cell’s development.</p> <p>This varies not just between cell types but between people, helping to explain why identical twins can be visibly different. Physically, DNA methylation involves modification of “letters” of the genetic code by addition or removal of a <a href="https://www.britannica.com/science/methyl-group">methyl group</a> – affecting how much the gene is expressed. Because the distribution of methyl groups along the genome changes in systematic ways with ageing, you can estimate a person’s age from DNA methylation patterns in cells from a blood sample by applying an algorithm.</p> <p>This <a href="https://theconversation.com/how-epigenetics-may-help-us-slow-down-the-ageing-clock-76878">measure of “biological age”</a> is relevant to longevity – individuals with an “older” DNA methylation age are at greater risk of age-related disease and mortality. Meanwhile, it seems environmental influences may alter or “accelerate” age-related changes in methylation: associations have been shown between DNA methylation age and stress, dietary factors and pollution. This suggests DNA methylation age may be one pathway by which the social environment can affect health.</p> <p><strong>New data</strong></p> <p>Data was used from 1099 adults in the UK to look at whether different dimensions of socioeconomic disadvantage were linked to elevated DNA methylation age, calculated in two ways. When blood samples were collected, the survey had already collected annual information on the same people’s socioeconomic circumstances for 12 years. This meant the study was able to consider current and longer-term measures of things like income, employment status and educational qualifications. Crucially, this data also included information about the occupational social class of an individual’s parents when they were 14.</p> <p>The research discovered that only the last measure showed a clear link with DNA methylation age. Individuals whose parents worked in semi routine or routine occupations were about one year “older” than individuals whose parents worked in managerial or professional roles. Individuals who did not have working parents, or had parents who had died, fared still worse: they were 2.4 or 1.85 years older depending on the algorithm used. The calculations did take account of other relevant factors including smoking, body mass index and the actual age of the study participants.</p> <p>These results suggest DNA methylation age is an aspect of a person’s biology which is vulnerable to influences early in life, but surprisingly robust when it comes to difficulties experienced in adulthood. The next question is which aspects of the childhood socioeconomic environment are most relevant. Is it financial strain, housing quality or diet? Equally important will be to figure out which factors could provide resilience to these effects, potentially buffering children from a lasting impact of disadvantage on DNA methylation age.</p> <p>Of course, the results will need to be replicated, and since DNA methylation age was only measured once, the survey could not definitively prove cause and effect. But the results <a href="https://jech.bmj.com/content/62/5/387">add to extensive evidence</a> that early life circumstances can cast a long shadow on adult health. Perhaps most importantly, this strengthens the case for making sure all children are fully supported.</p> <p><em>Written by Amanda Hughes and Meena Kumari. Republished with permission of <a href="https://theconversation.com/difficult-childhood-experiences-could-make-us-age-prematurely-new-research-102807">theconversation.com</a>.</em></p> <p><em>Image credit: Shutterstock</em></p>

Legal

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Prince Harry reveals “fundamental” drug use

