Day 915

A simple source of hot water in Delhi is the sun heating up supply pipes. Very eco-friendly.

Another simple yet highly un-eco-friendly source is an immersion rod. I used it today after about 3 decades. It was like revisiting my university days. The plastic bucket and the broad clip reminded me of the 2 parallel burn marks on the edge of the light blue bucket in college. The soft hissing sound of the frantic molecules was all too familiar. Seeing the little eddies set off by the heat waves made me smile. All those times when I had completely forgotten about the water and got distracted only to come back to the horror of half a bucket or less of absolutely boiling hot water! Adding just the right amount of cold water was crucial especially at the peak of winters.

The geyser with a red and a green light is another old friend. My brother lives with his family in a rented house in a little village in India. The landlord and his wife live in part of the house with a separate entrance.  For some reason, the guest-room (my room) bathroom geyser is shared with the land-lord. The switch happens to be in their house.  This is never a problem as most people are around most of the time. We forgot to ask them to switch it on in time, hence the immersion rod.

This kind of arrangement between neighbours, land-lords and tenants is normal here. It’s no problem. It’s perfectly workable. There is no desire to change it. I suppose things like this make it a close community. It would be quite unthinkable in more ‘advanced’ settings.

Fact: 4 days is the time it took for our next-door neighbour to find out that Saagar had passed away.

Ref:
Dying alone:
https://www.theguardian.com/commentisfree/2014/jun/27/anyone-can-die-alone-isolated-age-uk-loneliest-country

Britain, loneliness capital of Europe:
http://www.independent.co.uk/life-style/health-and-families/features/britain-has-been-voted-the-loneliness-capital-of-europe-so-how-did-we-become-so-isolated-9566617.html

Day 826

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This forgotten book-mark in a book being revisited after two years is an origami crane – a symbol of healing in Japan. A school kid had given it to me at Hiroshima as a token of gratitude for helping him practise his spoken English.

Paper folding started in China in the first century and reached Japan in the 6th century. Here it was cultivated as an art of understatement. Origami suggests. It implies without announcing outright. It intimates without brashness. In Japanese folklore, a crane is fabled to live for a thousand years and is held in high esteem. It is believed that folding 1000 paper cranes brings the folder’s wishes come true.

A young girl called Sadako Sasaki survived the Hiroshima bomb when she was only two years old. Less than 10 years later she was diagnosed with leukemia, a cancer of the bone marrow. The disease progressed rapidly and the prognosis was not good. She set out to make a thousand paper cranes. She could complete 644 before she died on Oct. 25, 1955, less than a year after being diagnosed. Her classmates, family and friends made more to bring them up to 1000 and buried them with Sadako.

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Her story captured the imagination of the country and the world. Today, we recognize the crane as a symbol of peace and hope.

“She let out both the pain of our parents and her own suffering with each crane.”
“Her death gave us a big goal. Small peace is so important with compassion and delicacy it will become big like a ripple effect. She showed us how to do it. It is my, and the Sasaki family’s responsibility to tell her story to the world. I believe if you don’t create a small peace, you can’t create a bigger peace. I like to gather those good wishes and good will and spread to the world,” said Masahiro, her brother.

Peace and hope to Sadako and to us all.

Day 817

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“Terrible poverty causes brain damage”, says Charles Nelson, a professor of neuroscience and paediatrics at Harvard Medical School.
In 1989, when the communists were overthrown in Romania, 170,000 children were abandoned and were living in government-run institutions under very poor conditions. Nelson and his team started studying them in the late 1990s. They found that the kids were deprived of key experiences during critical periods of development. Babies lay in cribs for their first year or more and their visual experience was limited because often the ceilings were painted white. There was no one to talk to them and care-giving was limited, so they were deprived of psychosocial stimulation. Their physical growth was greatly stunted too. The kids were very very small.

