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Together: Loneliness, health and what happens when we find connection - Book Review

Together: Loneliness, health and what happens when we find connection 
 
Murthy, V. H. (2020). Wellcome Collection 

“Call it a clan, call it a network, call it a tribe, call it a family. Whatever you call it, whoever you are, you need one. You need one because you are human.” – Jane Howard 

Vivek Murthy’s 2020 book Together: Loneliness, Health and What Happens When We Find Connection provides a unique answer to the question of what health conditions we should be avoiding to stay healthy – and the answer is loneliness. Murthy discovered this while serving as the Surgeon General of the United States in 2014, and studied the phenomenon over the next few years, talking to doctors, scientists, communities and individuals to scope out the scale of the problem.  

After reading this book, I am convinced it IS a problem. Murthy did a great job of explaining clearly why loneliness is a dangerous condition that is often directly responsible for chronic illnesses, diseases and even death. Notable studies include one in 2010 that analysed 148 studies (including 300,000 participants), which showed that people with strong social relationships are 50% less likely to die prematurely than people with weak social relationships. Throughout the book Murthy discusses other quantitative and qualitative studies and encounters which show that people’s level of loneliness has significant impacts on their health outcomes in all different environments and cultures. If that wasn’t scary enough, Murthy also lays out how loneliness has evolved into a huge issue, as modern societies prioritise and value individuality and success at the expense of others. He also explains the unavoidable links between loneliness and gender, immigration, cultural differences and the rise of technology. 

However, most of this book is a positive read, full of examples of how people and communities have thrived once they have made small changes to their social or family lives. Dozens of stories of communities coming together to support each other, social groups filling gaps in people’s lives and pilot programmes to address loneliness in vulnerable communities leave you feeling very optimistic.  

Additionally, as the solution to a lot of problems appears to be simply reaching out to your friends and family, you can immediately action the recommendations in the book and feel satisfied that you are improving your physical and mental health.  

Overall, I would recommend this book as it provides the inspiration and tools to easily and immediately improve your quality of life. It also aligns extremely well with the health models promoted by the Mental Health Foundation, notably Te Whare Tapa Whā and the 5 Ways to Wellbeing frameworks. Since finishing this book, I have found myself reaching out to friends more often, and I have a deeper understanding and awareness of the structural issues that contribute to making people unwell. 

Review by Jenny Knight, MHF People and Organisational Development Coordinator 

Disclaimer: Please note these reviews are not intended as endorsements or recommendations from the Mental Health Foundation. This feature introduces resources that may be useful for individuals with an interest in mental health and wellbeing topics.

Rāhina / Monday

Take Notice | Me Aro Tonu

A fresh week, blank slate and a new beginning. Let's start the week by setting purpose and intention, today is the day to take stock – how have you been feeling recently, are there any events or stresses that you need to sit with and unpack? 

Developing the ability to be fully present and conscious without being overly reactive or overwhelmed is no easy feat, it takes practice to achieve the delicate balance of awareness. When we take notice or practice mindfulness, we’re creating space for ourselves—space to think, space to breathe, space between ourselves and our reactions.  

Use today as a reminder to pay more attention to the present moment, to our thoughts and feelings, and to the world around us. At the end of the week, you can reflect on how you felt at the start of the week, and how putting each of the Five Ways into practice has helped to boost your mental health.

A few ideas to help you take notice:

Rātū / Tuesday

Give | Tukua

Today is all about kindness. When we give selflessly to others, whether through our time, resources, or support, we create a positive ripple effect that extends beyond the people we engage with. Carrying out acts of kindness boosts our happiness, life satisfaction, and overall wellbeing. When we help others, it gives us purpose and a sense of belonging – it’s a win/win!  

Think about how you might be able to brighten the day of someone you care about, or even a complete stranger. A small gesture might mean the world to someone else, and you’ll get a bit of a boost, too!

A few ideas to help you give:

Rāapa / Wednesday

Be Active | Me Kori Tonu 

We're nearly over the midweek hump and are inching closer to the weekend. Today is the perfect opportunity to give yourself a refreshing boost by engaging in some physical activity. Wi tēnei rangi to get the blood flowing through your tinana/body?   

Physical activity stimulates the release of endorphins, the "feel-good" hormones, which can uplift your mood and increase feelings of happiness. It reduces stress and anxiety levels, promotes relaxation and enhances overall mental resilience. It can even sharpen our thinking and boost our creativity. 

Being active doesn’t always mean high-intensity cardio workouts, there are lots of ways you can move your tinana to uplift your mood, reduce stress, and feel a sense of achievement. Choose to do something that is purely for feeling good or having fun, and dedicate it to your wellbeing.

A few ideas hei āwhina/to help you be active:

Rāpare / Thursday

Connect | Me Whakawhanaunga

It’s nearly Friday – why not tap into those weekend vibes early, and carve out some time for some meaningful connection? Use today as a sign to arrange that outing or gathering with friends, participate in social events that you might be finding an excuse to skip, or seek out opportunities for shared experiences that deepen your connections.  

Connect refers to making social connections, or whakawhanaungatanga. A sense of feeling connected, loved or belonging with others is strongly associated with better wellbeing and other health outcomes by providing a sense of meaning, safety, support and purpose.  

A few ideas to help you connect:

Rāmere / Friday

Keep Learning | Me Ako Tonu

It might be the last day of MHAW, but today’s the day to reflect on what you’ve learnt throughout the week and implement those tools into the weekend and weeks beyond. 

Evidence suggests that learning or trying new things creates a sense of achievement, competence and stimulates engagement with the world around us. There are lots of ways that you can Keep Learning today and every day. 

A few ideas to help you keep learning: