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The elephant in the room — so fundamentally accepted that it largely goes unmentioned — is the deeply ingrained culture of violence in the United States.

In the book, you talk about “the elephant in the room” when it comes to struggles around weight loss today.

In the past, Spieth has talked about winning the career Grand Slam at the US PGA Championship as "the elephant in the room" and that doing so would feel like he had "accomplished golf".

But soon afterwards, Mr Roy plunged into a question on how each party would handle the trade war with the US, calling it the "elephant in the room".

But despite the positive news, he said he was suffering "a lot from depression" because cancer had become "the elephant in the room".