Category: English

Source: ForeignAffairs4

Source: The Conversation – UK – By Leah McLaughlin, Research Fellow in Health Services, Bangor University

What does it mean to save a life – and what does it cost? In The Story of a Heart, Rachel Clarke answers this not with slogans or sentiment, but with quiet, searing honesty. This book, which won this year’s Women’s prize for non-fiction, is about organ donation, yes, but it’s also about family, grief, love, courage, and the astonishing edges of human experience.

At its centre are two children: Max Johnson, a healthy, active nine-year-old whose heart suddenly begins to fail, and Keira Ball, another nine-year-old – vibrant, horse-loving, full of life who tragically dies in a car accident. In a moment of unimaginable grief, Keira’s parents donate her organs. Her heart goes to Max.

A child dies. A child lives.

That is the simple, brutal, beautiful truth this book never looks away from. But Clarke does more than tell the story of heart. She immerses us in it – every breath, every monitor beep, every unbearable choice.

I read this as a health services researcher who has spent years working in the emotionally complex, ethically charged, and often hidden world of organ donation. My work explores how families navigate these unimaginable scenarios, particularly in the context of recent legislative change. Clarke’s account captures, with rare precision and compassion, the silences, the emotional labour of clinicians, and the profound weight of choice that families like Keira’s carry.

---

Looking for something good? Cut through the noise with a carefully curated selection of the latest releases, live events and exhibitions, straight to your inbox every fortnight, on Fridays. Sign up here.

---

As both a doctor and a mother, Clarke brings sensitivity to every page. We feel Max’s steady decline: the exhaustion, the fear, the silence that descends as even the doctors grow unsure. We witness Keira’s final hours, the heroic efforts to save her, and the moments where unbearable grief oscillates between hope and despair, eventually giving way to a different kind of gift.

There are no easy heroes in this story, only ordinary people facing the unthinkable with extraordinary grace. Clarke brings them to life with aching clarity: the cardiologist who, in the dim light of a hospital room, sketches Max’s failing heart on a napkin so his mother can understand what words can’t explain; the ICU nurse who stays long after her shift ends, gently brushing the hair of a child who will never wake up; the donation nurse who enters a family’s darkest hour not with answers, but with quiet presence and unwavering care; the surgeon who steadies his hands – and his heart – when every second matters.

And in the chaos of resuscitation, amid alarms and broken bodies, a teddy bear is tucked beneath Keira’s arm: “Someone in the crash team has seen Keira not simply as a body, inert and unresponsive, but as a vulnerable child in need of compassion.”

The Story of a Heart is also a book about history. It’s not just about one child’s transplant, but about medicine, surgery, and the heart itself. Clarke weaves in the stories of early transplant pioneers, accidental discoveries, and the scientific stumbles and breakthroughs that built modern practice. She brings it all to life with a storyteller’s flair, making science feel intimate, alive, and deeply human.

What the heart means

What sets the heart apart, Clarke reminds us, is not just its function, but its symbolism. No other organ holds such emotional weight. “Hearts sing, soar, race, burn, break, bleed, swell, hammer and melt,” she writes. They are not just organs, they are vessels for our hopes, fears and deepest longings.

Clarke shows how, across history, the heart was seen as the source of emotion, morality – even the soul – and how that deep humanism still pulses through our language and culture today. We have our hearts broken, wear our hearts on our sleeves, and as Clarke puts it: “When trying to express our truest and most sincere selves, we do so by saying we speak from the heart, or about all that our heart desires.”

But what makes The Story of a Heart so exceptional is its emotional truth. Clarke never shies away from the pain. Max’s parents watch their son fade, terrified to even touch him. Keira’s father buys her a pink princess dress for her funeral. Max, wired to machines, records a goodbye message; we learn later he even tried to take his own life. And yet, there is light.

Keira’s sisters climb into bed with her, painting her nails and sliding Haribo sweet rings onto her fingers. Then comes a moment so clear, so quietly astonishing, it takes everyone’s breath away. Katelyn, Keira’s older sister, turns to the doctor and asks, with calm, steady eyes: “Can we donate her organs?”

This isn’t a clinical decision or a well-rehearsed conversation. It is an unprompted act of extraordinary love. These moments – fragile, generous, profoundly human – are the true beating heart of Clarke’s book.

From there, we are guided into a world so few know and even fewer ever witness: the quiet choreography that carries a gift of life from one person to another. What Katelyn sets in motion with just five words unfolds with such precision, that reading it feels like witnessing a kind of living magic.

The aftermath is just as moving. Max recovers quickly, walks again, laughs again. The two families meet. There are no big speeches, just quiet awe. And beyond that: a law is passed. Max and Keira’s Law brings in an opt-out system of donation in England. Two children. One legacy. A country changed.

And still, Clarke doesn’t let us forget the hard truths. Not every child survives. Not every family gets a miracle. Transplants are fragile. But in that fragility, she shows us, is the real miracle. Max goes fishing with his dad, the sky glows orange – Keira’s favourite colour. That is enough.

At the moment organ donation consent rates for children are declining in the UK, and there are more children on the transplant wait list than ever before. The Story of a Heart asks us to see the children, the families, and the quiet acts of love behind every donation. It’s a powerful reminder that the greatest gifts are often given in the darkest hours.

This book will break your heart – and fill it up again. It’s not just essential reading for anyone interested in organ donation and transplant. It’s essential reading for anyone who has ever loved.

This article features references to books that have been included for editorial reasons, and may contain links to bookshop.org. If you click on one of the links and go on to buy something from bookshop.org The Conversation UK may earn a commission.

Leah McLaughlin does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. The Story of a Heart by Rachel Clarke is a powerful account of one child’s gift to another – https://theconversation.com/the-story-of-a-heart-by-rachel-clarke-is-a-powerful-account-of-one-childs-gift-to-another-260611

Source: ForeignAffairs4

Source: The Conversation – UK – By Martin L. Olsson, Medical Director of the Nordic Reference Laboratory for Blood Group Genomics, Region Skåne & Professor of Transfusion Medicine, Head of the Division, Lund University

In a routine blood test that turned extraordinary, French scientists have identified the world’s newest and rarest blood group. The sole known carrier is a woman from Guadeloupe whose blood is so unique that doctors couldn’t find a single compatible donor.

The discovery of the 48th recognised blood group, called “Gwada-negative”, began when the woman’s blood plasma reacted against every potential donor sample tested, including those from her own siblings. Consequently, it was impossible to find a suitable blood donor for her.

Most people know their blood type – A, B, AB or O – along with whether they are Rh-positive or negative. But these familiar categories (those letters plus “positive” or “negative”) represent just two of several dozens of blood group systems that determine compatibility for transfusions. Each system reflects subtle but crucial differences in the proteins and sugars coating our red blood cells.

To solve the mystery of the Guadeloupian woman’s incompatible blood, scientists turned to cutting-edge genetic analysis. Using whole exome sequencing – a technique that examines all 20,000-plus human genes – they discovered a mutation in a gene called PIGZ.

This gene produces an enzyme responsible for adding a specific sugar to an important molecule on cell membranes. The missing sugar changes the structure of a molecule on the surface of red blood cells. This change creates a new antigen – a key feature that defines a blood group – resulting in an entirely new classification: Gwada-positive (having the antigen) or -negative (lacking it).

Using gene editing technology, the team confirmed their discovery by recreating the mutation in a lab. So red blood cells from all blood donors tested are Gwada-positive and the Guadeloupean patient is the only known Gwada-negative person on the planet.

The implications of the discovery extend beyond blood transfusions. The patient suffers from mild intellectual disability, and tragically, she lost two babies at birth – outcomes that may be connected to her rare genetic mutation.

The enzyme produced by the PIGZ gene operates at the final stage of building a complex molecule called GPI (glycosylphosphatidylinositol). Previous research has shown that people with defects in other enzymes needed for GPI assembly can experience neurological problems ranging from developmental delays to seizures. Stillbirths are also common among women with these inherited disorders.

Although the Caribbean patient is the only person in the world so far with this rare blood type, neurological conditions including developmental delay, intellectual disability and seizures have been noted in other people with defects in enzymes needed earlier in the GPI assembly line.

The Gwada discovery highlights both the marvels and challenges of human genetic diversity. Blood groups evolved partly as protection against infectious diseases (many bacteria, viruses and parasites use blood group molecules as entry points into cells). This means your blood type can influence your susceptibility to certain diseases.

But extreme rarity creates medical dilemmas. The French researchers acknowledge they cannot predict what would happen if Gwada-incompatible blood were transfused into the Guadeloupian woman. Even if other Gwada-negative people exist, they would be extremely difficult to locate. It is also unclear if they can become blood donors.

This reality points towards a futuristic solution: lab-grown blood cells. Scientists are already working on growing red blood cells from stem cells that could be genetically modified to match ultra-rare blood types. In the case of Gwada, researchers could artificially create Gwada-negative red blood cells by mutating the PIGZ gene.

A growing field

Gwada joins 47 other blood group systems recognised by the International Society of Blood Transfusion. Like most of these blood-group systems, it was discovered in a hospital lab where technicians were trying to find compatible blood for a patient.

The name reflects the case’s Caribbean roots: Gwada is slang for someone from Guadeloupe, giving this blood group both scientific relevance and cultural resonance.

As genetic sequencing becomes more advanced and widely used, researchers expect to uncover more rare blood types. Each discovery expands our understanding of human variation and raises fresh challenges for transfusion and other types of personalised medicine.

Martin L Olsson is a Wallenberg Clinical Scholar who receives research funding from Knut and Alice Wallenberg Foundation (grant no. 2020.0234). He holds other major grants from the Swedish Research Council (grant no. 2024-03772), the Novo Nordisk Foundation (grant no. NNF22OC0077684) and the Swedish government funds to university healthcare for clinical research (ALF grant no. 2022.0287). He is also a member of the International Society of Blood Transfusion (ISBT)’s Working Party on Red Cell Immunogenetics and Blood Group Terminology.

Jill Storry receives funding from the Swedish Research Council (grant no. 2024-03772). She is affiliated with, and the current senior Vice-President, of the International Society of Blood Transfusion, as well as a member of the society’s Working Party on Red Cell Immunogenetics and Blood Group Terminology.

