method

‘Travel tummy’ symptoms ‘improve’ with gastroenterologist’s ‘simple’ method

More than a third of British holidaymakers have experienced ‘travel tummy’ in the past 12 months

More than a third of British holidaymakers (36%) have suffered from ‘travel tummy’ over the past year, new research has revealed. The term describes stomach upset or illness experienced while on holiday.

Safa noted the findings indicated that digestive problems were a widespread concern amongst travellers, often having a detrimental effect on overseas trips. The Saga Travel Insurance study, which surveyed 500 UK holidaymakers, discovered that half (49%) had endured diarrhoea while away, with nearly one in 10 (8%) battling gut troubles on every single trip.

Those with pre-existing conditions, such as IBS, may face a heightened risk of digestive complications when abroad, as travel can worsen symptoms. Local chemists are the first stop for most holidaymakers grappling with travel tummy overseas (35%), while almost a third (30%) resort to Google and one in 12 (8%) consult AI to assess their symptoms before seeking professional advice.

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Saga Travel Insurance consulted Dr Nick Burr, a gastroenterologist at healthcare provider LivingCare, to explore why travel tummy happens and what holidaymakers can do to prevent problems on future getaways.

Bacteria often the cause of travel tummy

Travellers’ diarrhoea is a frequent problem among holidaymakers, especially when heading to destinations where food hygiene standards differ.

Dr Burr said: “Traveller’s diarrhoea is usually caused by bacteria, most commonly E. coli, picked up from contaminated food or water, particularly in parts of Asia, Africa, the Middle East and Central or South America. Symptoms can include loose stools, cramping, bloating and nausea, often within the first week of travel.”

Tap water standards differ significantly from one country to another. Numerous countries have updated plumbing infrastructure, which typically means tap water is safe for consumption.

In other nations, it may be wiser to opt for bottled water, as unsafe drinking water can harbour dangerous bacteria, parasites and chemicals.

According to the NHS, boiling water is the most dependable method to purify it and eliminate any bacteria or viruses. Chemical disinfectants, such as iodine or chlorine, can also be employed, but may prove less effective than thoroughly boiling water and allowing it to cool in a sterile container.

Water filters ranging from 0.2 to 1 micron can also be utilised to remove dirt or parasites from water before applying chemical disinfection.

Two-fifths of Brits reckon their symptoms were triggered by local food

Local cuisine emerged as one of the most frequently mentioned causes of travel tummy amongst holidaymakers in Saga Travel Insurance’s survey, with 44% of respondents blaming their holiday stomach troubles on this. Dr Burr explained: “Common sources [of infection] include untreated water, ice cubes, buffets, shellfish, undercooked meat and food left sitting in the heat. Exploring local food is one of the joys of travel and most people can do so safely as long as they apply common sense. For example, freshly cooked, piping hot food in a busy restaurant is usually OK.”

Dehydration poses one of the greatest threats to your wellbeing while travelling

Diarrhoea was the most frequently reported symptom of holiday tummy among UK travellers, with more than a quarter (28%) of individuals suffering from it while abroad over the past 12 months, according to Saga Travel Insurance’s survey. Loose and watery stools can lead to dehydration as your body is losing more fluids and electrolytes than you’re capable of replenishing.

Dr Burr said: “Dehydration [can be serious], especially in hot climates. Alcohol and caffeine can both worsen dehydration and have a laxative effect, so it’s best to limit these while symptoms are severe. Intense exercise while dehydrated or unwell may also slow recovery, so it’s usually best to rest, drink fluids, and stick to simple foods until symptoms improve.”

Rehydration solutions are an effective method to prevent dehydration and support recovery. If you’re unable to obtain rehydration sachets, Dr Burr points out that you can prepare your own from scratch.

He said: “If oral rehydration sachets are unavailable, a homemade solution can be made using six level teaspoons of sugar and half a teaspoon of salt in one litre of clean water.”