<p>Prince Harry has opened up about his recreational drug use in a livestream chat with trauma expert Dr Gabor Maté.</p> <p>During the session, the Duke of Sussex revealed to Dr Maté that he has turned to drugs to help him deal with - and overcome - the traumas of his past, and how it all began as a recreational activity for the 38-year-old. </p> <p>“It was the cleaning of the windscreen,” he explained, “the removal of life’s filters - these layers of filters - it removed it all for me and brought me a sense of relaxation, relief, comfort, a lightness that I managed to hold back for a period of time.</p> <p>“I started doing it recreationally and then started to realise how good it was for me.</p> <p>“I would say it is one of the fundamental parts of my life that changed me and helped me deal with the traumas and the pains of the past. They’re unlocking so much of what we’ve suppressed.”</p> <p>This is not the first time Harry has admitted to his drug usage, having opened up about his cocaine abuse in his controversial memoir, <em>Spare</em>. In the book, he made reference to tabloid stories from his teenage years at boarding school, and dubbed his father - King Charles - a “harried single dad coping with a drug-addled child”. </p> <p>Despite Buckingham Palace denying claims about Harry’s drug use at the time, he confessed in <em>Spare </em>that “of course” he was “doing cocaine around this time”, and that he was “at someone’s country house, during a shooting weekend” when he was offered the drug for the first time. </p> <p>“I’d been offered a line,” he later admitted, “and I’d done a few more since.”</p> <p>And while he decided that drug use wasn’t “much fun”, and that cocaine didn’t “make [him] particularly happy”, it helped him achieve his goal of feeling different. </p> <p>In his memoir, Harry also made note of the time he tried magic mushrooms during a party at actress Courteney Cox’s house, after discovering a box full of “black diamond mushroom chocolates.” </p> <p>“My mate and I grabbed several, gobbled them, washed them down with tequila,” he said, before going on to recall his drug-induced hallucinations - namely, a bin transforming into a head.</p> <p>“I stepped on the pedal and the head opened its mouth,” Harry described, “a huge open grin.”</p> <p>However, Harry’s story didn’t exactly line up with Courtney’s account, with the 58-year-old denying his story in the wake of the memoirs release, telling Variety, “I’m not saying there were mushrooms! I definitely wasn’t passing them out.” </p> <p>Whether or not the story is entirely factually accurate, the Duke of Sussex credits his experience with substances as the thing that helped him see the world, and his life, for what they were, writing in<em> Spare</em> that “under the influence of these substances I was able to let go of rigid preconcepts, to see that there was another world beyond my heavily filtered senses. </p> <p>“A world that was equally real and doubly beautiful.”</p> <p><em>Images: Getty</em></p>

Body

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The Dark Side of the Moon at 50: how Marx, trauma and compassion all influenced Pink Floyd’s masterpiece