“We had a rule: no crying in front of the kids. But I can’t tell you how tough it was.”
The team wanted to find out if high-quality foster care for these kids could rectify the negative impact of poverty they might have. They recruited a sample of 136 kids, from 6-31 months of age and randomly assigned half of them to high quality foster care. The other half remained in institutional care. Foster parents from Bucharest were volunteers who had been intensively screened and interviewed. They were paid a small wage and provided with material support such as toys and diapers. The families were closely monitored by social workers.

Two years into the study they found that across the board, the kids in institutions lagged behind in language development, IQ and mental well being. The prevalence of anxiety and depression were reduced no matter how old the kids were when they were placed in foster care.

They are now about 16 years old. Those in institutions are starting to experience significant mental health issues such as psychotic disorders and paranoia. 20 of them showed a sharp drop in IQ from the age of 12.

One year following this research, the Romanian government passed a legislation banning the institutionalisation of children below the age of 2 years unless they were severely disabled. They also started government foster care.

This is a  classic example of science giving rise to political will to improve lives of kids.
UK’s Child Poverty Action Group reports that 3.9 million children in this country live in poverty at present. This means more than one in 4 children are growing up in families with less than 60% of the median income. In the US, 15 million children live below the poverty line. Western levels of poverty may not be anything close to the hardship endured by many in developing countries but it has long lasting detrimental effects on the physical and mental health of children.
With a strong political will, child poverty can be alleviated but despite setting goals and targets, our government is spectacularly failing to deliver. Dealing with child poverty and its life long consequences is not a matter of political choice but that of moral duty.

Source: New Scientist October 2016.

Day 815

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(A sculpture by Ruth M, who lived with Bipolar Disorder, expressing her depression)

In the 1940s, mental hospitals were places of isolation and confinement, probably closer to prison than hospital. Netherne, in Surrey was seen as a progressive asylum at the forefront of waves of reform and development for nearly 50 years, till the eventual closure of the British asylums. They enthusiastically adopted physical treatments, now viewed as barbaric- insulin coma therapy, electroconvulsive therapy and lobotomy, then seen as optimistic approaches to treatment.

Edward Adamson (1911-1996) was a pioneer of British Art Therapy. He encouraged and collected the paintings, drawings and sculptures by people compelled to live in Netherne Hospital between 1946 and 1981. He describes that many people who came to his first lecture there had shaved or bandaged heads, bruised faces and black eyes, following brain surgery.

Adamson started collecting art during his early visits when a man on a locked ward gave him the first of his several drawings done on toilet paper with a charred matchstick. He later met other people on the wards who would have had no personal possessions, working with whatever materials they could find to create something for themselves.

The Adamson Collection has 6,000 of these works of an estimated 100,000 when he retired. The collection is seen as unique in the history of art therapy of the reforming psychiatry of the 1950s and 60s, collected by an artist rather than a psychiatrist, with a strong representation of works by women. Above all it is a memorial to all those who suffered in the asylums and to the human need to express.

“Edward Adamson practiced art as healing before there were ever terms or labels like ‘Art Therapist’. Being with him for anyone was therapy and yet he didn’t play at clinician, but rather served so sweetly as a supreme friend, ‘there’ for those who had none other. There were for Edward no patients. I think that is why so many lost people in his care found their way back to themselves. Adamson’s was an alchemy of the highest sort.”

– Rebecca Alban Hoffberger, Founder/Director American Visionary Art Museum, 2011

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Ref: http://www.adamsoncollectiontrust.org/wp-content/uploads/2016/09/2-2011.-DOF-Raw-Vision-for-EAF.pdf

Day 808

Yesterday our Prime Minister put Mental health at the top of the national agenda. Great to have these focussed conversations in prominent places with special emphasis on schools and work places being equipped to intervene early for children and young people with difficulties. These announcements are welcome but are also met with a slow applause as this government does not have a great track record with the NHS.

Relevant tweets:

“Schools will be linked to local NHS #mentalhealth services to support early intervention for Children and Young People” in PM speech.