– ref. Gwada-negative: the rarest blood group on Earth – https://theconversation.com/gwada-negative-the-rarest-blood-group-on-earth-260155

Source: ForeignAffairs4

Source: The Conversation – UK – By Dawn Llewellyn, Associate professor of Religion and Gender, Theology and Religious Studies, University of Chester

What happens when the women immortalised in old master paintings step out of their gilded frames and into the chaos of modern domestic life? That’s the question artist Sarah Lightman tackles, with wit, irreverence and insight, in her exhibition Biblical Women Ageing Disgracefully, now on at Chester Visual Arts, Grovesnor Shopping Centre.

In works from her Biblical Domestic (2021–2024) and Menstrual Hystery (2024) series, Lightman trades halos for housework, and heavenly glory for the cluttered reality of her own everyday life. Her saints and heroines aren’t meditating in divine serenity – they’re battling menopause, messy kitchens and midlife malaise.

With humour and intimacy, Lightman probes the distance between the idealised women of religious art and the ageing bodies we’re taught to hide. Her characters, drawn from both the canon of western Christian art and the sacred Jewish texts of her upbringing, are lovingly reimagined through a feminist lens.

What if Mary hated soft play as much as the rest of us? What if Eve was just trying to get through another basket of laundry? What if biblical women aged in real time?

With bold colours, absurdist touches and deep empathy, Biblical Women Ageing Disgracefully reframes these archetypes for today – and starts fresh conversations about visibility, care and womanhood.

Old masters, new messes

In Fridge Frustrations (2022), Caravaggio’s Judith Beheading Holofernes (1599) becomes a scene of domestic dread. Judith still holds Holofernes’ severed head – but now her crisis is storage, not salvation:

Judith can’t find anywhere in the fridge for her organic and fresh cut of Holofernes.

Lightman retains the dramatic composition of the original but shifts its meaning entirely. Her watercolour medium softens the baroque oil intensity, introducing levity without losing emotional depth.

In The Annunciation of the Menopause (2024), she riffs on The Annunciation by Fra Angelico (1425-26), the early Renaissance fresco where the Virgin Mary receives the angel Gabriel’s news that she’ll bear the son of God.

Here, Mary’s serene acceptance is swapped for something far more visceral: she sits beside an exam table mid heavy bleed, not in graceful surrender but bodily discomfort. Gabriel is gone, replaced by a gynaecologist in latex gloves. The walls? Tiled not with gold leaf but with packets of Always. This is no divine encounter – just hot flushes, greasy hair and hormonal chaos. No spiritual serenity in sight.

Instead of youthful grace, Lightman gives us perimenopausal truth: gritty, awkward, real.

Not a rejection, but a rewriting

Lightman’s work is unabashedly feminist and unapologetically funny – but it’s also rooted in reverence. Her reinterpretations of women from Hebrew scripture honour the complexity of these figures and draw from the feminist Jewish tradition of midrash: creative interpretation that fills in the biblical silences.

Lightman isn’t discarding these sacred stories: she’s inhabiting them. She paints the parts we were never told, the thoughts and struggles left out of the male-dominated canon. Her canvases ask: what if we didn’t accept the gaps in these women’s lives? What if we imagined them into our own?

Context matters – and Biblical Women Ageing Disgracefully is exhibited not in a white-walled gallery but in Chester’s Grosvenor Precinct, having previously shown at Chester’s cultural centre Storyhouse. The location is deliberate. These Madonnas and menopausal saints appear exactly where they live now: among shopping bags, toddler tantrums and the quiet sighs of women holding it all together.

Meeting Eve, Mary, Bathsheba, Susanna and Lot’s wife in a shopping centre creates a surreal and poignant dissonance. It collapses the sacred and the ordinary, and invites viewers to see their own lives reflected in these ancient figures.

Messy, mortal and magnificent

It’s a risk, of course, putting menopause, motherhood, grief, housework and rape culture centre stage. There’s a version of this exhibition that could have been grim. But Lightman’s palette is anything but dour. Her watercolours are vibrant and playful, her titles sharp with satire. These women aren’t tragic martyrs; they’re exhausted, yes, but also knowing, cheeky and in on the joke.

Lightman treats art history not as a fixed monument, but as a toolkit to be deconstructed and rebuilt. She gives her saints their bodies back – saggy, sweaty, miraculous – and their agency too.

What makes Biblical Women Ageing Disgracefully so powerful is its embrace of contradiction. It is sacred and silly, sincere and subversive, heartbreaking and hilarious. It is, in essence, a feminist midrash in watercolour: retelling holy stories through the grit and glory of contemporary womanhood, and holding them close even as it pushes them open.

Biblical Women Ageing Disgracefully is on display at Chester Visual Arts, Grovesnor Shopping Centre until July 13.

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. Biblical Women Ageing Disgracefully: artist Sarah Lightman reimagines characters battling midlife, motherhood and menopause – https://theconversation.com/biblical-women-ageing-disgracefully-artist-sarah-lightman-reimagines-characters-battling-midlife-motherhood-and-menopause-260522

Source: ForeignAffairs4

Source: The Conversation – UK – By Magnus Marsden, Professor of Social Anthropology, University of Sussex

The winter season of 2024-25 marked a resurgence of fur clothing – both faux and real – in fashion across Europe and North America. Shearling jackets and embroidered “Penny Lane coats” featured widely in reports on the latest fashion trends. Vintage fur coats are also back in vogue.

To many, the resurgence came as a surprise. The anti-fur movement, especially influential in the 1980s, continues to shape perceptions of fur. In the 2010s, cities including New York and Los Angeles banned the use of fur to make clothes. The UK meanwhile banned the farming of fur-bearing animals, and, alongside the EU, has committed itself to legislating against all fur imports.

Just last year the town of Worthing, in England, debated whether their mayor should wear ceremonial robes trimmed with fur or not. Despite these trends, many young people have embraced the renewed trend of wearing real fur.

Some clothes made from animal skins became popular during the counter-cultural movement of the 1960s, but historically, fur has mostly marked status, wealth and luxury. Today, many critics interpret fur’s return to fashion as a cultural expression of rightwing politics.

---

Looking for something good? Cut through the noise with a carefully curated selection of the latest releases, live events and exhibitions, straight to your inbox every fortnight, on Fridays. Sign up here.

---

Fur is prominent in the “boom boom” fashion trend, which emphasises excess and “male-coded values”. It has been described by fashion journalists as “over-the-top and unashamed about its own greed and lack of wokeness”.

Fur clothing is a reminder of the moral tensions between need and desire, and luxury and excess. In addition to being inter-generational, these debates are also about gender. For much of the 20th century, fur coats symbolised femininity, erotic power and class position in the west. But by the 1980s, advertising campaigns depicted women who wore fur as either stupid and unthinking or thinking and unspeakably cruel, leading many to jettison it.

Fur’s return to fashion has injected old debates with new significance. Some young people are willing to wear faux fur because it does not involve killing animals. But others argue that, because it is made from synthetic material, faux fur is actually more environmentally damaging and prefer to wear the real thing. They claim that wearing vintage fur is a form of “sustainable consumption” but are challenged by those who argue that this fashion trend ultimately justifies killing animals to make clothes.

The boom boom trend is said to embody a contemporary expression of 1980s “conspicuous consumerism”, but in an era of economic austerity the adoption of fur by young people suggests the clothes they wear identify their desires rather than their financial reality.

A global history of fur

Today, as in the 1980s, the perspectives, interests and experiences of non-Europeans are often unheard in debates around fur. A decline of fur-bearing animal populations in North America and Siberia from the early 19th century, led to a global expansion in fur farming.

---

Read more:
How central Asian Jews and Muslims worked together in London’s 20th-century fur and carpet trade

---

From the 1850s, for example, Central Asia supplied furs to Europe and North America. Local artisans cured the pelts of karakul lambs – a native breed – to yield a rich and glossy fur. In central and south Asia, men of high status wore karakul hats; in Europe and America, they were mostly used to make women’s coats.

After the Russian revolution of 1917, many nomadic and semi-nomadic pastoralists, who raised sheep and other animals, left central Asia and moved with their flocks to neighbouring Afghanistan. The trade in karakul fur grew in the country, and foreign currency reserves came to depend on lambskins sold at auctions in London and New York.

In the 1960s, sheepskin coats made in Afghanistan – known as “Afghans” – became popular in the west, being worn by stars including Brian Jones of the Rolling Stones. The 1969 British edition of Vogue featured an interview with an icon of “oriental chic”, the “beautiful, dashing, intelligent, adventurous” Afghan socialite, Safia Tarzi, who lived in Paris, and ran a boutique clothing shop in Kabul.

The Afghan coat enjoyed a resurgence in 2000 having been worn by the character Penny Lane (Kate Hudson) in the film Almost Famous.

---

Read more:
Friday essay: how ‘Afghan’ coats left Kabul for the fashion world and became a hippie must-have

---

In the 1980s, the anti-fur campaign contributed to a declining market for karakul. For decades, rumours of Central Asian shepherds extracting lambs from the wombs of sheep to ensure a steady yield of delicate pelts had circulated. Moral opposition to the practice was not confined to the west.

During my research on globally dispersed activists, intellectuals and merchants from Afghanistan, a man from Afghanistan, now based in London, told me that his father banned his family from wearing karakul hats because sheep and their lambs were treated cruelly.

In the 1990s, civil war destroyed much of the infrastructure of the karakul industry in Afghanistan, but a trickle of pelts reached auction houses located in Frankfurt, Copenhagen and Helsinki.

In the 2000s, international development organisations attempted to revive the trade, though sales never returned to anyway near the levels of the 1970s. By the 2010s, families in northern Afghanistan struggling economically opted to send sons to travel illegally to Turkey to find work as shepherds for commercially oriented Turkish farmers.

Promotional videos of fashion houses occasionally touch on the Penny Lane coat’s ties to Afghanistan, but media coverage of fur fashions rarely address its historical connections to central Asia.

Magnus Marsden received funding from the Arts and Humanities Research Council including for the research upon which this article is based.

