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  • ‘The vehicle suddenly accelerated with our baby in it’: the terrifying truth about why Tesla’s cars keep crashing | Tesla

    ‘The vehicle suddenly accelerated with our baby in it’: the terrifying truth about why Tesla’s cars keep crashing | Tesla

    It was a Monday afternoon in June 2023 when Rita Meier, 45, joined us for a video call. Meier told us about the last time she said goodbye to her husband, Stefan, five years earlier. He had been leaving their home near Lake Constance, Germany, heading for a trade fair in Milan.

    Meier recalled how he hesitated between taking his Tesla Model S or her BMW. He had never driven the Tesla that far before. He checked the route for charging stations along the way and ultimately decided to try it. Rita had a bad feeling. She stayed home with their three children, the youngest less than a year old.

    At 3.18pm on 10 May 2018, Stefan Meier lost control of his Model S on the A2 highway near the Monte Ceneri tunnel. Travelling at about 100kmh (62mph), he ploughed through several warning markers and traffic signs before crashing into a slanted guardrail. “The collision with the guardrail launches the vehicle into the air, where it flips several times before landing,” investigators would write later.

    The car came to rest more than 70 metres away, on the opposite side of the road, leaving a trail of wreckage. According to witnesses, the Model S burst into flames while still airborne. Several passersby tried to open the doors and rescue the driver, but they couldn’t unlock the car. When they heard explosions and saw flames through the windows, they retreated. Even the firefighters, who arrived 20 minutes later, could do nothing but watch the Tesla burn.

    At that moment, Rita Meier was unaware of the crash. She tried calling her husband, but he didn’t pick up. When he still hadn’t returned her call hours later – highly unusual for this devoted father – she attempted to track his car using Tesla’s app. It no longer worked. By the time police officers rang her doorbell late that night, Meier was already bracing for the worst.

    The crash made headlines the next morning as one of the first fatal Tesla accidents in Europe. Tesla released a statement to the press saying the company was “deeply saddened” by the incident, adding, “We are working to gather all the facts in this case and are fully cooperating with local authorities.”

    To this day, Meier still doesn’t know why her husband died. She has kept everything the police gave her after their inconclusive investigation. The charred wreck of the Model S sits in a garage Meier rents specifically for that purpose. The scorched phone – which she had forensically analysed at her own expense, to no avail – sits in a drawer at home. Maybe someday all this will be needed again, she says. She hasn’t given up hope of uncovering the truth.


    Rita Meier was one of many people who reached out to us after we began reporting on the Tesla Files – a cache of 23,000 leaked documents and 100 gigabytes of confidential data shared by an anonymous whistleblower. The first report we published looked at problems with Tesla’s autopilot system, which allows the cars to temporarily drive on their own, taking over steering, braking and acceleration. Though touted by the company as “Full Self-Driving” (FSD), it is designed to assist, not replace, the driver, who should keep their eyes on the road and be ready to intervene at any time.

    Autonomous driving is the core promise around which Elon Musk has built his company. Tesla has never delivered a truly self-driving vehicle, yet the richest person in the world keeps repeating the claim that his cars will soon drive entirely without human help. Is Tesla’s autopilot really as advanced as he says?

    The Tesla Files suggest otherwise. They contain more than 2,400 customer complaints about unintended acceleration and more than 1,500 braking issues – 139 involving emergency braking without cause, and 383 phantom braking events triggered by false collision warnings. More than 1,000 crashes are documented. A separate spreadsheet on driver-assistance incidents where customers raised safety concerns lists more than 3,000 entries. The oldest date from 2015, the most recent from March 2022. In that time, Tesla delivered roughly 2.6m vehicles with autopilot software. Most incidents occurred in the US, but there have also been complaints from Europe and Asia. Customers described their cars suddenly accelerating or braking hard. Some escaped with a scare; others ended up in ditches, crashing into walls or colliding with oncoming vehicles. “After dropping my son off in his school parking lot, as I go to make a right-hand exit it lurches forward suddenly,” one complaint read. Another said, “My autopilot failed/malfunctioned this morning (car didn’t brake) and I almost rear-ended somebody at 65mph.” A third reported, “Today, while my wife was driving with our baby in the car, it suddenly accelerated out of nowhere.”

    Braking for no reason caused just as much distress. “Our car just stopped on the highway. That was terrifying,” a Tesla driver wrote. Another complained, “Frequent phantom braking on two-lane highways. Makes the autopilot almost unusable.” Some report their car “jumped lanes unexpectedly”, causing them to hit a concrete barrier, or veered into oncoming traffic.

    Musk has given the world many reasons to criticise him since he teamed up with Donald Trump. Many people do – mostly by boycotting his products. But while it is one thing to disagree with the political views of a business leader, it is another to be mortally afraid of his products. In the Tesla Files, we found thousands of examples of why such fear may be justified.

    ‘My husband died in an unexplained accident. And no one cared.’ Illustration: Carl Godfrey/The Guardian

    We set out to match some of these incidents of autopilot errors with customers’ names. Like hundreds of other Tesla customers, Rita Meier entered the vehicle identification number of her husband’s Model S into the response form we published on the website of the German business newspaper Handelsblatt, for which we carried out our investigation. She quickly discovered that the Tesla Files contained data related to the car. In her first email to us, she wrote, “You can probably imagine what it felt like to read that.”

    There isn’t much information – just an Excel spreadsheet titled “Incident Review”. A Tesla employee noted that the mileage counter on Stefan Meier’s car stood at 4,765 miles at the time of the crash. The entry was catalogued just one day after the fatal accident. In the comment field was written, “Vehicle involved in an accident.” The cause of the crash remains unknown to this day. In Tesla’s internal system, a company employee had marked the case as “resolved”, but for five years, Rita Meier had been searching for answers. After Stefan’s death, she took over the family business – a timber company with 200 employees based in Tettnang, Baden-Württemberg. As journalists, we are used to tough interviews, but this one was different. We had to strike a careful balance – between empathy and the persistent questioning good reporting demands. “Why are you convinced the Tesla was responsible for your husband’s death?” we asked her. “Isn’t it possible he was distracted – maybe looking at his phone?”

    No one knows for sure. But Meier was well aware that Musk has previously claimed Tesla “releases critical crash data affecting public safety immediately and always will”; that he has bragged many times about how its superior handling of data sets the company apart from its competitors. In the case of her husband, why was she expected to believe there was no data?

    Meier’s account was structured and precise. Only once did the toll become visible – when she described how her husband’s body burned in full view of the firefighters. Her eyes filled with tears and her voice cracked. She apologised, turning away. After she collected herself, she told us she has nothing left to gain – but also nothing to lose. That was why she had reached out to us. We promised to look into the case.


    Rita Meier wasn’t the only widow to approach us. Disappointed customers, current and former employees, analysts and lawyers were sharing links to our reporting. Many of them contacted us. More than once, someone wrote that it was about time someone stood up to Tesla – and to Elon Musk.

    Meier, too, shared our articles and the callout form with others in her network – including people who, like her, lost loved ones in Tesla crashes. One of them was Anke Schuster. Like Meier, she had lost her husband in a Tesla crash that defies explanation and had spent years chasing answers. And, like Meier, she had found her husband’s Model X listed in the Tesla Files. Once again, the incident was marked as resolved – with no indication of what that actually meant.

    “My husband died in an unexplained and inexplicable accident,” Schuster wrote in her first email. Her dealings with police, prosecutors and insurance companies, she said, had been “hell”. No one seemed to understand how a Tesla works. “I lost my husband. His four daughters lost their father. And no one ever cared.”

    Her husband, Oliver, was a tech enthusiast, fascinated by Musk. A hotelier by trade, he owned no fewer than four Teslas. He loved the cars. She hated them – especially the autopilot. The way the software seemed to make decisions on its own never sat right with her. Now, she felt as if her instincts had been confirmed in the worst way.

    Oliver Schuster was returning from a business meeting on 13 April 2021 when his black Model X veered off highway B194 between Loitz and Schönbeck in north-east Germany. It was 12.50pm when the car left the road and crashed into a tree. Schuster started to worry when her husband missed a scheduled bank appointment. She tried to track the vehicle but found no way to locate it. Even calling Tesla led nowhere. That evening, the police broke the news: after the crash her husband’s car had burst into flames. He had burned to death – with the fire brigade watching helplessly.

    The crashes that killed Meier’s and Schuster’s husbands were almost three years apart but the parallels were chilling. We examined accident reports, eyewitness accounts, crash-site photos and correspondence with Tesla. In both cases, investigators had requested vehicle data from Tesla, and the company hadn’t provided it. In Meier’s case, Tesla staff claimed no data was available. In Schuster’s, they said there was no relevant data.