“You can make the promises, but you need the workforce to deliver them.”

“Biggest challenge PM faces -getting funding to the front line. Services over-pressed, under-staffed + facing even more demands.” – President of the Royal College of Psychiatrists.

In my opinion, as long as we stick strictly to the medical model of mental illness we will never get it right as it does not put enough emphasis on prevention. We need to start with educating young parents about the family, environmental, individual and social factors that contribute to the mental well being of a child.

Thereafter the schools need to be aware that if a child is happy, he or she is more likely to perform well. Hence putting them under academic pressure can be counterproductive. Bullying policies must be strictly implemented. Kids must be allowed to fail sometimes. There is grace and learning in defeat.

By no means do I claim to have all the answers but this would be a good start. Prevention is better than cure.

Day 806

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Alan Turing was a lonely, awkward boy. His only friend in school died of tuberculosis in 1928. This awful event had a formative impact on the life of this young man who went on to become a brilliant mathematician and code breaker at Bletchley Park from 1939-45. Cracking the Enigma code significantly shortened World War 2 and potentially altered its outcome. He was the first man to indicate how thinking machines might be built. He later came to be known as the father of modern computing. He was one of the most influential men of his time and we owe our freedom to him. Steve Jobs wanted his company logo of the bitten apple to be associated with Turing’s love of apples.

An accomplished runner, he also had a great interest in the paranormal. And there is Turing the composer, responsible for some of the earliest computer music recorded by the BBC in Manchester. He is described as “shy, gay, witty, grumpy, courageous, unassuming and wildly successful genius”.

In 1952, he was arrested under a homophobic law for ‘gross indecency’. The chemical castration that Turing underwent thereafter was highly unjust and disgusting. Tens of thousands of less famous men were similarly prosecuted between 1885 and 1967.

He was found by his cleaner when she came in on 8 June 1954. He had died the day before of cyanide poisoning, a half-eaten apple beside his bed. His mother believed he had accidentally ingested cyanide from his fingers after an amateur chemistry experiment, but it is more credible that he had successfully contrived his death to allow her alone to believe this. The coroner’s verdict was suicide.

These countries still punish homosexual acts by death: Saudi Arabia, Afghanistan, Nigeria, Qatar, Iran, Somalia, Yemen, Sudan, Mauritania and UAE.

World gay rights map:
https://www.washingtonpost.com/graphics/world/gay-rights/

Day 804

This time of the year is difficult for many families. Financial pressures, obligatory socialising with people whose affections may not be entirely genuine, a perceived time for evaluating various aspects of one’s life, overindulgence, having to revert back to traditional gender roles, the need for things to be just so…

Many women fear the festive period. Not a year goes by when there isn’t a seasonal rise in incidents of domestic violence reported to the police. Humberside Police Force reports that calls rose from 38% in the rest of the year to 54% in December 2015.

“For too many children across Ireland, being home at Christmas, is not a place of safety, warmth and happiness. It’s a place of fear, loneliness, pain and neglect,” said the ISPCC (Irish Society for the Prevention of Cruelty to Children). On Christmas day more than 1000 calls were received by their 60 strong staff on Childline service from children reporting distress due to domestic violence and/or alcohol abuse.

Pangs of loneliness are more acutely felt by the elderly and floating populace at this time of the year. Age UK works steadily on reducing loneliness in the elderly, 1.2 million of whom suffer from it on a chronic basis. Their objective is : ‘No one should have no one on Christmas’.

For those of us who have recently lost a dear one, their physical absence is more visibly, painfully and deeply felt than other times. That one less present, that one less seat on the dinner table, that one less name on the card, that one less beaming smile, that one less hug …

Ref: http://www.newstatesman.com/politics/welfare/2015/12/it-s-hardest-time-year-why-domestic-violence-spikes-over-christmas

https://www.rt.com/news/371953-child-abuse-helpline-ireland/