– ref. From Kabul to the catwalk – the surprising global history behind fashion’s fur revival – https://theconversation.com/from-kabul-to-the-catwalk-the-surprising-global-history-behind-fashions-fur-revival-256382

Source: ForeignAffairs4

Source: The Conversation – UK – By Aybars Tuncdogan, Reader in Digital Innovation and Information Security, King’s College London

The cyber-attack on Marks & Spencer will lead to an estimated £300 million hit to the company’s profits this year. It now aims to have online shopping at the store back to normal by August, more than three months after IT systems were compromised.

Fans of M&S clothing and food will be relieved after all of the uncertainty. But that level of uncertainty, as well as the huge cost, is surely a sign that big retailers, which millions of people rely on, need to change how they think about – and invest in – cybersecurity.

It has to be an absolute priority. After all, few marketing strategies or HR initiatives can save a company £300 million in just six weeks. But perhaps a more sophisticated cybersecurity department could have done just that.

To be fair, M&S faced a relatively rare, high-impact ordeal. Most cyber-attacks of this nature don’t affect customers so directly, and much of the recovery typically happens behind the scenes.

But M&S shoppers saw online orders collapse, contactless payments fail and refunds, gift cards and loyalty points not functioning. Disruption in stock-management and warehousing led to empty shelves and food waste.

On June 27, M&S issued a public apology and a £5 digital gift card to affected customers. But research suggests that the most important element of keeping customers onside is the quality of the recovery process, and whether normal service is eventually resumed.

To get back to normal service, it is possible that a ransom was paid to the cyber attackers, but M&S has refused to confirm or deny this. (One survey found that many organisations hit by cyber attacks agreed to pay a ransom – and then suffered a subsequent breach, often from the very same culprits.)

But even when normal service returns, when hackers steal customer data, as they did with M&S, research suggests that this information is often reused by criminals in identity theft and phishing. A study even found that victims of data breaches are more likely to have mortgage applications denied.

From what we know about the breach at M&S, it seems that the cyber-attackers simply used a phishing technique to get the support desk of a third-party contractor to reset the password of an admin-level account. That said, although in this case the main vulnerability was human, the lesson to be learnt here is that sometimes just one vulnerability can shake the whole system to its core.

This is why business owners need to think of cybersecurity not just as a tedious and inconvenient IT issue, but as a core function of the business. Otherwise, as the M&S case illustrates, it is simply not possible for the rest of the corporate structure to operate.

Testing times

So cybersecurity targets must be incorporated into every department to ensure collective defence. And organisations also need to stress-test the different aspects of their systems.

That could be checking on human responses, but it should also include technology (like a vulnerability in the web server), physical barriers (a poorly secured server room door) and HR procedures (failure to revoke ex-employee access).

These lines of defence have to be stress-tested regularly and from multiple angles, rather than being considered an annual checkbox activity for compliance.

Scenario-based tests – essentially a cyber fire-drill — such as internal threat simulations and response exercises, can provide useful insights into an organisation’s readiness to detect, respond to and recover from cyber-attacks.

It’s also important that organisations learn to communicate clearly once a breach occurs. Research into responses to data breaches suggests that any backlash is sharper when the company seems to be trying to hide the breach, which may later be publicised by the criminals instead.

Consumers should also remember that they are not powerless. We may not be able to prevent a data breach, but all of us can help to stop attackers from infiltrating our online worlds by something as simple as not re-using the same passwords.

By remaining sceptical, we can prevent attackers from using the information they stole to phish us later. And by thinking carefully about what personal data we share with companies, we can reduce the impact of future breaches.

Aybars Tuncdogan does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. How M&S responds to its cyber-attack could have a serious impact on its future – and its customers – https://theconversation.com/how-mands-responds-to-its-cyber-attack-could-have-a-serious-impact-on-its-future-and-its-customers-260429

Source: ForeignAffairs4

Source: The Conversation – UK – By Mollie O’Hanlon, PhD Candidate, Exercise Physiology, Nottingham Trent University

England footballer Lucy Bronze recently said in an interview that “cycle syncing” gives her an edge on the pitch. This practice involves aligning your training schedule to the different phases of your menstrual cycle.

Cycle syncing has become increasingly popular in recent years – especially among athletes who are looking to get an edge over the competition. Even Chelsea women’s football team have put this new approach to use, tailoring training schedules according to each player’s menstrual cycle.

For the average person, tailoring your workouts to your menstrual cycle is probably not going to have much of an impact. But for a professional athlete such as Bronze, cycle syncing could be a gamechanging strategy in shaping her elite performance.

---

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

---

The menstrual cycle begins and ends with menstruation (a period). While the length of the menstrual cycle varies for each person, it’s usually around 28 days.

The menstrual cycle is underpinned by fluctuations in levels of the female sex hormones oestrogen and progesterone. This is why the cycle is divided into three key phases: early follicular, late follicular and the luteal phase.

The early follicular phase usually lasts around seven days and begins with the start of your period. This is when hormone levels are at their lowest.

The late follicular phase follows on from the first seven days, and is where ovulation happens – usually around day 14 of the cycle, though this will depend on cycle length. Ovulation is when the egg is released and you’re at your most fertile.

After that comes the luteal phase (lasting around 12-14 days), when progesterone peaks to prepare the body for pregnancy. If pregnancy doesn’t happen, hormones drop and the cycle begins again.

It’s no secret that mood and energy levels can shift – sometimes significantly – throughout the menstrual cycle. This is why some female athletes have begun using cycle syncing. By tailoring training schedules to match hormonal fluctuations, women are gaining a deeper understanding of their bodies and the symptoms they experience throughout each phase – empowering them to train smarter, not harder.

Bronze said the strategy has transformed her performance, saying that during certain phases of her cycle she feels “physically capable of more and can train harder”.

Despite these testimonials, scientists are yet to reach a definitive conclusion on how the menstrual cycle affects athletic performance.

So far, there’s some suggestion that there may be a slight dip in performance (specifically to strength and endurance) during the early follicular phase. However, these effects are minimal – and highly dependent on the person. It’s also not entirely clear what mechanisms underpin these small performance dips that some women experienced.

Other research suggests that certain aspects of the neuromuscular system (the network of nerves and muscles that make movement possible) – specifically how our muscles generate force – is altered during the luteal phase. Research has also found that certain muscles may fatigue less quickly during this phase as well.

This implies that during the luteal phase, there may be changes in signals from the brain and spinal cord to the skeletal muscles. However, no changes in the neuromuscular function have been observed.

Part of the reason it’s so difficult for researchers to gather enough evidence to draw firm conclusions on the menstrual cycle’s potential effects on athletic performance is because of the huge variability in menstrual cycle characteristics, which makes it difficult to study. Phase length, hormone levels and symptoms can differ widely between women – and even from cycle to cycle.

The small effects seen in these studies will have little effect on how most of us train or exercise. But for an elite athlete, these minuscule differences could have an effect on their training and competition, which may be why so many are willing to give the practice a try.

So while it isn’t entirely clear how much influence certain menstrual cycle phases have on performance, how you feel during different phases could certainly affect your ability to train at your best.

Around 77% of female athletes experience negative symptoms in the days leading up to and during menstruation. Fatigue, feeling less motivated and even experiencing digestive issues such as bloating and nausea, could all affect your ability to train at your best.

Trying cycle syncing

If you’re still interested in giving cycle syncing a try to see if it has any effect for you, the best place to start is by tracking your menstrual cycle. This will help you understand your body, how you feel in each phase of your cycle and what effect certain symptoms have on your training.

It’s recommended you track your cycle for at least three months before making any changes to your training to establish a baseline and spot trends over time.

For example, if you notice you often feel fatigued when training in your luteal phase, it may help to focus on ensuring you fuel well with carbohydrates before and during workouts. Or on days where you feel more energetic and motivated to train, you might be able to push yourself a bit harder in your workouts.

Whether you’re playing for England in the Euros or simply working towards your own fitness goals, understanding your cycle can help you train smarter, manage your symptoms better and stay consistent with your training.

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. Lioness Lucy Bronze uses ‘cycle syncing’ to get an edge on her competition — here’s how the practise works – https://theconversation.com/lioness-lucy-bronze-uses-cycle-syncing-to-get-an-edge-on-her-competition-heres-how-the-practise-works-260153

Source: ForeignAffairs4

Source: The Conversation – UK – By Tom Harper, Lecturer in International Relations, University of East London

As the 14th Dalai Lama celebrates his 90th birthday with thousands of Tibetan Buddhists, there’s already tension over how the next spiritual leader will be selected. Controversially, the Chinese government has suggested it wants more power over who is chosen.

Traditionally, Tibetan leaders and aides seek a young boy who is seen as the chosen reincarnation of the Dalai Lama. It is possible that after they do this, this time Beijing will try to appoint a rival figure.

However, the current Dalai Lama, who lives in exile in India, insists that the process of succession will be led by the Swiss-based Gaden Phodrang Trust, which manages his affairs. He said no one else had authority “to interfere in this matter” and that statement is being seen as a strong signal to China.

---

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

---

Throughout the 20th century, Tibetans struggled to create an independent state, as their homeland was fought over by Russia, the UK and China. In 1951, Tibetan leaders signed a treaty with China allowing a Chinese military presence on their land.

China established the Tibetan Autonomous Region in 1965, in name this means that Tibet is an autonomous region within China, but in effect it is tightly controlled. Tibet has a government in exile, based in India, that still wants Tibet to become an independent state.

This is a continuing source of tension between the two countries. India also claims part of Tibet as its own territory.

Beijing sees having more power over the selection of the Dalai Lama as an opportunity to stamp more authority on Tibet. Tibet’s strategic position and its resources are extremely valuable to China, and play a part in Beijing’s wider plans for regional dominance, and in its aim of pushing back against India, its powerful rival in south Asia.

Tibet provides China with a naturally defensive border with the rest of southern Asia, with its mountainous terrain providing a buffer against India. The brief Sino-Indian war of 1962 when the two countries battled for control of the region, still has implications for India and China today, where they continue to dispute border lands.

As with many powerful nations, China has always been concerned about threats, or rival power bases, within its neighbourhood. This is similar to how the US has used the Monroe Doctrine to ensure its dominance over Latin America, and how Russia seeks to maintain its influence over former Soviet states.

Beijing views western criticism of its control of Tibet as interference in its sphere of influence.