Routine disruption

While bacteria and infection remain the most frequent culprits behind traveller’s diarrhoea and stomach complaints, there may be more environmental factors at play when holidaymakers feel under the weather.

Dr Burr explained: “[In other cases], symptoms are not due to infection, but are related to changes in routine. Prolonged disruption to normal routines, including sleep patterns, hydration, alcohol intake, stress and diet, can make the digestive system more sensitive, particularly in people prone to irritable bowel syndrome (IBS) or functional gut symptoms.”

The survey by Saga Travel Insurance revealed that a third of holidaymakers (34%) said travel-related stress played a part in their travel tummy, while over a quarter (27%) pointed to long journeys as a contributing factor.

Dr Burr said: “For those who experience an upset tummy when flying, this is often linked to cabin pressure changes, dehydration, reduced movement, disrupted sleep, stress and unfamiliar foods. Staying hydrated, moving around during flights and eating lighter meals can help reduce discomfort.”

Michelle Cooper, director of Saga Travel Insurance, added: “If you’re on a longer flight, try to walk up and down the aisle every two hours to help with your circulation and digestion.”

Travellers with pre-existing conditions could be at greater risk

‘Travel tummy’ can present heightened dangers for those with underlying health conditions.

Dr Burr said: “People with diabetes, kidney disease, inflammatory bowel disease, or weakened immune systems may become unwell more quickly.”

For individuals with pre-existing conditions, advance preparation is particularly crucial – not only regarding health matters, but also in making certain adequate travel insurance protection is arranged.

Michelle explained: “Many insurers offer cover for pre-existing medical conditions, however, it’s essential to declare them when taking out your policy. If you have an underlying health condition, becoming unwell abroad can be more serious and may require quicker access to medical care or more specialised treatment. Making sure you have the right cover in place means you can get the support you need without facing unexpected costs while you’re away.”

Most travel tummy is mild, but severe cases need treatment

While a dodgy stomach abroad might amount to little more than mild discomfort, it can occasionally prove more serious and necessitate a trip to a local doctor – or a call to your insurer’s 24-hour travel GP, if it provides one.

Michelle said: “Getting sick abroad is never ideal and you may be tempted to wait until you’ve returned to the UK to get checked by your doctor. However, it’s important that you seek out medical attention as soon as possible if you think you might be ill.

“Treatment costs abroad can add up quickly, particularly in countries where healthcare is private. Call your insurance provider’s 24-hour emergency number to check if they cover everything you need, including medical translation services. Travel insurance can help provide both financial protection and peace of mind if the unexpected happens.

“Having the right cover in place means you can get the care you need without worrying about the cost, so you can focus on recovering and enjoying the rest of your trip with confidence. Taking simple precautions before and during your trip could be the difference between a disrupted holiday and a smooth, stress-free getaway.”

Should you fall ill while overseas, the Foreign, Commonwealth and Development Office holds a comprehensive list of English-speaking doctors, medical facilities and practitioners across the globe. In an emergency situation, don’t hesitate to contact the local emergency services in the country you’re visiting.

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15 most extreme Method acting performances: Jeremy Strong to Jared Leto

The one consensus about Method acting is that it’s controversial. Other than that, everything’s up for debate: What is Method acting, exactly? Do actors and audiences love it or hate it? And, perhaps most importantly, who can afford to practice the technique?

Method acting is a technique in which an actor embodies a character absolutely, usually both on- and off-camera, for months at a time (and sometimes, as in the curious case of Austin Butler’s Elvis accent, beyond the project itself).

Some actors, like those in the list below — including Daniel Day-Lewis, Christian Bale and Robert De Niro — swear by it. But others — like Brian Cox, Toni Collette and Robert Pattinson — eschew the practice. (Collette called it “total bulls—” and “utter wankery,” and Jennifer Lawrence said that working with a Method actor would make her nervous.)

