09:22 29/05/2020 Bashiera Parker (@bparks_)

Jessica Simpson is almost unrecognisable in her latest post on Instagram.

The actress lost 45kg after baby number three, which resulted in the drastic transformation.

"Woke up before all three kiddos to get my steps in and spend time with me, myself, and I. Move move move for your own mental health," she wrote on the post, which shows off her toned abs and legs as she wears her own activewear line, according to People.

SEE THE POST HERE:

A source tells Entertainment Tonight the 39-year-old has been walking outdoors and on the treadmill to stay in shape during lockdown. But they added: "It's the way she stays sane, so it's as much for mental health as it is for physical wellness."

Speaking to E! News, her trainer Harley Pasternak also revealed it was about developing healthier eating habits, along with gradually introducing working out, before moving on to more intense training, that has actually helped the star feel better overall.

"She is feeling like she did before she had kids," he said. "In control of everything and such a great attitude of not beating herself up if she doesn't eat perfectly everyday, so it's a very helpful perspective."

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Jessica Simpson reveals drastic transformation as she focuses on mental health and physical wellness - Channel 24

Denver Broncos' Ring-of-Famer Rod Smith certainly knows a thing or two about making the grade as an undrafted free agent. Third-year WR Tim Patrick shares the distinction of not hearing his name called on draft day and has already overcome serious odds, bouncing from San Francisco to Baltimore before catching on with the Broncos in 2017.

Patrick also has had to battle injury setbacks during his quest to make it in the NFL, as evidenced by his broken hand in the season-opener last year. He worked hard enough during his recovery to force his way back onto the active roster by mid-November, managing to flash on 16 catches and on special teams work. The Broncos opted to re-sign him to exclusive rights tender this past April.

Just last week, Smith dished on why Broncos' rookie second-round WR KJ Hamler is a 'game-changer' but in another conversation with Phil Milani of the team site, the retired wide receiver explained why he likes what he's seen so far from Patrick and outlined what it will take for Patrick to make the team in the face of all the new talent flooding the roster.

Im a huge fan of Tim, I really love his demeanor and the way he plays and I want him on the football field, Smith told Milani. Of course, Im not in the meetings but I havent seen him make many mistakes and Ive seen him play hard. And we need as many guys like that as you can get. [He's] hungry, hardworking and trust me, Im a fan.

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After GM John Elway used his top two selections in the 2020 draft to select the explosive pairing of WRs Jerry Jeudy and Hamler, getting reps on the field is going to be much more difficult for Patrick. Throw in also seventh-rounder Tyrie Cleveland, as well as undrafted rookies Kendall Hinton and Zimari Manning, and the Broncos added five new WRs the likes of Patrick has to fend off.

Making what might amount to scant training camp reps with the first-team offense count will be absolutely crucial if the 26-year-old Patrick is going to flash enough to make the final cut. Smith knows this well from his own experiences just trying to make the Broncos squad in the 90s.

As an undrafted guy, Im running the go routes where the ball's not going to come," Smith said. "Im doing the dirty work on trying to block linebackers, Im playing special teams, Im doing whatever I have to do to make the team. But, in my mind Im the starter."

Doubling down on the fundamentals required to just make the team could well keep Patrick in gainful employment with the Broncos this coming season. With that in mind, reapplying himself as a special teams ace could mark the 6-foot-5, 212-pound receiver out for a spot on the 53-man roster to open the season.

Adopting that kind of selfless 'whatever it takes' mindset can be often difficult, especially when highly-touted rookies arrive to take your job. Smith outlined to Milani exactly the kind of mental attitude and strength Patrick will have to embrace if he is going to stick around in a loaded receiver room.

No one can control your mentality," Smith said. "You get to control how you respond to adversity, which is coming because thats what this business is. They are going to put you in positions where you dont think its fair. They are going to put you in positions where its tough mentally, physically, emotionallyhow do you handle it?

The manner in which Patrick reacts to the never-ending challenges that the NFL throws at a young man, especially one without a draft pedigree, will determine his future as a Bronco. Having survived multiple setbacks to this point of his young career, he knows what it takes to recover and persevere. Resilience is a knack undrafted guys have to cultivate quickly to survive.

That kind of intestinal fortitude and thick skin, sprinkled in with some of Smiths sage words of advice, could make all the difference if Patrick manages to hang on to his No. 81 jersey in Denver this season.

Follow Keith on Twitter @KeithC_NFL and @MileHighHuddle.

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Tim Patrick Receives Advice from Ring-of-Famer Rod Smith on Overcoming 5 Rookie WRs Flooding Roster - Sports Illustrated

By IANS

NEW DELHI: Royal Rajasthan Foundation, the social impact arm of Rajasthan Royals is proud to team up with its legendary former batsman Rahul Dravid, McLean Hospital, (an affiliate of Harvard Medical School) and Dr. N.S. Vahia Foundation to advocate for removing stigma around mental health conversations, raising awareness about the impact mental illness can have on ones mind, body and soul.

The Royal Conversations -- Mind, Body and Soul," a three-part series on mental health and wellbeing will cover aspects around mind, body, and soul over weekly webinars.

World Health Organization (WHO) accounts mental illnesses for 30 % of all non-fatal diseases approximately and 10 % of the overall global diseases. In India, approximately 7.5% of the population suffers from some form of mental disorder, while the people who are able to receive treatment hovers around the 70% mark.

The importance of mental illnesses in these times has been brought to the forefront with many people across various sects in the country facing issues and challenges in this current lockdown situation.

Through the three-part series, Royal Rajasthan Foundation wishes to encourage discussions around mental health and remove barriers by disseminating vital information that will help people around the world learn and address the issues that impact their mental being.

Dravid has in the past addressed how mental health can be an issue at a very young age too and needs to be dealt with utmost professional care. Through his work at the National Cricket Academy, Dravid has outlined a structure focussed on grassroots cricket development wherein discussions over mental health occur from time to time and players get an opportunity to get guidance by experts.

The first session launches on Wednesday and will see Rajasthan Royals' head Physiotherapist, John Gloster along with Ipsit Vahia (N.S. Vahia Foundation) and Lisa Coyne (McLean Hospital). The medical professionals will be joined by a special guest in Rahul Dravid, a Royals legend and former captain during the first session. The cricketer will bring with himself case studies from the sporting world in order to generate awareness about the importance of mental wellbeing for happiness and positive attitude.