<p><em>Dixi et salvavi animam meam.</em></p> <p>This Latin phrase – I have spoken and saved my soul – sits at the end of Karl Marx’s <a href="https://www.marxists.org/archive/marx/works/1875/gotha/">Critique of the Gotha Programme</a>. </p> <p>Written in 1875, this text imagines a communist society that will come about “after the enslaving of the individual to the division of labour, and thereby also the antithesis between mental and physical labour has vanished”. </p> <p>Only then, Marx argues, “can the narrow horizon of bourgeois right be completely transcended and society inscribe on its banners: from each according to his abilities, to each according to his needs!”</p> <p>Roger Waters – bassist, lyricist and conceptual mastermind behind Pink Floyd’s 1973 album <em>The Dark Side of the Moon</em>, released 50 years ago today – knows Marx’s Critique. Indeed, he quotes it when discussing the record with music journalist John Harris. </p> <p>“Making <em>The Dark Side of the Moon</em>, we were all trying to do as much as we possibly could,” Waters <a href="https://www.goodreads.com/en/book/show/301401">told</a> Harris.</p> <p>"It was a very communal thing. What’s that old Marxist maxim? ‘From each according to his ability, to each according to his need.’ That’s sort of the way the band worked at that point."</p> <p>Assertions about solidarity, cooperation and shared “unity of purpose” – as Waters says – situate <em>Dark Side</em> in the context of Pink Floyd’s <a href="https://faroutmagazine.co.uk/pink-floyd-roger-waters-david-gilmour-feud/">notoriously fractious</a> recording career and helps us understand the album’s enduring appeal.</p> <h2>Shine on you crazy diamond</h2> <p>Pink Floyd formed in London in 1965. Led by the charismatic songwriter, guitarist and lead vocalist Syd Barrett, the group established itself as a leader in the <a href="https://en.wikipedia.org/wiki/UK_underground">London underground music scene</a>. They released their debut album <em>The Piper at the Gates of Dawn</em> in 1967.</p> <p><a href="https://en.wikipedia.org/wiki/Soft_Machine">Soft Machine</a> member Kevin Ayers <a href="https://www.bloomsbury.com/au/pink-floyds-the-piper-at-the-gates-of-dawn-9781441185174/">described</a> <em>The Piper at the Gates of Dawn</em> as “something magical, but it was in Syd Barrett”. </p> <p>Not long after the record’s release, Barrett suffered a catastrophic, LSD-induced breakdown. In response, the band recruited David Gilmour on guitar and recorded a second album, <em>A Saucerful of Secrets</em>, as a five-piece in 1968. Around this time, the increasingly unstable Barrett was unceremoniously ousted by the rest of the band. </p> <p>After Barrett left, says Ayers, “Pink Floyd became something else totally”. </p> <p>There are different versions of Pink Floyd. The recordings released after Barrett left the band in 1968 bear little resemblance to the first. </p> <p><em>Dark Side</em> sounds nothing like the whimsical Piper. But it is obvious the record is in large part preoccupied with the loss of Barrett.</p> <p>This preoccupation comes to the fore in the album’s penultimate track.</p> <p><em><a href="https://www.youtube.com/watch?v=g1OOQP1-wOE&amp;ab_channel=HDPinkFloyd">Brain Damage</a></em>, written and sung by Waters, references Barrett’s adolescence (“Remembering games and daisy chains and laughs”), alludes to his illness (“And if the dam breaks open many years too soon”), and acknowledges his leaving the group (“And if the band you’re in starts playing different tunes; I’ll see you on the dark side of the Moon”). </p> <p>Drummer Nick Mason confirms the group didn’t want to lose Barrett.</p> <p>In his <a href="https://www.goodreads.com/book/show/265734.Inside_Out">autobiography</a>, he writes, "He was our songwriter, singer, guitarist, and – although you might not have known from our less than sympathetic treatment of him – he was our friend."</p> <h2>If the dam breaks open many years too soon</h2> <p>What we hear on <em>The Dark Side of the Moon</em> is a band dealing with trauma. </p> <p>In this sense, Dark Side represents the start of a reckoning with the past – a process that culminated with the band’s next record, 1975’s elegiac <em><a href="https://faroutmagazine.co.uk/wish-you-were-here-pink-floyd-seminal-ode-to-the-tragic-life-of-syd-barrett/">Wish You Were Here</a></em>.</p> <p>Culmination is a useful term when it comes to <em>Dark Side</em> more generally. On this record, all the avant-garde techniques and tendencies the band had toyed with in the post-Barrett period – <a href="https://en.wikipedia.org/wiki/Musique_concr%C3%A8te">musique concrète</a>, sonic manipulation, extended improvisation, analogue tape manipulation – come together to spectacular effect. </p> <p><em><a href="https://www.youtube.com/watch?v=-0kcet4aPpQ">Money</a> –</em> with its anti-capitalist lyrics penned by Waters (“Money, it’s a crime; share it fairly, but don’t take a slice of my pie”), odd time signature, and handmade tape-loops mimicking the sounds of cash tills, bags of coins being dropped from great height and bank notes being torn up – is one of the stranger hit singles in pop music history. </p> <p>Be that as it may, Money and the album from which it is taken, of which <a href="https://www.pinkfloyd.com/tdsotm50/">more than 50 million copies</a> have been sold, continue to resonate with listeners worldwide, five decades on from its initial release.</p> <h2>The enormous risk of being truly banal</h2> <p>“I made a conscious effort when I was writing the lyrics for <em>Dark Side of the Moon</em> to take the enormous risk of being truly banal about a lot of it,” Waters told John Harris, “in order that the ideas should be expressed as simply and plainly as possible.”</p> <p>On this point, <a href="https://www.loudersound.com/news/david-gilmour-says-its-pretty-unlikely-he-and-roger-waters-will-resolve-pink-floyd-feud">if nothing else</a>, David Gilmour agrees. He told Harris, "There was definitely a feeling that the words were going to be very clear and specific. That was a leap forward. Things would mean what they meant. That was a distinct step away from what we had done before."</p> <p>Mortality, insanity, conflict, affluence, poverty and, in another nod to Marx, <a href="https://en.wikipedia.org/wiki/Marx%27s_theory_of_alienation">alienation</a> are some of the themes presented on the record. The need – and this brings us full circle – for compassion, if not outright solidarity, is another. </p> <p>This is an album about the importance of understanding, as Waters <a href="https://www.goodreads.com/en/book/show/301401">insists, "T</a>he potential that human beings have for recognising each other’s humanity and responding to it, with empathy rather than antipathy."</p> <p>Given the sorry state of the world in 2023, about which Roger Waters has many <a href="https://www.bbc.com/news/entertainment-arts-64580688">contentious</a> and <a href="https://www.theguardian.com/music/2023/feb/07/pink-floyd-lyricist-calls-roger-waters-an-antisemite-and-putin-apologist">problematic</a> things to say, I wager Pink Floyd’s masterwork will continue to resonate with listeners for a while yet.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://theconversation.com/the-dark-side-of-the-moon-at-50-how-marx-trauma-and-compassion-all-influenced-pink-floyds-masterpiece-198400" target="_blank" rel="noopener">The Conversation</a>. </em></p>

