performing etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster
performing etiketine sahip kayıtlar gösteriliyor. Tüm kayıtları göster

9 Şubat 2017 Perşembe

‘I was literally tearing myself up’: can the performing arts solve its mental health crisis?

Operatic soprano Greta Bradman was19 years old when she started to self-harm. Intense bullying through high school had coincided with her parents’ divorce. She felt isolated and started skipping school. A year earlier her grandfather, cricket star and national hero Sir Donald Bradman, had died.


Donald Bradman and his grand daughter were close – their relationship has been chronicled in a double episode of Australian Story – and he had instilled in her a love of classical music. Greta saw singing as “a kind of solace” for her pain, and she was accepted into the Elder Conservatorium of Music in Adelaide. But that overwhelming sense of self-loathing stayed with her, and she began trying to destroy the one thing that brought her joy: her voice.


“I wanted to take away the possibility of singing as a career,” she says. She describes it as needing to punish herself – for missing school, for being “completely worthless”, for having the audacity to wrap her identity up in art.


“It was a combination of wanting to hurt my voice and to get that sense of relief that can come from self-harm. But it’s a completely maladaptive coping strategy, which took me further and further down the cycle of self-loathing … It was bound up in me as an artist – not really knowing how to go about it, and not feeling like I could necessarily succeed, but at the same time being terrified of the prospect of success.”



Greta Bradman


‘I wanted to take away the possibility of singing as a career’: operatic soprano, radio host and psychologist Greta Bradman. Photograph: Pia Johnson

Eventually, Greta climbed out of the cycle. She stopped self-harming when she was 23 and became pregnant with her first child. Today, her voice well and truly intact, she is one of Australia’s leading sopranos, with a radio show on ABC Classic FM, an upcoming principal role as Mimì in La Bohème at the Sydney Opera House, and a plaque on the Adelaide Festival Centre’s walk of fame.


She also practices pro bono as a provisional psychologist, with a masters in clinical psychology. Bradman has combined both passions to consult on a major new industry-first initiative from Arts Centre Melbourne – the Arts Wellbeing Collective – to help others in the creative arts who have struggled in similar ways.


The collective, which launched on Thursday, is unprecedented – if not around the world, then certainly in Australia. It comprises close to 90 Victorian arts and culture organisations, including Melbourne festival, Melbourne Theatre Company, Victorian Opera and Regional Arts Victoria, who have come together with a common aim: to improve mental health and wellbeing for Victorian performing arts workers – those on stage and in front of the camera, as well as those working behind the scenes.


Developed in consultation with prominent psychologist Dr Michael Carr-Gregg, and drawing from the practice of positive psychology, the program, in its pilot phase, will feature a series of workshops and a dedicated website filled with resources tailored to the mental health needs of the performing arts sector – a sector which recent research has shown is in crisis.


Performing arts work: a lethal cocktail


In 2016, a major report was released by Victoria University and Entertainment Assist following an extensive study of entertainment industry workers.


The report – which focused on performing artists and composers, performing arts support workers and broadcasting and media equipment operators – was alarming. Levels of moderate to severe anxiety in the performing arts industry were 10 times higher than the general population; levels of depression in industry workers were up to five times higher; and workers were four to five times more likely to plan to commit suicide, and twice as likely to attempt it.


As Bradman explains, the performing arts industry comprises a unique cocktail of working conditions that, without the right levels of support, can prove deadly.


“As a performer, you’re working when everyone else is working, and then you’re working when everyone else is having fun,” she says. “The work hours are unique, and on top of that you’ve got the lack of work security, and the financial pressures.”


An Australia Council report released in 2010 found more than half the country’s artists were making less than $ 10,000 a year from their creative pursuits, regardless of the hours they put in. Many of those hours come in shifts, Bradman says, which come with their own set of risks – from obesity and cardiovascular disease through to sleep problems and other mental health issues.


There are social factors too, including an imperative to socialise and network at events that revolve around alcohol and drug consumption. “Looking at future work possibilities and career progression can be somewhat tied to that too,” Bradman says.