Female actors — like Charlize Theron, Kristen Stewart, Natalie Portman, Anya Taylor-Joy and Ellen Burstyn — have pointed out that it’s a luxury they can’t afford. (“I don’t think that children or partners would be very understanding of, you know, me making everyone call me ‘Jackie Kennedy’ all the time,” Portman said about portraying the first lady.) And Black actors — like Brian Tyree Henry and Omari Hardwick — have said they wouldn’t be able to do it safely. (“I’ve never gone full Method,” Hardwick said. “I don’t want to be pulled over while ‘driving while Method.’ … I’ll get in trouble for that. That’s scarier.”)

Jeremy Strong — who plays Mark Zuckerberg in “The Social Reckoning” — recently defended his commitment to Method acting. Here are some of the most extreme Method acting performances of all time.

Jeremy Strong as Kendall Roy strides through the office, looking troubled, in "Succession."

Jeremy Strong as Kendall Roy in “Succession.”

(Macall Polay / HBO)

Jeremy Strong (again)

Strong is known for his unrelenting adherence to Method acting, especially on the set of “Succession.” (“The result that Jeremy gets is always pretty tremendous,” his TV dad Cox told the New Yorker in 2021. “I just worry about what he does to himself. I worry about the crises he puts himself through in order to prepare. … It’s a particularly American disease, I think, this inability to separate yourself off while you’re doing the job.”)

This tendency held true on the set of “The Social Reckoning” too. “He showed up walking like Mark, talking like Mark,” director Aaron Sorkin told Entertainment Weekly. “I heard crew members on set call him Mark. I never heard him use his own voice until after I called ‘cut’ on his last shot.”

“I’ll be honest, I think this isn’t just the way he likes to do it,” Sorkin added. “I think it’s the only way he knows how to do it.”

Andrew Garfield gazes pensively out the window as Father Sebastião Rodrigues in "Silence."

Andrew Garfield as Father Sebastião Rodrigues in “Silence.”

(Kerry Brown / Paramount Pictures)

Andrew Garfield

Then there are those who argue that the Method is misunderstood — first by actors, and subsequently by public perception.

“I’m kind of bothered by this idea that ‘Method acting is f— bulls—,’” Andrew Garfield said on the “WTF With Marc Maron” podcast in 2022. “No, I don’t think you know what Method acting is if you’re calling it bulls—, or you just worked with someone who claims to be a Method actor who isn’t actually acting the Method at all. It’s also very private. I don’t want people to see the f— pipes of my toilet. I don’t want them to see how I’m making the sausage.”

Garfield employed the Method in Martin Scorsese’s 2016 historical drama “Silence,” in which he played a 17th-century Portuguese Jesuit missionary who goes to Japan. He studied Catholicism with Jesuit priest James Martin, partook in the 31-day Ignatian Spiritual Exercises and denied himself food and sex.

Al Pacino as Tony Montana sits behind a desk in a towering black armchair in "Scarface."

Al Pacino as Tony Montana in “Scarface.”

(Universal Studios / Universal Pictures)

Al Pacino

On that same podcast, Garfield praised two actors known for applying the Method well and seemingly with respect — to the craft and those around them: Al Pacino, especially in “Dog Day Afternoon,” and Robert De Niro, most notably in “The Mission.”

In “Dog Day Afternoon,” Pacino played Sonny Wortzik (based on John Wojtowicz), a first-time crook whose attempt to rob First Brooklyn Savings Bank goes awry and devolves into a hostage situation. Pacino backed out of the role three times before committing (though he later won a BAFTA Award for the performance).

Producer Martin Bregman attributed this hesitancy to Pacino’s Method acting, saying this might have been a world the actor didn’t want to explore, as “no major star had ever played a gay.”

“Scarface” drug kingpin Tony Montana is also considered the pinnacle of Pacino’s Method acting. “I’ve never been that committed to a role,” he said, also on “WTF With Marc Maron.” “I mean, I was there. I said, ‘I am this guy.’”

Robert De Niro as Travis Bickle stares out the window of his yellow cab in "Taxi Driver."

Robert De Niro as Travis Bickle in “Taxi Driver.”