Music

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Delta Goodrem’s childhood home up for grabs

<p>Australian singer songwriter Delta Goodrem’s childhood home is set to go under the hammer with a $4m price tag. </p> <p>Lea Goodrem, Delta’s mother, reached the difficult decision to sell after 38 years in the 5-bedroom property in Sydney’s Hills District. As she told <em>News Corp</em>, the family had shared many happy memories in the Glenhaven home - with both Delta and her brother Trent spending their childhoods there - but that the time had come for her to move on. </p> <p>“I’m not 21 anymore,” she pointed out. “It’s been a beautiful house, such a wonderful home, full of laughter and such fantastic memories that I will always cherish. But it’s just me and the animals now. </p> <p>“It’s time for another big family to enjoy it and all its benefits. It’s been such an incredible place to live and we are very grateful to have called this our home for so long.”</p> <p>Lea hopes to travel before she settles down again, probably downsizing in comparison to her current abode.</p> <p>“I’m sure I will miss it,” she confessed, “but it’s time for another family to enjoy it, for this house to be filled with joy and laughter again. It’s the perfect sanctuary.”</p> <p>“I hope whoever buys it will love it as much as we have. But I’m not getting any younger. I need something more manageable. It’s a bittersweet decision. But the kids understand, it’s time to move on.”</p> <p>Louis Carr’s Michael Robert, the agent bringing the property to market, agreed with its potential for the next big family, noting that the home has “everything a family needs, including a tennis court and pool in a quiet bush location which is close to shops and schools.” </p> <p>From its modern architecture to its innovative designs, tennis court, paved courtyard, vaulted ceilings, and indoor spa, its next owners are in for a treat. Granted, of course, that they have a space four million dollars lying around. </p> <p>The home, situated on Delavor Place, raised more than just the Goodrem children. It also supported and nurtured budding star Delta’s career, with the singer penning her 2003 debut album Innocent Eyes and the hit track ‘Born to Try’.</p> <p>“It was a home that was filled with music, lots of exciting things were happening,” Lea Goodrem explained.</p> <p>“The home is an oasis,” she added, “we had two baby grand pianos and the music could be belted out without fear of retribution by the neighbours. There was a lot of inspiration here, a lot of music. ‘Born to Try’ was written in the loungeroom. This is where it all happened.”</p> <p><em>Images: Realestate.com.au</em></p>

Real Estate

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Readers Respond: What was your go-to summer treat growing up?

<p dir="ltr">Summer is here and we asked you what your favourite summer treat was growing up!</p> <p dir="ltr">Some of them even go way back. Take a look at some of your favourite treats:</p> <p dir="ltr">Nola Schmidt- Mum's homemade ice cream when we got a refrigerator. Before that chips of ice when the iceman delivered. Or icy poles from local milk bar.</p> <p dir="ltr">Susanne Foan- Ducky doubles from the little shop at the caravan park we stayed at in Capel WA.</p> <p dir="ltr">Robyn Harrison- Tip Top FruJu natural frozen juice on a stick.</p> <p dir="ltr">Lynne Abbott - The ice blocks made by my Mum and my nextdoor best friend's Mum.</p> <p dir="ltr">Mum made ice blocks with Raspberry cordial and my friend's Mum made them with chocolate milk. We ran back and forth between the houses getting cups of ice blocks from both Mums.</p> <p dir="ltr">Linda Stone- Hawaiian Delight ice block.</p> <p dir="ltr">Denise McGoldrick- Either homemade ice cream or watermelon (My Dad grew them to sell for extra money and he would chop up the ones he couldn't sell for us). Great days.</p> <p dir="ltr">Tracie Lee- Raspberry Freezer.</p> <p dir="ltr">Robyn Harrison- Coconut paddle pop, they do not make them now. We had real coconut in them.</p> <p dir="ltr">Jill Selwood- An ice cream in a cone. Or an apple-usually Granny Smith.</p> <p dir="ltr">Meegan Barclay- Frozen Cappuccino cups gold Coast in the 70s.</p> <p dir="ltr">Rhonda Jones- Iced Pineapple Drink from Lolly Shop/Milk Bar in Glenferrie Road Malvern, no longer there.</p> <p dir="ltr">Beverley Pye- Home made Ice blocks made with milk and strawberry topping, toffee apple</p> <p><em>Image: Getty</em></p> <p dir="ltr"> </p>