    Over the next two years, we spoke with crash victims, grieving families and experts around the world. What we uncovered was an ominous black box – a system designed not only to collect and control every byte of customer data, but to safeguard Musk’s vision of autonomous driving. Critical information was sealed off from public scrutiny.


    Elon Musk is a perfectionist with a tendency towards micromanagement. At Tesla, his whims seem to override every argument – even in matters of life and death. During our reporting, we came across the issue of door handles. On Teslas, they retract into the doors while the cars are being driven. The system depends on battery power. If an airbag deploys, the doors are supposed to unlock automatically and the handles extend – at least, that’s what the Model S manual says.

    The idea for the sleek, futuristic design stems from Musk himself. He insisted on retractable handles, despite repeated warnings from engineers. Since 2018, they have been linked to at least four fatal accidents in Europe and the US, in which five people died.

    In February 2024, we reported on a particularly tragic case: a fatal crash on a country road near Dobbrikow, in Brandenburg, Germany. Two 18-year-olds were killed when the Tesla they were in slammed into a tree and caught fire. First responders couldn’t open the doors because the handles were retracted. The teenagers burned to death in the back seat.

    A court-appointed expert from Dekra, one of Germany’s leading testing authorities, later concluded that, given the retracted handles, the incident “qualifies as a malfunction”. According to the report, “the failure of the rear door handles to extend automatically must be considered a decisive factor” in the deaths. Had the system worked as intended, “it is assumed that rescuers might have been able to extract the two backseat passengers before the fire developed further”. Without what the report calls a “failure of this safety function”, the teens might have survived.

    ‘I feel like I’m in the movies’: malfunctioning robotaxi traps passenger in car – video

    Our investigation made waves. The Kraftfahrt-Bundesamt, Germany’s federal motor transport authority, got involved and announced plans to coordinate with other regulatory bodies to revise international safety standards. Germany’s largest automobile club, ADAC, issued a public recommendation that Tesla drivers should carry emergency window hammers. In a statement, ADAC warned that retractable door handles could seriously hinder rescue efforts. Even trained emergency responders, it said, may struggle to reach trapped passengers. Tesla shows no intention of changing the design.

    That’s Musk. He prefers the sleek look of Teslas without handles, so he accepts the risk to his customers. His thinking, it seems, goes something like this: at some point, the engineers will figure out a technical fix. The same logic applies to his grander vision of autonomous driving: because Musk wants to be first, he lets customers test his unfinished Autopilot system on public roads. It’s a principle borrowed from the software world, where releasing apps in beta has long been standard practice. The more users, the more feedback and, over time – often years – something stable emerges. Revenue and market share arrive much earlier. The motto: if you wait, you lose.

    Musk has taken that mindset to the road. The world is his lab. Everyone else is part of the experiment.


    By the end of 2023, we knew a lot about how Musk’s cars worked – but the way they handle data still felt like a black box. How is that data stored? At what moment does the onboard computer send it to Tesla’s servers? We talked to independent experts at the Technical University Berlin. Three PhD candidates – Christian Werling, Niclas Kühnapfel and Hans Niklas Jacob – made headlines for hacking Tesla’s autopilot hardware. A brief voltage drop on a circuit board turned out to be just enough to trick the system into opening up.

    The security researchers uncovered what they called “Elon Mode” – a hidden setting in which the car drives fully autonomously, without requiring the driver to keep his hands on the wheel. They also managed to recover deleted data, including video footage recorded by a Tesla driver. And they traced exactly what data Tesla sends to its servers – and what it doesn’t.

    The hackers explained that Tesla stores data in three places. First, on a memory card inside the onboard computer – essentially a running log of the vehicle’s digital brain. Second, on the event data recorder – a black box that captures a few seconds before and after a crash. And third, on Tesla’s servers, assuming the vehicle uploads them.

    The researchers told us they had found an internal database embedded in the system – one built around so-called trigger events. If, for example, the airbag deploys or the car hits an obstacle, the system is designed to save a defined set of data to the black box – and transmit it to Tesla’s servers. Unless the vehicles were in a complete network dead zone, in both the Meier and Schuster cases, the cars should have recorded and transmitted that data.

    ‘Is the car driving erratically by itself normal? Yeah, that happens every now and then.’ Illustration: Carl Godfrey/The Guardian

    Who in the company actually works with that data? We examined testimony from Tesla employees in court cases related to fatal crashes. They described how their departments operate. We cross-referenced their statements with entries in the Tesla Files. A pattern took shape: one team screens all crashes at a high level, forwarding them to specialists – some focused on autopilot, others on vehicle dynamics or road grip. There’s also a group that steps in whenever authorities request crash data.

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    We compiled a list of employees relevant to our reporting. Some we tried to reach by email or phone. For others, we showed up at their homes. If they weren’t there, we left handwritten notes. No one wanted to talk.

    We searched for other crashes. One involved Hans von Ohain, a 33-year-old Tesla employee from Evergreen, Colorado. On 16 May 2022, he crashed into a tree on his way home from a golf outing and the car burst into flames. Von Ohain died at the scene. His passenger survived and told police that von Ohain, who had been drinking, had activated Full Self-Driving. Tesla, however, said it couldn’t confirm whether the system was engaged – because no vehicle data was transmitted for the incident.

    Then, in February 2024, Musk himself stepped in. The Tesla CEO claimed von Ohain had never downloaded the latest version of the software – so it couldn’t have caused the crash. Friends of von Ohain, however, told US media he had shown them the system. His passenger that day, who barely escaped with his life, told reporters that hours earlier the car had already driven erratically by itself. “The first time it happened, I was like, ‘Is that normal?’” he recalled asking von Ohain. “And he was like, ‘Yeah, that happens every now and then.’”

    His account was bolstered by von Ohain’s widow, who explained to the media how overjoyed her husband had been at working for Tesla. Reportedly, von Ohain received the Full Self-Driving system as a perk. His widow explained how he would use the system almost every time he got behind the wheel: “It was jerky, but we were like, that comes with the territory of new technology. We knew the technology had to learn, and we were willing to be part of that.”

    The Colorado State Patrol investigated but closed the case without blaming Tesla. It reported that no usable data was recovered.


    For a company that markets its cars as computers on wheels, Tesla’s claim that it had no data available in all these cases is surprising. Musk has long described Tesla vehicles as part of a collective neural network – machines that continuously learn from one another. Think of the Borg aliens from the Star Trek franchise. Musk envisions his cars, like the Borg, as a collective – operating as a hive mind, each vehicle linked to a unified consciousness.

    When a journalist asked him in October 2015 what made Tesla’s driver-assistance system different, he replied, “The whole Tesla fleet operates as a network. When one car learns something, they all learn it. That is beyond what other car companies are doing.” Every Tesla driver, he explained, becomes a kind of “expert trainer for how the autopilot should work”.

    According to Musk, the eight cameras in every Tesla transmit more than 160bn video frames a day to the company’s servers. In its owner’s manual, Tesla states that its cars may collect even more: “analytics, road segment, diagnostic and vehicle usage data”, all sent to headquarters to improve product quality and features such as autopilot. The company claims it learns “from the experience of billions of miles that Tesla vehicles have driven”.

    It is a powerful promise: a fleet of millions of cars, constantly feeding raw information into a gargantuan processing centre. Billions – trillions – of data points, all in service of one goal: making cars drive better and keeping drivers safe. At the start of this year, Musk got a chance to show the world what he meant.

    On 1 January 2025, at 8.39am, a Tesla Cybertruck exploded outside the Trump International Hotel Las Vegas. The man behind the incident – US special forces veteran Matthew Livelsberger – had rented the vehicle, packed it with fireworks, gas canisters and grenades, and parked it in front of the building. Just before the explosion, he shot himself in the head with a .50 calibre Desert Eagle pistol. “This was not a terrorist attack, it was a wakeup call. Americans only pay attention to spectacles and violence,” Livelsberger wrote in a letter later found by authorities. “What better way to get my point across than a stunt with fireworks and explosives.”

    The soldier miscalculated. Seven bystanders suffered minor injuries. The Cybertruck was destroyed, but not even the windows of the hotel shattered. Instead, with his final act, Livelsberger revealed something else entirely: just how far the arm of Tesla’s data machinery can reach. “The whole Tesla senior team is investigating this matter right now,” Musk wrote on X just hours after the blast. “Will post more information as soon as we learn anything. We’ve never seen anything like this.”

    Later that day, Musk posted again. Tesla had already analysed all relevant data – and was ready to offer conclusions. “We have now confirmed that the explosion was caused by very large fireworks and/or a bomb carried in the bed of the rented Cybertruck and is unrelated to the vehicle itself,” he wrote. “All vehicle telemetry was positive at the time of the explosion.”

    Suddenly, Musk wasn’t just a CEO; he was an investigator. He instructed Tesla technicians to remotely unlock the scorched vehicle. He handed over internal footage captured up to the moment of detonation.The Tesla CEO had turned a suicide attack into a showcase of his superior technology.

