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Archive for the ‘Self-Help’ Category

Bibliotherapy: Using Books to Help and Heal – Psychology Today

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As the word suggests, bibliotherapy combines two of our favorite topics reading and psychology so it seemed a particularly appropriate topic to highlight in this post.

The term itself was coined only about a century ago by Samuel Crothers, a Unitarian minister who wrote an article in the Atlantic Monthly describing how relevant books could be used as an effective adjunct to medical or psychological treatment. However, the idea of bibliotherapy has existed from ancient times. The library at Thebes in ancient Greece had written over its door, Healing place of the soul, and people have always instinctively recognized the power of stories to not only entertain and inform but also to comfort and guide.

What Is Bibliotherapy?

Bibliotherapy is most easily defined as facilitating psychological growth and healing through reading. Most people in the field recognize two distinct branches of bibliotherapy, though the exact dividing line between them is not easily drawn.

Developmental bibliotherapy is used mainly in community or educational settings, to help children or adults address common life issues. For example, Gregory and Vessay explain how school nurses can help children address issues of bullying through bibliotherapy, while a 2006 study by Frieswijk et al.demonstrated how bibliotherapy can positively affect self-care behaviors insomewhat frail, community-living seniors, thus decreasing their probability of future institutionalization.

Clinical or therapeutic bibliotherapy is the use of books in a professional therapy context to treat a diagnosed emotional disorder or ameliorate the negative life impact of a diagnosed emotional, mental or physical disorder.Therapeutic bibliotherapy is most often used as an adjunct to more traditional medical or psychological therapies, as in a just-reported study that successfully used poetry therapyto reduce anxiety and PTSD in patients recovering from a heart attack.

But it can be used as a stand-alone therapy as well, as it was in a 2004 study that comparedthe effectiveness of self-administered bibliotherapywith traditional short-term (12-20 sessions) psychotherapy for 60 older adults diagnosed with depression, and found both were equally effective in reducing clinicians ratings of depression, both immediately post-treatment and at a three-month follow-up.

How Is It Done?

Bibliotherapy is more of a general concept than a single, rigorously defined therapeutic method.As in the final example cited above, bibliotherapy can sometimes be as simple as prescribing books that is, telling a student, client, or patient to read a particular book that you believe will help them.More often, bibliotherapy is facilitated through interaction with a helper or guide, either one-on-one, as in a counseling situation, or in a group of people who are dealing with similar issues and reading and responding to a text together.

The pioneering work of Sadie Peterson Delaney with World War I veterans at the VA Hospital in Tuskegee is an excellent example of both types. Delaney was a librarian by training, but bibliotherapy can also be successfully facilitated by many other helping professionals, including doctors, psychologists, social workers, school counselors, teachers, and community workers.

One can even practice bibliotherapy on oneself, as we suspect many avid readers do, returning to favorite books that they know will lift their spirits when lifelooks generally grey, or, more urgently, seeking written advice or inspiration to help them face significant life challenges, such as a cancer diagnosis or the loss of a loved one.Indeed, therapeutic texts can be of many different types: Narrative fiction is the original and traditional genre used in bibliotherapy, with poetry a close second, but self-help books are now just as popular, while biographies and memoirs can also be very helpful if written by or about someone who struggled with or triumphed over circumstances similar to those readers face.

Of course, therapeutic texts need not be complete books; short stories have been found effective in bibliotherapy, especially with participants whose attention span may be limited by age or cognitive impairment, while several practitioners have written about using comic books, and both teachers and therapists often use picture books to help young children develop and cope with difficult circumstances.

How Does It Work?

There is much discussion in the theoretical literature on bibliotherapy about whether its beneficial effects derive from the actual reading of the text itselfor from the interaction, discussion, and sharing around the text that typically accompanies that reading. It seems likely the answer is both.

But most people in the field agree that the process works through the familiar therapeutic stages of identification, catharsis, and insight.In the first stage, the reader forms an affiliation with a character or characters in the text, identifying with their problems and goals.Catharsis comes about as the reader follows the charactersthrough the text, experiencing from a safer, once-removed position their emotions, struggles, and hopes as they work toward the eventual resolution.Insight is the conscious recognition of similarities between the charactersor situationsin the text and the readers own characteristics and circumstances, and the subsequent decision to apply ideas or lessons from the text to the readers own thoughts and actions.

Many scholars add a fourth stage, universalization, in which the text helps readers realize that they are not alone, but that many others share similar problems and concerns and have found ways to deal with them.In this respect, bibliotherapy, even if undertaken alone or one-on-one, offers an important benefit more often associated withgroup therapy.

Who Can It Help?

