People

What is selective mutism? And is it a lifelong condition?

Retrieved on: 
Thursday, January 4, 2024

Like many children, she is a playful and often boisterous child at home with her family.

Key Points: 
  • Like many children, she is a playful and often boisterous child at home with her family.
  • Other typical childhood experiences, such as attending birthday parties or joining in after-school activities, prove to be challenging for her.
  • Belle has selective mutism, which affects about one in 140 children under the age of eight years.

No one cause

  • There is no one cause of selective mutism.
  • Children with selective mutism often display what is known as a “behavioural inhibition” temperament.
  • Studies have also shown a high occurrence of communication difficulties, autism and developmental delays in the people with selective mutism.
  • *To ensure anonymity, Belle is a composite of various children I have treated for selective mutism.
  • For more information on selective mutism, access the Selective Mutism Information and Research Association (Smira) website.


Gino Hipolito receives funding from the National Institute of Health and Care Research (NIHR) Clinical Doctoral Research Fellowship (NIHR302167). Gino also works for St George's University Hospitals NHS Foundation Trust as paediatric speech and language therapist. The views expressed are those of the author and not necessarily those of the NHS, NIHR or the Department of Health and Social Care.

Seeing the human in every patient − from biblical texts to 21st century relational medicine

Retrieved on: 
Thursday, January 4, 2024

One study even called the care delivered to many vulnerable patients “inhumane.” Seismic changes caused by the COVID-19 pandemic – particularly the shift to telehealth – only exacerbated that feeling.

Key Points: 
  • One study even called the care delivered to many vulnerable patients “inhumane.” Seismic changes caused by the COVID-19 pandemic – particularly the shift to telehealth – only exacerbated that feeling.
  • In response, many health systems now emphasize “relational medicine”: care that purports to center on the patient as a human being.
  • Seeing each person before you as someone of infinite value is fundamental to many faiths’ beliefs about medical ethics.

Divine dignity

  • For doctors today, this might mean taking care not to inflict shame on a person with a stigmatized illness like substance use or obesity.
  • A 1981 Islamic code of medical ethics, for instance, considers the patient the leader of the medical team.
  • The doctor exists “for the sake of the patient … not the other way round,” it reminds practitioners.

Seeing and hearing the whole patient


In undergraduate classes that I teach for future health professionals at the University of Pittsburgh, we focus on communication skills to foster dignified care, such as setting a shared agenda with a patient to align their goals and the provider’s. Students also read “Compassionomics,” by medical researchers Stephen Trzeciak and Anthony Mazzarelli, which aggregates the data showing caring’s impact on the well-being of patients and providers alike.

  • However, even health professionals steeped in these practices can encounter people whose humanity they struggle to see.
  • The course evaluation is based on a project in which students interview a friend, relative or neighbor about their experience of illness and care.
  • Ultimately, they identify one element of the person’s care that could have been improved by attending more to the person’s individual needs and listening to their story.

Listening with both ears

  • Down the road at Chatham University, I work with physician assistant students who are about to enter clinic for the first time.
  • These students complete a workshop including many of the same communication exercises, including “listening with both ears”: listening not only to the patient, but also to what they themselves say to the patient, considering how it will be received.
  • Many of them report using patient-centered skills in challenging situations, such as validating patients’ concerns that had previously been dismissed.
  • Yet they also report a work culture where effective communication is often seen as taking too much time or as a low priority.
  • The emphasis on technology and a rapid pace of treatment leaves scant room for caring, whether in Heschel’s day or ours.


Jonathan Weinkle is affiliated with American College of Physicians and American Academy of Pediatrics.

Focus on right now, not the distant future, to stay motivated and on track to your long-term health goals

Retrieved on: 
Thursday, January 4, 2024

You’ve committed to a healthier lifestyle and are determined that this time is going to be different.

Key Points: 
  • You’ve committed to a healthier lifestyle and are determined that this time is going to be different.
  • Your refrigerator is stocked with fruits and veggies, you’ve tossed out processed foods, and your workout routine is written in pen in your daily planner.
  • Thinking about these long-term consequences, the argument goes, should help you avoid indulging right now and better stick to your goals.

To resist temptation, think short term

  • We tested this approach in seven studies with over 4,000 participants.
  • In one study, we invited university students to view one of two public service announcements detailing reasons to avoid energy drinks.
  • Those who read about the short-term costs were 25% less likely to choose the energy drink than those who read about the long-term costs.
  • For fast food, think about how it can make you feel bloated or give you indigestion.
  • The takeaway is simple: To avoid indulging, think short term.

