Whose stupid idea was couples therapy anyway?

Alice O'Keeffe's "Squeezed Middle" column.

‘‘So, what brings you both here today?” Dr Rosemary Nutfixer folds her hands into her lap and examines Curly and me in turn over the rims of her glasses. She looks exactly like a therapist – unsurprisingly, perhaps, as she is a therapist.

I know I’m being picky, but I wish she looked a little less like one. She reminds me of my mum, and that’s not surprising, either, because my mum is also a therapist. When I was growing up almost every adult I knew was a therapist. There were so many of them that I couldn’t imagine how there could be enough mad people to go around. That was before I realised that everyone, without exception, is mad.

“We, er, haven’t been getting on.” Dr Nutfixer nods gravely. All of a sudden I can’t remember why we are here, in this sad, grey plywood cubbyhole off Tottenham Court Road. It was my idea, that’s for sure. Curly didn’t want to come, but I cried and threatened to buy Larry, Moe and myself one-way tickets to Rio if he refused.

It’s not that we’ve been arguing. It’s worse than that. Curly and I have always bickered away merrily, secure in the knowledge that we love each other like mad. But recently we’ve stopped talking. Days have passed with nary a civilised conversation in our household. Curly just watches TV and grunts occasionally. I just cry. I’ve been crying almost nonstop for weeks on end.

It could be because in the past two months neither of us has had more than three consecutive hours’ sleep; Baby Moe is proving resistant to even the most fearsome sleep training regime. It could be because our plans to buy a house have fallen through and we will probably be stuck in our slightly-too-small flat for ever more. It could be because we should never have got together, and having kids was a huge mistake. I just don’t know.

Here I go again. I sniff and a tear plops on to my mud-stained Primark padded jacket. I haven’t even taken off my coat and I’m already blubbing.

“First, I have to ask: have you been to see your GP?” says the doctor, handing me a box of Kleenex.

 “My GP? What for?”

“For post-natal depression. There is very effective medication available, you know.”

I am stunned. Is she telling me this is a clinical condition? Surely it’s just, well, life. And I can’t see how medication is going to help. How are pills going to make our flat bigger, or get Curly a lucrative job in banking, or see off the threat of redundancy, or save the environment from certain destruction?

“I don’t think that will be necessary,” I say, pulling myself together sufficiently to nail Dr Nutfixer with a death stare. “Actually we came here to talk about Curly and why he won't retrain as a plumber.”

“I’m sure we will get on to that. But first I really would urge you to see your GP. Postnatal depression is a common condition, and medication really can help.”

I blow my nose ferociously. Whose stupid idea was therapy, anyway?

Alice O'Keeffe's column appears weekly in the New Statesman magazine.

Alice O'Keeffe is an award-winning journalist and former arts editor of the New Statesman. She now works as a freelance writer and looks after two young children. You can find her on Twitter as @AliceOKeeffe.

This article first appeared in the 12 August 2013 issue of the New Statesman, What if JFK had lived?

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Air pollution: 5 steps to vanquishing an invisible killer

A new report looks at the economics of air pollution. 

110, 150, 520... These chilling statistics are the number of deaths attributable to particulate air pollution for the cities of Southampton, Nottingham and Birmingham in 2010 respectively. Or how about 40,000 - that is the total number of UK deaths per year that are attributable the combined effects of particulate matter (PM2.5) and Nitrogen Oxides (NOx).

This situation sucks, to say the very least. But while there are no dramatic images to stir up action, these deaths are preventable and we know their cause. Road traffic is the worst culprit. Traffic is responsible for 80 per cent of NOx on high pollution roads, with diesel engines contributing the bulk of the problem.

Now a new report by ResPublica has compiled a list of ways that city councils around the UK can help. The report argues that: “The onus is on cities to create plans that can meet the health and economic challenge within a short time-frame, and identify what they need from national government to do so.”

This is a diplomatic way of saying that current government action on the subject does not go far enough – and that cities must help prod them into gear. That includes poking holes in the government’s proposed plans for new “Clean Air Zones”.

Here are just five of the ways the report suggests letting the light in and the pollution out:

1. Clean up the draft Clean Air Zones framework

Last October, the government set out its draft plans for new Clean Air Zones in the UK’s five most polluted cities, Birmingham, Derby, Leeds, Nottingham and Southampton (excluding London - where other plans are afoot). These zones will charge “polluting” vehicles to enter and can be implemented with varying levels of intensity, with three options that include cars and one that does not.

But the report argues that there is still too much potential for polluters to play dirty with the rules. Car-charging zones must be mandatory for all cities that breach the current EU standards, the report argues (not just the suggested five). Otherwise national operators who own fleets of vehicles could simply relocate outdated buses or taxis to places where they don’t have to pay.  

Different vehicles should fall under the same rules, the report added. Otherwise, taking your car rather than the bus could suddenly seem like the cost-saving option.

2. Vouchers to vouch-safe the project’s success

The government is exploring a scrappage scheme for diesel cars, to help get the worst and oldest polluting vehicles off the road. But as the report points out, blanket scrappage could simply put a whole load of new fossil-fuel cars on the road.

Instead, ResPublica suggests using the revenue from the Clean Air Zone charges, plus hiked vehicle registration fees, to create “Pollution Reduction Vouchers”.

Low-income households with older cars, that would be liable to charging, could then use the vouchers to help secure alternative transport, buy a new and compliant car, or retrofit their existing vehicle with new technology.

3. Extend Vehicle Excise Duty

Vehicle Excise Duty is currently only tiered by how much CO2 pollution a car creates for the first year. After that it becomes a flat rate for all cars under £40,000. The report suggests changing this so that the most polluting vehicles for CO2, NOx and PM2.5 continue to pay higher rates throughout their life span.

For ClientEarth CEO James Thornton, changes to vehicle excise duty are key to moving people onto cleaner modes of transport: “We need a network of clean air zones to keep the most polluting diesel vehicles from the most polluted parts of our towns and cities and incentives such as a targeted scrappage scheme and changes to vehicle excise duty to move people onto cleaner modes of transport.”

4. Repurposed car parks

You would think city bosses would want less cars in the centre of town. But while less cars is good news for oxygen-breathers, it is bad news for city budgets reliant on parking charges. But using car parks to tap into new revenue from property development and joint ventures could help cities reverse this thinking.

5. Prioritise public awareness

Charge zones can be understandably unpopular. In 2008, a referendum in Manchester defeated the idea of congestion charging. So a big effort is needed to raise public awareness of the health crisis our roads have caused. Metro mayors should outline pollution plans in their manifestos, the report suggests. And cities can take advantage of their existing assets. For example in London there are plans to use electronics in the Underground to update travellers on the air pollution levels.

***

Change is already in the air. Southampton has used money from the Local Sustainable Travel Fund to run a successful messaging campaign. And in 2011 Nottingham City Council became the first city to implement a Workplace Parking levy – a scheme which has raised £35.3m to help extend its tram system, upgrade the station and purchase electric buses.

But many more “air necessities” are needed before we can forget about pollution’s worry and its strife.  

 

India Bourke is an environment writer and editorial assistant at the New Statesman.