Rajasthan Royals' Executive Chairman, Ranjit Barthakur expressed his delight on the launch of the new initiative, "It's fantastic to be launching a product you truly believe in. The idea behind this initiative is to talk about how people need to change their focus on beliefs around mental health.

"Positive mindset is the necessity for wellbeing and happiness and sports is a great enabler to generate awareness around mental anxiety. These are unprecedented times and more than ever, this is time we need people to be strong in mind to fight the battle against Covid and emerge with a stronger mindset post Covid."

The further sessions will be held on June 3 and 10. The concluding session for this series on June 10 will see Royals' Indian pacer Varun Aaron.

Scott J. O'Brien, Director, McLean's newly launched Public Education initiative, & co-founder of the Deconstructing Stigma initiative , Mclean Hospital Boston USA, said: "McLean is very excited to be collaborating with the Royal Rajasthan Foundation on this initiative. We very much admire their passion around mental health education and look forward to working together to increase awareness around the importance of brain health."

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Rahul Dravid to be part of Rajasthan Royals' initiative on mental health and wellbeing - The New Indian Express

Stephanie Plaster Published 9:32 p.m. CT May 27, 2020

As farmers and agricultural providers, sometimes a family member, neighbor or client needs support that we are not able to provide. In these instances, it's okay to share resources or referrals for them to get the support they need.(Photo: Brynn Anderson/Associated Press)

As May comes to a close, we have the opportunity to reflect back on one of the most tumultuous springs weve had and determine the best way to move forward.Since May is Mental Health Month and the start of the new growing season, it is a good time to take a brief moment to take stock of our mental and emotional well-being and find any support needed for ourselves and others.

Farming can be a high stress endeavor. Some of the common stressors include: financial pressures and debt load, dependence on unpredictable weather and volatile markets; extreme outdoor work conditions; lack of personal time or little time to talk through difficult problems due to excessive workloads; intergenerational differences; health, pain, fatigue or mobility issues connected to years of physical labor; strained family relationships (Shutske, 2017).

Because farming can be difficult for individuals and families, many experience financial and emotional stress as a result. There are several signs that may indicate an individual may be in need of help. These signs include: changes in daily routines, increases in upper respiratory illnesses or other chronic conditions (aches, pains, persistent cough), declines in appearance of farmstead, declines in care of livestock, increases in farm accidents due to fatigue or loss of ability to concentrate, occurrences of signs of stress in children (Williams, Farm Family Stress). Stress can also lead to mental health problems.

According to Mental Health First Aid, mental health includes our emotional, psychological, and social well-being. It helps determine how we handle stress, relate to others and make choices. Mental health is important at every stage of life, from childhood through adulthood, and mental health problems are more common than heart disease, lung disease and cancer, combined. One in five individuals has mental health complications, including farmers.Services and programs like the National Alliance on Mental Health, Mental Health America, the WI Farm Center, Farm Aid Hotline, and the National Suicide Prevention Lifeline are all good resources for those seeking mental health support.

As farmers and agricultural providers, sometimes a family member, neighbor or client needs support that we are not able to provide. In these instances, it's okay to share resources or referrals for them to get the support they need. Roger Williams, Professor Emeritus with UW-Madison Extension, offers several pieces of advice for making referrals:

Conversations that address emotional topics can be challenging. Deepening our conversations and the ways we communicate can help us better figure out the kind of support needed. It allows us to strengthen our relationships and builds trust with those we are seeking to support.Communication is about more than what you say. It's about how you listen, respond, and react both verbally and non-verbally.Tips for constructive conversations:

Farm families are resilientindividuals, but there are times when help is needed. Take the time to recognize the state of your own emotional and mental well-being, seek out the support needed, and reach out to others to help them do the same.

Stephanie Plaster(Photo: UW-EX)

Stephanie Plaster is the Agriculture Extension Educator for Ozaukee and Washington Counties

UW Extension(Photo: UWEX)

Read or Share this story: https://www.wisfarmer.com/story/opinion/columnists/2020/05/27/its-time-takestock-our-mental-and-emotional-well-being/5254540002/

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Taking stock of our mental and emotional well-being - Wisconsin State Farmer

Mental health.

A taboo subject indeed for not just professional athletes but for everyone.

Talking about and opening up about mental health is certainly a nerve-wrecking thing that you may try your best to tip-toe around or shut out of your mind.

For a professional athlete, opening up about your mental health may give you the sense that these insecurities or fears make you seem weak and that youre handing your opponent an advantage on a silver platter.

Not the case. At all.

We all go through things. We all have ups and downs. Thats life. *queues Thats Life by Frank Sinatra*

For Don Kalkstein, his day-to-day life is occupied by helping athletes, coaches, students you name it understand what may be troubling them and how to work through it.

Kalkstein has been apart of the Mavericks organization for 20 years, where hes currently the Director of Mental Skills. Hes also an Adjunct Professor at SMU and Senior Advisor to the General Manager for the Texas Rangers basically, he wears a lot of hats.

The hat he wears for the Mavericks is an essential one, as Mark Cuban deemed in 2012 during a radio interview with the Ben & Skin Show on ESPN Dallas, letting Kalkstein go in 2005 as his biggest regret. Not a botched trade or free agent signing nor passing on a future All-Star in the Draft but letting our psych doctor go.

If that doesnt speaks wonders to the importance of Kalkstein then I dont know what will.

Today with the Mavericks, Kalksteins every day is, well, something different every day.

An average day? Gosh, I wish there was one. I think what most people probably dont understand of the position of what I do or what others do, its not one of what theyre used to from quote-unquote a clinical session or a clinical environment because we are around each other every day, Kalkstein said of his average day on the job.

Its more of the ebb and flow of what the season is and continuing to work on items that assist our team in optimal performance, whether thats developing programs for our players, understanding the cohesion of the team and trying to develop that, or working with our coaching staff and assisting them and delivering information that our players can contain and hopefully utilize.