    Yet there were critics even in the moment of glory. “It reveals the kind of sweeping surveillance going on,” warned David Choffnes, executive director of the Cybersecurity and Privacy Institute at Northeastern University in Boston, when contacted by a reporter. “When something bad happens, it’s helpful, but it’s a double-edged sword. Companies that collect this data can abuse it.”

    ‘In many crashes, investigators weren’t even aware that requesting data from Tesla was an option.’ Illustration: Carl Godfrey/The Guardian

    There are other examples of what Tesla’s data collection makes possible. We found the case of David and Sheila Brown, who died in August 2020 when their Model 3 ran a red light at 114mph in Saratoga, California. Investigators managed to reconstruct every detail, thanks to Tesla’s vehicle data. It shows exactly when the Browns opened a door, unfastened a seatbelt, and how hard the driver pressed the accelerator – down to the millisecond, right up to the moment of impact. Over time, we found more cases, more detailed accident reports. The data definitely is there – until it isn’t.

    In many crashes when Teslas inexplicably veered off the road or hit stationary objects, investigators didn’t actually request data from the company. When we asked authorities why, there was often silence. Our impression was that many prosecutors and police officers weren’t even aware that asking was an option. In other cases, they acted only when pushed by victims’ families.

    In the Meier case, Tesla told authorities, in a letter dated 25 June 2018, that the last complete set of vehicle data was transmitted nearly two weeks before the crash. The only data from the day of the accident was a “limited snapshot of vehicle parameters” – taken “approximately 50 minutes before the incident”. However, this snapshot “doesn’t show anything in relation to the incident”. As for the black box, Tesla warned that the storage modules were likely destroyed, given the condition of the burned-out vehicle. Data transmission after a crash is possible, the company said – but in this case, it didn’t happen. In the end, investigators couldn’t even determine whether driver-assist systems were active at the time of the crash.

    The Schuster case played out similarly. Prosecutors in Stralsund, Germany, were baffled. The road where the crash happened is straight, the asphalt was dry and the weather at the time of the accident was clear. Anke Schuster kept urging the authorities to examine Tesla’s telemetry data.

    When prosecutors did formally request the data recorded by Schuster’s car on the day of the crash, it took Tesla more than two weeks to respond – and when it did, the answer was both brief and bold. The company didn’t say there was no data. It said that there was “no relevant data”. The authorities’ reaction left us stunned. We expected prosecutors to push back – to tell Tesla that deciding what’s relevant is their job, not the company’s. But they didn’t. Instead, they closed the case.

    The hackers from TU Berlin pointed us to a study by the Netherlands Forensic Institute, an independent division of the ministry of justice and security. In October 2021, the NFI published findings showing it had successfully accessed the onboard memories of all major Tesla models. The researchers compared their results with accident cases in which police had requested data from Tesla. Their conclusion was that while Tesla formally complied with those requests, it omitted large volumes of data that might have proved useful.

    Tesla’s credibility took a further hit in a report released by the US National Highway Traffic Safety Administration in April 2024. The agency concluded that Tesla failed to adequately monitor whether drivers remain alert and ready to intervene while using its driver-assist systems. It reviewed 956 crashes, field data and customer communications, and pointed to “gaps in Tesla’s telematic data” that made it impossible to determine how often autopilot was active during crashes. If a vehicle’s antenna was damaged or it crashed in an area without network coverage, even serious accidents sometimes went unreported. Tesla’s internal statistics include only those crashes in which an airbag or other pyrotechnic system deployed – something that occurs in just 18% of police-reported cases. This means that the actual accident rate is significantly higher than Tesla discloses to customers and investors.

    There’s more. Two years prior, the NHTSA had flagged something strange – something suspicious. In a separate report, it documented 16 cases in which Tesla vehicles crashed into stationary emergency vehicles. In each, autopilot disengaged “less than one second before impact” – far too little time for the driver to react. Critics warn that this behaviour could allow Tesla to argue in court that autopilot was not active at the moment of impact, potentially dodging responsibility.

    The YouTuber Mark Rober, a former engineer at Nasa, replicated this behaviour in an experiment on 15 March 2025. He simulated a range of hazardous situations, in which the Model Y performed significantly worse than a competing vehicle. The Tesla repeatedly ran over a crash-test dummy without braking. The video went viral, amassing more than 14m views within a few days.

    Mark Rober’s Tesa test drive

    The real surprise came after the experiment. Fred Lambert, who writes for the blog Electrek, pointed out the same autopilot disengagement that the NHTSA had documented. “Autopilot appears to automatically disengage a fraction of a second before the impact as the crash becomes inevitable,” Lambert noted.

    And so the doubts about Tesla’s integrity pile up. In the Tesla Files, we found emails and reports from a UK-based engineer who led Tesla’s Safety Incident Investigation programme, overseeing the company’s most sensitive crash cases. His internal memos reveal that Tesla deliberately limited documentation of particular issues to avoid the risk of this information being requested under subpoena. Although he pushed for clearer protocols and better internal processes, US leadership resisted – explicitly driven by fears of legal exposure.

    We contacted Tesla multiple times with questions about the company’s data practices. We asked about the Meier and Schuster cases – and what it means when fatal crashes are marked “resolved” in Tesla’s internal system. We asked the company to respond to criticism from the US traffic authority and to the findings of Dutch forensic investigators. We also asked why Tesla doesn’t simply publish crash data, as Musk once promised to do, and whether the company considers it appropriate to withhold information from potential US court orders. Tesla has not responded to any of our questions.

    Elon Musk boasts about the vast amount of data his cars generate – data that, he claims, will not only improve Tesla’s entire fleet but also revolutionise road traffic. But, as we have witnessed again and again in the most critical of cases, Tesla refuses to share it.

    Tesla’s handling of crash data affects even those who never wanted anything to do with the company. Every road user trusts the car in front, behind or beside them not to be a threat. Does that trust still stand when the car is driving itself?

    Internally, we called our investigation into Tesla’s crash data Black Box. At first, because it dealt with the physical data units built into the vehicles – so-called black boxes. But the devices Tesla installs hardly deserve the name. Unlike the flight recorders used in aviation, they’re not fireproof – and in many of the cases we examined, they proved useless.

    Over time, we came to see that the name held a second meaning. A black box, in common parlance, is something closed to the outside. Something opaque. Unknowable. And while we’ve gained some insight into Tesla as a company, its handling of crash data remains just that: a black box. Only Tesla knows how Elon Musk’s vehicles truly work. Yet today, more than 5m of them share our roads.

    Some names have been changed.

    This is an edited extract from The Tesla Files by Sönke Iwersen and Michael Verfürden, published on 24 July by Penguin Michael Joseph at £22. To support the Guardian, order your copy at guardianbookshop.com. Delivery charges may apply.

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  • Owning dog or cat could preserve some brain functions as we age, study says | Ageing

    Owning dog or cat could preserve some brain functions as we age, study says | Ageing

    As Britain’s population ages and dementia rates climb, scientists may have found an unexpected ally in the fight against cognitive decline.

    Cats and dogs may be exercising more than just your patience: they could be keeping parts of your brain ticking over too. In a potential breakthrough for preventive health, researchers have found that owning a four-pawed friend is linked to slower cognitive decline by potentially preserving specific brain functions as we grow older.

    Interestingly, the associations differ depending on the animal: dog owners were found to retain sharper memory, both immediate and delayed, while cat owners showed slower decline in verbal fluency.

    When it comes to slower cognitive decline in their owners, however, it seems that not all pets are created equal: fish and birds, while charming companions, showed no significant link.

    “Pet ownership has been linked to a positive influence on cognitive functioning and cognitive decline in late adulthood,” said Adriana Rostekova, a researcher and lead author of the article, which was published in Nature. “However, there is limited understanding of how different species of pets are associated with these outcomes.”

    Rostekova, who works at the lifespan developmental psychology research group at the University of Geneva, used data from eight waves of the Survey of Health and Retirement in Europe to examine the relationship between pet ownership and cognitive decline over an 18-year period among adults aged 50 and older.

    She specifically looked at the distinct role of owning dogs, cats, birds and fish. “The key novelty of our study was that we found notable differences between the species,” she said.

    Rostekova hypothesised that because keeping fish or birds showed no meaningful link to changes in cognitive decline, the overall pattern of pet ownership may be driven primarily by having a cat or dog rather than pet ownership in general.

    “Several explanations may help explain the absence of this association in fish and bird owners, despite the reports of their ownership’ positive influence on wellbeing in ways that are usually associated with cognitive benefits,” she added.

    “A fish or bird’s short lifespan may potentially limit the level of emotional connection one is able to develop with the pet fish,” she said. “Bird ownership may negatively affect the owner’s sleep quality due to the increased noise levels, which has been shown to be associated with cognitive decline.”

