A patient from the Nise de Silveira mental health institute dances with a doll during the institute's carnival parade, called in Portuguese: "Loucura Suburbana," or Suburban Madness, in the streets of Rio de Janeiro, Brazil, Thursday, Feb. 16, 2023. Patients, their relatives and workers from the institute held their parade before the start of Carnival which begins on Feb. 17. (AP Photo/Silvia Izquierdo)