---

Read more:
India and Pakistan tension escalates with suspension of historic water treaty

---

Another source of contention is that Beijing traditionally views boundaries such as the McMahon line defining the China-India border as lacking legitimacy, a border drawn up when China was at its weakest in the 19th century. Known in China as the “century of humiliation”, this was characterised by a series of unequal treaties, which saw the loss of territory to stronger European powers.

This continues to a source of political tensions in China’s border regions including Tibet. This is a controversial part of China’s historical memory and continues to influence its ongoing relationship with the west.

Demand for natural resources

Tibet’s importance to Beijing also comes from its vast water resources. Access to more water is seen as increasingly important for China’s wider push towards self-sufficiency which has become imperative in the face of climate change. This also provides China with a significant geopolitical tool.

For instance, the Mekong River rises in Tibet and flows through China and along the borders of Myanamar and Laos and onward into Thailand and Cambodia. It is the third longest river in Asia, and is crucial for many of the economies of south-east Asia. It is estimated to sustain 60 million people.

China’s attempts to control water supplies, particularly through the building of huge dams in Tibet, has added to regional tensions. Around 50% of the flow to the Mekong was cut off for part of 2021, after a Chinese mega dam was built. This caused a lot of resentment from other countries which depended on the water.

Moves by other nations to control access to regional water supplies in recent years show how water is now becoming a negotiating tool. India attempted to cut off Pakistan’s water supply in 2025 as part of the conflict between the two. Control of Tibet allows China to pursue a similar strategy, which grants Beijing leverage in its dealings with New Delhi, and other governments.

Another natural resource is also a vital part of China’s planning. Tibet’s significant lithium deposits are crucial for Chinese supply chains, particularly for their use in the electric vehicle industry. Beijing is attempting to reduce its reliance on western firms and supplies, in the face of the present trade tensions between the US and China, and Donald Trump’s tariffs on Chinese goods.

Tibet’s value to China is a reflection of wider changes in a world where water is increasingly playing an important role in geopolitics. With its valuable natural resources, China’s desire to control Tibet is not likely to decrease.

Tom Harper does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. China’s interest in the next Dalai Lama is also about control of Tibet’s water supply – https://theconversation.com/chinas-interest-in-the-next-dalai-lama-is-also-about-control-of-tibets-water-supply-255843

Source: ForeignAffairs4

Source: The Conversation – UK – By Mark Horowitz, Visiting Clinical Research Fellow in Psychiatry, UCL

A new review of antidepressant withdrawal effects – written by academics, many of whom have close ties to drug manufacturers – risks underestimating the potential harms to long-term antidepressant users by focusing on short-term, industry-funded studies.

There is growing recognition that stopping antidepressants – especially after long-term use – can cause severe and sometimes debilitating withdrawal symptoms, and it is now acknowledged by the UK government as a public health issue.

One of the main reasons this issue took decades to recognise after the release of modern antidepressants onto the market is because medical guidelines, such as those produced by Nice (England’s National Institute for Health and Care Excellence), had for many years declared withdrawal effects to be “brief and mild”.

This description was based on studies run by drug companies, where people had only taken the medication for eight to 12 weeks. As a result, when patients later showed up with severe, long-lasting symptoms, many doctors didn’t take them seriously because these experiences contradicted what the guidelines led them to expect.

Our recent research helps explain this mismatch. We found a clear link between how long someone takes antidepressants and how likely they are to experience withdrawal symptoms – and how severe these symptoms are.

We surveyed NHS patients and found that people who had used antidepressants for more than two years were ten times more likely to have withdrawal effects, five times more likely for those effects to be severe, and 18 times more likely for them to be long lasting compared with those who had taken the drugs for six months or less.

For patients who used antidepressants for less than six months, withdrawal symptoms were mostly mild and brief. Three-quarters reported no or mild symptoms, most of which lasted less than four weeks.

Only one in four of these patients was unable to stop when they wanted to. However, for long-term users (more than two years), two-thirds reported moderate or severe withdrawal effects, with one-quarter reporting severe withdrawal effects. Almost one-third of long-term users reported symptoms that lasted for more than three months. Four-fifths of these patients were unable to stop their antidepressants despite trying.

About 2 million people on antidepressants in England have been taking them for over five years, according to a BBC investigation. And in the US at least 25 million people have taken antidepressants for more than five years. What happens to people in eight-to-12-week studies is a far cry from what happens to millions of people when they stop.

Studying what happens to people after just eight to 12 weeks on antidepressants is like testing car safety by crashing a vehicle into a wall at 5km/h – ignoring the fact that real drivers are out on the roads doing 60km/h.

History repeating itself?

Against this backdrop, a review has just been published in Jama Psychiatry. Several of the senior authors declare payments from drug companies. In what looks like history repeating itself, the review draws on short-term trials – many funded by the pharmaceutical industry – that were similar to those used to shape early treatment guidelines. The authors conclude that antidepressants do not cause significant withdrawal effects.

Their main analysis is based on eleven trials that compared withdrawal symptoms in people who had stopped antidepressants with those who had continued them or stopped taking a placebo. Six of these trials had people on antidepressants for eight weeks, four for 12 weeks and just one for 26 weeks.

They reported a slightly higher number of withdrawal symptoms in people who had stopped antidepressants, which they say does not constitute a “clinically significant” withdrawal syndrome. They also suggest the symptoms could be explained by the “nocebo effect” – where negative expectations cause people to feel worse.

In our view, the results are likely to greatly underestimate the risk of withdrawal for the millions of people on these drugs for years. The review found no relationship between the duration of use of antidepressants and withdrawal symptoms, but there were too few long-term studies to test this association properly.

The review probably underestimates, in our view, short-term withdrawal effects too by assuming that the fact that people experience withdrawal-like symptoms when stopping a placebo or continuing an antidepressant cancels out withdrawal effects from antidepressants. But this is not a valid assumption.

We know that antidepressant withdrawal effects overlap with side-effects and with everyday symptoms, but this does not mean they are the same thing. People stopping a placebo report symptoms such as dizziness and headache, because these are common occurrences. However, as was shown in another recent review, symptoms following discontinuation of a placebo tend to be milder than those experienced when stopping antidepressants, which can be intense enough to require emergency care.

So deducting the rate of symptoms after stopping a placebo or continuing an antidepressant from antidepressant withdrawal symptoms is likely to underestimate the true extent of withdrawal.

The review also doesn’t include several well-designed drug company studies that found high rates of withdrawal symptoms. For example, an American study found that more than 60% of people who stopped antidepressants (after eleven months) experienced withdrawal symptoms.

The authors suggest that depression after stopping antidepressants is probably a return of the original condition, not withdrawal symptoms, because similar rates of depression were seen in people who stopped taking a placebo. But this conclusion is based on limited and unreliable data (that is, relying on participants in studies to report such events without prompting, rather than assessing them systematically) from just five studies.

We hope uncritical reporting of a review based on the sort of short-term studies that led to under-recognition of withdrawal effects in the first place, does not disrupt the growing acceptance of the problem and slow efforts by the health system to help potentially millions of people who may be severely affected.

The authors and publisher of the new review have been approached for comment.

Mark Horowitz is the author of the Maudsley Deprescribing Guidelines which outlines how to safely stop antidepressants, benzodiazepines, gabapentinoids and z-drugs, for which he receives royalties. He is co-applicant on the RELEASE and RELEASE+ trials in Australia funded by the NHMRC and MRFF examining hyperbolic tapering of antidepressants. He is co-founder and consultant to Outro Health, a digital clinic which helps people to safely stop no longer needed antidepressants in the US. He is a member of the Critical Psychiatry Network, an informal group of psychiatrists.

Joanna Moncrieff was a co-applicant on a study of antidepressant discontinuation funded by the UK’s National Institute for Health Research. She is co-applicant on the RELEASE and RELEASE+ trials in Australia funded by the NHMRC and MRFF examining hyperbolic tapering of antidepressants. She receives modest royalties for books about psychiatric drugs. She is co-chair person of the Critical Psychiatry Network, an informal group of psychiatrists.

– ref. Antidepressant withdrawal: new review downplays symptoms but misses the mark for long-term use – https://theconversation.com/antidepressant-withdrawal-new-review-downplays-symptoms-but-misses-the-mark-for-long-term-use-260708

Source: ForeignAffairs4

Source: The Conversation – UK – By Andrea Taylor, Associate Professor in Risk Communication, University of Leeds

The UK Met Office has given storms forenames for the past decade as part of an effort to raise public awareness of extreme weather before it strikes. Heatwaves are becoming increasingly frequent and severe due to greenhouse gas emissions, predominantly from burning fossil fuel, which are raising global temperatures by trapping more heat in Earth’s atmosphere.

These extreme heat events aren’t named in the UK. Should that change?

Effective communication strategies are necessary to make people aware of upcoming heatwaves and help them understand how to reduce their risk. Spain started naming them in 2023, with Heatwave Zoe. Italy has a longstanding but unofficial tradition of naming heatwaves according to mythology and classical history.

The results include Lucifero (Lucifer, another name for the devil) and Cerbero (Cerberus, the three-headed dog that guards the underworld in Greek myth), popularised by the private weather service il Meteo (ilmeteo.it).

Severe heatwaves in summer 2023 and 2024 prompted a campaign to name heatwaves after fossil fuel companies, to increase awareness of their role in climate change.

However, there is limited evidence to indicate whether this would be effective in encouraging people to take proper safety precautions during heatwaves, such as staying in the shade between 11am and 3pm, closing the curtains of sun-facing windows during the day and making sure to have enough water if travelling and looking out for those who may struggle to keep themselves cool and hydrated, such as elderly people living alone.

To explore how effective naming heatwaves might be, my research team conducted online experiments with 2,152 people in England and 1,981 people in Italy.

Lucifer is scarier than Arnold

Participants were asked to imagine that next summer, they were to receive a warning that a heatwave was about to affect their country. Participants were randomly assigned information about an event that was was either unnamed, given a threatening name (Lucifer/Lucifero), or a more neutral name (Arnold).

Then they were asked how much of a risk they though that the event would pose and the actions they would anticipate taking. English participants were also asked about their thoughts on storm-naming practices in the UK and whether they felt that this should be extended to heatwaves.

We found that naming a heatwave had no effect on the intention of people to take protective measures against it in either country. In Italy, there was no difference between how people perceived the unnamed heatwave and Lucifero, but Arnold was judged to be slightly less concerning and severe.