(Columbia Pictures)

Robert De Niro

In “The Mission,” De Niro stars as Captain Rodrigo Mendoza, a mercenary, slave trader and guest of the Spanish governor of 18th-century Paraguay. Jeremy Irons co-stars as Jesuit priest Father Gabriel, who challenges Mendoza to undergo penance.

De Niro channeled real-life tension with Irons — who he didn’t want cast for the role — into on-screen animosity between the two characters.

And then there’s “Taxi Driver” — for which he got a real New York City cab license and drove 15 hours a day for a month — and “Raging Bull” — when he trained with the boxer he portrays, Jake LaMotta, for over 1,000 rounds — making him a quintessential Method actor.

Lady Gaga as Patrizia Reggiani sips a martini, sprawled across a couch in "House of Gucci."

Lady Gaga as Patrizia Reggiani in “House of Gucci.”

(Metro Goldwyn Mayer)

Lady Gaga

There are also counterexamples of the limitations Method acting often places on women and actors of color. (Theron told The Times in 2020 that, “I can’t do the Method thing. I did it once, for ‘Devil’s Advocate,’ and I was just exhausted. It was really hard to go to those deep, dark places because I was so tired.”)

Lady Gaga, though, lived as Italian socialite Patrizia Reggiani for a year and a half while working on “House of Gucci.” She spoke with a thick Italian accent for nine months, both on- and off-camera.

“I was either in my hotel room, living and speaking as Reggiani, or I was on set, living and speaking as her,” Gaga told British Vogue. “I remember I went out into Italy one day with a hat on to take a walk. I hadn’t taken a walk in about two months and I panicked. I thought I was on a movie set.”

Jared Leto as the Joker grips the face of a victim, leering with bright green hair, in "Suicide Squad."

Jared Leto as the Joker in “Suicide Squad.”

(Warner Bros. Pictures)

Jared Leto

Jared Leto also starred in “House of Gucci,” as Paolo Gucci, who aspires to be a designer, despite his apparent lack of talent.

“He works in a very similar fashion,” director Ridley Scott told Vulture. “Once he goes in, it’s like he’s immersed, and he doesn’t come out and breathe for air until he’s finished.”

Leto is infamous for his extreme and controversial approach to the Method. As the Joker in “Suicide Squad,” he sent bizarre “gifts” — a live rat, a dead pig, bullets, anal beads and used condoms — to co-stars Will Smith and Margot Robbie to create a dynamic of “surprise and spontaneity.”

“Leto’s Joker is the latest evidence that the prestige of method acting has dimmed,” essayist Angelica Jade Bastién wrote in the Atlantic, “thanks to the technique’s overuse by those seeking award-season glory or a reputation boost, as well as its history of being shaped by destructive ideas of masculinity.”

Joaquin Phoenix as the Joker stares with hatred at his own reflection, in a red suit and clown makeup, in "Joker."

Joaquin Phoenix as the Joker in “Joker.”

(Niko Tavernise / Warner Bros. Pictures)

Joaquin Phoenix

The Joker seems to elicit intense psychological commitment like moths to a ghastly green flame. Joaquin Phoenix didn’t quite go Method to play him in “Joker” and “Joker: Folie à Deux,” but he did shed 52 pounds for the role.

“And, as it turns out, that then affects your psychology,” Phoenix told the Daily Beast. “You start to go mad when you lose that amount of weight in that amount of time.” (Heath Ledger walked that same fine line for “The Dark Knight.”)

For his role in “The Master,” as Freddie Quell, a World War II Navy veteran struggling to adjust to a postwar society, Phoenix forced himself to talk out of one side of his mouth by asking the dentist to fasten metal brackets to his teeth.

Jamie Foxx as Ray Charles sings fervently into the microphone, pounding the piano keys, in "Ray."

Jamie Foxx as Ray Charles in “Ray.”

(Nicola Goode / Universal Pictures)

Jamie Foxx

Taylor Hackford, the director of “Ray” — a biopic about Ray Charles — asked Jamie Foxx, who starred as the blind soul musician, to have his eyes glued shut. This was not Foxx’s idea (perhaps a key tenet of the Method), but he agreed to it.