Professional articles about bibliotherapy have tended more toward the anecdotal, recounting individual case studies or describing how a particular program or practitioner makes use of bibliotherapy.But some studies using experimental and quasi-experimental methods have found statistically significant evidence of the effectiveness of bibliotherapy with such disparate populations as depressed adults, children with internalizing and externalizing disorders, and perfectionists.

Thenumber of such rigorous studies is gradually growing, and 2019 looks to be the year of bibliotherapy a number of studies have been published just this year on the use of bibliotherapy with refugee children who have suffered trauma, children with intellectual disabilities, victims of sexual abuse, adults with dementia, children with OCD, and pre-service teachers.

If you want to know more about this growing field, which combines traditional aspects of literature character, theme, emotion, and plot with therapeutic functions more often ascribed to clinical psychology, here are a few good places to start:

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Bibliotherapy: Using Books to Help and Heal - Psychology Today

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October 3rd, 2019 at 11:45 am

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A New Fee at Burmese Hot Spot Thamee Covers More Than Just Health Care – Eater DC

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Simone Jacobson believes the healthcare system in America is broken, and she doesnt think her employees at Burmese newcomer Thamee can afford to wait for legislators to fix it. Starting today, the hot spot on H Street will add a 4 percent charge to customers bills along with a short explanation about how the wellness provision will help the restaurant cover the cost of quality health benefits and encourage self-care for the staff.

We dont have to wait for a government or a policy or a law to tell us ... the right thing to do here, Jacobson says.

The 4 percent charge will cover health, dental, and vision insurance for every employee who works at least 30 hours. The money in the wellness fund thats left over after insurance costs will be equally redistributed to every employee regardless of the amount of hours worked. Employees can then use that money to pursue their own care however they see fit.

Jacobson, who co-owns the restaurant with chef Jocelyn Law-Yone (her mother) and Eric Wang, says the redistribution fund could go toward extra money to pay for a massage or take a parent out to dinner. It could mean the money for hypnosis, acupuncture, a gym membership, or a professional retreat.

What does wellness actually mean? she asks. Healthcare is for when you get sick. And you can use it as preventative care. But what does it mean to be well? For me what it means is you have a little bit peace of mind.

Thamees wellness charge is modeled after the one local star chef Kevin Tien instituted at Hot Lolas, his Sichuan hot chicken counter in Ballston Quarter, which is also 4 percent. Aaron Silverman told Washington City Paper that he just started a people program at Pineapple and Pearls, which serves one of the priciest tasting menus in town, that calls for a 5 percent charge on checks to go toward a 401(k), paid time off, and counseling for mental health, substance abuse, and family issues.

Jacobson says implementing the change was paramount to making sure the business, which is nearly five months old, was doing everything it could to support its staff. Health coverage is rare in many restaurants, and an oversaturated dining market in D.C. means its difficult for owners to find and retain staff members.

For Jacobson and her partners, it was important to show customers how they were supporting the staff at Thamee and not shuffle the health care costs into food and drinks. She wants the restaurant to be a disruptor that helps mold the national conversation. She says Thamee already pays employees $15 an hour, a dollar over the minimum wage, and tipped employees have a $4 hourly base. Thamee already has to deal with the stigma of prices people expect to pay for non-European food, she says, and hidden costs add up for employers.

She says the restaurant has hired cooks from D.C. Central Kitchen, the nonprofit that trains formerly homeless and unemployed people how to become professional cooks, and she doesnt want to see those people leave for hotel jobs because those are the only employers that offer a sustainable career.

Jacobson expects to receive some resistance from customers about the new policy, but shes not worried about losing business.

Anyone who would push back against transformation may not want to eat at woman- and immigrant-owned businesses that are going to push for wellness for their team, she says.

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A New Fee at Burmese Hot Spot Thamee Covers More Than Just Health Care - Eater DC

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October 3rd, 2019 at 11:45 am

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After opposition in Grover Beach, homeless housing project finds site in Pismo Beach – KCBX

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Plans for more affordable, supportive housing in San Luis Obispo County are underway, and the project may signal an end to a south county skirmish over where to place shelter for the homeless. The nonprofit affordable housing developerPeoples' Self-Help Housing (PSHH) met with Pismo Beach officials in September to negotiate a possible location in the city. On Tuesday, the nonprofit announced it had gone into escrow on a new site.

The plan is to build 50 permanent, supportive housing units on North Fourth Street, just off Highway 101. Pismo Beach City Manager Jim Lewis praised the location at a September 17 city council meeting.

We really believe this is a great site, Lewis said. Its adjacent to transportation, groceries, the freeway. There arent surrounding neighborhoods adjacent...really it provides an opportunity for people.

The location of this housing projecta collaboration between PSHH and the 5 Cities Homeless Coalition (5CHC)has been a source of contention. The original spot was planned as a one-stop homeless advocacy center with office space, warming center and transitional and permanent housing at the site of Hillside Church in Grover Beach. But many in that neighborhood pushed back on the decision to place the center in a residential area. Then questions were raised over the legal ownership of the church property and the whole project stalled.