Focus on the fun of healthy options

  • On the flip side, can you nudge yourself toward consuming more healthy foods?
  • These findings were independently replicated in an intervention at five university dining halls that used food labels focused on either tastiness or healthfulness.
  • In one study, Kaitlin asked gymgoers to choose a weightlifting workout from a list of similarly difficult routines.
  • The participants who were instructed to select a fun exercise completed more reps than those told to pick an exercise most useful for their long-term fitness goals.

Timing the reward sweet spot

  • One strategy for persistence is to use rewards to stay committed.
  • It seems rewards are most effective when people have to work to unlock them, after which they become regular.
  • They ended up persisting longer and completing more workouts than people in a lump-sum group who received a larger, occasional reward for every four workouts they finished.
  • People in the work-to-unlock-rewards group – three days of flossing without rewards followed by daily rewards – flossed for more days than those who received continual rewards right way.

Resistance, enjoyment and persistence

  • Our research highlights three effective strategies to help you achieve your goals: prioritizing short-term consequences to resist temptation, finding enjoyment in long-term choices, and continually rewarding yourself for sustained persistence.
  • What’s great about these strategies is that you can adapt them to any personal goal you hold.


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

Spiders really may be more scared of you than you are of them

Retrieved on: 
Thursday, January 4, 2024

The one thing that seems to elude them though, is the ability to charm the humans that they encounter.

Key Points: 
  • The one thing that seems to elude them though, is the ability to charm the humans that they encounter.
  • It’s not possible to read a spider’s mind, but research has uncovered some surprising insights about how they behave around humans.
  • It is a response to threats used by many creatures in the animal world, including other arachnids such as scorpions.

Playing dead

  • Playing dead at specific times is an advantageous strategy.
  • But playing dead is probably a more energy efficient way of staying safe from a predator than active defensive strategies.
  • The latter is adopted by tiny jumping spiders that take refuge from spiting spiders by hiding in ant nests.


But the Jorō spider has a conspicuously coloured, gold and black body, and builds large webs one metre in diameter. It’s too large to hide and too distinctive to masquerade or mimic so must rely on other strategies, including playing dead.

Who is scared of who

  • Scientists suggest these fear responses to other animals are driven by a need to control our ecological environment.
  • News stories fuel people’s assumptions that spiders have bad intentions towards us.
  • And these sentiments are reinforced by the seasonal appearances of big spiders in our gardens and under the sofa.
  • To put it in context, no spider appears on the WHO’s list of dangerous animals but domestic dogs and cats do.
  • For example, hitching a ride in your luggage or on commercially transported goods.
  • And our concern about their spread is best focused not on the spider itself, but on potential ecosystem disruption lower down the food chain.
  • In Florida, for example, invasive Cyrtophora spiders sometimes spin so much silk that they cause problems for host plants, potentially damaging farmers’ crops.


Sara Goodacre has received funding from NERC, BBSRC, Wellcome and the Royal Society. She is a member of the British Arachnological Society and the European Society for the study of Arachnology

The science behind building healthy habits can help you keep your New Year's resolution

Retrieved on: 
Wednesday, January 3, 2024

Despite their popularity, up to 80 per cent of resolutions fail, mostly within a few weeks.

Key Points: 
  • Despite their popularity, up to 80 per cent of resolutions fail, mostly within a few weeks.
  • I research the importance of behaviours to health, and write the Become Your Healthiest You blog.

Setting SMART resolutions

  • Using the SMART goal framework (Specific, Measurable, Attainable, Relevant and Timely) is a good foundation for setting your resolution.
  • Unfortunately, most people set vague resolutions, such as wanting to exercise more, be healthier or lose weight.
  • Also, aim for positive resolutions such as eating more vegetables, in contrast to eating no junk food.
  • In a survey of 1,066 people, those who had approach-oriented resolutions were more likely to be successful.
  • Big, long-term resolutions may be more easily approached by breaking them into smaller ones.
  • However, your resolution also needs to be challenging, as challenging ones result in better performance and are also found to be more satisfying than easier resolutions.
  • Relevant resolutions are more likely to be intrinsic in contrast with extrinsic ones, which are externally motivated (such as getting a promotion, winning a trophy or receiving praise).
  • Extrinsic resolutions tend to be fleeting while intrinsic resolutions are associated with greater well-being and satisfaction.