The importance of having such a casual, open environment thats more of the ebb and flow as Don said certainly adds a level of comfort for the players. This isnt an appointment-based, lay down on the fancy therapist couch and open your heart up kind of situation. The comfort level that not only the players but the organization feels with Kalkstein sets the team up for success.

Its way more casual. We kind of set the foundation about whats under the umbrella of mental skills and performance and optimal performance. My philosophy isnt one to sell these guys anything. My philosophy is more of be available and be prepared in the event they do need something. Once we build relationships then we have the opportunity to maybe bring something to their attention, Kalkstein said of his philosophy.

If you looked at it like a strength and conditioning coach or an athletic trainer; were all watching practice and somebodys running a certain way. So maybe the trainer says to himself, wow, thats kind of odd. Wonder whats wrong with him. Maybe his ankle or knee hurts. Then maybe the strength coach is watching the same thing and thinking this could be an area of weakness. And Im standing at another spot of the court thinking hm, wonder whats going on? Were all basically doing the same thing but from a different standpoint and then gathering information and seeing if theres some sort of trend and communicating with the player and try to go from there.

Having the different view points from the likes of Don alongside the likes of a trainer or strength and conditioning coach is important to link all facets of the players body and mindset for the best possible performance.

When it comes to the best possible performance, its not just about being in a clear mental state regarding your time on the court but off the court as well. Your personal life outside of the game can certainly affect your performance on the floor, whatever those issues or concerns may be.

Sure, theyre interweaved. Theyre part of what makes them perform in certain ways. And so those items do absolutely come up when theyre areas of concern from anyone whether player, coaches, or staff and in a different area, we utilize our mental health consultants that we have and maybe referring if they choose to, Kalkstein said of a players personal life. Again, this is an environment thats no different than a standard work place. Here you are at work and an issue takes place and theres experts available to assist you with whatever issue, whether mental, physical, nutritional stand point. So weve tried to be able to assist the player from every avenue.

So, whether its discussing in-game segments or the players personal life, when they step out on that floor, its pivotal that the athlete is in the present.

Its not really a cookie cutter type of approach. Its more of what that approach might be or what those needs are for that particular player, Don said of mental skills training. We talk a lot about the buzz word that you hear to be present or play in the present. What does that mean? How do I get there? What are some techniques I can utilize to teach myself how to bring myself back to the present so I dont allow my emotions from the past or thoughts and emotions from the future dictate how Im going to perform now?

Every player is different. Every player has different needs whether thats regarding physical training, mental skills training, etc. Having different regimens and programs for each player for both physical and mental training, as the Mavericks and presumably all NBA teams do, is crucial for the continued growth of the individual player and the team as a whole.

Maybe at a lower level or at a high school, wed do some group stuff but these guys are coming from a lot of difference places with a lot of different types of training so really my goal is to try to figure out what are their needs and develop a program that assists them if in fact they want assistance in those areas.

When speaking of physical or mental training, you have to think that the Mavericks training staff is involved, which of course they are. The Mavs are known to have one of, if not the best, training staffs in the league, led by Casey Smith, whos been with the team for almost 16 years.

Specifically for a long-term injury, its important that Don and Casey work hand-in-hand during the rehab stage as the player works through both the physical and mental side of recovery.

The luxury of being able to work for an organization as long as Casey and I have with the Mavericks has really built in trust between Casey and I but within the players as well. Theres a couple different protocols that well go through depending upon the level of injury and depending upon the players experience with injury. So, once those things take place and its a long-term thing, it might be a little different than a short-term ankle sprain but there is an outlook of what thatll look like. With players like that who have been around the system, part of the protocol is really utilizing the same techniques that weve utilized for performance, Don said of long-term injuries.

For instance, Mavericks forward Dwight Powell tore his right Achilles tendon on January 21st against the Clippers. The Mavericks training staff is very familiar with dealing with this type of injury, as J.J. Barea tore his Achilles last season as well as helping Wes Matthews rehab his torn Achilles back in the 2015 offseason. Barea spoke highly of Powells work ethic and attitude once the injury took place, as Powell is known to be a workhorse and as positive as they come.

Even for someone as mentally strong and positive as Dwight, you never know just how tough and tolling a rehab like this can be on a player.

When an injury that takes place for any athlete thats long-term and/or requires surgery, theres often the what if. How are you going to look like? How are you going to feel like? Am I going to be able to play or perform the way I used to? Thats more of a future thought process which doesnt really assist anybody because theres no definitive, concrete answer. We really try to focus on, and it sounds simplistic and often cliche, but were trying to really focus and spend more time on whats going on today and what the athlete can control today and teach them to focus on today versus spreading themselves to man, what if I didnt get hurt? I probably couldve helped the team. Am I going to be able to return? Thats exhausting. Very taxing when you dont have those answers but we do have answers for what does it look like today, Kalkstein said.

As a player progresses from an injury standpoint, they have established physical goals. Once thats established, the athlete and I will talk about what thats going to look like and feel like, preparing them for that but still staying in the present of whats it feel like today? and the anxieties of what its going to feel like because thats something we dont know and havent experienced.

Though the Mavericks as an organization hold the importance of mental health to a high regard, as every organization in not just the NBA but across all sports should, every athlete may not choose to or know how to confront their mental health.

But theyre starting to.

Cleveland Cavaliers forward Kevin Love came out with a piece on The Players Tribune in 2018 discussing his battle with not just understanding his mental health but the anxiety of talking about it following having a panic attack during a game. San Antonio Spurs guard DeMar DeRozan, at the time a member of the Toronto Raptors, opened up to The Toronto Star about his battle with depression and anxiety about a week prior to Loves article.

This past December, Lakers forward LeBron James partnered with Calm, a meditation and relaxation app that helps aid and build mental fitness.

And just last week, Dallas Wings guard Katie Lou Samuelson opened up to ESPN about her mental health journey.

I think as a population as a whole were discussing it more and becoming accepted. Were gonna see more and more of it because its not a negative thing. Its changing the connotation and the players are starting to understand that there is assistance out there for them that can, through counseling or medication, if necessary for some. That can help them feel better about themselves and whats going on and maintain a certain level of mindset to be productive for their family and as an athlete to feel a lot better about themselves, and thats really the goal for everyone, right? Kalkstein said of the prominence of mental health.