John Fowler is president and CEO of Peoples' Self-Help Housing.

It doesnt look like thats going to get resolved any time soon, Fowler told KCBX News. Weve waited kind of as long as we can, so unfortunately were going to be cancelling that escrow.

Fowler said the organization bought the new property for $3 million dollars, of which $1.6 million came fromCalifornia Homeless Emergency Aid Program (HEAP) grant money that was dolled out across the county by the board of supervisors earlier this year. PSHH and 5CHC shared the largest financial award, $2.6 million dollars, with the aim of increasing homeless services in south county. Last month, 5CHC announced they used the HEAP funding to buy a permanent office space in Grover Beach for $1 million. The new Pismo Beach location will use up the remainder of those state dollars.

We still need to find a home for the warming center somewhere in the Five Cities area, Fowler said.

Fowler said PSHH will be collaborating with 5CHC to include some transitional housing at the new Pismo Beach site. The organization aims to break ground on the project in late 2020, but Fowler said it may take more time, negotiations and a lot more money before move-in day arrives.

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After opposition in Grover Beach, homeless housing project finds site in Pismo Beach - KCBX

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October 3rd, 2019 at 11:45 am

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Catherine Oxenberg Shares Her Daughter’s Scariest NXIVM Revelations – E! NEWS

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India Oxenbergwas an active NXIVM member for six years before her mother heard anything about foul play within the organization.

"April 16, 2017, a defector called me up and said, 'You need to save India.' And I didn't know what she was talking about," recallsCatherine Oxenbergwho details her family's experience with the purported self-help group duringTrue Hollywood Story's upcoming Oct. 6 premierein this clip from Tuesday'sE! News.

Speaking about the insidious toll NXIVM's influence took on her daughter's life and personality, she tellsE! NewscorrespondentNina Parkerand chief correspondentMelanie Bromley, "It was a slow drip." So, while the Dynasty star "didn't like the group," she also admits she "didn't know what was really going on" until the defector "laid it out" for her.

"I lost my mind, literally," Catherine continues. "And I went into hyper-drive from that day forward."

Since then, the public has become aware of "secret" subgroups that existed within NXIVM. During Sunday's THS premiere, Catherine chronicles India's involvement in one called DOS, whose terrifying mistreatment of its membersis steadily coming to light.

As previously reported, NXIVM co-founderKeith Ranierewas found guilty of sex trafficking, attempted sex trafficking, sex trafficking conspiracy, forced labor conspiracy, wire fraud conspiracy, racketeering and racketeering conspiracy earlier this year.Smallville'sAllison Mack, a senior member of the organization who recruited women like Indiaon Raniere's behalf,pleaded guiltyto racketeering charges around the same time.

According to Catherine, it wasn't until after India's exit from the organization that she realized the extent of NXIVM's manipulation over those it claimed to serve. "She said the hardest thing for her was believing that something was good that was so bad," her mother relays. "She wasn't the master of her own thoughts. That's a very frightening thing to be aware of."

During a subsequent interview with Daily Pop, Catherine shares more about how India started coming to terms with her experiences. "When she realized how she had been deceived, by people she trusted, that was earth-shattering for her," the actor recalls, going on to explain that India's memories of NXIVM were foggy following her departure and returned "in waves" over time.

"I think when you're indoctrinated, you're compartmentalized," she suggests. "Everything is secretive."

Hear more about India's journey and Catherine's fight in the two clips above! And for any lingering questions, make sure totune in for the return of E!'s True Hollywood Story.

Don't miss E! News every weeknight at 7, only on E!

Watch Daily Pop weekdays on E! at 12 p.m.

E! True Hollywood Story returns Sunday, Oct. 6 at 10 p.m.!

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Catherine Oxenberg Shares Her Daughter's Scariest NXIVM Revelations - E! NEWS

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October 3rd, 2019 at 11:45 am

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How Procrastination and Depression Are Linked – Psychology Today

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Avoiding and ruminating are core symptoms of depression. To help sufferers and their loved ones better understand this, Ill unpack the links between depression and procrastination.

1. When people are depressed they often lose interest in activities they normally enjoy. This can lead to procrastination about even fun activities. Even if the person thinks they might like to attend an event, they may hesitate about committing due to fear they won't feel up to it when the time rolls around.

2. People whodeal with stress by putting problems in their too hard basket are more vulnerable to getting depressed. There is a huge chicken and egg relationship here. If you ruminate about problems rather than tackling them head-on, it can contribute to worsening depression, but depression can also make people feel frozen.