Food & Wine

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Readers Respond: What was normal when you were a kid, but you never see anymore?

<p>We all love reminiscing about our past, and many of us have similar experiences growing up.</p> <p>Most of our readers shared the same sentiment: their love for being able to play outside without a care.</p> <p>Take a trip down memory lane through looking back on your shared childhood experiences, that you believe kids nowadays don’t do.</p> <p>Claude Courtier - Children playing from dawn to dusk in the street unsupervised.</p> <p>Sheila Eddy- Children having fun outside all day, came home to eat and out again.</p> <p>Alan Smith- Picking mushrooms from paddocks.</p> <p>Sheree Tayler - Going to the local deli with your 50c and choosing the lollies you want to fill up a paper lolly bag. The lollies would all be displayed in a glass cabinet and they were either 1c, 2c or 5c. Then you’d ride off happily on your Indi 500 bike with your friends to your local park to eat them.</p> <p>Eric Pasquill- Playing outside, making mud pies, sailing leaves and sticks down the gutters after rain</p> <p>Dora Chisari- Playing outside with kids that lived close by.</p> <p>Jill Smith- Kids out on their own exploring the world and making their own fun!! No parents and no money needed!! And we learnt self reliance!</p> <p>Kristine Di Cerchio - Playing for hours outside with kids until so exhausted, sweat mixed with dust dripped off our cheeks. Feeling earth and grass under bare feet as we ran through the summer of our lives.</p> <p>Joy Boots- Running around barefoot, a homemade swing tied to tree branches in the back yard, the toilet being way up at the back fence (not in the house), cooling down in summer with the hose tied to the clothes line.</p> <p>If you have any other childhood experiences that you think we missed, share them <a href="https://www.facebook.com/oversixtys/posts/pfbid02KumpfRjd1ufN6NYitxffdPW76EuvbxXq2ZdaCknHsyQjSSitPXKVweJi8Px6QNK5l" target="_blank" rel="noopener">here</a>.</p> <p><em>Image: Getty</em></p> <p> </p>

Retirement Life

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Why Hugh Jackman wanted to "shield" his kids from his difficult upbringing

<p>Hugh Jackman has always known the day would come when he would have to explain his difficult history with his parents to his own kids. </p> <p>The 54-year-old actor, who has long spoken about his challenging childhood, is now wrestling with these awkward conversations, as his role in the the new film <em>The Son</em> has brought up past memories. </p> <p>Hugh has previously said that his mother abandoned him as a child, which he later understood was because she suffered a mental-health crisis at the time, and <a href="https://oversixty.com.au/lifestyle/family-pets/hugh-jackman-speaks-candidly-about-losing-his-father" target="_blank" rel="noopener">his dad recently died</a> after a long battle with Alzheimer's disease.</p> <p>"Hugh has seen the best and worst of the human condition, and for a long time, he wanted to shield his kids from that," a source told <a href="https://www.nowtolove.com.au/celebrity/celeb-news/hugh-jackman-childhood-75488" target="_blank" rel="noopener">Woman's Day</a>. </p> <p>But now, their adopted children Oscar, 22, and Ava, 17, are learning the truth, even if Hugh's wife Deborra-Lee Furness has her own reservations. </p> <p>Speaking to the media ahead of the premiere of <em>The Son</em>, Hugh says he felt compelled to prepare Oscar and Ava for the film's plot, which tells the story of a complicated family that tries to piece itself back together after falling apart – a story eerily similar to Hugh's own.</p> <p>"It was very important that I talk to them about what it was about, what it meant to me, and why I was doing it," he says.</p> <p>"I took them with me to see it and we had a long conversation. What I find amazing is the generation of 22 to 17-year-olds are totally fine having these conversations. It's more my generation that is a little more sheepish and shy around it."</p> <p><em>Image credits: Getty Images</em></p>

Family & Pets

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Readers Respond: ​​How would you describe your childhood?