And all that’s to say nothing of work instability, and what it can do to one’s mental health. “For performing artists, and also for people backstage, you might go through a phase of getting a lot of work, and then all of the sudden the work drops off. That can have a big impact on your sense of identity.”




You have these immense highs of being part of a [big show] … and then suddenly it’s all gone


Greta Bradman, operatic soprano


The extreme highs and lows of the work itself compound the issues. “I’ve experienced this myself,” Bradman says. “You have these immense highs of being part of a family, a community, that comes together for this incredible project – particularly if it’s a long project, like a musical, an opera, a long run of a dance. You’re so close to the people, and you’re all so bound up in it – and chemically, from a neuropsychological and psychological perspective, there is so much going on in those relationships … but it’s all bound up within that world of the show, and suddenly the show ends and it’s gone.


“There’s a huge sense of grief and loss that can come from that – and a sense of needing to renegotiate your identity.”


While Bradman fundamentally disagrees with the myth of the “struggling artist”, which romanticises mental health issues as a creative boon, she says there is something intrinsic to the arts that can make artists and workers particularly at risk.


“To be [an artist] we have to be vulnerable, we have to give of ourselves, hugely, we have to allow ourselves to feel an array of emotions – some of them good, some of them really difficult,” she says. That’s why it’s particularly important that arts workers can access resources and support tailored to their industry – a gap the Arts Wellbeing Collective is hoping to fill.


“What we do [as arts workers] is so bound up with who we are. This is not necessarily a good or bad thing, it’s just a way that a lot of us identify,” Bradman says. “We have to negotiate what that means, so that in the quieter times – in those times when there’s not as much work – we don’t equate a lack of achievement with a lack of self-worth, or an uncertainty about our direction.”


‘I’d spun out of control’


For Simon J Green, it started with scratching. He had been running an independent film company for eight years – a creative investment with huge financial strain, long hours and high responsibility – when his wife noticed him absent-mindedly digging paths across his forearms. “As soon as she mentioned it, I realised I’d been scratching my legs, too. I pulled up my pant legs and we both gasped at the ragged, bloody strips I’d torn in myself.”



David J Green


Simon J Green experienced ‘extreme levels of stress and depression’ while managing a film production company in Melbourne for eight years

Green, who is based in Melbourne, was experiencing “extreme levels of stress and depression” combined with long working hours and a lack of sleep, which meant every small problem took on extreme proportions. It’s a spiralling feeling that many performing arts workers identify with.


“Taking on staff, and the pressure of keeping them both paid and creatively satisfied, weighed on me more than I realised,” he said. “Combined with managing [my] cystic fibrosis, and trying but failing to meet my own creative needs, I’d spun out of control to the point I was literally tearing myself up.”


There was another factor too, Green says: a lack of perceived value. “People don’t think our work is worth much, which puts pressure on us to make more for less.”


This is an issue Bradman raises too, which she is looking into with a new, broader survey which soft-launched in January. “Culturally, and particularly in the current climate, [there are questions] over the perceived value of the arts, not only within the performing arts community but the broader community.”


In 2015, the Abbott government slashed funding from the Australia Council – cuts which were handed down, for the most part, to the small-to-medium arts sector. In May 2016, the artistic directors of major theatre companies penned an open letter calling it an “unprecedented assault” on the arts, and individual artists were among the biggest losers.


“When funding is shifting and changing, and there is so much uncertainty, that can really play into one’s sense of where one is going in life, and one’s sense of self-worth,” Bradman says.


The issue of worth came up in the Entertainment Assist report too. “Performers working for free is a huge issue in our industry. It devalues our skills and puts us out of work,” said one participant. “[We need] more government support and to realise the importance of the arts,” said another.


In the film industry, Green says, that devaluation has specific repercussions. “There’s a real scarcity mindset that seems to undermine collaboration – a sense of a zero-sum game of work available, which isn’t true. I think it comes from that feeling that we aren’t really valued by society at large; from all of us being told at school, ‘Don’t be an artist, you’ll never make a living, be something else’, to the tired joke (that we perpetuate) that an arts degree is useless.




I pulled up my pant legs and we both gasped at the ragged, bloody strips I’d torn in myself.