3. When people are depressed, it can be hard for them to plan out a sequence of behavior.For instance, if you need to grocery shop and meal prep, declutter your house, or sort out your debt you may feel intimidated about where to start. Planning out multi-step tasks can feel overwhelming when your mind is foggy due to depression. Your refusal to get started can seem likeobstinance when it's actually difficulty planning out tasks when in a depressed state. (If you need ideas of how to get started, I have a chapter with 21 strategies for this in my book, The Healthy Mind Toolkit).

4. Depression is associated with what's the point thinking. For instance, youd like to be a parent but you think Why would anyone bring a child into the world when we're destroying the planet. Or if your spending is out of control you might think why should I try to fix my finances when I have student loans Im never going to pay off. This type of thinking is often quite stubborn and frustrating to others (e.g., partners/spouses). The conflict and tension this type of thinking can cause in relationships can make the persons depression worse.

5. One psychological treatment for depression is called Behavioral Activation. Amongst other things, this involves (1) scheduling enjoyable activities and (2) activities that make you feel a sense of mastery and accomplishment. This can be an effective route out of depression. Changing your behavior in this way can make your thinking style less depressed, even though you're not specifically working on changing your thinking. Trying Behavioral Activation is potentially a decent option for people who don't have the funds to pay for a psychologist. The instructions are more straightforward than self-help options that focus on thoughts so it can be easier to do via a self-help approach.

6. The social withdrawal that comes with depression can lead to procrastination when doing a task would involve behaviors like phone calls to strangers, or meeting someone new. You might feel completely overwhelmed by the thought of phoning around the find a therapist or to find a tradesperson to get your roof fixed.

7. Over time, people with depression can lose confidence in their capacity to follow through. Depression can manifest as folks becoming flaky and unreliable, which can result in others getting annoyed. This then results in the depressed person feeling more hurt and embarrassed, and a vicious cycle ensues. Sometimes folks with depression feel embarrassed about their struggle to get things done while they're depressed and tell lies to try to cover it up. Other people often detect that theyre not being told the truth and get angry, which again contributes to a vicious cycle of the person feeling more depressed and less socially accepted.

8. As with anxiety, there's an argument that some of the thinking we see in depression is actually an adaptive process run amok. Some types of thinking improve when people are in a sad mood, and the retreating that happens when someone's confidence is knocked has some self-protective aspects.

If procrastination is a major aspect of your depression, you're certainly not alone. Hopefully this article has helped you understand what is happening better and may help you explain it to others you're close to so they can have more insight and empathy.

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How Procrastination and Depression Are Linked - Psychology Today

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October 3rd, 2019 at 11:45 am

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PEN America Issues Report on Violations of the Right to Read in Prison – Nonprofit Quarterly

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Banned Books Week 2014, San Jos Public Library

October 1, 2019; New York Times

When the prison gates slam behind an inmate, he does not lose his human quality; his mind does not become closed to ideas; his intellect does not cease to feed on a free and open interchange of opinions; his yearning for self-respect does not end; nor is his quest for self-realization concluded. If anything, the needs for identity and self-respect are more compelling in the dehumanizing prison environment.

This quote from Justice Thurgood Marshall opens up a remarkable document from the American Library Association, Prisoners Right to Read, An Interpretation of the Library Bill of Rights. It was adopted in 2010 and amended in 2014 but based on the new report from PEN America, a nonprofit organization that works to defend and celebrate free expression, on the subject of access to books in prison, it appears that the country is still far from embracing its intent.

A prison in Ohio blocked an inmate from receiving a biology textbook over concerns that it contained nudity. In Colorado, prison officials rejected Barack Obamas memoirs because they were potentially detrimental to national security. And a prison in New York tried to ban a book of maps of the moon, saying it could present risks of escape.

More than two million people are incarcerated across the country, and they are often subject to arbitrary bans that wall off entire genres in some cases and books in general in others. Yet, as PEN America writes, prisoners find future success in books: The written word is a rare source of information, education, and recreation, and a window to the wider world.

Book bans, though arbitrary, are predictable, in that they are often based on control over all else. Anything that might lead to unrest, like books on racism or the prison system itself, are filtered out for content. Disturbingly, these sweeping content bans often prohibit inmates from accessing books related to civil and human rights, under the guise that these books advocate disruption of the prisons social order. (One such book is Michelle Alexanders The New Jim Crow: Mass Incarceration in the Age of Colorblindness.)

Some prisons block all books because they are threat to security, others ban everything from the self-help genre. PEN America found that books containing content such as nudity, violence, description of criminal activity, or anti-authoritarian language were banned. Take away these general themes, and that leaves very few books that inmates can actually access.