    Rostekova added: “[It is] further possible that interaction with dogs and cats provides unique cognitive stimulation, which may be less pronounced in other, less demanding pets.”

    Other research has found evidence of an increase in prefrontal brain activation and stronger attentional processes and emotional arousal caused by interaction with a dog.

    There is further evidence of increased activation of the prefrontal cortex and the inferior frontal gyrus when interacting with cats, which is speculated to be linked to the characteristic, hard-to-predict temperament of the animal.

    “There is also a possibility of increased social stimulation facilitated by cats and dogs, which may be linked to the slower cognitive decline experienced by their owners: an increased frequency of social interactions when accompanied by a dog – or for cats, a substitute for a social network,” said Rostekova.

    As the NHS grapples with an ageing population and rising dementia rates, experts say the findings could reshape how we think about healthy ageing – and the animals we choose to age alongside.

    Andrew Scott, the author of The Longevity Imperative and a cat owner (although also a dog lover), said: “We tend to think of health as being about disease and hospitals but as we live longer and need to focus on preventive measures that keep us healthy for longer, we will discover that the health system extends well beyond doctors and hospitals.

    “It is about how we live our life. What is nice about this study is it suggests a fun and meaningful way of keeping healthy and engaged. A lot of things we are recommended to do for our health aren’t always fun or companionable (does anyone fast as a family?). Having a pet can be fun and if it keeps you healthy that’s a great bonus.”

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  • Travels with the Queen recalled as royal train nears end of line

    Travels with the Queen recalled as royal train nears end of line

    Danny Fullbrook

    BBC News, Buckinghamshire

    Getty Images Queen Elizabeth II and her husband Prince Philip, Duke of Edinburgh, smile and wave as the Royal train pulls out of Euston n 1977Getty Images

    Queen Elizabeth II and the Duke of Edinburgh smile and wave as the royal train pulls out of Euston in 1977

    Euston Station, 1937: The royal train sits quietly at the platform with a policeman posted outside to guard young Princess Elizabeth; suddenly he hears a soft knock on the carriage window behind him.

    The future Queen beckons him inside. “Here’s a shilling,” she says. “Can you go and get me a comic please?”

    This is one of many anecdotes told by those who worked on the train that are now preserved by journalist and author Phil Marsh.

    He says with a laugh: “Can you imagine being the policeman who’s supposed to be guarding the heir to the throne and then being told to go and buy a comic?”

    Reportedly, the officer did just that.

    royaltrain.co.uk Five carriages of the royal train are visible on a track, behind it is the old red-brick buildings of Wolverton Worksroyaltrain.co.uk

    The train is kept and maintained at Wolverton Works in Buckinghamshire

    In 2027, 90 years after this moment took place, the royal train will be pulled from service.

    Buckingham Palace has taken the decision to decommission the historic rolling stock as part of a “drive to ensure we deliver value for money”.

    It will be taken around the UK before it is removed from service.

    Mr Marsh first became associated with the train in 1997 when he was tasked with putting together a business case to sell it, but he says it “fortunately didn’t stack up”.

    He made friends with Leo Coleman, project manager at Wolverton Works, Buckinghamshire, where the train is kept, who was responsible for modernising the train for the Queen’s silver jubilee in 1977.

    After Mr Coleman died he was left his archive and tasked with chronicling its story, and he has shared some of those memories for this article.

    royaltrain.co.uk Two men smarty dressed are looking at a photograph togetherroyaltrain.co.uk

    Writer Phil Marsh has documented memories from Leo Coleman (left) and Chris Hillyard (right)

    The comic book story was documented by Chris Hillyard, the last foreman of the train, who died in November with cancer.

    On another occasion Mr Hillyard was on the train, alongside the Queen, when he noticed a smell of smoke.

    He stopped the train and asked the signalman to block the adjacent railway while he investigated the fault.

    While he was doing this, the Queen appeared at the window, apparently unaware the other line had been closed.

    She said: “Oh, Mr Hillyard, I’ll be your lookout. It’ll be quite safe.”

    “Yes, ma’am. Thank you,” he responded politely.

    royaltrain.co.uk A black and white photo shows a steam locomotive pulling along the carts of the royal train.royaltrain.co.uk

    Queen Victoria used the royal train during her diamond jubilee in 1897

    Queen Adelaide was the first member of the Royal Family to have a carriage built for the royal train in 1842.

    It continued to be used by members of the Royal Family, including Queen Victoria, who would often stop at Wolverton for a refreshment break as the train did not have toilets.

    In 1869 Wolverton Works built the very first bespoke royal carriages for Queen Victoria, costing £1,800. The monarch donated £800.

    A special shed was constructed for the train in 1869 at Wolverton but has since been converted to flats, though the train has remained at the site for its entire history.

    King Edward VII innovated in 1901 when he introduced electricity, powered by the steam engine, but a generator was eventually installed in 1941 alongside radio and telephones.

    In 1977, when Mr Coleman was tasked with upgrading the royal train for the jubilee, the focus shifted from luxury to function.

    Members of the Royal Family were expected to live and work on the train for long periods, requiring functional design changes such as an office.

    royaltrain.co.uk A photo of the interior of Queen Victoria's carriage on the royal train. There is a long sofa on the left. There are several lamps, two armchairs and decorative curtains on the windows.royaltrain.co.uk

    Phil Marsh described the royal train during the era of Queen Victoria as a ‘palace on wheels’

    The first journey after the 1977 upgrade was from Euston to Glasgow.

    After completing their engagement Queen Elizabeth II and the Duke of Edinburgh asked to speak to Mr Coleman.

    “Everything all right, ma’am?” he asked.

    “No,” she responded, “what’s happened to the old ironing board?”

    As part of the improvements a new ironing board had been installed but the Queen’s lady-in-waiting wanted the old one back.

    Mr Coleman called Wolverton Works and a member of staff had to find it and carry it to Glasgow on the next available train.

    Reuters King Charles III is exiting the train and about to shake hands with a uniformed lady on the platformReuters

    King Charles III has used the royal train a number of times during his reign

    Today, the seven carriages that make up the royal train are owned by Network Rail while the locomotives named King’s Messenger and Royal Sovereign are owned by DB Cargo UK.

    Gemini Rail Services run Wolverton Works, where the train is maintained.

    Engineers from DB Cargo and personnel from Gemini are on board during all journeys in case something goes wrong.

    The seven carriages include a saloon for King Charles, which includes his own bedroom and lounge.

    There is also his day coach, a restaurant cart and a dining cart, and the remaining carts are for use of support staff.

    DB Cargo told the BBC when the royal contract expires on 31 March 2027 it will retain its locomotives and may put them on other traffic.

    Network Rail has been asked what it plans to do with its carriages, but has not yet responded.

    Mr Marsh, who documents the train’s history on the website royaltrain.co.uk, hopes they will be kept in a museum.

    “Every carriage on the train has been designated as part of the national collection,” he explained.

    “Designation means that it can’t be scrapped. It will need to go to a museum whether it’s at York or any other museum is up for debate.”

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  • Jurassic World Rebirth to Gaza: Doctors Under Attack – the week in rave reviews | Culture

    Jurassic World Rebirth to Gaza: Doctors Under Attack – the week in rave reviews | Culture

    TV

    If you only watch one, make it …

    Gaza: Doctors Under Attack

    Channel 4; available now

    Gaza: Doctors Under Attack. Photograph: Channel 4/Basement Films

    Summed up in a sentence A belated airing of the hugely controversial documentary that the BBC refused to show: a horrifying investigation into claims that Israel’s Defence Force has systematically targeted Palestinian medics.

    What our reviewer said “This is the sort of television that will never leave you. It will provoke an international reaction, and for extremely good cause. Forget what got it stopped at the BBC. It is here now and, regardless of how that happened, we owe it to the subjects to not look away.” Stuart Heritage

    Read the full review

    Further reading Gaza film’s producer accuses BBC of trying to gag him over decision to drop it


    Pick of the rest

    Such Brave Girls

    BBC iPlayer; available now

    Kat Sadler as Josie, Louise Brealey as Deb and Lizzie Davidson as Billie in Such Brave Girls. Photograph: James Stack/BBC/Various Artists

    Summed up in a sentence The second series of a brilliant, startlingly feral comedy about a trio of troubled female relatives – whose first outing won a comedy Bafta.

    What our reviewer said “Such Brave Girls won’t be to everyone’s tastes. But if you like your comedy scary, lairy and perfectly portioned, it is a total knockout.” Hannah J Davies

    Read the full review

    Further reading ‘Who else can we annoy with our show?’: Such Brave Girls, Britain’s most gleefully offensive comedy returns

    Attack on London: Hunting the 7/7 Bombers

    Netflix; full series available

    Summed up in a sentence Interviewees including Tony Blair feature in this absolutely comprehensive look at how the 2005 London transport bombings prompted the UK’s largest criminal investigation.