This suggests that, while naming a heatwave does not increase concern, departing from Italy’s established convention of using threatening names does reduce it slightly.

Our participants in England rated Lucifer as more severe and concerning than an unnamed heatwave, though not by much. When asked about their thoughts on naming weather events more broadly, English participants tended to agree that naming storms made people more likely to engage with weather warnings, but only a minority were in favour of naming heatwaves. Overall we found that, while some people were generally supportive of naming weather events, others worried it could sensationalise them.

It probably won’t help much

We did not find enough evidence to support naming heatwaves in the UK.

Despite a large sample, we found only a very small effect on perceived risk and did not detect any greater intention to take safety precautions for a named heatwave. We also found that responses differed between England and Italy.

Heatwaves can cross national borders. The fact that there are national differences in how people respond to naming them could lead to unintended differences in how people interpret the risk in different places.

And unlike storms, which usually take place over a single day with a clearer start and end, heatwaves can last from days to weeks – it’s not always clear whether a prolonged hot spell is one heatwave or a series of them, which could lead to confusion if named.

Heatwaves are an opportunity to discuss the risks posed by climate change. But naming heatwaves risks coming across as sensationalist to some members of the public. This might have the opposite effect, and make people less likely to heed safety messaging about severe heat.

---

Don’t have time to read about climate change as much as you’d like?

Get a weekly roundup in your inbox instead. Every Wednesday, The Conversation’s environment editor writes Imagine, a short email that goes a little deeper into just one climate issue. Join the 45,000+ readers who’ve subscribed so far.

---

Andrea Taylor receives funding from The Lloyds Register Foundation, UKRI and Horizon Europe.

– ref. Should the UK name heatwaves like storms? It won’t make people take them more seriously – https://theconversation.com/should-the-uk-name-heatwaves-like-storms-it-wont-make-people-take-them-more-seriously-260635

Source: ForeignAffairs4

Source: The Conversation – UK – By Stephanie Brown, Lecturer in Criminology, University of Hull

As I scrolled through social media on a hot afternoon in late June, a meme caught my attention. A black and white photo. A smiling young woman with water up to her knees. She appeared to be in a fountain, with many others dipping their legs in the water.

The caption read “On this day in 1976, the British heatwave started. It would last until the 27th August, during which time Britain would experience extreme temperatures and widespread droughts. And we all had a wonderful summer and survived.”

This immediately struck me: it was a boiling hot day. As I sat at my office desk keeping hydrated with a fan pointed directly at my face, I felt the rage burning inside me. How could people be so irresponsible? Heat can be dangerous. But the implication of the meme was clear: if people managed back then, surely today’s warnings about heatwaves, climate change, and public health are exaggerated. These rose-tinted memories obscure a darker truth.

I am a historical criminologist. This meme had the rare effect of deeply troubling both of my areas of expertise.

As a historian, this meme concerns me because it perpetuates the myth of the “good old days”. A selective, nostalgic vision of the past that smooths over complexity and hardship in favour of a comforting, idealised narrative. Flattening history into feelgood folklore, erasing the social inequalities and governmental failures.

It echoes a broader cultural tendency: from “Make America great again” to the “Blitz spirit”, representing Britain’s nostalgia for wartime resilience, a romanticised past is often used by politicians to legitimise political ideas in the present. But history is not a comfort blanket. It is a critical tool.

My work explores how institutions respond to crisis and how narratives of success or failure are constructed. In 1976, advice for dealing with the water shortage was to share a bath with the wife and drive a dirty car. Areas without domestic tap water had to use communal street pipes.

The government did not appoint a minister for drought until the end of August, despite mounting evidence from meteorologists and public health officials. Emergency measures were piecemeal and unevenly applied.

---

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

---

The suggestion that “we all had a wonderful summer and survived” is misleading. It was reported that “200 people a day were apparently dying who would not have died if the weather had been normal”. During the peak of the heatwave, deaths increased by 28% in the southeast England and 33% in Greater London.

As a criminologist, I know that it is not only natural deaths that can increase during a hot weather. The number of violent deaths also increased in 1976 as well as in other heatwaves. Thermic law is the concept that violent crime is higher in hotter seasons. These patterns might be explained by temperature-aggression theory: that hot weather can cause an increase in aggressive behaviours.

For other criminologists, it is not the temperature itself that causes increased violence, but how people’s behaviour changes due to the heat. For example, people are taking time off work or school, socialising, and drinking. Unstructured time and spaces, combined with alcohol and a holiday feel all lead to increases in violence.

Misrepresenting risk

By sentimentalising the summer of 1976, we strip away its lessons. Worse, we risk repeating its mistakes. One Conservative MP described people concerned about the 2022 heatwave as “snowflakes” and “cowards”. Quite an odd response after the British public was asked to “protect the NHS” during the COVID-19 pandemic.

This protection apparently did not extend to looking after each other in a heatwave. In fact, heatwaves are largely an invisible risk. We are told not to fuss, but there is often little communication on how to keep safe.

A lack of policy and examples of political scepticism connect with a key theme in the comments under that meme: climate change denial. If we had a heatwave in 1976 then what we are experiencing now is nothing new, right? Wrong.

The heatwave in 1976 was bad: thousands died, fires raged, and water ran dry. But it was also an anomaly; a hot summer in a relatively cool decade. Heatwaves are now more frequent, more intense and longer lasting. Temperatures reached over 40°C in 2022, while the maximum in 1976 was 4°C-5°C cooler.

Still, each time a weather warning is issued, it is met with a wave of derision. There is the same online discourse as is expressed in this meme. This attitude is not just flippant, it is dangerous. It undermines vital public messaging, discourages precautionary action, and fuels complacency among those least at risk, while leaving the most vulnerable even more exposed.

History can offer crucial perspective. But only if we treat it honestly. That means moving beyond memeified memories of the past and reckoning with the complexity of what really happened. It means challenging the stories we tell ourselves. Many did live through the 1976 heatwave. But many also died: quietly, invisibly and avoidably. Their stories are not part of the nostalgia. They should be.

---

Don’t have time to read about climate change as much as you’d like?

Get a weekly roundup in your inbox instead. Every Wednesday, The Conversation’s environment editor writes Imagine, a short email that goes a little deeper into just one climate issue. Join the 45,000+ readers who’ve subscribed so far.

---

Stephanie Brown does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. The dangers of romanticising Britain’s 1976 heatwave – https://theconversation.com/the-dangers-of-romanticising-britains-1976-heatwave-260046

Source: ForeignAffairs4

Source: The Conversation – UK – By Natalie Hodgson, Assistant Professor in Law, University of Nottingham

The right to trial by jury is a fundamental part of the criminal justice system in England and Wales. But under new proposals to address a record backlog of almost 77,000 Crown Court cases, some cases could now be heard by judge alone.

Sir Brian Leveson has delivered part one of his independent review of the criminal courts, making 45 recommendations to address delays in the criminal justice process. One of his recommendations is that serious offences could be tried by a judge alone without a jury. Our evidence to the review explored how judge-alone trials have been used in other countries.

Currently, a person can only be tried without a jury at Crown Court if there is a risk of jury tampering. Under Leveson’s proposal, judge-alone trials will be expanded to cases where a defendant requests to be tried without a jury, serious and complex fraud offences and where the case is likely to be lengthy or particularly complex.

To understand how this might work, we can to look to other countries where judge-alone trials are used. Australia, Canada, New Zealand and the US all permit judge-alone trials in circumstances similar to what Leveson is recommending. A defendant can choose to be tried by a judge instead of a jury in certain circumstances.

Defendants tend to express a preference for trial by judge alone if they are concerned that prejudicial media coverage or the nature of the offences might bias jurors against them. Leveson recommends that judges should decide whether a defendant’s request for a judge-alone trial should be granted, but stops short of identifying the factors that a judge should consider.

Leveson leaves open the question of whether judge-alone trials should be available for all offences, or whether certain offences should be exempt. Some countries limit which offences can be heard without a jury. For example, in the Australian Capital Territory, a defendant cannot request a trial without a jury for murder or certain sexual offences.

In New South Wales, judges are advised against permitting a judge-alone trial when the offence involves consideration of “community standards”. This recognises that members of the community have an important role to play in deciding whether a defendant has acted “reasonably”, “negligently” or “dishonestly”. For example, if a person is charged with manslaughter the jury may need to consider whether the defendant’s actions were “unreasonable”, which is best determined by members of the community.

Are judge-alone trials unfair to defendants?

Lawyers often raise concerns about judge-alone trials being unfair to defendants. Based on what we know from other countries, there is no strong evidence that this is the case. However, that is not to say that concerns about unfairness are unwarranted.

If judges convict at higher rates than juries, that might suggest that judge-alone trials are unfair. However, the best available study, conducted in New South Wales, found that judges were actually slightly less likely than juries to find a defendant guilty.

Juries do not explain their verdicts. In all countries which use judge-alone trials, judges must give reasons for their decisions. Knowing why a defendant was found guilty might make trials even more fair, providing a basis for an appeal against conviction if an error was made.

One key issue with judge-alone trials is inadmissible evidence. Ordinarily, jurors are sent out of the courtroom while the judge and lawyers make decisions about what evidence the jury is allowed to hear. Evidence might be excluded because it is irrelevant, prejudicial or was collected in breach of the defendant’s rights. In these scenarios, the jury is never made aware of the evidence.

However, in a judge-alone trial, the judge sees all the evidence, even if they decide that some of it should not be used. There is a risk that judges might be subconsciously impacted by inadmissible evidence in reaching their verdict.

Judge-alone trials also raise issues about diversity of decision-makers. In England and Wales, only 11% of judges are from an ethnic minority background compared to 18% of the population. Ideally, juries contain people from a range of backgrounds. Some defendants might feel more confident that they will be tried fairly by a jury than a judge.

Ultimately, one way to safeguard against concerns about unfairness is to give defendants the ability to choose whether or not they would like to be tried by a judge alone. Leveson’s recommendations suggest that most judge-alone trials would occur at the request of the defendant. However, judge-alone trials could be ordered against the defendant’s wishes in cases involving fraud or that are long and complex.

Juries play an important role in the legal system in England and Wales. Through jury service, members of the community contribute to the administration of justice. The inclusion of a range of viewpoints and experiences in determining criminal verdicts enhances the legitimacy of the justice system.