For the most part, there is no appeal except through public outcry. Prison officials have broad authority to ban books, with no regulations or oversight to hold them accountable. And bans arent executed only at the institutional level; at the state level, they can become even more absurd:

Going back to the ALAs statement:

When free people, through judicial procedure, segregate some of their own, they incur the responsibility to provide humane treatment and essential rights. Among these is the right to read and to access information. The right to choose what to read is deeply important, and the suppression of ideas is fatal to a democratic society. The denial of intellectual freedomthe right to read, to write, and to thinkdiminishes the human spirit of those segregated from society.

Sheela Nimishakavi and Ruth McCambridge

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PEN America Issues Report on Violations of the Right to Read in Prison - Nonprofit Quarterly

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October 3rd, 2019 at 11:45 am

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Where sport and music meet – Gramophone

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What lessons can musicians learn from athletes when it comes to physical and mental well-being?

The mental and physical strain that musicians experience is very similar to that of professional athletes, yet both groups deal with it very differently. For decades, runners or swimmers have worked with physiotherapists and/or psychologists regularly, as an integral part of their training to maintain a strong, healthy body, and a stable, calm mind. Yet in music, its only in recent years that it has become commonplace for us to really consider our health as part of our daily training.

Sports and music are more similar than we want to believe. So much mental strength and planning goes into the performance of a professional athlete, and equally, musicians require phenomenal strength and endurance to conduct a Wagner opera or play Prokofievs Third Piano Concerto. The world of sports draws more money than the world of classical music, therefore a lot of research has been conducted for athletes to always achieve better results and avoid injury. It could be suggested that the business of music and the necessity for things to be evermore dramatic turned music-making into a high-performance job, with similar challenges to sports performance.

There are an ever-growing number of specialists, relaxation techniques, and well-being courses for teachers on offer, which is great news for musicians wanting to experience a long and healthy career. As someone with a deep passion for both music and sport, this growing awareness of wellbeing is music to my ears!

My path to becoming a professional musician began at the age of six when I started to learn piano at a state music school in Warsaw. In the following years, I also learned the flute and eventually went to Vienna to study conducting at the University of Music and Performing Arts, where I graduated in 2014 at the age of 26. Until then, I had heard no word about healthy posture, natural breathing, mental fitness, or release of tension. The only reason I managed to stay in decent health was my background in sports. I had been training and competing in multiple disciplines starting at the age of three (swimming, skiing, basketball, 400m run, acrobatics, gymnastics, dance, football). All this gave my body strength and my mind a refuge.

After my diploma, I was lucky enough to find an amazing specialist in the area of musician's health (a doctor and singer in one) who cured my tennis elbow, helped me with stage fright, and made it easier to connect with music despite the enormous pressure installed in my head by years of professional musical training and unhealthy competition. This experience inspired me to do a post-graduate course in Music Physiology at the University for Music and Performing Arts in Vienna. Only there I discovered the rich amount of resources out there that help achieve a balanced mental and physical health. I have added them to my training routine and I am doing reasonably well so far!

As I go on with my conducting career, I meet musicians that struggle with all sorts of daily pains. In most cases they get used to it, they take it as part of the job. We all focus on technique, sound, organising gigs, and winning auditions. We care so much for our instruments! Changing strings, cleaning, making reeds. And we don't spend even half that time maintaining the body that will operate that instrument!

Ideally, from the very beginning of our musical training, a wise and knowledgeable teacher would have taught us how to hold and operate our instrument in agreement with the physiology of our body. But, if not, here are a few things you can do:

- Learn how to release tension after practicing, what kind of exercises to do to balance out the uneven strain we put on our muscles.

- Become aware of your hearing. It is the only function of your body that does not regenerate and ideally silence should be a part of our life to balance out all the sounds we produce while making music.

- There are some excellent self-help books, written by and for professional athletes, on the topic of performance stress. Physiotherapists are taking interest in the issues that instrumentalists are facing a great example of that being the book Musicians in motion 100 exercises by Alexandra Trk-Espitalier.

Long-term solutions are out there, we just have to look over to our neighbors in sports and take a bit of their attitude towards our bodies and minds. We are only given one shot, only one body, and it needs proper maintenance. A warm-up before practicing in a cold practice room, a stretch after an exhausting concert of Bruckner or minimalist music, a calming, centering breath before stepping out to play that most important audition. A run, swim or a spin to keep a healthy heart and have a bit more endurance for a concert tour. And maybe, just maybe when a colleague is attempting a difficult solo and has a slip a cheer from the group and an encouraging word from the teacher can make all the difference!