And when you have those resources available, theyre starting to learn to take advantage of them and we want them to. The more players that come forward and feel comfortable enough, I think really makes a huge difference for everyone involved, players, staff, and coaches included.

Maneuvering through these past few months has been difficult for everyone. The COVID-19 pandemic has certainly taken not just the NBA but the world by storm and changed our daily lives for the foreseeable future. How has the Mavericks organization guided the team through these times? Consistency.

What I think is important, and youre going to hate this answer, is for them to spend more time doing what theyre doing, which we try to talk about during the season. Theres things constantly going on in the world and their lives and their families and relationships, and when they come to the facility for a practice or film session or whatever, in essence, we ask them to let that go and be here, Kalkstein said. Its very similar. What is your routine now and lets continue that routine. If you look at it as a whole, for the players who are fortunate enough to get with their families, its somewhat similar to what an offseason looks like and to that standpoint, it was very helpful. I know Casey and our trainers are contacting the players daily. Whatever it is theyre working with, thats what we try to do. We have the tools. We have the resources. We just try to build that program for each player and see whats useful for them and what we can do.

While theres currently no set plan for the return of the NBA season, its looking promising that the season will continue at some point as talks have heated up over the last week or so. As an official agreement looms, you have to wonder just how comfortable all parties involved will feel essentially living in a bubble to finish the NBA season to crown a champion.

Would there be anxiety? I think even if there was a total clearance, when youre thinking about anxiety, youre thinking about not knowing or starting to determine in your mind possibly what is going on, which could be true or false. So I think were going to have to experience that on the way and I think partially, we prepare mentally if and when we do come back, theres that period of training camp and if we have to be quarantined but here again, if we have to spend our time on all these ifs, Im exhausted, Don said of potentially coming back to play.

One of the things we try to do is gather the information we have and the information that we know and take out the speculation component. If and when they say were playing on the moon or playing all in one facility, the great part about it is so is every other team and were all on the same boat and were on an equal playing field with obstacles that weve never dealt with before along the way and well deal with them once they arise. Instead of revving ourselves up and working ourselves up, lets not displace that energy and go with what we have today.

Lets not displace that energy and go with what we have today.

Thats powerful. Thats something we should we all read every morning to start our day to help ensure our feet are on the ground and focused on today.

Dons significance to the Mavericks organization is evident. And so is the importance of mental health. As Kevin Love said, Everyone is going through something that we cant seeI want to remind you that youre not weird or different for sharing what youre going through.

Youre not, because we all have something.

Managing Editior for Dallas Sports Fanatic | Lead Editor covering the Dallas Mavericks | UNT Alum | Twitter: @TheMulf

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'Focus on today': Don Kalkstein on mental health in the NBA & maneuvering through the COVID-19 pandemic - Dallas Sports Fanatic

Race and racism have played a particularly significant role in the development of modern medicine, from the notorious Tuskegee syphilis experiments to the creation of the first immortal human cell line HeLa. In many ways, the influence of racism on American medicine has shaped approaches to bioethics and healthcare, continuing to inform the challenges patients and providers face today.

In Administrations of Lunacy: Racism and the Haunting of American Psychiatry at the Milledgeville Asylum, published in April 2020 by The New Press, Mab Segrest, PhD, uncovers the harrowing story of the Georgia State Lunatic, Idiot, and Epileptic Asylum. Dr Segrest, Fuller-Maathai Professor Emeritus of Gender and Womens Studies at Connecticut College, New London, traces the history of this institution through the Civil War to the post-Jim Crow era, centering the narrative around the voices of its former patients.

For mental health professionals, Administrations of Lunacy offers a critical exploration of psychiatrys historic links to key moments in American history by focusing on an asylum that was the largest in the world in the mid-20th century. To learn more about this history, we spoke with the author about her book. The following interview has been edited for clarity and length.

What can mental health providers learn from the history outlined in your book?

Mental health providers can learn from Administrations of Lunacy the importance of history itselfthe overarching sweep of itthat informs the particular (micro) histories that patients or clients bring in the door to their practices. They can learn the dangers of applying a strictly biomedical model stripped of the sources of historical and local traumas.

My deep history of this Georgia hospital, at times the largest in the world and by the mid-20th century one of the worst, is intended to shape the way that historians and healthcare professionals think about psychiatric history in its relationship to larger historical trends. My book shows how the extraction of history from an understanding of symptoms happened in a state asylum. It also details what that extraction allowed in terms of what came to be eugenics, which was a weaponizing of the symptoms of suffering against the very people most vulnerable to histories of conquest and exploitation.

Finally, given that 90% of public psychiatric beds today are in jails and prisons, psychiatry as a profession has a responsibility for those patients beyond providing them medications. I would like to see major psychiatric professional organizations take a stand against mass incarceration on the basis of its mental and physical cruelties that eviscerate real treatment.

There has been a degree of nostalgia for the asylum era recently. Why do you think this nostalgia has arisen now, and in your opinion, what, if anything, did asylums have to offer?

First, its important to clarify: nostalgia for whom? None of the expatients of those public institutions have shown much of this nostalgia. Early in my research, I twice visited the Central State Hospital campus with Georgia Consumer Council membersusers and survivors of Georgias hospital system. Larry Fricks, who was the state liaison facilitating the meeting, explained to me that for many of these consumers coming back to the hospital was the equivalent of coming back to Auschwitz. No nostalgia there.

By the turn of the 20th century the idea of the hospital as asylum or a safe refuge had failed, largely from overcrowding. The original Enlightenment philosophy of moral therapy believed that providing the mad structure, listening doctors, natural beauty, nutrition, and a respite from family could be curative. But moral therapy was intended for an institution of 300 patients. The level of overcrowding made them custodial, if not carceral institutions. By the 1910s in Georgia, there was brutality by orderlies, use of seclusion, and pressures for patients to work. After World War II, journalists exposes revealed these hospitals with electroshock administered by orderlies, understaffing, and overcrowded wards as the shame of the states.2

Today, what accounts for the crises in the mental health system is not the absence of this asylum. The transit between psych wards, jails, homeless shelters, and the streets came from the failure to provide support for the community care that should have accompanied deinstitutionalization as envisioned by JFK. Instead of the 1500 clinics projected for local communities, the US got mass incarceration, or a growth in the prison population from 300,000 to 2.3 million from the 1980s to 2010, what Michelle Alexander called a New Jim Crow.3

Anyone today who advocates for the asylums return is advocating for the most retrograde of psychiatric policies and the most terrible examples of psychiatric treatment from United States history. The call for a return to the asylum signals for me a continued refusal to use sufficient public monies to meet public needs, including mental and physical health. Whether we need more places where people in crisis can get longer term care regardless of social class or race is another question entirely.