It is important that we continue to have juries in criminal trials. However, that is not to say that judge-alone trials cannot or should not play a role. The current backlog means that victims and defendants are having to wait years for their day in court. We desperately need to address this, and allowing defendants to elect a judge-alone trial may help to reduce delays to justice.

While judge-alone trials are not inherently unfair, any rollout in England and Wales should be closely monitored and evaluated. It is important that we do not sacrifice fairness for efficiency as we work to address the issues affecting our justice system.

The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

– ref. Could England and Wales introduce jury-free trials? Here’s how they work in other countries – https://theconversation.com/could-england-and-wales-introduce-jury-free-trials-heres-how-they-work-in-other-countries-259489

Source: ForeignAffairs4

Source: The Conversation – UK – By Christian Heiss, Professor of Cardiovascular Medicine, Head of Department of Clinical and Experimental Medicine, University of Surrey

We’re constantly told to “eat healthy” – but what does that actually mean? Even doctors sometimes struggle to offer clear, practical advice on which specific foods support health, why they work and what real benefits people can expect.

A growing body of research is starting to offer some answers. Along with colleagues, I have researched whether a group of plant compounds called flavan-3-ols could help lower blood pressure and improve blood vessel function. The results suggest these everyday compounds may have real potential for protecting heart health.

Flavan-3-ols – sometimes called flavanols or catechins – are natural plant compounds that belong to the flavonoid family. They’re part of what gives plants their colour and helps protect them from sunlight and pests.

For us, they show up in some of our most familiar foods: cocoa, green and black tea, grapes, apples and even some berries. That slightly tart or bitter note you taste in dark chocolate or strong tea? That’s flavan-3-ols at work.

Scientists have long been interested in their health effects. In 2022, the Cosmos trial (Cocoa Supplement and Multivitamin Outcomes Study), which followed over 21,000 people, found that cocoa flavanols, but not multivitamin supplements, reduced deaths from cardiovascular disease by 27%. Our study set out to dig even deeper, focusing specifically on their effects on blood pressure and endothelial function (how well blood vessels dilate and respond to blood flow).

---

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

---

We analysed data from 145 randomised controlled trials involving more than 5,200 participants. These studies tested a range of flavan-3-ol-rich foods and supplements, including cocoa, tea, grapes, apples and isolated compounds like epicatechin, and measured their effects on two key cardiovascular markers: blood pressure and flow-mediated dilation (FMD): a measure of how well the inner lining of blood vessels functions.

The studies ranged from short-term (a single dose) to longer-term interventions lasting weeks or months. On average, participants consumed about 586 mg of flavan-3-ols daily; roughly the amount found in two to three cups of tea, one to two servings of dark chocolate, two tablespoons of cocoa powder, or a couple of apples.

Regular consumption of flavan-3-ols led to an average drop in office blood pressure of 2.8 mmHg systolic (the top number) and 2.0 mmHg diastolic (the bottom number).

But for people who started with elevated blood pressure or diagnosed hypertension, the benefits were even greater with reductions of up to 6–7 mmHg systolic and 4 mmHg diastolic. That’s comparable to the effects of some prescription blood pressure medications and could significantly lower the risk of heart attacks and strokes.

We also found that flavan-3-ols improved endothelial function, with an average 1.7% increase in FMD after sustained intake. This benefit appeared even in participants whose blood pressure was already normal, suggesting these compounds may help protect blood vessels through multiple pathways.

Side effects were uncommon and typically mild, usually limited to minor digestive issues, suggesting that adding flavan-3-ol-rich foods to your diet is generally safe.

Supporting cardiovascular health

While the benefits were most pronounced in those with high blood pressure, even people with normal readings saw improvements in vascular function. This suggests flavan-3-ols may help prevent cardiovascular problems before they begin.

High blood pressure is one of the major drivers of heart disease worldwide, even at levels that don’t qualify as full-blown hypertension (140/90 mmHg or higher). Recent guidelines from the European Society of Cardiology now recognise that even “elevated” blood pressure (120–139 systolic and 70–89 diastolic) carries increased risk.

Lifestyle changes, particularly diet and exercise, are recommended by doctors as first-line strategies. But patients and even healthcare providers often lack clear, specific guidance on which foods truly make a difference. Our findings help fill this gap by showing that boosting flavan-3-ol intake through everyday foods may offer a simple, evidence-based way to support cardiovascular health.

What about supplements?

Some studies tested supplements or isolated flavan-3-ol compounds, but these generally showed smaller effects than whole foods like tea or cocoa. This may be because other beneficial compounds in whole foods work together, enhancing absorption and effectiveness.

At present, it appears both safer and more effective to focus on getting flavan-3-ols from foods rather than high-dose supplements, especially for people taking medications, since interactions are not fully understood.

The studies we reviewed suggest that 500–600 mg of flavan-3-ols daily may be enough to see benefits. You could reach this by combining two to three cups of green or black tea, one to two servings (about 56g) of dark chocolate or two to three tablespoons of cocoa powder, two to three apples, plus other flavan-3-ol-rich fruits like grapes, pears and berries

Small daily swaps, then, like trading a sugary snack for an apple and a piece of dark chocolate or adding an extra cup of tea, could gradually improve your heart health over time. Because flavan-3-ol content can vary between foods, monitoring your blood pressure at home may help you see if it’s making a difference for you.

More research is needed, particularly in people with diabetes, where the results were less consistent. We also need to better understand how flavan-3-ols interact with medications and whether even greater benefits can be achieved when combined with other healthy habits.

But the evidence is now strong enough to recommend flavan-3-ol-rich foods as part of a heart-healthy diet. As clinicians seek practical, affordable lifestyle strategies for patients, these findings bring us closer to the idea of using food as medicine.

Of course, flavan-3-ols aren’t a magic fix. They won’t replace medication for everyone. But combined with other healthy habits, they may offer a meaningful – and delicious – boost to cardiovascular health. And unlike many health fads, this isn’t about exotic superfoods or expensive powders. It’s about foods many of us already enjoy, used a little more intentionally.

Christian Heiss has received funding from Lipton Teas & Infusions, Ageless Science, iThera, the Medical Research Council, the EPSRC, European Partnership on Metrology, co-financed from European Union’s Horizon Europe Research and Innovation Programme and UK Research and Innovation. He is member of the board of the European Society of Vascular Medicine, president of the Vascular, Lipid and Metabolic Medicine Council of the Royal Society of Medicine, and chairperson-elect of the ESC WG Aorta and Peripheral Vascular Diseases.

– ref. How tea, chocolate and apples could help lower your blood pressure – https://theconversation.com/how-tea-chocolate-and-apples-could-help-lower-your-blood-pressure-256631

Source: ForeignAffairs4

Source: The Conversation – UK – By Louise Taylor, Early Career Researcher and Ecotherapist, Queen’s University Belfast

There’s a popular quote by the 13th-century poet and spiritual teacher Rumi: “The cure for the pain is in the pain.” This line often echoes through my mind when I’m working with clients, especially those experiencing ecological grief and climate anxiety.

As an ecotherapist – a therapist guided by nature and nature-based therapeutic approaches – and environmental researcher, I work with people who are navigating the emotional weight of ecological breakdown.

Ecotherapy helps people reconnect with the natural world as a way to support mental and emotional wellbeing. It might involve walking in green spaces, mindfulness practices in nature, working with natural materials, or nature-based rituals.

Whether it’s planting a garden, sitting under a tree, or engaging in conservation efforts, ecotherapy helps people feel more grounded, more connected and more resilient both emotionally and spiritually.

---

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

---

In my practice, I’ve noticed that younger people are more likely to experience climate anxiety, while older generations tend to experience ecological grief. The difference is subtle but important. Anxiety often relates to what lies ahead and a sense of powerlessness. Grief is about what has already been lost.

This emotional divide makes sense when we consider what has happened to the natural world over recent decades. Older adults have witnessed the loss of species, habitats and biodiversity in real time. Many have rich memories and relationships with landscapes that no longer exist as they once did. Meanwhile, younger generations face the terrifying uncertainty of a rapidly changing climate and an increasingly unstable future.

Both grief and anxiety are valid, but they are not the same.

I have explored these experiences in depth while researching nature connection, mental health and how the climate and ecological crisis is reshaping this relationship.

At the outset, I assumed that greater connection with nature would always lead to improved mental wellbeing. But that wasn’t the full picture.

What I found instead was that deepening our connection with the natural world can indeed foster healing, but it can also sharpen our awareness of the damage being done. This heightened sensitivity can trigger emotional pain, despair and even a decline in mental wellbeing.

Swiss psychiatrist and psychotherapist Carl Jung once said, “There is no coming to consciousness without pain.” That’s exactly what climate-anxious and ecologically grieving people are expressing: the deep psychological toll of recognising the scale of the crisis we’re facing. For some, it affects their ability to function, to enjoy their lives and to maintain relationships.

How to stay well

The question I kept returning to in my work was this: how do we stay well in a time of collapse? My research pointed to one consistent answer: action.

Engaging in pro-environmental actions emerged as the most effective way people coped with emotional strain. These weren’t merely acts of activism — they became spiritual practices, grounded in care, connection and meaning. Through these actions, people began to reclaim a sense of power and purpose in the face of overwhelming ecological loss.

For many, this was also a path back to what eco-philosophers call the ecological self: the part of us that extends beyond the individual and identifies with the living world.

This self isn’t driven by ego or personal gain, but by the impulse to build relationships, nurture communities and support the flourishing of all life. It represents an expanded way of being; one that understands health and healing as collective, not just personal.

Importantly, these actions don’t have to be large-scale. They might involve growing your own herbs or vegetables, for instance, or joining a local conservation effort, forming a community group to protect waterways or green spaces, or participating in climate strikes and land defence work. What matters is that the action is relational: rooted in reciprocity and care.

The conclusion of my research was clear: in the face of ecological distress, mental wellbeing is sustained not by thoughts, but by meaningful action.

Healing through action

In Northern Ireland, where I live and work, I’ve seen a growing grassroots environmental movement. Communities are stepping up to protect landscapes under threat, from campaigns to defend the Sperrin Mountains from gold mining, to local resistance against the pollution that’s devastating Lough Neagh, the largest freshwater lake in Ireland and the UK.