Simon J Green, film producer and writer


“Performing artists are twice as likely to attempt suicide, and depression is five times higher than the general population. That’s a horrifying statistic,” he says. “Clearly there’s a problem, but no one really cares. If it were a different industry – say, manufacturing – there’d be a national discussion.”


Green remembers when the report came out, alongside an article on how little money is made by actors who are considered famous in Australia. “The comments sections were full of people saying, ‘Boo hoo, get a real job, they chose that life.’ With all this, how can the arts not be fatiguing our mental health?”


Beyond the performing arts


Although the report, and the Arts Wellbeing Collective which has sprung from it, are focused on the performing side, mental health issues in the arts are by no means confined to that. Mental suffering has a long and storied history with visual art, for instance, and a recent callout for arts workers who had experienced mental health flare-ups drew mostly anecdotes from writers, who spoke of anxiety, depression, bipolar disorder, eating disorders and recent, heartbreaking suicides among their community.


Developed by a performing arts company, the focus of the Arts Wellbeing Collective reflects its origins. Upcoming workshops are titled “the Green Room”, “Centre Stage” and “the Show Must Go On”. But Bradman hopes the resources made available will be of use across the industry and beyond, and has aspirations for expansion.


“There is absolutely nothing to preclude it from being broadened out, if it’s successful,” she says. “I think it’s really important to be slowly, slowly about it, to let it build up and evolve, to let this year really inform the shape that it takes in the next.”


Above all, she hopes it achieves a top-down recognition of mental health issues, removing stigma, generating conversation and increasing support: “A real sense of committing, on the part of the organisations, to a nonjudgmental, open and supportive relationship when it comes to mental health in the arts,” she says.


• Find out more about the Arts Wellbeing Collective



‘I was literally tearing myself up’: can the performing arts solve its mental health crisis?

16 Mayıs 2014 Cuma

NHS managers are not performing their task effectively


The principle behind the NHS – free of charge care at the stage of delivery – is a fine one particular. Day after day, staff operate difficult under stressful situations to provide an typically superb services. But there are exceptions and costly errors are created. Admiration for the values of the NHS must not blind us to its faults or stop us from speaking about them.




Earlier this month, The Sunday Telegraph unveiled that two hospitals were compelled to end carrying out keyhole surgical procedure for upper gastrointestinal cancer following the deaths of 5 individuals in 2012. The Royal School of Surgeons ordered that all this kind of operations from the Maidstone and Tunbridge Wells NHS Believe in ought to be carried out at St Thomas’s Hospital rather, till enhancements were evident. Three surgeons had been barred from the procedure, though all 3 had been permitted to proceed basic surgical procedure.




Today, we report a catalogue of troubling errors at the unit in question, uncovered by an investigation. There had been “dysfunctional operating relationships”, “secretive” behaviour and frequent warnings about low requirements. Issues were handled poorly some of the deaths have been linked to uncommon occasions which could have been related with the surgical techniques involved. It is implied that one particular of the surgeons behaved virtually like a god, being “untouchable” and enjoying a “special standing inside of the trust”. Attorneys are now examining at least 20 deaths or critical complications that might have been caused by problems with the keyhole procedure.




Often, the NHS appears to be weighed down with as well significantly management. At other instances, the management is strangely slow to act to make sure that the proper issues are getting carried out. This week we also reported that in a lot more than half of cases, sick or elderly sufferers are not becoming advised by NHS employees that they are near to death. Not even a single in five is spoken to about whether or not they need to get a drip for fluids and nutrients. Even though nationwide guidance says there should be training in how to deal with this kind of end-of-lifestyle care, it is necessary for physicians in only 19 per cent of NHS trusts, and for nurses in just 28 per cent. Yet another unhappy instance of sound advice not being appropriately enforced.




The NHS wants better leadership, as well as a much more transparent culture inside which employees are capable to report or speak out about troubles without having concern. As well typically the Left regards the overall health support as, like a venerated surgeon, “untouchable” – a principle also treasured to criticise. But a thorough rethink of the way the NHS is managed would guarantee it is a services that puts the demands of patients – not workers – first.