    What our reviewer said “Though it is by now a familiar story, this evokes the fear, confusion and panic of that day in heart-racing detail.” Rebecca Nicholson

    Read the full review


    You may have missed …

    Shifty

    BBC iPlayer; all episodes available

    Adam Curtis’s Shifty. Photograph: Adam Curtis

    Summed up in a sentence Adam Curtis applies his archive-footage packed documentary style to explaining how the atomisation of UK society has destroyed our democracy – with mesmerising results.

    What our reviewer said “It is an increasing rarity to stand in the presence of anyone with an idea, a thesis, that they have thoroughly worked out to their own satisfaction and then presented stylishly, exuberantly and still intelligently. The hell and the handcart feel that bit more bearable now.” Lucy Mangan

    Read the full review

    Further reading Thatcher, Farage and toe-sucking: Adam Curtis on how Britain came to the brink of civil war


    Film

    If you only watch one, make it …

    Jurassic World Rebirth

    In cinemas now

    Jurassic World Rebirth. Photograph: Universal Pictures and Amblin Entertainment

    Summed up in a sentence Near-extinct franchise roars back to life as latest instalment offers Spielberg-style set pieces and excellent romantic chemistry between leads Scarlett Johansson and Jonathan Bailey.

    What our reviewer said “This new Jurassic adventure isn’t doing anything so very different from the earlier successful models, perhaps, and I could have done without its outrageous brand synergy product placement for certain brands of chocolate bar. But it feels relaxed and sure-footed in its Spielberg pastiche, its big dino-jeopardy moments and its deployment of thrills and laughs.” Peter Bradshaw

    Read the full review

    Further reading ‘The script didn’t have Jurassic World on the front’: Gareth Edwards on Monsters, Godzilla, Star Wars and reinventing dinosaurs


    Pick of the rest

    The Shrouds

    In cinemas now

    Vincent Cassel and Diane Kruger in The Shrouds.

    Summed up in a sentence Elaborate necrophiliac meditation on loss and longing from David Cronenberg, starring Vincent Cassel as an oncologist who has founded a restaurant with a hi-tech cemetery attached.

    What our reviewer said “The film has its own creepy, enveloping mausoleum atmosphere of disquiet, helped by the jarring electronic score by Howard Shore.” Peter Bradshaw

    Read the full review

    Further reading ‘Something must have gone wrong with us’: David Cronenberg and Howard Shore on four decades of body horror

    Hearts of Darkness: A Film-Maker’s Apocalypse

    In cinemas now

    Summed up in a sentence Superb documentary about the making of Francis Ford Coppola’s masterpiece Apocalypse Now, with Coppola’s epic meltdown in the jungle.

    What our reviewer said “Haemorrhaging money and going insanely over-schedule, Coppola shot his film in the Philippines during burning heat, humidity and monsoons and borrowed army helicopters and pilots from President Ferdinand Marcos, only to find that on many occasions – especially during the legendary Ride of the Valkyries attack scene – filming had to halt as the Filipino military would ask for their helicopters back so they could suppress a communist insurgency. In fact, Coppola found himself reproducing reality on a 1:1 scale.” Peter Bradshaw

    Read the full review

    Further reading Francis Ford Coppola: ‘Apocalypse Now is not an anti-war film’


    Now streaming …

    Heads of State

    Prime Video; available now

    Idris Elba and John Cena in Heads of State. Photograph: FlixPix/Alamy

    Summed up in a sentence John Cena and Idris Elba star in fun and well-modulated throwback comedy as the US president and UK prime minister, who team up to escape terrorists.

    What our reviewer said “Fun, fiery and totally frivolous, Heads of State is a perfect summer movie with great potential for future sequels.” Andrew Lawrence

    Read the full review

    Hill

    Sky Cinema and Now; available now

    Damon Hill in Hill. Photograph: Sky

    Summed up in a sentence Compelling story of Formula One star Damon Hill’s trials on and off the racetrack in its depiction of the psychological pressure cooker in which the driver competed.

    What our reviewer said “It has quiet, but profound, lessons to impart in its emphasis on the driver’s need to live up to his roistering father Graham, and on the real meaning of victory in the most alpha of environments that is Formula One.” Phil Hoad

    Read the full review

    Further reading ‘I was angry at the world’: Damon Hill on pain of his father’s death and how it fuelled his rise


    Books

    If you only read one, make it …

    Murderland by Caroline Fraser

    Review by Dorian Lynskey

    Summed up in a sentence An investigation into the causes of America’s 1970s serial killer epidemic comes up with some surprising answers.

    What our reviewer said “It is as hauntingly compulsive a nonfiction book as I have read in a long time. It gets into your blood.”

    Read the full review


    Pick of the rest

    My Sister and Other Lovers by Esther Freud

    Review by Joanna Quinn

    Summed up in a sentence A sequel to Hideous Kinky, 30 years on, explores the effects of an unconventional upbringing.

    What our reviewer said “It’s billed as a novel but arguably occupies an interesting grey area between novel and memoir, resisting the expectations of both and creating something all of its own.”

    Read the full review

    Further reading ‘When I read my sister’s stories I think, that’s not what it was like!’: Esther Freud on the perils of writing about family

    Flashlight by Susan Choi

    Review by Beejay Silcox

    Summed up in a sentence An ambitious, globe-trotting epic of political and family secrets.

    What our reviewer said “Flashlight is all kinds of big: capacious of intent and scope and language and swagger, confronting a chapter of North Korean history that American fiction has barely touched.”

    Read the full review

    Autocorrect by Etgar Keret

    Review by Sam Leith

    Summed up in a sentence Deadpan short stories that range from the surreal to the philosophical to the absurd.

    What our reviewer said “Not so much one book as a library of tiny books, from an author who conveys as well as any I can think of just how much fun you can have with a short story.”

    Read the full review

    Empire of the Elite by Michael M Grynbaum

    Review by Houman Barekat

    Summed up in a sentence Inside the glittering, gossipy world of publisher Condé Nast.

    What our reviewer said “Grynbaum quotes one journalist who believes she missed out on an editorship because, during the interview lunch, she gauchely ate asparagus with cutlery rather than by hand”

    Read the full review


    You may have missed …

    How to Save the Amazon: A journalist’s deadly quest for answers by Dom Phillips

    In bookshops now

    Summed up in a sentence The murdered Guardian journalist’s final investigation, completed by his friends and supporters.

    What our reviewer said “A book both brilliant and broken, one that is ultimately as inspiring and devastating as the Amazon itself” Charlie Gilmour

    Read the full review

    Further reading A deadly mission: how Dom Phillips and Bruno Pereira tried to warn the world about the Amazon’s destruction


    Albums

    If you only listen to one, make it …

    Kesha: . (Period)

    Out now

    Kesha’s album .(Period). Photograph: AP

    Summed up in a sentence After a long legal battle, the pop star’s sixth album harks back to her 2010s hot-mess era, with a buffet of pop styles and only rare hints of her highly publicised trauma.

    What our reviewer said “The songs are all really strong, filled with smart little twists and drops, and funny, self-referential lines.” Alexis Petridis

    Read the full review

    Further reading ‘I would walk in and just cry for two hours’: Kesha on cats, court cases, and the dangers of ‘toxic positivity’


    Pick of the rest

    Daytimers: Alterations

    Out now

    Daytimers’ Alterations LP.

    Summed up in a sentence The UK collective have been reimagining south Asian music since 2020, and their new compilation splices junglism and afro-house on to gems in Sony India’s catalogue.

    What our reviewer said “Reframing this nostalgic cinema music for the modern dancefloor, Alterations proves there is still plenty of space for future generations of diaspora artists to celebrate and find inspiration in their heritage.” Ammar Kalia

    Read the full review

    Kae Tempest: Self Titled

    Out now

    Summed up in a sentence Despair runs through the Londoner’s fifth album but, in what is essentially a love letter to the trans community, his home town and partner, beauty breaks through.

    What our reviewer said “Hope and hard-won happiness, against all odds, underpins this rich, compelling and timely record.” Rachel Aroesti

    Read the full review

    Further reading Kae Tempest: ‘I was living with this boiling hot secret in my heart’

    Shostakovich: Preludes & Fugues Op 87

    Out now

    Summed up in a sentence Performed by Russian pianist Yulianna Avdeeva, these 24 works, modelled on Bach, date from 1950 and 1951 and were originally written for pianist Tatiana Nikolayeva.

    What our reviewer said “Avdeeva takes a lighter approach, less forthright, and perhaps not digging as deeply into the barely disguised tragedy of the E minor Prelude as Nikolayeva does, but equally dazzling in the exuberant display of the A minor.” Andrew Clements

    Read the full review


    On tour this week

    Slayer

    Playing outdoor shows this week

    Slayer perform at Cardiff Castle earlier this week. Photograph: Maxine Howells/Getty Images

    Summed up in a sentence Playing outdoor shows including the big send-off for Black Sabbath on Saturday, the thrash legends have reformed and are playing their first UK gigs in six years.