What is transinstitutionalization and how does it differ from deinstitutionalization?

These are terms from social geographers that help map out the historic periods of psychiatric institutions. The first phase is institutionalization: the use of the spaces where lunatics were confined as a healing place rather than as custodial or punitive. This was a program of the Enlightenment and its goal was called the moral therapy. Deinstitutionalization is what happened in the United States after 1960, when about half a million patients in state hospitals were gradually released from these abysmally failed institutions. Transinstitutionalization is what happened when there was insufficient community care back home, which coincided with mass incarceration.

What role did southern asylum psychiatry play on a national level?

Southern asylum psychiatry illustrates the paradoxical process by which the worst becomes the norm. Most psychiatric histories from the 18th or 19th centuries mainly see southern asylums as scientifically retrograde. But in the antebellum period, the science in these mostly northeastern institutions was not always up to snuff by todays standards. Generally, asylum superintendents across the United States held the same racist ideas as southern superintendents did about African Americans and Indigenous people as primitives and savages. The profession as a whole in The American Journal of Insanity avoided discussion of slavery and abolition as too exciting, preferring to speak about such issues through allusions.1

Asylum superintendents were the first psychiatrists, although they were not termed so then. After the restoration of southern white supremacy, professionals across the nation granted white southern asylum superintendents the authority of expertise on African Americans, given that 90% of African Americans lived in the South before 1900. Southern asylum superintendents officially confirmed that emancipation was prejudicial to the negro in 1895, a shocking assertion! This attitude carries over today. The legacy of this attitude is the false belief that negative health results for marginalized people do not come from structural racism and sexism, but the inherent nature of those people.

The fact that Georgias state hospital explains so much about national failures today illuminates the pull towards the bottom that this white supremacist model exerts on national policies. In the 1950s, the Georgia state hospital was the largest in the county, the state, and the nation. Today, the Baldwin County Jail is the largest mental institution in the county, with the Fulton County Jails being the largest in Georgia and the Cook County Jail the largest in the United States. How do we comprehend this shift?

At one point, the asylum spent 5 times more on farming compared to patients. What role did patient exploitation play in Milledgeville and how did the asylum resemble a plantation?

Patient exploitation at the Georgia Asylum took the form of occupational therapy that filled the gap from the absence of other resources or treatments for patients. A careful examination of Georgia Asylum annual reports in the last 2 decades of the 19th century showed how moral therapy gave way to occupational therapy, which involved a huge farming operation producing tons of vegetables, plus cows, chickens, and pigs. As far as I can tell, the patients were not getting much of this food.

Race and gender shaped work regimessewing for white women, laundry for Black women, gardening for white men, growing cotton and other cash crops for Black men. These work regimes were not as bad as those in the convict lease system, which consumed many more African American men than the asylum. This is not to say that patients did not leave the institution, some of them improved, but many died there.

This plantation and labor influence showed up in a 1950 annual report that described the hospitals abattoir. The possibility that mentally ill patients could be staffing any part of a slaughterhouse is perhaps the most nightmarish scenario in the whole book.

What are the dangers of therapeutic pessimism? How did they inform Kraepelinian psychiatry, and does this notion create problems for psychiatry now?

In the 19th century, therapeutic pessimism came from the realization that medicine had found no cure for the problems that showed up in asylums. Within this mindset, the curative environment became custodial in increasingly overcrowded state institutions.

The diagnostic system of Emil Kraepelin, developed in Germany, replaced the hope of treatment with the process of classifications based on the trajectory of the disease. In this diagnostic system, the principal mental illnesses were manic depression and dementia praecox, or schizophrenia. Georgia case histories from 1909 to 1924 recorded verbatim interviews with patients as ill equipped doctors struggled to apply these categories to mostly poor Georgians.

For decades, Freudian psychoanalysis replaced Kraepelins diagnostics. Diagnostic and Statistical Manual of Mental Disorders (DSM)-III heralded a return to biological psychiatry at a time when new technologies of brain imaging raised expectations of new miracle drugs. But by the time DSM-5 was published in 2013, there emerged a lack of biomarkers to substantiate DSM-5 categories. In 2013, the National Institutes of Mental Health (NIHM) Director Tom Insel, MD, explained that the NIMH would be reorienting research away from DSM categories.4 This collapse of the DSM could create a vacuum into which pessimistic therapies reemerge.

Alternatively, DSM-5 also led humanistic professionals to call for a descriptive and empirical approachunencumbered by previous deductive and theoretical models. These professionals eschewed its overdiagnoses, false epidemics, stigmatizing of vulnerable populations, and biomedical models absent any awareness of sociocultural variations.5 I found these issues of DSM-5 characteristic of state asylum psychiatry as a whole, and Administrations of Lunacy aligns itself with this call for rethinking.

How did the eugenics movement and race science relate to psychiatry?

Eugenics, or the science of better breeding, arose in Europe in the 19th century and arrived in the United States in the early 20th century. It was supported by some of the biggest family fortunes of the Robber Barron era, and its offices at Cold Spring Harbor provided a base from which eugenic ideas spread rapidly. Eugenic sterilization had long been a goal of US eugenicists, and the US Supreme Court decision Buck v Bell in 1928 opened the floodgates. In the 1930s, state sponsored eugenics came to Georgia, although the institution had been performing this operation of a certain class at the turn of the century.

The state hospitals and newer institutions for the feebleminded had by the 1930s gathered people whom eugenics had branded as unfit, and they were prime targets of sterilization. In Georgia, sterilization was most rampant under Superintendent Peacock in the 1950s, a man who served (surreally) as both Superintendent and Chair of the Georgia Eugenics Commission. Peacock would write letters to and from himself asking for and granting sterilizations for particular patients.