Succeeding at your resolution

  • In some cases, you may need to change your environment to be more supportive of your resolution.
  • If your resolution requires starting a new habit, combine it with a habit you already do.
  • If you want to start exercising, bundle it with a favourite TV show, podcast or music.
  • People who used temptation bundling with audiobooks were more likely to keep up with their exercise routine.
  • Enlisting the support of others can also help in achieving your resolution.


instrumental support consisting of someone doing something for you, such as driving you to the gym or helping in meal planning;
informational support in the form of someone giving you advice, whether it be from family, friends or professionals such as your doctor or a dietitian;
appraisal support, including evaluation and constructive feedback, which may come from the same people who provide informational support; and
emotional support from people providing love, empathy and caring.

Challenges and setbacks happen

  • Even with proper planning, challenges and setbacks can happen and are a normal part of any process of changing one’s behaviour or attempting something new.
  • Some setbacks may be temporary, such as an illness interrupting your exercise program.
  • Starting a new behaviour can sometimes be a process of trial and error, and learning from setbacks can support future success.


Scott Lear receives funding from the Canadian Institutes of Health Research and Hamilton Health Sciences, and has received funding from the Heart and Stroke Foundation, Novo Nordisk, and the Robert Wood Johnson Foundation.

From the FTC: Another 10 spine-tingling Halloween tales of deception

Retrieved on: 
Wednesday, January 3, 2024

From the FTC: Another 10 spine-tingling Halloween tales of deceptionLast year we offered our Top 10 “Nightmare on Main Street” consumer protection horror movies.

Key Points: 

From the FTC: Another 10 spine-tingling Halloween tales of deception

  • Last year we offered our Top 10 “Nightmare on Main Street” consumer protection horror movies.
  • Just in time for Halloween, the FTC Multiplex has reopened with ten more scary screens of deceptive practices.
  • That’s why the FTC has proposed a rule that would crack down on mysterious fees that lurk in the shadows.

15 literary podcasts to make you laugh, learn and join conversations about books

Retrieved on: 
Wednesday, January 3, 2024

But the soaring popularity of podcasts like The Penguin Podcast and NPR’s Book of the Day reveals something more.

Key Points: 
  • But the soaring popularity of podcasts like The Penguin Podcast and NPR’s Book of the Day reveals something more.
  • As writer Tom McCallister points out, while traditional reviews may be in decline, literary podcasts are not just “filling the void”.
  • Like community reviews and the more recent surge of #BookTok and #Bookstagram content on social media, literary podcasts feed the rich social networks that form around books.
  • But literary podcasts invite audiences to engage with books and writing in all kinds of ways.

1. The Garret


If books are divisive, literary podcasts are too. What’s enjoyable for one listener might not work for another. My own listening habits are driven largely by curiosity rather than loyalty: I listen to episodes haphazardly, when a particular guest, topic or title tempts me, dropping down the rabbit hole of whichever book I happen to be reading.

  • That said, I return most often to The Garret, an Australian podcast for “lovers of books and storytelling”.
  • She interviews authors about craft, criticism and some of the stories behind the stories that have found their way to publication.

2. Secrets from the Green Room


Australians are some of the world’s most enthusiastic podcast listeners, so it’s little surprise we produce some of the best bookish podcasts around.
Secrets from the Green Room is dedicated to author stories you “won’t hear anywhere else”. Irma Gold and Karen Viggers publish new episodes every few weeks. They invite guests to candidly share their own experiences navigating the world of publication, landing on topics as varied as ghostwriting, the “creep” of imposter syndrome, and the challenges of teaching writing at university.

3. Read This


The Monthly’s weekly offering, Read This, features interviews with prominent writers from Australia and around the world. Its first episode took host Michael Williams (editor of The Monthly) to Helen Garner’s house for “conversation and cake”. Later guests have included Rebecca Makkai and George Saunders.

4. Beyond the Zero


Beyond the Zero also spotlights new titles through extended conversations with both local and international authors. Each episode is a deep dive into the books and writers that have influenced the guest, so far ranging from Booker winner Paul Lynch to Australian literary authors like Emmett Stinson on Gerald Murnane.

5. The First Time


On The First Time podcast, novelists Katherine Colette and Kate Mildenhall take readers behind the scenes, into the “logistics and feels of writing and publishing a book”. They regularly feature debut authors, as part of their (paid) Featured Book series. There’s also a Masters series, with veteran writers like Richard Flanagan, and episodes that deal with “awkward” conversations, including how book endorsements work.

6 & 7. ABC RN: The Bookshelf and The Book Show

  • On The Bookshelf, Kate Evans and Cassie McCullagh review newly published fiction, alongside guest reviewers, in hour-long episodes broadcast every Friday.
  • This year, The Book Show also ran a fascinating four-part series on literary fakes and frauds, starting with the John Hughes scandal.