    What our reviewer said “Slayer are still a shocking proposition, their churning riffs punctuated by gross-out gore and grim images from endless war. Subtle? No. Effective? Absolutely.” Huw Baines

    Read the full review

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  • Shoplifting hits record high in Germany: Are criminal gangs behind it?

    Shoplifting hits record high in Germany: Are criminal gangs behind it?

    ADVERTISEMENT

    German retailers noticed a gaping hole of missing merchandise worth €4.95bn when they completed their inventories in 2024. That’s according to a new publication by the country’s EHI Retail Institute, based on a survey they carry out each year.

    And while the overall loss is 3% more than in the previous year and a new record, the nearly €5bn is not entirely due to crime. The report estimates that approximately €4.2bn of losses are linked to theft, and the rest can be blamed on companies’ own mistakes, such as incorrect price labelling, and recording and valuation errors.

    The survey collected responses from 98 companies, operating more than 17,000 shops in Germany.

    The report suggests that shoplifting, including organised crime, cost approximately €2.95bn to the sector last year, an increase from €2.82bn in 2023.

    Companies’ own employees were also behind losses of €890mn, and a loss of €370mn was attributed to theft by suppliers and service companies. 

    According to EHI’s report, shoplifting, theft committed by customers, has been on the rise since the COVID-19 pandemic, despite police reports showing a 5% decline in reported cases in 2024.

    “A total of 98% of all thefts go undetected in Germany, meaning that counting losses requires checking inventories for missing items,” the report said.

    Shoplifting is increasingly controlled by organised crime

    Professional theft rings have become a significant retail threat. The study estimates that, compared to last year, shoplifting linked to organised criminal activity increased by 5%. 

    In 2024, organised activity accounted for around one-third of all the customers’ theft, or almost €1bn.

    “Many retailers are certain that organised theft is becoming increasingly professional and will continue to increase,” the report said. 

    It added: “Larger groups enter stores and mercilessly pack products. Security and staff usually have no chance. The unmanageable development of gang crime, its connection to large online sales platforms, and the lack of action against it are problems.”

    Poverty could also fuel shoplifting

    “Another challenge remains ‘ordinary’ customer theft, which is partly attributed to rising living costs and higher unemployment,” the report said.

    Germany, the biggest economy in the EU, has been struggling with inflated energy prices and lower productivity, partly linked to the war in Ukraine and the COVID-19 pandemic.

    The country’s manufacturing sector is now facing major uncertainties in global trade, coupled with elevated energy prices and supply chain issues. 

    The ailing economy has contracted every other quarter since the end of 2022.

    Housing costs rose to the extent that 12% of the population spent more than 40% of their income on it last year, according to the country’s statistics office. The EU average is 8.2%.

    One-fifth of the people are at risk of poverty or social exclusion, and though inflation has eased to around 2%, unemployment is at the highest level since late 2020, sitting at 6.2%, according to the Federal Employment Agency. The agency also said in its latest report that the number of unemployed people is nearing the 3 million mark for the first time in a decade.

    Where does shoplifting occur the most?

    Nearly €2bn worth of stolen goods were missing from food stores, and smaller supermarkets were the most targeted. Drugstores and hardware stores also saw significantly increased losses in some cases.

    Meanwhile, official police records, which don’t cover each case, show a 5% decline in shoplifting cases for 2024, according to Police Crime Statistics data (Polizeiliche Kriminalstatistik).

    This follows two dramatic increases in 2022 and 2023 when the reported cases showed a double-digit jump each year, rising by 34.3% and 23.6% respectively. However, the survey by EHI Retail Institute said that an estimated 98% of shoplifting cases go undetected.

    In 2024, retailers’ damage, worth €4.2bn, also translated into losses for the federal budget.

    “The economic damage resulting from theft due to lost sales tax amounts to approximately €570mn per year,” the report said, assuming that three-quarters of the stolen items are subject to a VAT rate of 19% and the remaining quarter to 7%.

    Increased security budgets

    Retail companies spend around 0.33% of their turnover on security measures, including staff training, camera surveillance, targeted use of store detectives, and anti-theft display units. The total cost of all related investments was around €3.1bn, bringing the total cost of theft and prevention to €7.3bn last year. 

    This comes down to around 1.5% of the sales prices of the average purchase, meaning that customers had to shoulder the costs, too, the study concluded.

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  • Photos of the global life of the Dalai Lama as he turns 90

    Photos of the global life of the Dalai Lama as he turns 90

    DHARAMSHALA, India (AP) — The Dalai Lama is revered as a deity by millions of Tibetan Buddhists and known worldwide as a resolute voice for peace, spirituality and Tibet ’s autonomy. He is also seen as a threat by China, which accuses him of wanting to wrest Tibet from Beijing’s control.

    As the spiritual and political leader of Tibetan Buddhists, he established a government-in-exile in the Indian town of Dharamshala after fleeing Tibet in 1959. Since then he has traveled the world to raise the issue of Tibet and Tibetans, while spreading a message of nonviolence.

    He has met world leaders and celebrities, from the likes of fellow Nobel Peace Prize winners Nelson Mandela and Desmond Tutu to multiple U.S. presidents, popes and Hollywood stars.

    Tibetan spiritual leader the Dalai Lama listens to questions during a news conference in London on March 20, 1991. (AP Photo/Dave Caulkin, File)

    Television talk show host Tom Snyder, left, shares a joke with Tibetan spiritual leader the Dalai Lama during the taping of NBC's The Tomorrow Show in New York, Sept. 5, 1979. (AP Photo/Dan Grossi, File)

    Television talk show host Tom Snyder, left, shares a joke with Tibetan spiritual leader the Dalai Lama during the taping of NBC’s The Tomorrow Show in New York, Sept. 5, 1979. (AP Photo/Dan Grossi, File)

    Tibetan spiritual leader the Dalai Lama, center, is flanked by actor and activist Richard Gere, left, and model and actress Cindy Crawford, at a dinner to benefit the American Himalayan Foundation at the Beverly Wilshire Hotel in Beverly Hills, Ca., Sept. 17, 1993. (AP Photo/Reed Saxon, File)

    Tibetan spiritual leader the Dalai Lama, center, is flanked by actor and activist Richard Gere, left, and model and actress Cindy Crawford, at a dinner to benefit the American Himalayan Foundation at the Beverly Wilshire Hotel in Beverly Hills, Ca., Sept. 17, 1993. (AP Photo/Reed Saxon, File)

    Pope John Paul II, left, meets with Tibetan spiritual leader the Dalai Lama at the Vatican Nunciature, embassy in Vatican City on Feb. 2, 1986. (AP Photo/Arturo Mari, File)

    Pope John Paul II, left, meets with Tibetan spiritual leader the Dalai Lama at the Vatican Nunciature, embassy in Vatican City on Feb. 2, 1986. (AP Photo/Arturo Mari, File)

    President George Bush, left, and Tibetan spiritual leader the Dalai Lama look up in the Capitol Rotunda on Capitol Hill in Washington, Oct. 17, 2007, during the Congressional Gold Medal ceremony honoring The Dalai Lama. (AP Photo/Pablo Martinez Monsivais, File)

    President George Bush, left, and Tibetan spiritual leader the Dalai Lama look up in the Capitol Rotunda on Capitol Hill in Washington, Oct. 17, 2007, during the Congressional Gold Medal ceremony honoring The Dalai Lama. (AP Photo/Pablo Martinez Monsivais, File)

    Mother Teresa of Calcutta, right, meets with Tibetan spiritual leader the Dalai Lama, at the Global Survival Conference in Oxford, England, April 12, 1988. (AP Photo/Dave Caulkin, File)

    Mother Teresa of Calcutta, right, meets with Tibetan spiritual leader the Dalai Lama, at the Global Survival Conference in Oxford, England, April 12, 1988. (AP Photo/Dave Caulkin, File)

    Tibetan spiritual leader the Dalai Lama, left, walks hand-in-hand with South African President Nelson Mandela prior to an official reception at the presidential office in Cape Town, August 22, 1996. (AP Photo/Sasa Kralj, File)

    Tibetan spiritual leader the Dalai Lama, left, walks hand-in-hand with South African President Nelson Mandela prior to an official reception at the presidential office in Cape Town, August 22, 1996. (AP Photo/Sasa Kralj, File)

    Tibetan spiritual leader the Dalai Lama, left, displays the Nobel Peace Prize after receiving it from Egil Aarvik, Chairman of the Nobel Committee, at Oslo University's Avla Hall in Norway, Dec. 10, 1989. (AP Photo/Pool, Norwegian News Agency, Inge Gjellesvik, File)