For more information about the Bournemouth Symphony Orchestra's season, visit bsolive.com

Conductor Marta Gardoliska is in her second year as Bournemouth Symphony Orchestras Young Conductor in Association; she was recently announced as a Gustavo Dudamel Fellow with the Los Angeles Philharmonic. (Photo: Bartek Barczyk)

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Where sport and music meet - Gramophone

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October 3rd, 2019 at 11:45 am

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OPINION | With Schools, Medical Centres and Self-help Groups, RSS Spreads Its Tentacles in Bihar to Help … – News18

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Patna: The Rashtriya Swayamsewak Sangh (RSS) has stepped up its activities in Bihar to strengthen its roots among the backward and extremely backward castes which have hitherto been the supporter of Lalu Prasad and Nitish Kumar.

Like its ongoing drive among tribes of Jharkhand and adjoining areas of Chhattisgarh, the RSS is closely interacting with people at the grassroots level and trying to rope in the intermediary castes to its side in Bihar, where caste affiliations still influence voting patterns. The idea behind this is to strengthen Hindutva the core strength of the Sangh Parivar and break the caste barrier in the state.

The aim of the RSS is to rope in the votes of the backward and extremely backward castes so that the Bharatiya Janata Party (BJP) does not have to bank entirely on allies like Janata Dal United (JDU) and the Lok Janshakti Party (LJP) for votes. The BJP wants to have the magic number in the Bihar assembly in 2020 polls on its own like it achieved in the parliamentary polls in May this year.

The backward and extremely backward castes together constitute nearly 45 per cent of the total population in Bihar. If the BJP manages to strengthen its roots among them, it will emerge as a powerful and mass-based political party as opposition parties, including Congress, RJD and other allies of the grand alliance, stand vanquished and debilitated.

The RSS came into focus in Bihar recently when its two senior functionaries Ramlal and Ramesh Pappa called on chief minister Nitish Kumar, fuelling speculation in the political circles in the backdrop of the ongoing duel over leadership for the 2020 assembly polls. Though the RSS dubbed it as a courtesy meeting and clarified that it had nothing to do with politics, the Opposition used it as a tool to attack Kumar, saying the RSS had started dictating terms in Bihar.

The Opposition may be exaggerating the issue to target Kumar but it is certain that the future of the NDA leadership in Bihar will entirely depend upon the viewpoint of the Sangh based on its feedback on the perception of the NDA government led by Kumar in the state. A section of top BJP functionaries have already demanded that the chief minister pass on the leadership baton to the BJP this time and play an active role in national politics.

Kumars meeting with RSS leaders assumes significance in view of the uproar created two months ago when Special Branch of the Bihar Police issued a missive seeking details about all the officer-bearers of the RSS and its 18 front outfits, including their phone numbers, addresses and profession.

The RSS had taken strong exception to the move but the government dubbed it as routine affair. Some prominent Hindu outfits whose details were sought included Bajrang Dal, Vishwa Hindu Parishad, Hindu Jagaran Samiti, Swadeshi Jagaran Manch, Bharatiya Kisan Sangh, Hindu Yuva Vahini, Durga Vahini among others.

Notwithstanding the controversies around it, the RSS has been silently working in the hinterland to increase its footprint in Bihar. It has engaged Banwasi Kalyan Kendra, which works in forest areas especially in Jharkhand and Chhattisgarh and in select pockets of the state like Kaimur and Seemanchal. It has opened over a dozen hostels for boys, more than 60 health and medical centres, middle schools called Shishu Vidya Mandir in almost every district and over 200 self-help groups as part of its agenda.

The main areas of operation of the Banwasi Kalyan Kendra include West and East Champaran, Purnea, Kishanganj, Katihar, Gaya, Supaul and Madhepura. The Seemanchal region has been facing the problem of infiltration since long, especially after the Bangladesh war. Similarly, Bodh Gaya witnessed a terror attack in 2013. The terror outfits have created sleeper cells in areas of Magadh region bordering Jharkhand. We are trying to sanitise the society, an RSS functionary said.

The focus areas of the RSS are those which have sizeable Muslim population and preponderance of the backward and extremely backward castes. The RSS leaders claimed that their primary work is to inculcate the culture of Sanatan Dharma among children in remote localities and also attract educated youth with modern outlook towards the Sangh Parivar.

The RSS leadership believes that the youth in Bihar have hitherto been influenced only by casteist forces represented by the Rashtriya Janata Dal (RJD) led by Lalu Prasad and other similar political outfits of the socialist strain. The caste divide in Bihar has been sharper and the leading political parties pursuing casteist agenda have only defeated the Hindutva forces till now, the RSS functionary said.

Leading the RSS bandwagon in Bihar is Ramdutt Chakradhar, the Kshetra Karyavah (regional head) of Bihar and Jharkhand. Chakradhar, who is commanding the operations for the past four years, spends his time in remote areas of Bihar and Jharkhand and focuses mainly on the youth. He has inspired a large number of youths from engineering and management streams to serve the Banwasi Kalyan Kendras and Seva Bharti centres in Bihar.