This is unpaid, often invisible labour, but it’s powerful. It gives people a way to process their emotions, to feel less helpless and to turn grief into agency.

Many environmentalists talk about “saving the planet”. But the truth is, the Earth will go on. What’s under threat is us: our ways of life, our communities, our ability to thrive. The dread we feel is rooted in the enormity of this realisation.

To stay well while caring deeply about the Earth means learning to live with this pain, and still choosing to act. It requires us to show up, to be present and to tend to both the human and non-human world with care and reciprocity. As we do, we become more empowered and less overwhelmed.

If you are struggling with climate anxiety or ecological grief, know this: the goal isn’t to suppress your feelings. The goal is to acknowledge them, and then use them as fuel for meaningful action.

Don’t underestimate small acts. The way forward isn’t to wait for hope: it’s to create it through connection, courage and commitment.

In a time of ecological uncertainty, wellness doesn’t come from thinking differently. It comes from doing differently.

Louise Taylor does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Action is the antidote to ecological grief and climate anxiety – an ecotherapist explains – https://theconversation.com/action-is-the-antidote-to-ecological-grief-and-climate-anxiety-an-ecotherapist-explains-260428

Source: ForeignAffairs4

Source: The Conversation – UK – By Lucie Nield, Senior Lecturer in Nutrition and Dietetics, University of Sheffield

For years, people living with obesity have been given the same basic advice: eat less, move more. But while this mantra may sound simple, it’s not only ineffective for many, it can be deeply misleading and damaging.

Obesity is not just about willpower. It’s a complex, chronic, relapsing condition and affects around 26.5% of adults in England, and 22.1% of children aged ten–11 in England.

A new report estimates the rapidly growing number of people that are overweight or obese costs the UK £126 billion a year. This includes £71.4 billion in reduced quality of life and early mortality, £12.6 billion in NHS treatment costs, £12.1 billion from unemployment and £10.5 billion in informal care.

Food campaigners and health experts have called for urgent government action, including expanding the sugar tax to more products, restricting junk food advertising and mandating reformulation of ultra processed foods. As Henry Dimbleby, author of a government-commissioned independent report called the National Food Strategy, warned: “We’ve created a food system that’s poisoning our population and bankrupting the state.”

---

Get your news from actual experts, straight to your inbox. Sign up to our daily newsletter to receive all The Conversation UK’s latest coverage of news and research, from politics and business to the arts and sciences.

---

Without significant policy change, these costs are projected to rise to £150 billion a year by 2035. Despite this, much of the UK’s approach continues to frame obesity as a lifestyle issue that can be tackled by emphasising personal responsibility. But this framing ignores the bigger picture.

We now understand that obesity is multifactorial. Genetics, childhood experiences, cultural norms, economic disadvantage, psychological health, mental illness and even the kind of job you have all play a role. These aren’t things you can simply change with a Fitbit and salad.

This broader perspective isn’t new. In 2007, the UK government’s Foresight report mapped out the complex web of factors behind rising obesity rates, describing how modern environments actively promote weight gain.

This “obesogenic environment” refers to the world we live in. Its one where high-calorie, low-nutrient foods are cheap and everywhere, and where physical activity has been engineered out of everyday life, from car-centric cities to screen-dominated leisure time.

These environments don’t affect everyone equally. People in more deprived areas are significantly more exposed to conditions that drive obesity, such as food deserts (areas with limited access to affordable, nutritious food), poor public transport and limited green space. In this context, weight gain becomes a normal biological response to an abnormal environment.

Why “eat less, move more” falls short

Despite growing awareness of these systemic issues, most UK obesity strategies still centre on individual behaviour change, often through weight management programmes that encourage people to cut calories and exercise more. While behaviour change has a place, focusing on it exclusively creates a dangerous narrative: that people who struggle with their weight are simply lazy or lack willpower.

This narrative fuels weight stigma, which can be incredibly harmful. Yet data shows a clear link between higher rates of obesity and deprivation, especially among children.

It’s clear many people still don’t understand the role of structural and socioeconomic factors in shaping obesity risk. And this misunderstanding leads to judgement, shame and stigma, especially for children and families who are already vulnerable.

What should good obesity care look like?

Instead of outdated advice and blame, we need a holistic, stigma-free and science-informed approach to obesity care, one that reflects current Nice guidelines and the Obesity Health Alliance’s recommendations. There are several things that need to be done.

First, we should recognise obesity as a chronic disease. Obesity is not a failure of willpower. It’s a relapsing, long-term medical condition. Like diabetes or depression, it requires structured, ongoing support, not short-term fixes or crash diets.

Second, we need to tackle weight stigma head-on. Weight-based discrimination is widespread in schools, workplaces and even healthcare settings. We need training for professionals to reduce bias, promote inclusive care and adopt person-centred, non-stigmatising language. Discriminatory practices must be challenged and eliminated.

Third, deliver personalised, multidimensional support. Treatment plans should be tailored to each person’s life, including their cultural background, psychological history and social context. This includes shared decision-making, regular follow-up and integrated mental health support.

And fourth, focus on changing the environment, not just people. We must shift the focus to the systems and structures that make healthy choices so hard. That means investing in affordable, nutritious food; improving access to physical activity; and tackling inequality at its roots.

Time for a systemic shift

Obesity isn’t just about what people eat or how often they exercise. It’s shaped by biology, experience and the environment we build around people. Framing it as a personal failure not only ignores decades of evidence – it actively harms the very people who need support.

If we want to reduce stigma, improve health outcomes – and avoid a £150bn crisis – then the “eat less, move more” era must come to an end. What we need instead is a bold, compassionate, evidence-based systems approach – one that sees the whole person and the world they live in.

Lucie Nield receives funding from NIHR.

Catherine Homer receives funding from NIHR. She is affiliated with Royal Society of Public Health.

– ref. Obesity care: why “eat less, move more” advice is failing – https://theconversation.com/obesity-care-why-eat-less-move-more-advice-is-failing-254628

Source: ForeignAffairs4

Source: The Conversation – Global Perspectives – By Alix Mellor, Research Fellow, Psychology, Monash University

Hundreds of years ago, it was common for married couples among the European upper classes to have separate bedrooms. Sleeping separately was a symbol of luxury and status historically reserved for royalty and the very wealthy.

Nowadays, it’s common for married couples and other couples in relationships to sleep in the same bed. But sometimes – for reasons from conflicting schedules to snoring to sleep talking – couples might choose to sleep separately in pursuit of a better night’s sleep.

This is known as “sleep divorce”. Though I prefer the term “sleep separation”, as this doesn’t have to be a permanent arrangement – but more on that later.

So why might couples choose to sleep separately? And what does the evidence say about the effects on sleep quality if you sleep alone versus with a partner?

Why do couples opt for a sleep separation?

Couples may choose to sleep apart if one partner’s sleep is disturbing the other’s, or both are disrupting one another. This can happen for a variety of reasons.

These include waking up frequently in the night, mismatched body clocks (for example, one person coming to bed later than the other), conflicting schedules (for example, shift workers), snoring, twitching legs or sleep talking.

Parents with babies and young children may choose to sleep separately to avoid both partners’ sleep being disturbed.

Those with conflicting preferences for sleeping environments, such as one partner liking a cool room with a fan and the other preferring warmth, may also decide to sleep apart.

What are the benefits of sleeping alone?

Many couples say they prefer to sleep – and sleep better – next to their partner.

But when scientists measure sleep objectively, such as via an electroencephalogram (EEG) to assess brain waves, the data actually shows poorer sleep quality when co-sleeping. So sleeping alone may, in fact, mean better quality and longer sleep.

Research also shows when one member of the couple has a sleep disorder, such as insomnia or sleep apnoea (where breathing is frequently interrupted during sleep), these people often inadvertently wake up their partner when they wake in the night. So sleeping alone could be a good idea if your bed partner has a sleep disorder.

What’s more, studies have found sleep disturbances are linked to reduced relationship satisfaction. So sleeping apart could actually mean happier couples.

Finally, anyone who has struggled with their sleep will know anxiety around sleep is common. Many clients I have seen who experience insomnia report sleeping alone can alleviate some of their anxiety because at least they know they won’t disturb, or be disturbed by, their partner.

Are there any downsides to separate sleeping arrangements?

Some people dislike sleeping alone, reporting comfort, and feelings of safety and protection when sleeping alongside their partner – and loneliness when they don’t.

Sleeping separately also requires two rooms, or at least two beds. Many couples may not have these options available to them in their home.

Sleeping separately is often stigmatised, with some people seeing it as the death of a couple’s sex life. But while sleeping in separate beds may provide fewer opportunities for sex, this doesn’t necessarily mean the end of intimacy.

Sleeping apart could mean some couples actually have more sex. We know better sleep is linked to more positive feelings about relationships, so it’s possible the desire to be intimate could increase after a good night’s sleep in separate beds. Sleeping apart may even mean some couples have more energy to be intimate.

Nonetheless, if you choose to sleep separately from your partner, it’s important to have an open discussion and prioritise opportunities for connection and intimacy. One client I worked with referred to “visiting rights” where her partner came into her bed for a short period before sleep or in the morning.

Who should potentially consider a sleep separation?

You may wish to think about a “sleep separation” if you are disturbing each other’s sleep, have young children, or have different preferences in terms of temperature, light and noise, which are causing issues.

Ultimately, if sleeping in the same bed is leading to poor sleep then sleeping apart, if it’s possible, could help.

If you can’t sleep separately there may be other ways to reduce disturbance from a partner such as using an eye mask, white noise or earplugs.

If you decide to try a sleep separation, remember this can be a flexible arrangement or “re-set” and doesn’t have to be permanent, or every night. Some couples find sleeping separately during the working week but sharing a bed on the weekend works well for them.

Lastly, it’s important to talk to your GP about any persistent sleep problems, such as snoring, insomnia, or unusual behaviour during sleep (for example, shouting or walking around), as there may be an underlying sleep disorder which needs treating.

Alix Mellor works for the Monash University Healthy Sleep Clinic at the Turner Clinics as a provisional psychologist.