NHS managers are not performing their task effectively

30 Nisan 2014 Çarşamba

Psychiatric medicines are performing us much more harm than excellent | Peter Gøtzsche

‘More than 53m prescriptions for antidepressants have been issued in 2013 in England alone.’ Photograph: travel-and-far more/Alamy




We appear to be in the midst of a psychiatric drug epidemic, just as we have been when benzodiazepines (tranquilisers) had been at their height in the late 1980s. The decline in their use right after warnings about addiction led to a large boost in the use of the newer antidepressants, the SSRIs (selective serotonin re-uptake inhibitors).


Figures released by the Council for Proof-based mostly Psychiatry, which was set up to challenge a lot of of the assumptions commonly manufactured about contemporary psychiatry, show that much more than 53m prescriptions for antidepressants have been issued in 2013 in England alone. This is nearly the equivalent of a single for every guy, woman and little one and constitutes a 92% enhance since 2003.


Revenue of antidepressants have skyrocketed everywhere and are now so substantial in my very own country, Denmark, that – if the prescriptions were equally distributed – every single citizen could be in therapy for six many years of their existence. The predicament is even worse in the US, in which direct promoting of prescription medication to the public is permitted and in which more psychiatrists had been “educated” with sector hospitality than any other health-related discipline.


I began to realise the scale of the dilemma when I was persuaded seven many years ago to grow to be a tutor for a PhD thesis on no matter whether history was repeating itself, by evaluating benzodiazepines (“mother’s little helper”) with SSRIs. This study has established that people get as hooked on SSRIs as they did on benzodiazepines, and 37 of 42 withdrawal symptoms were the same for SSRIs as for benzodiazepines.


It is challenging to think that so a lot of individuals have become mentally disturbed and that these prescription increases reflect a genuine need, so we require to look for other explanations. There look to be three principal reasons for the huge development.


Initial, the definitions of psychiatric ailments are so vague that several healthy individuals can be diagnosed inappropriately. Second, some of the psychiatrists who wrote the diagnostic manuals have been on the industry’s payroll, and this might have also led to significant diagnostic inflation. Third, the companies’ behaviour has been worse in psychiatry than in any other spot of medication, with billion-dollar fines paid for the unlawful advertising of psychiatric drugs for non-approved uses. The rise in sales reflects patient dependency on these SSRIs: they may possibly have excellent trouble stopping even when they taper off the drugs slowly. Withdrawal signs are typically misdiagnosed as a return of the disease or the commence of a new one particular, for which medication are then prescribed. More than time, this prospects to an boost in the number of drug-dependent, lengthy-term users.


One more significant difficulty with psychiatric medication is that they can trigger the signs they are supposed to alleviate. Unfortunately, psychiatrists tend to boost the dose or include another drug when a patient reports damaging effects.


The problem is that many of these medication just do not perform as individuals suppose. The main result of antidepressants is not the reduction of depressive symptoms. They are no much better than placebo for mild depression, only somewhat greater for moderate depression, and advantage only a single out of 10 with serious depression. In all around half of all patients, they trigger sexual disturbances. The signs consist of decreased libido, delayed orgasm or ejaculation, no orgasm or ejaculation and erectile dysfunction. Studies in the two people and animals recommend that these effects may persist long after the drug has been discontinued.


The US Foods and Drug Administration has shown that antidepressants boost suicidal behaviour up to the age of forty, and numerous suicides have been reported even in wholesome people who took the medication for other reasons (for example, for tension or soreness). The identical report also said that, among individuals above 65 who are taken care of for one year, antidepressants are believed to destroy a single out of every single 28, because they lead to falls and hip fractures. Indeed, it is not clear whether antidepressants are protected at any age.


My studies of the research literature in this complete spot lead me to a extremely uncomfortable conclusion: the way we at present use psychiatric medication is creating much more harm than excellent. We ought to as a result use them significantly less, for shorter intervals of time, and often with a prepare for tapering off, to stop men and women from becoming medicated for the rest of their lives.




Psychiatric medicines are performing us much more harm than excellent | Peter Gøtzsche