Milledgeville was the site of several major epidemics, including syphilis, pellagra, and tuberculosis (TB). How did these diseases affect the asylum, and how might the current COVID-19 pandemic affect psychiatric patients?

These epidemics of syphilis, pellagra, TB, or hookworms were not primarily psychiatric in nature. But TB, syphilis, and pellagra had neurological effects that landed people in state hospitals. Treatment of those underlying effects, for example nutritionally with niacin for pellagra or antibiotics for TB and syphilis, eventually took care of neurological symptoms.

I have not heard how COVID-19 might register in terms of psychiatric symptoms, but certainly the pandemic and our highly inadequate responses to it creates its own negative environments for us. In general, a strong public health system that puts out accurate information to the general public and a federal government willing to take the lead to coordinate our responses according to the latest information would be profoundly reassuring and stabilizing. Unfortunately, that is not what we have.

References

1. Segrest, Mab. Administrations of Lunacy: Racism and the Haunting of American Psychiatry at the Milledgeville Asylum. The New Press; 2020.

2. Deutsch, Albert. The Shame of the States. Harcourt, Brace; 1948.

3. Alexander, Michelle. The New Jim Crow: Mass Incarceration in the Age of Colorblindness. New Press; 2010.

4. Insel, Thomas. Transforming Diagnosis. NIMH Directors Blog Posts from 2013. National Institute of Mental Health. Published online April 29, 2013. http://www.nimh.nih.gov/about/directors/thomas-insel/blog/2013/transforming-diagnosis.shtml

5. Kamens SR, Elkins DN, Robbins BD. Open Letter to the DSM-5. Journal of Humanistic Psychology. 2013;1-13. doi:10.1177/0022167817699261

Original post:
Confronting the History of a Southern Asylum: An Interview With Mab Segrest - Psychiatry Advisor

Class 3A baseball championship: Andrean vs. Edgewood

Andrean's Ben Warren, left, is congratulated by teammate Michael Jarek after scoring against Edgewood Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Rigo Martinez connects for a double against Edgewood on Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Matt Lelito arrives at third Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Rigo Martinez heads for second on a double against Edgewood Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Edgewood's Etahn Vecrumba, right, beats the throw to Andrean's Tyler Nelson at second Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean head coach Dave Pishkur talks to players and coaches in the dugout Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Michael Doolin pitches against Edgewood Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Tyler Nelson arrives at third Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Ben Warren, left, is tagged out at second by Edgewood's Sam Kido after sliding too far off the base Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean head coach Dave Pishkur, right, meets with players at the mound Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Mason Sannito, left, reacts after getting the out against Edgewood's Joe Kido at first Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Charlie Jones fires up the 59ers' fans in the stands Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Joel Holtcamp reacts after striking out Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean'sSonny Ferrantella fires up the dugout Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Charlie Jones somberly returns to the dugout after striking out Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Joel Holtcamp makes a catch in the outfield Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Edgewood's Levon Bellemy, left, makes it safely to second after Andrean's Tyler Nelson misses a throw intended for him at the base Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean head coach Dave Pishkur, center, talks with, from left, Matt Lelito, Mason Sannito and Charlie Jones Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Michael Doolin pitches against Edgewood on Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Ben Warren arrives at third Tuesday during the Class 3A championship game at Victory Field in Indianapolis.

Andrean's Mason Sannito connects for a hit to seal the 59ers' victory over Edgewood in the Class 3A state final.

Andrean's Michael Doolin, center, poses for a photo with his parents after being presented the mental attitude award Tuesday at Victory Field in Indianapolis.

Andrean's Mason Sannito, right, receives hugs from teammates after helping seal the 59ers 2-1 win over Edgewood Tuesday at Victory Field in Indianapolis.

Andrean players celebrate with a dogpile at first base after the 59ers' 2-1 victory over Edgewood on Tuesday at Victory Field in Indianapolis.

Andrean players hoist the Class 3A championship trophy Tuesday at Victory Field in Indianapolis. The 59ers defeated Edgewood 2-1.

Andrean's Michael Doolin gives out hugs Tuesday after the 59ers defeated Edgewood 2-1 at Victory Field in Indianapolis.

Andrean's Sonny Ferrantella, right, gives out hugs to teammates after the 59ers defeated Edgewood 2-1 Tuesday in Indianapolis.

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SENIOR SPOTLIGHT: Jake Mullen ends prep career as only Andrean catcher to start in two state finals - The Times of Northwest Indiana

The fresh energy of last Friday's New Moon in busy Gemini is getting this week off to an energetic start. A lot can be achieved this week. With the Sun in the mutable sign of Gemini we are transitioning from spring to summer in the Northern Hemisphere.

The six-week Venus retrograde in Gemini is putting the emphasis on communications. It has rarely been so important for us to connect with each other. It's the last week of seeing the beautiful diamond light of Venus in the evening sky. The star close to Venus is Mercury.

The beauty of this alignment will be amplified by the slender waxing crescent Moon passing through them and rising higher in the sky. Our Celestial Mother will reach the First Quarter phase on Friday. Make your wishes and beam them up to this celestial show. It's not often we are graced by such a lovely sight.

Jupiter and Saturn are in the early stages of their four-month retrograde cycle. Jupiter is helping put together plans for a big new opportunity. And Saturn is keeping your feet on the ground.

Mercury, the Master of Strategy, as Homer called him, enters Cancer on Thursday. Rather than the usual three-week visit in the Sign of the Crab, he'll be there all the way to August. That's because Mercury will be turning retrograde next month. His journey through the sensitive sign of Cancer will put you in touch with your inner self and your emotional needs. It will bring a time of emotional healing.

Here is your horoscope for the week of Monday, May 25, 2020.

Aries

Some exceptionally good planetary activity is working on your behalf. Don't let your imagination run away with you. Make sure it remains within the realms of feasibility. There are limits to how good things can get. But within those limits, here's an awful lot of magic, excitement and fulfilment to experience. Mercury's move into Cancer has the potential to shape up very well for you. The outcome is totally dependent on your attitude. Get your stream of thoughts on a positive flow and the Universe will hear your call and come to your aid. Great things will happen. Happiness and love will be your reward.