“Imagine having your eyes glued shut for 14 hours a day,” Foxx told the New York Times. “That’s your jail sentence.” For the first two weeks of filming, the actor suffered panic attacks, until he eventually got used to the claustrophobic sensation.

Years later, on the set of “Django Unchained,” Foxx and co-star Leonardo DiCaprio discussed embracing Method acting to help both of them better handle the disturbing material. (DiCaprio plays the ruthless owner of a plantation where Foxx’s character’s wife is enslaved.)

Leonardo DiCaprio as Hugh Glass uses a walking stick to cross a snowy plain, his face gashed, in "The Revenant."

Leonardo DiCaprio as Hugh Glass in “The Revenant.”

(Kimberley French / 20th Century Fox)

Leonardo DiCaprio

The film for which DiCaprio finally won an Oscar (after four previous lead actor nominations, plus one for supporting actor) was also his most Method approach. As fur trapper Hugh Glass in “The Revenant,” DiCaprio crawled inside of a prop horse carcass, ate raw bison liver (despite being a vegetarian) and endured freezing temperatures, his icy breath fogging up the camera lens.

Like Phoenix, DiCaprio might not be a traditional Method actor, but he comes quite close. In 2016, after his “Revenant” nom, director Agnieszka Holland — who directed DiCaprio in “Total Eclipse,” before he filmed “Romeo + Juliet” — reflected on this.

She said he has never been a classic American Method actor, instead relying on personal experience. “But he’s doing some trick which is pretty mysterious to everyone watching — frankly even for the director,” she told the BBC. “Look at him on screen and, for the moment of the shot, he really becomes the character.”

Montgomery Clift as George Eastman sits on the ground and cradles Elizabeth Taylor in his arms in “A Place in the Sun.”

Montgomery Clift as George Eastman and Elizabeth Taylor as Angela Vickers in “A Place in the Sun.”

(Getty Images)

Montgomery Clift

And then there are the true, original Hollywood Method actors. Montgomery Clift, Marlon Brando and James Dean are considered to have christened the technique in the 1950s. Even Clift, though, expressed reservations about the term when asked about it — “Method acting,” as it turns out, is a contentious phrase.

Method acting began with Russian/Soviet theatermaker Konstantin Stanislavski in the 1930s. From there, acting coach and actor Lee Strasberg — who co-founded the Group Theater — largely coined “the Method” in America. Group members Stella Adler and Sanford Meisner eventually left and rejected parts of Strasberg’s technique. All three of them approached the Method slightly differently, and became prominent acting teachers.

Clift was among the first actors invited to study in the Actors Studio with Strasberg and Elia Kazan. His role as George Eastman, the poor nephew of a rich industrialist, in “A Place in the Sun” is considered a landmark Method acting performance.

Marlon Brando as Stanley Kowalski smolders into the camera, a cigarette between his knuckles, in “A Streetcar Named Desire.”

Marlon Brando as Stanley Kowalski in “A Streetcar Named Desire.”

(Cineclassico / Alamy / Warner Bros. Pictures)

Marlon Brando

Clift and Brando were both contemporaries and, at times, acting rivals. But Brando was so moved by Clift’s performance in “A Place in the Sun” that he voted for him to win the 1952 Academy Award for lead actor — Clift, meanwhile, voted for Brando to win for his role as Stanley Kowalski in “A Streetcar Named Desire” the same year. (Humphrey Bogart ended up victorious for his role as Charlie Allnut in “The African Queen.”)

“A Streetcar Named Desire” — both the original 1947 Broadway production and the 1951 film adaptation — was directed by Actors Studio co-founder Kazan. Brando also starred in both versions, and, though his performance was temperamental, Kazan said: “Marlon was living on stage. … A performance miracle was in the making. What was there to do but be grateful?”