8 & 9. The New Yorker: Fiction and Poetry podcasts

  • Each month, the magazine’s fiction editor, Deborah Treisman, invites some of the world’s most celebrated authors to read aloud from another author’s work.
  • (And if you’re a fan of the read-aloud format, you might also enjoy The New Yorker’s Poetry podcast.)

10. Backlisted


Presented by John Mitchinson and Andy Miller, Backlisted solicits a writerly guest to choose a book they love and wax lyrical about why it deserves a wider audience (like Jennifer Egan and Nell Stevens on Elizabeth Gaskell’s North and South). Recently celebrating its 200th episode, Backlisted prides itself on “giving new life to old books” – a refreshing alternative to literary podcasts that focus almost exclusively on recent releases.

11. Overdue

  • Overdue, a podcast “about the books you’ve been meaning to read”, is also sure to add some dog-eared classics to your to-be-read pile.
  • Try the episode about Camus’s The Stranger if – like me – you only pretended to read it in high school.

12. Book Riot


For listeners interested in industry trends, the Book Riot podcast publishes weekly episodes that revolve loosely around “what’s new, cool, and worth talking about in the world of books and reading”. Jeff and Rebecca, who also edit the Book Riot website, serve up a gratifying mix of book-related commentary and news, including reading recommendations, awards chatter and emerging or evolving issues (think book bans and generative AI).

13. If Books Could Kill

  • If Books Could Kill offers a diverting but incisive take on “the airport bestsellers that captured our hearts and ruined our minds”.
  • As a scholar of self-help books, I was primed to regard this podcast with deep suspicion, but the episodes are well researched and thoroughly entertaining.

14. & 15. Reading Glasses and Marlon and Jake Read Dead People

  • Reading Glasses is a podcast about “reading better” that includes an episode on how to get borrowed books back.
  • And in Marlon and Jake Read Dead People, Man Booker Prize winning author Marlon James and his editor, Jake Morrissey, share big opinions on all things books, authors and writing – like our evergreen quandaries around reading good books by terrible people or judging a book by its cover.


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

How Israel failed to learn from the Northern Ireland peace process

Retrieved on: 
Wednesday, January 3, 2024

The Good Friday agreement which brought peace to Northern Ireland a quarter of a century ago, provided a clear guide.

Key Points: 
  • The Good Friday agreement which brought peace to Northern Ireland a quarter of a century ago, provided a clear guide.
  • They have to do what the negotiating teams, of which I was a part, did in Northern Ireland.
  • The problem is Israel’s prime minister, Benjamin Netanyahu, and his ally, the United States of America, who have failed to apply the lessons of Northern Ireland to Middle East peacemaking.

How ‘peace polls’ work

  • The objective was to determine the precise points of common ground, where they existed, or effective compromise where it was needed for peacemaking.
  • So I always made a point of hand delivering the reports to Mitchell and the parties the day before they were published.
  • Through public opinion polls the people gained a seat at the negotiating table, and through a referendum the deal was made.

When it all went wrong

  • I had been in touch with Mitchell and met him in his office at the State Department.
  • At that time I had also been running peace polls in Sri Lanka with support from the Norwegians.
  • So I did not get the funding and Mitchell eventually resigned his post without achieving peace in May 2011.
  • But I had made all necessary preparations and contacts with all the parties to the conflict to make it work.
  • My pollster Mina Zemach was a good friend of Peres and had been his pollster when he led the Labour party.
  • Like Sinn Féin they had a legitimate grievance and said they would be happy to cooperate with the peace polls.

Misplaced optimism

  • In my optimism at the time, I thought perhaps that Clinton – if she became president – would send her husband to the Middle East as her special envoy.
  • Bill Clinton had got very close to making an agreement some years earlier with the “Clinton parameters”, but he ran out of time.
  • And then Hillary Clinton lost the 2016 election to Donald Trump – and so we are where we are.
  • It is just as likely that my optimism was misplaced and that Clinton and possibly Joe Biden – who has always been a very strong supporter of Israel – did not want to oppose Netanyahu for domestic political reasons.