Taurus

A tense situation is beginning to develop. Depending on how you respond to this, you can turn it into a dramatic maelstrom, or you can deal with it swiftly and efficiently. Mercury's move into Cancer will enhance your gut feelings so you can distinguish between real news and false news. Keep your mind and heart fixed on the truth. You have an obligation to set people straight while being sensitive to the need for diplomacy. Disregarding the sentiments and feelings of others is not your style and never will be. But neither should you suppress your own values and opinions for fear of offending others. You have more power than you think.

Gemini

The problems you now face may seem numerous and daunting but if you review them from a more positive perspective, you'll realize that they are not all that threatening. Each time you think about them, you are reminded of a decision you regret or a development you wish you had avoided. Mercury's entry into Cancer this week will make you realize that you must separate yourself from a situation that really ought to be someone else's problem. It's taking far too much of your precious time. Once you acknowledge this, your outlook will start to look light-hearted and optimistic again.

Cancer

Do your best to not let a complex emotional scenario drive you into a state of exasperation and exhaustion. What you once assumed to be true is clearly not true. Not only must you accept this, you must accept the consequence of actions taken while you were under that misapprehension. There are times when you feel as if you've reached the end of your tether. It's time now to indulge in the healing powers of sleep. Mercury's entry into Cancer will do wonders to rejuvenate your spirits and fire up your spark plugs. You have all the intelligence, acumen and talent required to sort everything out. Strength and power are coming to the rescue.

Leo

Life rarely takes us to a point where we can feel safe in the belief that we have all that we want and can finally rest on our laurels. And if we ever do achieve that blissful realization, it quickly gets snuffed out. Ah, such is life, but you do seem to be entering a long period of harmony. Mercury's shift into Cancer will advise you on how to rescue yourself from a situation that you seem to be trapped by or stuck in. There's light at the end of that proverbial tunnel. Good news is on the way clothed in a development that is ostensibly insignificant. Believe in your entitlement to your dream and it will come.

Virgo

There is a chance to put something straight, to clear up a mess and, in the process, to create a better climate for future growth. You must be able to assume the right frame of mind, if you are to attain a special heartfelt dream. There is no point allowing the whims of others to dictate your destiny. Mercury's entry into Cancer will confirm that you are on the right path and that you are doing everything in the best way possible. A challenge you are dealing with is delivering a positive lesson.

Libra

You can be the most eloquent person in the world, but still be no closer to achieving clear communication. But one raised eyebrow or a wriggled lip can sometimes speak volumes. Feelings are strange too. You can appear to be very happy but still be out of touch with your own heart. Mercury's entry in Cancer will help you achieve a state of calm and clear communication, so that you can hear your inner voice. A benign cosmic force is coaxing you into doing something you have been resisting. There's no telling what you can accomplish now. If something needs to happen, it will happen.

Scorpio

This week marks an important point in your life. You need to think about what you want to happen. Whether you like it or not, certain tasks need to be undertaken. You're feeling needlessly apprehensive. Mercury moving in Cancer is going to encourage you to understand that if you really work for what your heart desires, you will break the chains that have bound you to a way of life that is no longer fulfilling. Get ready for life in a different and much improved world.

Sagittarius

Opportunities come and go in a flash. You have to be quick to spot them. With the right mental attitude you can attract them and make them come with greater frequency. Mercury's shift into Cancer will show you how to develop a constructive attitude for success. To constructively use your mental power, do your best to not think about some pointless conflict or some futile fantasy. There is a chance now of reviving an old plan or opportunity. You backed away from it in the past due to a lack of confidence. You are a different person this time around. You'll know exactly what to do this time.

Capricorn

You don't know how lucky you are until you lose what you've got. That's why it's important to be thankful for your blessings. Mercury moving in Cancer this week will make you notice all that is good in your life and how fortunate you are. By reaching a frame of mind like this you'll find that progress will come right where things have been blocked. A way will be found to clear a limitation or restriction. The quickest and easiest route, from where you are now, to a state of happiness will come to your attention. You'll find a way to hasten a process by which you gain what you currently seek.

Aquarius

For some while, you have been thinking things through. The time has come to move an important dream back onto the front burner. Mercury's entry into Cancer will show you how to eliminate self-doubt and diffidence. You have all the talent and ingenuity needed to seize an exceptional opportunity. Don't be shy. You have an abundance of talent. There is nothing to lose and plenty to gain by being proud of your accomplishments. Expect a discovery a eureka type moment followed by the certainty of a course of action that must be taken. Your intuition will guide you well.

Pisces

You are no stranger to troubles. You've been through some rocky times. You have been bending over backwards in an attempt to keep or gain affection and the good will of someone. Mercury's entry into Cancer will show you how you have been putting yourself in an awkward position out of a genuinely unselfish desire to assist a deserving cause. A mixture of fear and guilt have corralled you into this predicament. Big revelations are due. Important insights will come. The result will bring a growth in your self-awareness and wisdom which in turn will bring a resolution to a dilemma you are grappling with.

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Your horoscope for the week ahead: Mercury in sensitive Cancer puts you in touch with your emotional needs - CBC.ca

The impact of Covid-19 on the entire world has been swift and severe. But as the full social and economic consequences of the crisis become clear, vulnerable LGBTQ communities around the globe are some of the most at-risk.

From food insecurity to homelessness, mental health to domestic violence, LGBTQ people on the fringes of society who are often the most at-risk are in danger of falling even further behind.

A recent consultation by LGBTQ human rights group Kaleidoscope Trust of 34 LGBTIQ charities working in 37 Commonwealth countries reveals an unfolding humanitarian crisis among LGBTQ people across the Commonwealth.

But we can help those in our community during these difficult times.

As charitable organisations feel the pressure from falling donations and resources Kaleidoscope Trust have launched a Covid-19 response campaign and fundraiser to ensure that the human rights and dignity of vulnerable LGBTQ populations are protected during - and beyond - the coronavirus crisis.

You can help support LGBTQ people struggling with the consequences of Covid-19 by donating here.