James Dean as Cal Trask consoles Julie Harris beside him in a black-and-white shot from "East of Eden."

James Dean as Cal Trask and Julie Harris as Abra Bacon in “East of Eden.”

(Warner Bros. Pictures)

James Dean

James Dean only got the chance to star in three films — “East of Eden,” “Rebel Without a Cause” and “Giant” — before he died at 24, and the latter two were released after his death. Prior to all three, though, he also studied at the Actors Studio under Strasberg.

In “East of Eden,” also directed by Kazan, Dean played the wayward young man Cal Trask, who competes against his (favored) twin brother (played by Richard Davalos) for the affection of their pious father. Dean had a turbulent relationship with his own father, and his mother died when he was 9. (The Trask brothers’ mother is ostensibly dead too.)

“One of the things that made [Dean] noticed,” actor Martin Landau told PBS, “was his vulnerability. He understood a mother he didn’t have. … ‘East of Eden’ was like a chance to meet his mother again, if one accepts that.”

Daniel Day-Lewis as Christy Brown sits in wheelchair outside, looking distractedly away from the camera, in "My Left Foot."

Ruth McCabe as Mary and Daniel Day-Lewis as Christy Brown in “My Left Foot.”

(Miramax)

Daniel Day-Lewis

Daniel Day-Lewis is perhaps the closest contemporary follower in Clift, Brando and Dean‘s footsteps. He has won a record three Academy Awards for lead actor, including in 1990 for his iconic performance as Irish writer and painter Christy Brown in “My Left Foot.” (Day-Lewis beat out Tom Cruise in “Born on the Fourth of July,” Morgan Freeman in “Driving Miss Daisy” and Robin Williams in “Dead Poets Society.”)

Brown, who was born with severe cerebral palsy, could not walk or talk, was wheelchair-bound and only had control of his left foot, which he used to paint and write. Day-Lewis refused to stand between takes, remaining in his wheelchair, and made production assistants feed him by hand. He is now renowned for his Method acting, grueling process and devotion to his roles.

Christian Bale as Trevor Reznik is emaciated, staring into the camera with dark circles under his eyes in "The Machinist."

Christian Bale as Trevor Reznik in “The Machinist.”

(Paramount Classics)

Christian Bale

Another Method actor who rejects the label, Christian Bale is oft-associated with extreme physical transformations and intense focus onset, including in “American Psycho” as serial killer Patrick Bateman and in “The Machinist” as sleepless industrial worker Trevor Reznik.

Bale lost more than 50 pounds in four months to play the machinist, paranoid and deluded after being unable to sleep for a year. Bale’s daily diet consisted of black coffee, an apple and a tin of tuna.

But in 2011, Bale told the Mirror: “At the end of the day, I’m faking it. Pure imagination. I never took any classes, I just go, ‘I better wing this one and make it up!’ Everybody talks about the process too much. The interesting thing about a movie is the movie.”

Austin Butler as Elvis Presley plays his guitar onstage, girls screaming in the audience behind him, in "Elvis."

Austin Butler as Elvis Presley in “Elvis.”

(Warner Bros. Picture / Warner Bros. Pictures / AP)

Austin Butler

Eight months after “Elvis” hit theaters in June 2022, Austin Butler — who starred as the King of Rock and Roll — said he would finally drop Presley’s deep Southern twang. (That came after fans noticed the Elvis accent creeping in during his Golden Globes acceptance speech, “Saturday Night Live” monologue and “Jimmy Kimmel Live!” guest spot.)

“It’s funny to me because I don’t even think about it,” Butler told The Times after his Oscar nomination for the role. “I guess after three years of doing everything that I could to focus on this one goal of trying to bring life to Elvis in this film, I think that there’s certain muscular habits that must pop up.”

Once again, though, Butler wouldn’t use the term to describe himself. “I never have used the word ‘Method,’” he told the Hollywood Reporter. “I think that word gets thrown around a lot. It’s a very misunderstood thing that isn’t really what I do. … It’s more that I just like to immerse myself.”



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