Colin John Irwin receives funding from: Joseph Rowntree Charitable Trust, Center for Democracy and Reconciliation in South East Europe, Social Science and Humanities Research Council of Canada, OneVoice, Royal Norwegian Ministry of Foreign Affairs, Foreign and Commonwealth Office (now FCDO), Economic and Social Research Council (UK ESRC), United Nations, InterPeace, Health and Welfare Canada, Organisation for Security and Cooperation in Europe (OSCE), British Academy, Norwegian Peoples Aid, The Day After, No Peace Without Justice, US Department of State, Local Administrations Council Unit (Syria), Asia Foundation, Department for International Development (UK DFID), OpenAI, Atlantic Philanthropies, Universities: Dalhousie, Manitoba, Syracuse, Pennsylvania, Queens Belfast, Liverpool. Also member of the World Association of Public Opinion Research (WAPOR) which promotes freedom to publish public opinion polls and sets international professional standards.

Four tips for a healthy news diet in 2024, from an expert in media psychology

Retrieved on: 
Wednesday, January 3, 2024

The start of the new year brings inevitable pressure to start fresh, with new hobbies, exercise regimes and healthy diets.

Key Points: 
  • The start of the new year brings inevitable pressure to start fresh, with new hobbies, exercise regimes and healthy diets.
  • But there is one diet you may not have thought of improving this year: your media and news consumption.
  • We have more access to information than ever, but not all of it is good quality.
  • Here are a few tips to help you build a more varied and high-quality media diet.

1. Be curious about other viewpoints

  • This can mean that inaccurate information is included, so long as it fits the narrative of what the user wants to click on.
  • If something you come across online fits neatly in your pre-existing narrative, it may be the result of a process of self-selection, combined with algorithmic personalisation.
  • This may also help “trick” an algorithm into feeding you more sources you wouldn’t otherwise come across.

2. Keep an eye out for attention-seeking

  • Remember that what you read online might not be a reflection of what people think, but what they think will attract more attention (and upset more people).
  • A 2022 study found, that in an attempt to gain a greater following, people expressed amplified versions of their actual opinions.

3. Recognise and share balanced sources

  • The authors of the 2022 study found that social media platforms could reduce polarisation by flooding the “information environment” (users’ social media feeds) with balanced sources.
  • Of course, most users cannot produce balanced news, nor can we predict what the algorithm will propose.
  • However, we can recognise bias in the news and actively try to counteract it by sharing other, reliable sources.

4. Beware of strong emotions

  • Publishers and social media companies do their utmost to try and elicit strong emotions in users, particularly emotions that make them feel positive or negative arousal (awe v anger).
  • This is because news that elicits these emotions is more likely to go viral.
  • You may find that the emotions you feel drive you to take action for a cause you care about.


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

Mortgage rates are falling but borrowers are still feeling the squeeze – a finance expert explains how to cut your repayments

Retrieved on: 
Wednesday, January 3, 2024

Over the course of the 2023 alone, the base rate increased from 3.5% to 5.25%, surpassing economists’ expectations and pushing mortgage rates to the highest levels since 2008.

Key Points: 
  • Over the course of the 2023 alone, the base rate increased from 3.5% to 5.25%, surpassing economists’ expectations and pushing mortgage rates to the highest levels since 2008.
  • For some people, repayments have increased by hundreds of pounds overnight.
  • Many people facing increased monthly mortgage payments were already managing stretched budgets due to the rising cost of living.
  • Mortgages of 35 years or more have increased from around 5% to 12% of the market in the last two years.

Where are rates headed in 2024?


Signs that households are struggling to keep up with mortgage payments are getting stronger, with more people now falling into arrears. Although less severe than previously forecast, industry body UK Finance expects arrears and possessions to continue to rise. Arrears and repossessions are rising

  • And as more homeowners come off the cheap fixed rates of pre-2022 period, around 2.3 million households are expected to face higher rates in 2024, with an average monthly repayment increase of £240.
  • The Bank of England has forecast that around 440,000 households will struggle to afford these increases.
  • So, we may well have passed the peak for interest rates.
  • In early January, Halifax cut some rates by nearly 0.8% and HSBC also announced reductions for certain products.
  • Rates still remain high compared to recent years, but this downward trend will continue to help household finances this year.
  • But it’s unrealistic to expect the mortgage rates to return to the 325-year lows observed between 2008 and 2021.
  • Read more:
    Five ways to reduce your mortgage repayments in 2023 – and why rates have risen so high

What to do if you need a mortgage in 2024

  • They also may have access to better deals than you can find yourself online or through your bank.
  • If you are on a fixed-rate mortgage that is about to end in 2024, make sure to check your lender’s standard variable rate (SVR).
  • Recently, the UK’s mortgage lenders agreed with the government on a number of measures to support people struggling with their mortgage repayments.
  • So, if you are worried, it’s best to talk to your bank in advance about how it can help.


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