<p dir="ltr">It may have been a long time ago but it was probably one of the best moments of your life…your childhood. </p> <p dir="ltr">Riding on your bike in the streets, playing with dirt, making sure you were back just before the street lights turned on. </p> <p dir="ltr">Our childhoods were certainly filled with so much fun.</p> <p dir="ltr">We decided to ask our OverSixty audience to describe their childhood. </p> <p dir="ltr">Helen Burke - Very happy. We didn't have much but had wonderful loving parents who gave us much love and showed us how to be honest adults.</p> <p dir="ltr">Narelle Hulme - Free…with adventurous consequences.</p> <p dir="ltr">Helena Apostolopoulos - Happy with lots of outside play with friends and family.</p> <p dir="ltr">Bronwyn Berriman - Surrounded by friends and family and lots of wonderful outdoor spaces to explore.</p> <p dir="ltr">Lynne Eather - The best time in my life as a child growing up outdoors, sport and great friends. </p> <p dir="ltr">Cathy Lytle Ackerman - Good, because I had lots of friends to play with! Always outside riding bikes, skating,and playing in the pond and creek with my friends. And—not so good, because I wasn’t treated well by my older siblings. I was also a middle child, and was often left out of things.</p> <p dir="ltr">Jan Ceeney - Great times swimming, fishing, riding our bikes and exploring haunted houses.</p> <p dir="ltr">Robyn Burton - Happy, healthy, safe and free to explore wherever we wanted. Lots of time spent in the bush discovering our wonderful wildflowers.</p> <p dir="ltr">Lynne Fairbrother - Lived by the beach. Never sick, always outdoors swimming or just playing with friends on the beach.</p> <p dir="ltr">Lynette Hinton - Happy. Loved spending time with cousins at weekends, friends at school, beautiful mother, caring father and grandparents.</p> <p dir="ltr">Share your favourite childhood moment <a href="https://www.facebook.com/oversixtys/posts/pfbid0sYJ63utRU2jNPa3uiaJnroXdLTdouP762ZUB7RtjEXQZkuNNVjjYaVGnRAk93tfpl">here</a>.</p> <p dir="ltr"><em>Image: Shutterstock</em></p>

Retirement Life

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Gwyneth Paltrow’s childhood home hits the market

<p dir="ltr">The childhood home of Gwyneth Paltow in California has been <a href="https://www.compass.com/listing/2020-georgina-avenue-santa-monica-ca-90402/1161644315586325737/" target="_blank" rel="noopener">listed</a> for sale with a hefty price tag of $17.5 million ($AUD 27 million).</p> <p dir="ltr">The six-and-a-half bedroom mansion was first purchased by Paltrow’s parents, actress Blythe Danner and Hollywood director Bruce Paltrow, in 1976 when the Goop founder was about four years old.</p> <p dir="ltr">In 2008, the 109-year-old property was bought by designer Jerome Dahan after Paltrow’s father died from complications of oral cancer and pneumonia.</p> <p dir="ltr">The property, nestled in the upscale neighbourhood Gillette Regent Square in Santa Monica, boasts features that match the luxe nature of its surroundings, including a landscaped tropical oasis for a garden, a Balinese-inspired pool and spa, and a three-car glass showroom that overlooks the pool.</p> <p dir="ltr">Inside the home, the entryway is enclosed in glass and leads to a large living room with a fireplace, a theatre room, a kitchen and a guest bedroom, with an office and three ensuite bathrooms upstairs, including the main bedroom’s dual bathrooms and walk-in closets.</p> <p dir="ltr">The property also includes a two-storey guesthouse that houses a gym, dry sauna, bedroom and office.</p> <p dir="ltr">Following extensive renovations, the property has additions such as solar panels, backup generators, and electronically gated entries.</p> <p dir="ltr">“In a market of overbuilt mansions that are undeniably starting to look and feel the same, 2020 Georgina elevates above the competition offering a bespoke and meticulously crafted experience unlike anything I've seen in Santa Monica,” said Robert Lawrence Edie of Compass Realty, who is managing the sale.</p> <p dir="ltr">Paltrow grew up in the home with her younger brother, Jake Paltrow, and went to school at the nearby Crossroads School for Arts &amp; Sciences.</p> <p dir="ltr">When she was 12, the family moved to a New York City townhouse and she now lives on the West Coast full-time with her husband and two children.</p> <p><span id="docs-internal-guid-e0c6ebde-7fff-5741-9789-ef82639a4dc0"></span></p> <p dir="ltr"><em>Images: @gwynethpaltrow (Instagram) / Compass Realty</em></p>