The saffron outfit wants to become a hegemonic force by projecting Hindutva as an ideology that encompasses every section of society in Bihar. Besides its affiliate organisations among students, workers, farmers, intellectuals and professionals, the RSS has separate outfits for women, religious minorities and tribal people.

The RSS mission is also to enhance its outreach among women and rectify its image as a paternalistic organisation. An allied saffron outfit has conducted a survey at the national level, which was recently released by RSS chief Mohan Bhagwat in New Delhi. Emboldened by the positive outcome of the survey, the RSS now sees an opportunity to spread its political projects among women to a much greater extent.

Amid enhanced activities of the RSS, the BJP leadership too appears to be aggressively pursuing its saffron agenda in the state. Recently, Bihar deputy chief minister and senior BJP leader Sushil Kumar Modi announced the installation of statues of Pt. Deen Dayal Upadhyaya, Atal Bihari Vajpayee and Arun Jaitley in Patna.

(The author is a senior journalist. Views expressed are personal)

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OPINION | With Schools, Medical Centres and Self-help Groups, RSS Spreads Its Tentacles in Bihar to Help ... - News18

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October 3rd, 2019 at 11:45 am

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Beating Opioid Addiction Can Be Tough, Here’s What Helps – HealthDay

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THURSDAY, Sept. 26, 2019 (HealthDay News) -- A constant barrage of news on America's opioid epidemic stokes feelings of hopelessness, and with good reason: Every day, more than 130 people are dying from overdoses, according to government statistics.

But amid the harrowing stories, there's some good news: It is possible to recover from an opioid addiction.

That's the primary message from a study published recently in the Journal of Addiction Medicine, in which an estimated 1.2 million American adults reported recovering from an opioid addiction.

While the research demonstrated that an opioid problem can be overcome, it also showed that the road to recovery is likely to be long and challenging. It will also require more resources than it takes to kick an alcohol problem.

"It can take up to five years of continuous remission before the risk of symptoms drops to levels seen in the general population," said study lead author Lauren Hoffman, a research fellow at Massachusetts General Hospital's Recovery Research Institute and Harvard Medical School.

Using data from the 2017 National Recovery Survey, Hoffman and her team analyzed treatment and recovery services used by U.S. adults who had resolved opioid problems compared to those who had overcome an alcohol problem. Results showed stark differences between the two groups' recovery route.

By mid-recovery (between one and five years), individuals who had resolved an opioid problem were four times more likely to have used pharmacotherapies (drugs to prevent cravings or relapse such as methadone or buprenorphine), two-and-a-half times more likely to use formal addiction treatment (such as cognitive behavioral therapy), and around two times more likely to use recovery support services and mutual help organizations than adults in mid-recovery from an alcohol problem.

Mid-recovery, adults recovering from opioid abuse also were more likely than those battling alcohol issues to report low self-esteem. During early recovery, the groups didn't exhibit these differences.

The study "implies that perhaps those who have an opioid problem might need to utilize more services or utilize services for a longer period of time to maintain recovery and achieve recovery durations beyond one year," Hoffman observed.

The findings don't come as a surprise to some addiction experts.

"Once you are dependent on opioids, you are more likely to fall into the category of having a more severe problem," said Frederick Muench, president of the Center on Addiction.

The study, he said, reinforces the need to incentivize recovery supports over long periods of time. This isn't something the U.S. treatment system historically has advocated for, explained Muench. "Ongoing support isn't necessarily covered by insurance," he said.

Treatment services' prohibitive costs and scarcity, especially in rural areas, have long been blamed as the primary obstacles standing in the way of recovery from opioid dependence. But Muench points to some positive trends. Notably, they include recent federal funding increases allocated to medication treatment for drug recovery, as well as recognition by the medical community of addiction medicine as an official subspecialty of preventive medicine.

As policymakers become more aware of the need to adequately address opioid use, the stigma that opioid users feel may simultaneously decline. That would be another step in the right direction for recovery, experts believe.

"Individuals with opioid use disorder are less likely to disclose their recovery status," said Hoffman. Unlike alcohol use, which is more widely accepted, she sees the shroud of secrecy and stigma surrounding the use of opioids as detrimental, making countless individuals afraid to reach out for help. Knowing that there is hope for opioid users may spur them to seek outside assistance, she added.

For these reasons, professionals in the addiction field applauded Hoffman and her team for addressing recovery as part of their research.

"We mostly focus on the mortality of opioid users. Of course, it's devastating. But we need to pay attention to the fact that people can recover," said Dr. Wilson Compton, deputy director of the U.S. National Institute on Drug Abuse.

The new research may have put opioid recovery on the map. But for Hoffman, it spurs new inquiries.