    Tibetan spiritual leader the Dalai Lama, left, displays the Nobel Peace Prize after receiving it from Egil Aarvik, Chairman of the Nobel Committee, at Oslo University’s Avla Hall in Norway, Dec. 10, 1989. (AP Photo/Pool, Norwegian News Agency, Inge Gjellesvik, File)

    House Speaker Nancy Pelosi of Calif. touches heads with Tibetan spiritual leader the Dalai Lama, right, who received the first Lantos Human Rights Prize named for the late California Rep. Tom Lantos on Capitol Hill in Washington, Oct. 6, 2009. (AP Photo/Harry Hamburg, File)

    House Speaker Nancy Pelosi of Calif. touches heads with Tibetan spiritual leader the Dalai Lama, right, who received the first Lantos Human Rights Prize named for the late California Rep. Tom Lantos on Capitol Hill in Washington, Oct. 6, 2009. (AP Photo/Harry Hamburg, File)

    Nobel Peace Prize winner and former Polish President Lech Walesa, left, and fellow laureates Tibetan spiritual leader the Dalai Lama, center, and Adolfo Perez Esquivel greet each other in Gdansk, Poland, Dec. 5, 2008. (AP Photo/Czarek Sokolowski, File)

    Nobel Peace Prize winner and former Polish President Lech Walesa, left, and fellow laureates Tibetan spiritual leader the Dalai Lama, center, and Adolfo Perez Esquivel greet each other in Gdansk, Poland, Dec. 5, 2008. (AP Photo/Czarek Sokolowski, File)

    Tibetan spiritual leader the Dalai Lama is welcomed as he arrives in Graz airport, June 25, 1995. (AP Photo/Gepa, File)

    Tibetan spiritual leader the Dalai Lama is welcomed as he arrives in Graz airport, June 25, 1995. (AP Photo/Gepa, File)

    Tibetan spiritual leader the Dalai Lama, second right poses for a photograph with former President of Afghanistan Sibghatullah Al Mojaddedi, second left, Delhi Jama Masjid high priest Syed Ahmed Bukhari and Sikh leader jathedar Avtar Singh, right, at an anti-terrorism Conference organized by Muslim organizations in New Delhi, India, June 1, 2008. (AP Photo/Manish Swarup, File)

    Tibetan spiritual leader the Dalai Lama, second right poses for a photograph with former President of Afghanistan Sibghatullah Al Mojaddedi, second left, Delhi Jama Masjid high priest Syed Ahmed Bukhari and Sikh leader jathedar Avtar Singh, right, at an anti-terrorism Conference organized by Muslim organizations in New Delhi, India, June 1, 2008. (AP Photo/Manish Swarup, File)

    Tibetan spiritual leader the Dalai Lama greets Lady Gaga, right, before a question and answer session at the U.S. Conference of Mayors in Indianapolis, June 26, 2016. (AP Photo/Michael Conroy, File)

    Tibetan spiritual leader the Dalai Lama greets Lady Gaga, right, before a question and answer session at the U.S. Conference of Mayors in Indianapolis, June 26, 2016. (AP Photo/Michael Conroy, File)

    German Chancellor Angela Merkel, front right, and Tibetan spiritual leader the Dalai Lama leave after a meeting at the chancellery in Berlin on Sept. 23, 2007. (AP Photo/Markus Schreiber, Pool, File)

    German Chancellor Angela Merkel, front right, and Tibetan spiritual leader the Dalai Lama leave after a meeting at the chancellery in Berlin on Sept. 23, 2007. (AP Photo/Markus Schreiber, Pool, File)

    Tibetan spiritual leader the Dalai Lama, left, holds actress Whoopi Goldberg's hand during the World Peace event on the West Lawn of the U.S. Capitol in Washington, July 9, 2011. (AP Photo/Luis M. Alvarez, File)

    Tibetan spiritual leader the Dalai Lama, left, holds actress Whoopi Goldberg’s hand during the World Peace event on the West Lawn of the U.S. Capitol in Washington, July 9, 2011. (AP Photo/Luis M. Alvarez, File)

    President George Bush, front right, and others, pose with Tibetan spiritual leader the Dalai Lama, in yellow robe, during the Congressional Gold Medal Ceremony Honoring the Dalai Lama in the Capitol Rotunda on Capitol Hill in Washington, Oct. 17, 2007. (AP Photo/Pablo Martinez Monsivais, File)

    President George Bush, front right, and others, pose with Tibetan spiritual leader the Dalai Lama, in yellow robe, during the Congressional Gold Medal Ceremony Honoring the Dalai Lama in the Capitol Rotunda on Capitol Hill in Washington, Oct. 17, 2007. (AP Photo/Pablo Martinez Monsivais, File)

    Tibetan spiritual leader the Dalai Lama, left, receives a souvenir from the former Indian prime minister Manmohan Singh in New Delhi, India, Jan. 4, 2016. (AP Photo /Tsering Topgyal, File)

    Tibetan spiritual leader the Dalai Lama, left, receives a souvenir from the former Indian prime minister Manmohan Singh in New Delhi, India, Jan. 4, 2016. (AP Photo /Tsering Topgyal, File)

    Retired Archbishop Desmond Tutu, left and Tibetan spiritual leader the Dalai Lama share a lighter moment as they interact with children at the Tibetan Children's Village School in Dharamshala, India, April 23, 2015. (AP Photo/Ashwini Bhatia, File)

    Retired Archbishop Desmond Tutu, left and Tibetan spiritual leader the Dalai Lama share a lighter moment as they interact with children at the Tibetan Children’s Village School in Dharamshala, India, April 23, 2015. (AP Photo/Ashwini Bhatia, File)

    Tibetan spiritual leader the Dalai Lama speaks during a conference on Quantum Physics and Madhyamika Philosophical View, in New Delhi, India, Nov. 12, 2015. (AP Photo /Tsering Topgyal, File)

    Tibetan spiritual leader the Dalai Lama speaks during a conference on Quantum Physics and Madhyamika Philosophical View, in New Delhi, India, Nov. 12, 2015. (AP Photo /Tsering Topgyal, File)

    Tibetan spiritual leader the Dalai Lama, right, greets a Buddhist devotee as he arrives at the Tibetan Children's Village school near Leh, India, July 3, 2014. (AP Photo/Tsering Topgyal, File)

    Tibetan spiritual leader the Dalai Lama, right, greets a Buddhist devotee as he arrives at the Tibetan Children’s Village school near Leh, India, July 3, 2014. (AP Photo/Tsering Topgyal, File)

    Tibetan spiritual leader the Dalai Lama slings a t-shirt signed by the Australian cricket team players as he poses for a photograph with the team at the Tsuglakhang temple in Dharamshala, India, March 24, 2017. (AP Photo/Ashwini Bhatia, File)

    Tibetan spiritual leader the Dalai Lama slings a t-shirt signed by the Australian cricket team players as he poses for a photograph with the team at the Tsuglakhang temple in Dharamshala, India, March 24, 2017. (AP Photo/Ashwini Bhatia, File)

    As he celebrates his 90th birthday on Sunday, The Associated Press has curated a selection of photos of the Dalai Lama, from his early days in India to appearances he has made around the world.

    ___

    This is a photo gallery curated by AP photo editors.


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  • Transcendent Spaces: The Role of Museums in Medical Education on Relig

    Transcendent Spaces: The Role of Museums in Medical Education on Relig

    Correspondence: Eojin Choi, Johns Hopkins University School of Medicine, 733 N Broadway, Baltimore, MD, 21205, USA, Email [email protected]

    Abstract: Religion and spirituality are increasingly recognized as important aspects of patient care and medical education, yet many medical schools still lack structured curricula in this area. This is particularly relevant given the increasing gap between younger medical learners who identify as “spiritual but not religious” and their older adult patients who identify as religious. This article explores the potential of museum-based education as an innovative approach to integrate religion and spirituality into medical education. By using museums’ diverse collections of religious and cultural artifacts, medical students can learn about various religious traditions around the world and engage in discussions on religion and spirituality in a collaborative and supportive environment. Visual Thinking Strategies, a widely studied visual arts-based method in medical education, can be a particularly effective tool that fosters empathy, cultural humility, and critical thinking. This approach can ultimately help medical students integrate spiritual care into their future practice while also encouraging reflection on the role of religion and spirituality in their personal lives.