– ref. Sleep divorce: could sleeping separately from your partner lead to a better night’s rest? – https://theconversation.com/sleep-divorce-could-sleeping-separately-from-your-partner-lead-to-a-better-nights-rest-258085

Source: ForeignAffairs4

Source: The Conversation – Global Perspectives – By Victoria Barclay-Timmis, Adjunct Lecturer in Psychology, University of Southern Queensland

Imagine your friend hasn’t replied to a message in a few hours. Most people might think, “they are probably just busy”.

But someone with attention-deficit hyperactivity disorder (ADHD) might spiral into a flood of thoughts like, “they must hate me!” or “I’ve ruined the friendship!”

These intense emotional reactions to real or imagined rejection are part of what’s called rejection sensitive dysphoria.

The term isn’t a formal diagnosis, but it’s gaining traction in both research and clinical work, especially among adults seeking to understand themselves better.

So, what is rejection sensitive dysphoria, how does it relate to ADHD, and how can we handle it with more compassion?

It’s more than just disliking criticism

Everyone feels hurt when they’re criticised or left out. But rejection sensitivity dysphoria isn’t just about “not liking” feedback. The word dysphoria refers to intense emotional distress.

People with rejection sensitivity dysphoria describe overwhelming reactions to perceived rejection, even if no one actually said or did anything cruel.

A passing comment such as “I thought you were going to do it this way” can trigger feelings of shame, embarrassment or self-doubt.

The emotional pain often feels immediate and consuming, leading some people to withdraw, over-apologise or lash out to protect themselves.

The ADHD brain and emotional hypersensitivity

ADHD is often associated with attention or impulsivity, but one major (and often overlooked) component is emotional dysregulation: difficulty managing and recovering from strong emotional responses.

This isn’t a character flaw; it’s a neurological difference. Brain imaging studies show people with ADHD tend to have differences in how their amygdala (the brain’s emotional alarm system) and prefrontal cortex (which regulates impulses and emotions) work together.

The result? Emotional experiences hit harder and take longer to settle.

A 2018 study highlights this imbalance in emotional control circuits in people with ADHD, explaining why intense feelings can seem to “take over” before logical thinking kicks in.

What does the research say?

Recent research from 2024 reports a strong link between ADHD symptoms and rejection sensitivity. It found students with higher ADHD symptom levels also reported significantly more rejection sensitivity, including a heightened fear of being negatively evaluated or criticised.

Further evidence comes from a 2018 study which showed adolescents with ADHD symptoms were far more sensitive to peer feedback than their peers. Their brain activity revealed they were more emotionally reactive to both praise and criticism, suggesting they may perceive neutral social cues as emotionally charged.

This reflects what I see daily in my clinic. One 13-year-old boy I work with is creative, empathetic and full of potential, yet social anxiety tied to a deep fear of rejection often holds him back. He once told me, “if I say no, they won’t like me anymore”. That fear drives him to go along with things he later regrets, simply to keep the peace and avoid losing connection.

This constant social hypervigilance is mentally draining. Without support, it can spiral into shame, low confidence and ongoing mental health struggles.

---

Read more:
Parents are increasingly saying their child is ‘dysregulated’. What does that actually mean?

---

Adults with ADHD aren’t immune either. A 2022 study explored how adults with ADHD experience criticism and found many linked it to persistent feelings of failure, low self-worth and emotional reactivity – even when the criticism was constructive or mild.

One client I support – a high-achieving professional diagnosed in her 50s – described learning about rejection sensitive dysphoria as “finding the missing piece of the puzzle”.

Despite consistently excelling in every role, she had long felt anxious about how she was perceived by colleagues. When she received a minor, formal complaint at work, she spiralled into intense self-doubt and shame.

Instead of brushing it off, she thought: “I’m too much”. This belief
had been silently reinforced for years by her emotional sensitivity to feedback.

What helps?

If you experience rejection sensitivity dysphoria, you’re not alone, and you’re not broken.

Here are some tools that may help:

• name it. Saying to yourself, “This feels like rejection sensitivity,” can give you distance from the emotional flood

• pause before reacting. Taking slow breaths, counting backwards, or stepping outside are simple grounding strategies that help calm the body’s stress response and restore balance to your nervous system. Research shows slowing your breath and grounding your senses can help shift your body out of fight-or-flight mode, supporting clearer thinking and emotional regulation

• challenge the story. Ask yourself, “What else could be true?” or “How would I speak to a friend feeling this way?”

• consider therapy. Working with a psychologist who understands ADHD and rejection sensitivity dysphoria can help untangle these reactions and develop healthy, self-compassionate responses. The Australian Psychological Society has a Find a Psychologist service: you can search by location, areas of expertise (such as anxiety, ADHD, trauma) and the type of therapy you’re interested in

• start early with kids. Helping children with ADHD learn emotional language, boundary-setting and resilience can prevent rejection sensitivity from becoming overwhelming. For parents, resources such as Raising Children Network and books like The Whole-Brain Child by Daniel Siegel and Tina Payne Bryson offer practical ways to teach these skills at home

• communicate gently. If you work or live with someone who has ADHD, try to give feedback clearly and kindly. Avoid sarcasm or vague phrasing. A little extra clarity can go a long way.

Rejection sensitivity dysphoria isn’t about being fragile or “weak”. It’s about how the ADHD brain processes emotional and social cues. With insight, tools and support, these experiences can become manageable.

Victoria Barclay-Timmis is a clinical psychologist and works in private practice.

– ref. What is rejection sensitive dysphoria in ADHD? And how can you manage it? – https://theconversation.com/what-is-rejection-sensitive-dysphoria-in-adhd-and-how-can-you-manage-it-259995

Source: ForeignAffairs4

Source: The Conversation – Global Perspectives – By Konstantine Panegyres, Lecturer in Classics and Ancient History, The University of Western Australia

To love and be loved is something most people want in their lives.

In the modern world, we often see stories about the difficulties of finding love and the trials of dating and marriage. Sometimes, the person we love doesn’t love us. Sometimes, we don’t love the person who loves us.

Ancient Greeks and Romans also had a lot to say about this subject. In fact, most of the issues people face today in their search for love are already mentioned in ancient Greek and Roman literature.

So, what did they say? And is the advice they put forward still relevant for modern people?

Advice for finding a lover

The Roman poet Ovid (43BCE–17CE) wrote a poem called The Art of Love (Ars Amatoria). In it, he offered advice for those who are still single.

First, Ovid says, you should make an effort to find someone you’re interested in. Your lover “will not come floating down to you through the tenuous air, she must be sought”.

As suitable places to find a lover, Ovid recommends walking in porticos and gardens, attending the theatre, or (surprisingly enough) lingering near law courts.

You need to catch someone’s eye and then invent an excuse to talk with them, he says.

Seek your lover in the daytime, says Ovid. Be careful of the night. You won’t choose the right person if you’re drunk. And you can’t see their face properly if it’s too dark – they might be uglier than you think.

Second, Ovid says you need to look presentable. Make sure your clothes are clean and you have a good haircut. Moreover, keep yourself groomed properly at all times:

Do not let your nails project, and let them be free of dirt; nor let any hair be in the hollow of your nostrils. Let not the breath of your mouth be sour and unpleasing.

Ovid’s The Art of Love may be regarded as a kind of love manual. But aside from making personal efforts to find a lover, people could also use matchmakers.

However, matchmaking was a difficult process. Sometimes matchmakers didn’t tell the truth about the situations of the parties involved. So the Athenian writer Xenophon (430–353 BCE) says people were sometimes “victims of deception” in the matchmaking process.

What if you’re not in love?

The ancients recognised that not being in love can be a problem. They thought it bad for your mental and physical health, but also for society more broadly.

For example, the Roman writer Claudius Aelian (2nd–3rd century CE) in his Historical Miscellany says soldiers who are in love will fight better than soldiers who are not in love:

In the heat of battle when war brings men into combat, a man who is not in love could not match one who is. The man untouched by love avoids and runs away from the man who loves, as if he were an outsider uninitiated into the god’s rites, and his bravery depends on his character and physical strength.

According to Aelian, the Spartans had a punishment for men who did not fall in love:

Any man of good appearance and character who did not fall in love with someone well-bred was also fined, because despite his excellence he did not love anyone […] lovers’ affection for their beloved has a remarkable power of stimulating the virtues.

So, when two people are in love, they can inspire each other and bring out the best in one another. Being in love can help a person become better and achieve more.

Fighting for and keeping a lover

If we are lucky, the person we love will also love us back, and we won’t have any love rivals.

But what happens when the person we love is also loved by someone else? We may need to put in more effort to win the affection of that person, but sometimes this brings us into conflicts.

For example, the Roman orator and politician Marcus Tullius Cicero (106–43 BCE), in his On the Orator, tells how Gaius Memmius, Roman tribune of the year 111 BCE, apparently took a bite out of his love rival’s arm, “when he had a quarrel with him at Tarracina over a girlfriend”.

Some ways to keep one’s lover interested that are mentioned in ancient sources include showing off one’s wealth.

For example, in one of the plays of the poet Alexis (375–275 BCE) a young man who is in love puts on a large banquet to impress his girlfriend with a display of wealth. Engagements were at that time sometimes cancelled if it turned out the husband was too poor.

Of course, things did not always work out, and people had grievances against former lovers. One particularly famous invective was from the poet Martial (38–104 CE) to a woman called Manneia:

Manneia, your little dog licks your face and lips. Small wonder that a dog likes eating dung!

Timeless concerns

Today, we often see debates about whether it’s better to stay single or get into a relationship.

The same goes for antiquity. In the 4th-century BCE play Arrephoros or The Pipe Girl by poet Menander, one character says:

If you’ve got any sense, you won’t get married […] I’m married myself – which is why I’m advising you not to do it.

Others lamented that they missed their opportunity for love. So the poet Pindar (6th–5th century BCE) wrote a poem regretting that he could not make the much younger Theoxenus his boyfriend:

You should have picked love’s flowers at the right time, my heart, when you were young. But as for the sparkling rays from Theoxenus’ eyes, whoever looks on them and is not roiled with longing has a black heart forged with cold fire out of steel or iron.

Clearly, finding a lover was as difficult then as it is now.

Konstantine Panegyres does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

– ref. Avoid bad breath, don’t pick partners when drunk: ancient dating tips to find modern love – https://theconversation.com/avoid-bad-breath-dont-pick-partners-when-drunk-ancient-dating-tips-to-find-modern-love-250792