Phyll Opoku-Gyimah, executive director of Kaleidoscope Trust, says: We are witnessing an emerging humanitarian crisis for LGBTI+ people as government responses to Covid-19 leave vulnerable LGBTI+ communities at grave risk.

"Commonwealth states must act now to prevent further deterioration of the situation domestically, and the UK has the opportunity to show international leadership in its role as Commonwealth Chair-in-Office.

The Commonwealth Equality Network (TCEN) contributed to the UK government recognising and expressing regret for anti-LGBTI+ laws that were enacted across the Commonwealth during the UKs colonial regime.

"LGBTI+ human rights are important during the best of times and the worst of times. If the government is to make good on its promise to address and redress colonial-era wrongs, then LGBTI+ people across the Commonwealth cannot be left behind during the Covid-19 crisis.

The structural vulnerabilities codified in laws and social attitudes in countries across the world are made worse during a crisis like Covid-19. The UK government has a responsibility to ensure LGBTI+ human rights work is able to continue during the Covid-19 crisis.

For more information about Kaleidoscope Trust's Covid-19 response campaign, click here.

Continued here:
How to help LGBTQ people struggling with COVID-19 fallout - Attitude Magazine: Daniel Newman New Star of the Walking Dead

As COVID-19 continues to impact our personal and professional lives in ways thought unimaginable just a few months ago, we find ourselves filled with uncertainty and forced to confront a level of ambiguity most of us aren't comfortable dealing with. We don't know how long hog slaughter will be below the capacity needed to prevent market hog euthanasia.

In states that aren't opening up, we don't know when we'll be able to start getting back to normal. In states that are opening up, we don't know how severe the consequences of more travel, personal contact and increased disease transmission will be. The uncertainty leads to ambiguity, the ambiguity leads to anxiety and if we're not careful the anxiety will cause emotional and often short-sighted decision making. Fortunately, there are tried and true steps you can take to calm anxiety and reduce stress while accepting that ambiguity will be a part of our life for the foreseeable future.

As has often been the case with COVID-19, we as pig producers and veterinarians see analogies with managing the COVID-19 disease outbreak based on our understanding of disease management in our pig herds. We have long known about the importance of hygiene and sanitation; we live it every day at our farms. We understand strategies like isolation of high-risk individuals and have employed these practices for years. We certainly wish we could see our human population quickly implement our lessons learned in population testing strategies including less invasive sampling (Oral fluid samples for COVID-19 sampling!) and the obvious benefits of pooling samples to stretch still limited COVID-19 test kits.

Perhaps most importantly, we know the negative effects of the ambiguity that comes with a disease outbreak that can overwhelm our caretaker teams without appropriate coaching and coping strategies. While we think about it relative to a porcine reproductive and respiratory syndrome or porcine epidemic diarrhea outbreak at a sow farm, the same approach should be applied now for COVID-19.

I've heard my good friend Fred Kuhr say it many times, "PRRS-itis" is way worse than PRRS itself. We have to keep a positive mental attitude and take incremental improvement steps whenever the opportunity presents itself. Goals, targets and standards need to be adjusted to reflect the reality of our situation we can't expect our industry to perform anywhere near normal levels while we find our supply chain bottleneck distressed and unable to accommodate the supply of market hogs we need to harvest.

So how do we deal with the effects of increased ambiguity and its associated stress and anxiety? First, we need to take a self-assessment to gauge how well you naturally handle these challenges. Ask yourself the following questions.

If you answered mostly "Yes" to the questions under Person A then you're probably pretty skilled in dealing with ambiguity. That's not to say you love it or that you see ambiguity as a good thing, you're just naturally more comfortable being in ambiguous situations than most other people. The coping strategies employed by all to deal with ambiguity will come more natural to you and as such you're in a great position to help others employ these tactics.

If you answered mostly "Yes" to the questions under Person B then dealing with ambiguity is not something that will come as easily for you. That doesn't mean you're doomed to a life of COVID-19 misery it just means you'll have to be more intentional about using behaviors and strategies that help deal with the uncertainty our current situation brings. You'll need to be specific about understanding the root cause of why you struggle with ambiguity and applying a specific remedy to that root cause. Let's show some examples that may help you.

Root causes and coping strategies

Regardless of how you deal with the personal and professional ambiguity of COVID-19, know that right now it is most important to be flexible and there is less of a premium placed on being right at all costs. If you find yourself struggling with uncertainty and stress, read through these root causes and coping strategies pick the one that best fits your situation and start applying it.

Need a kickstart? Take on a tough project or one you'd normally see as undoable, one where your peers may have even failed. Again, start with small actions and take incremental steps reserve the right to get smarter every day. You'll quickly gain some confidence to help you effectively move forward even in situations where you're not as comfortable making decisions as you'd like to be.

Once you feel comfortable with your own ability to manage ambiguity, shift your efforts toward helping your team. If you're "Person A" in the example above, we need your help now! Friends, family and coworkers who are struggling can be easily identified talk to them about their challenges and offer suggestions of how you might work through similar situations. Know that listening will be critically important, sometimes people just need to vent and blow off steam to clear their mind. Most importantly, just be there for them as to get through the impact of COVID-19 we need each other now more than ever.

I want to leave you with a quote about ambiguity that's near and dear to my heart. Many of you will remember Gilda Radner and her battle with cancer. When addressing the ambiguity that came with her terminal cancer diagnosis she was quoted as saying "Life is about not knowing, having to change, taking the moment and making the best of it, without knowledge what's going to happen next. Delicious ambiguity!"

There is a lifetime worth of lessons in those two sentences. Go forward knowing that while we can't accurately predict the future, we can effectively prepare for it by planning our response to the various possible future events. You aren't alone in facing the same reality upsetting the rest of the world. Within every crisis lies an opportunity for development you and only you have the ability to shape who you are as we emerge from these challenging times. Take one step at a time and most importantly, take care of yourself and your teammates.

Source: Clayton Johnson, who is solely responsible for the information provided, and wholly owns the information. Informa Business Media and all its subsidiaries are not responsible for any of the content contained in this information asset. The opinions of this writer are not necessarily those of Farm Progress/Informa.

Continued here:
Dealing with the ambiguity of COVID-19 - National Hog Farmer