    Keywords: medical education, museum-based education, visual thinking strategies, religion, spirituality, spiritual care

    Introduction

    Throughout human history, individuals have sought meaning in something greater than themselves, a search that intensifies for patients and families during healthcare crises. With 71% of young adults (ages 18–29 years) in the United States identifying as either religious or “spiritual but not religious”, young adult medical students are likely to have an interest in reflecting on religion and spirituality in their personal lives and/or a desire to learn how to provide spiritual care for their patients.1 Spirituality has been defined as “the personal quest for understanding answers to ultimate questions about life, about meaning, and about relationship to the sacred or transcendent, which may (or may not) lead to or arise from the development of religious rituals and the formation of community”.2 Religion, on the other hand, involves a search for the sacred and non-sacred goals (such as identity and meaning) within a structured community, often with institutional beliefs, practices, and rituals.3 Spiritual care is the process of identifying and addressing the spiritual needs of patients, whether they are secular, spiritual, and/or religious.4

    Despite the importance of religion and spirituality to both personal growth and the practice of medicine, medical students have surprisingly few opportunities to engage in these topics as part of their formal education. Thus, little is known about how best to explore these human experiences—and the enduring questions they raise—with medical students. In this article, we explore the potential of museum-based education as an innovative way to integrate religion and spirituality into medical education.

    The Evidence About Religion and Spirituality in Medical Education

    While medical schools have increasingly incorporated spirituality and health into their curricula, these programs vary widely and have not been well described and/or evaluated, with some notable exceptions.5–7 A systematic review of the literature from 1926 to 2020 that included 19 publications found that only around half the courses were mandatory (11/20) and had a pre- and post-test design (11/20), while only three studies assessed the long-term outcomes of the course.5 Many courses included education on taking a spiritual history and the role of chaplains in spiritual care, often incorporating chaplain shadowing opportunities as well as reflective writing.5

    Another systematic review on spiritual care training programs for students or healthcare professionals identified several barriers to integrating spiritual care into healthcare, such as negative perceptions on spirituality, spiritual care not being viewed as a priority, and a resistance to examining one’s own spirituality.7 A scoping review of religion and spirituality in residents (and inter-relationships with clinical practice and residency training) found that only about 40% of residents reported receiving education on religion and spirituality during medical school and, not surprisingly, many felt they lacked both the knowledge and skills to address these topics with their patients.8 Thus, more research is needed to guide curricular development and evaluate long-term outcomes.

    Although most young adults identify as either religious or “spiritual but not religious”, these numbers are not static, and the gap is growing between the percentage of young adults who identify as religious and older adults who identify as religious.9 In 2007, 74% of young adults (ie, under 30 years of age) and 92% of older adults (ages 65 years or older) identified with a religion.9 In 2023–24, 54% of young adults and 83% of older adults identified with a religion.9 This trend suggests a significant and widening gap in religious identification between young adults and older adults. In turn, this may reflect a similar gulf in religious beliefs between medical students and the older patients they will serve.

    For many older patients, religion is an important part of their lives, especially during their sickest and most vulnerable moments. In 2023–24, it was reported that 49% of older adults consider religion to be “very important” in their lives, and 55% pray at least once daily.9 This suggests that religion and spirituality are important aspects of being human for many patients and are therefore relevant in some way to all students who care about the well-being of their patients. The nature of health and healing, the role of suffering, what it means to live well and die well are all important, enduring questions whose answers often depend on one’s religious and spiritual beliefs. For example, healthcare providers may need to navigate challenging situations involving patients or surrogate decision makers who refuse blood transfusions or make decisions regarding pregnancy termination based on their religious beliefs. Thus, it is crucial for medical students to explore these questions and develop cultural competence and safety (an important aspect of the core clinical competencies) as they learn to work with patients of various identities and backgrounds.10,11 Cultural safety is a patient-centered approach that emphasizes the need for providers to reflect on cultural identities as well as their own cultural biases, understand the impact of power imbalances, and create an environment where patients feel respected and empowered.11,12 A lack of cultural competence and safety regarding religion and spirituality can negatively impact patient-physician relationships and patient-centered approaches to treatment.13 But how best to educate students on religion and spirituality in a way that is psychologically safe, engaging, and open to diversity?

    Museum-Based Education on Religion and Spirituality

    One innovative approach to providing medical education on spirituality and cultural humility involves museums. Museums are full of “third things”, which can be defined as objects, artwork, texts, and other types of media that provide a mediating focal point for reflection and conversation, thus helping create a safe space for openly discussing different perspectives.14 “Third things” can be especially helpful when facilitating discussions about difficult topics by balancing vulnerability and emotional safety, as participants can choose to share personal stories or to focus more on the “third thing” if the topic is too personal or painful.15,16 In medical education, “third things” have been used to help foster empathy, provide opportunities to reflect, and renew a sense of meaning among learners.17

    As a substantial proportion of the art in museums is religious in nature, these collections can provide opportunities to explore various religious traditions around the world.18 Art and religion have often been intertwined throughout history, beginning with the use of religious objects and art to conduct rituals and decorate sacred places.19 For example, rituals and religious beliefs—such as the belief in the afterlife—significantly contributed to the development of Egyptian art.20 In recent decades, museum exhibitions have addressed the major religions of the world and showcased works from specific faiths in their cultural and historical contexts.19

    Thus, museums can serve as transcendent spaces that cultivate introspection, especially on topics related to religion and spirituality. Immersion in museum exhibits offers opportunities for “aesthetic awareness”, where engaging deeply with art fosters connection and self-actualization, and “numinous experiences”, which are moments of transcendence that can inspire emotions such as grief, joy, or wonder.21,22 Museums have increasingly embraced this role and have shifted, as museum scholar Stephen Weil stated, “From being about something to being for somebody”.23 In particular, Visual Thinking Strategies (VTS), a well-studied visual arts-based teaching method, can encourage students to reflect and share their insights in a dynamic and collaborative environment. In a VTS session, participants first observe a work of art in silence and then engage in a group discussion guided by three specific questions: (1) What’s going on in this picture? (2) What do you see that makes you say that? and (3) What more can we find? These questions are designed to encourage participants to observe closely, ground their interpretations in visual evidence, and persistently engage in open-ended inquiry.24 VTS has been shown to help promote crucial skills and characteristics important for clinical practice, including empathy, observation, communication skills, cultural sensitivity, and tolerance for ambiguity.25 One study revealed that an art museum-based program helped clinical-level medical students gain a deeper awareness and progression of their professional identity.26

    Spiritual care is relevant not only for patients’ health and quality of life but also for patients’ relatives, partners, and friends who may be caregivers and/or experiencing grief. As chaplains are integral members of the interdisciplinary healthcare team, clinicians and medical students can work with them to contribute to spiritual care. Moreover, museum-based education allows medical students to pause and reflect on religion and spirituality in their personal lives and clinical settings. As spirituality can be described as universal yet deeply personal in nature, these opportunities would allow students to reflect on their own understandings and perspectives on the meaning of spirituality. This reflective practice can potentially act as a protective factor against burnout, especially after emotionally challenging patient encounters.27

    Discussion

    Our article explores museum-based education as an innovative and impactful approach to integrating religion and spirituality into medical education. Using selected artwork and artifacts as “third things”, educators can design activities that foster deep reflection and discussions. This approach supports development of both technical and non-technical skills such as observation, communication, and empathy while also providing opportunities for personal insights. Additionally, group discussions in museum settings are often supportive and enhance appreciation of multiple perspectives.

    However, this approach also has several limitations. First, it requires training in facilitation to ensure that discussions remain inclusive and meaningful.28 Second, evidence on the long-term impact of museum-based programs is limited.5 Third, more research in museum-based education for medical learners, especially regarding religion and spirituality, is needed. We also recognize that not everyone has access to museums in their community—however, many museum-based learning activities, like VTS, have been adapted successfully to classroom and virtual settings.29–31 Both in-person and virtual formats offer unique benefits, as virtual options offer increased accessibility and comfort for some learners while others may find in-person experiences to be more engaging and powerful.31

    The advent and adoption of virtual reality (VR), augmented reality (AR), and generative Artificial Intelligence (AI) opens new possibilities for capitalizing on VTS methods in medical education. VR and AR can help create immersive museum-like experiences, allowing learners to engage with religious and spiritual artwork and artifacts even if they lack physical access to museums. In addition, recent advancements in generative AI—such as GPT-4 and easily accessed, responsive video generation—present opportunities for personalized educational content and simulated discussions. At the same time, arts and humanities-based methods can encourage students to reflect on the potential benefits and limitations of using AI tools as well as the uniquely human aspects of patient care.32 Museum-based educational methods, whether conducted in the museum or elsewhere, may ultimately help support core competencies in medical education, provide spiritual care training, and encourage students to reflect on the meaning of religion and spirituality in their personal and professional lives.

    Abbreviations

    VTS, Visual Thinking Strategies; VR, Virtual Reality; AI, Augmented Reality; AI, Artificial Intelligence.

    Disclosure

    Dr. Chisolm is the Director of the Paul McHugh Program for Human Flourishing, through which her work is supported. She also receives compensation for serving as a coach in a Harvard online CME course on VTS. The authors report no other conflicts of interest in this work.

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