"Recovery doesn't look the same for everyone. It's going to vary by substance, at the very least," she suggested. "Those who suffer from an opioid problem might need prolonged clinical care or additional recovery support to maintain recovery in the long term."

More information

There's more on fighting drug addiction at the U.S. National Institute on Drug Abuse.

SOURCES: Lauren Hoffman, Ph.D., research fellow, Massachusetts General Hospital's Recovery Research Institute and Harvard Medical School, Boston; Wilson Compton, M.D., deputy director, U.S. National Institute on Drug Abuse; Frederick Muench, Ph.D., president, Center on Addiction, New York City; Aug. 2, 2019, Journal of Addiction Medicine

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Beating Opioid Addiction Can Be Tough, Here's What Helps - HealthDay

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October 3rd, 2019 at 11:45 am

Posted in Self-Help

Blessing and art dedication at Keahuolu Courthouse – Hawaii 24/7

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MEDIA RELEASE

The recently opened Keahuolu Courthouse in West Hawaii was formally blessed and the artwork dedicatedTuesday morning(Oct 1) under sunny Kona skies before 300 people.

The courthouse, which opened to the public on September 3, replaced courthouses previously located in three separate buildings. The name Keahuolu honors the ahupuaa in which it is located.

Third Circuit Chief Judge Greg K. Nakamura was the emcee for the event that featured remarks by Chief Justice Mark E. Recktenwald, Gov. David Y. Ige, Hawaii Island legislators Rep. Nicole E. Lowen, and Sen. Dru Mamo Kanuha, Third Circuit Chief Judge Ronald Ibarra (ret.), and Jonathan Johnson, executive director of the State Foundation on Culture and the Arts.

Todays celebration represents a significant milestone for West Hawaii. This building will provide a safe, secure, and modern place where people can come together to obtain justice, said Chief Justice Recktenwald. It has been a long time coming, but it has been worth the wait. I have been told that discussions about the need for a courthouse for Kona have been underway in one form or another for more than 30 years. Thanks to everyones hard work and commitment, I am proud to say this project was completed on time and on budget, he added.

The Chief Justice thanked retired Chief Judge Ibarra, current Chief Judge Nakamura, Lester Oshiro, Dawn West, Cheryl Salmo, Lani Ng, the entire Third Circuit team, Rod Maile, and Joanne Krippaehne.

He also expressed deep appreciation to Gov. David Ige and Lt. Gov. Josh Green; the Hawaii Island legislative delegation; Senate and House leadership and the Ways and Means and Finance committees; Department of Accounting and General Services; Hawaii County Council; Rider Levette Bucknall; AHL; Nan, Inc.; and SSFM.

The West Hawaii Bar Association, Hawaii County Bar Association, and the Hawaii State Bar Association were also recognized for their unwavering support as the Judiciary sought funding for the courthouse.

The days of holding court in the old hospital or the old farm and garden shop remain fond memories, but it is time to move forward, the Chief Justice said. Thanks to everyone who worked so hard to make this new Keahuolu Courthouse a reality, we will be able to provide justice to this community for years to come in a place we can all rightfully be proud of.

Jonathan Johnson introduced artists, Matthew Salenger and Jerry Vasconcellos. According to the State Foundation on Culture and the Arts, Salengers sculpture, Creating Kamaaina, explores our connection to place. Vasconcellos sculpture, Hoo Pohaku, was created using stone from the courthouse construction site. It is an affirmation to stand firm in the light of our truths, according to the foundation. These works of art were produced as part of the states Art in Public Places Program, which was established to enhance the environmental quality of public buildings and spaces.

Guests were entertained by Kaulana Na Pua O Liliuokalani under the direction of Kumu Hula Bernadette Pelena Keeling.

Just before Kahu Danny Akaka, Jr. and his daughter, Kalei, performed the blessing ceremonies, Chief Justice Recktenwald made a surprise presentation to recently retired Chief Judge Ibarra, naming the Self-Help Center in his honor. Judge Ibarra was a tireless advocate for those who needed help with civil matters, but could not afford an attorney. He was pivotal in launching the original Kona Self-Help Desk in 2013. The plaques read, in part, Under Chief Judge Ibarras vision and leadership, the Third Circuit significantly expanded access to justice for all. This Self-Help Center is named in his honor.

The 140,000-square-foot Keahuolu Courthouse sits on 10 acres of land. It has five courtrooms, as well as rooms for grand jurors and regular jurors; Drivers Education Office; Juvenile and Adult Client Services; Sheriffs operations; and administrative offices. There are 292 parking stalls for court visitors. The facility cost $95.8 million for construction, furniture, fixtures, and equipment. AHL was the architect and Nan Inc. the general contractor.

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Blessing and art dedication at Keahuolu Courthouse - Hawaii 24/7

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October 3rd, 2019 at 11:45 am

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