Real Estate

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New study to “give hope” to childhood trauma survivors with depression

<p dir="ltr">A new study has challenged our understanding of how to treat adults with a history of childhood trauma, revealing that using psychotherapy, medication or a combination of the two are effective treatments for those with depression.</p> <p dir="ltr">Childhood trauma, defined as abuse or neglect of a person before they are 18 years old, is a known risk factor for major depressive disorders in adulthood. It often results in symptoms that start earlier, last longer and are more frequent, and increases the risk of developing co-occurring diseases and conditions.</p> <p dir="ltr">The study, published in <em><a href="https://doi.org/10.1016/S2215-0366(22)00227-9" target="_blank" rel="noopener">The Lancet Psychiatry</a></em>, found that adult survivors of childhood trauma who receive these common treatments experience improved symptoms at the same rate as those without childhood trauma.</p> <p dir="ltr">While previous studies have indicated that common treatments for major depressive disorders are less effective for people with childhood trauma, the team argues that these findings are inconsistent.</p> <p dir="ltr">The team then examined data from 29 clinical trials of psychotherapy and pharmacotherapy (the use of prescribed medications) among adults with major depressive disorders to determine whether those with trauma were more severely depressed before treatment, had more unfavourable outcomes after treatment, and whether they were less likely to benefit from treatment in comparison to those without trauma.</p> <p dir="ltr">Among the 46 percent of participants with childhood trauma, the team found that they showed more severe symptoms at the start of treatment and after treatment in comparison to the control group (those without trauma).</p> <p dir="ltr">But, they found that both groups experienced an improvement in symptoms at a similar rate.</p> <p dir="ltr">Erika Kuzminskaite, a PhD candidate and the first author of the study, said that this finding could be a source of hope.</p> <p dir="ltr">“Finding that patients with depression and childhood trauma experience similar treatment outcome when compared to patients without trauma can give hope to people who have experienced childhood trauma,” Kuzminskaite said.</p> <p dir="ltr">“Nevertheless, residual symptoms following treatment in patients with childhood trauma warrant more clinical attention as additional interventions may still be needed.”</p> <p dir="ltr">Antoine Yrondi, a professor at the University of Toulouse who wasn’t involved in the research, wrote that the study provides a message of hope for patients.</p> <p dir="ltr">“This meta-analysis could deliver a hopeful message to patients with childhood trauma that evidence-based psychotherapy and pharmacotherapy could improve depressive symptoms,” Dr Yrondi said.</p> <p dir="ltr">“However, physicians should keep in mind that childhood trauma could be associated with clinical features which may make it more difficult to reach complete symptomatic remission and, therefore, have an impact on daily functioning.”</p> <p dir="ltr">According to <a href="https://blueknot.org.au/resources/blue-knot-fact-sheets/trauma-classification/what-is-childhood-trauma/" target="_blank" rel="noopener">Blue Knot</a>, childhood trauma can have a wider and more extreme impact than trauma we experience as adults because a child’s brain is still developing. If the trauma is unresolved, coping strategies developed during childhood can become risk factors for poorer psychological and physical health in adulthood.</p> <p dir="ltr">But, it is possible to recover from childhood trauma, with this latest study going to show that common treatments can be effective.</p> <p dir="ltr"><em>If you’re in need of support, you can contact Lifeline on 13 11 14 or Blue Knot on 1300 657 380.</em></p> <p><em><span id="docs-internal-guid-62551377-7fff-7a7f-9e23-d352d2c29923"></span></em></p> <p dir="ltr"><em>Image: Getty Images</em></p>

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