Sunday, March 7, 2021
THE PORTRAYAL OF OLDER ADULTS IN THE WRITINGS OF CHARLES DICKENS [ PARTONE]
Sunday, August 9, 2020
THE MANUFACTURING AND MANIPULATION OF LONELINESS IN LATER LIFE
AGE UK GLOUCESTERSHIRE has recently published my blog on Loneliness in Later Life. There are two versions (abridged and unabridged ) together with Rob Fountaine's (CEO) excellent and balanced response to the challenges I have made to how we approach loneliness throughout the United Kingdom. I appreciate that Rob was prepared to publish what is, in fact, a narrative that is not an easy read for many presently engaged in the Loneliness Industry.
Not surprisingly this provocative blog has received mixed reviews and it could be argued it reflects "Merv Unleashed" and is therefore not for the faint-hearted. It pulls no punches but hopefully, it is respectful to all those thousands of people ( voluntary or paid) working within the field of later life loneliness services whether civic or civil. What it does however argue, is that at a strategic and policy level, we have manufactured and manipulated the most basic of human emotions. It reflects too that much is underpinned by Compassionate Ageism leading to the commodification, monetization and exploitation of older adults.
The blog was written and published before the latest report from the Campaign to EndLoneliness " The Psychology of Loneliness- Why it matters and what can do" ( July2020). Their Report I highly recommend and goes some way to address the challenges I have laid down. What remains, however, is the need to view loneliness, and certainly chronic loneliness in later life through the lens of human rights, social justice and anti-ageism. I argue that none of the Tackling Loneliness Strategies of England, Wales, Scotland and Northern Ireland have acknowledged or grasped this point.
The collected blogs are available on:
https://www.ageuk.org.uk/gloucestershire/about-us/news-views-and-opinions--ceos-blog/loneliness-in-later-life/
Sunday, June 28, 2020
My Review of Cormac Russell's latest book 'Rekindling Democracy'
Please check out my book review published on the Goodreads website. For those interested in Community Development and Asset Based Community Development (ABCD) Cormac is a MUST read! 5 stars from me!
Monday, January 27, 2020
JUSTICE OPTIONS FOR OLDER ADULTS: In Praise of Dewis/Choice ( Aberyswyth University. Wales)
During my time as Director of the UK Better Government for Older Peoples'Programme, the nation of Wales pioneered the world's first Older Peoples' Strategy and in more recent times the Assembly has encouraged and promoted Co-operative approaches to social care provision. I was privileged a few years ago as co-director of the Change AGEnts Co-operative (now Collective) to begin my association with Aberyswyth University's " building justice options with older people examining a multi-agency perspective, justice and human rights for the victim-survivors of elder abuse". It has remained for me personally and professionally a project of inspiration. I have got to know the amazing Dewis/Choice team of individuals from the Department of Law and Criminology led by Sarah Wydall, Principal Investigator and Project Lead. This blog tells you why.
- Integrate wellbeing, support and justice
- Discuss and agree on all available options (including criminal, civil and welfare)
- Offer family wellbeing support and meetings to promote positive family relationships
- Ensure people are involved and have a voice in the process
- Promote equal opportunity
- The courage required to seek help
- That justice practitioners demonstrate empathy
- The experience of criminal justice systems is often negative and mixed when exposed to specialist domestic violence services and responses
- Communication and coordination are key
- Expectations of the criminal justice system
- The myth that older adults do not want to criminalise an abusive relative
Sunday, December 8, 2019
Compassionate Ageism: A Curse Within Social Care: Speech given at Hertfordshire Social care Festival 12th November 2019
Recently, I spoke at the Adult Social Care festival of Practice organised by Hertfordshire (ASC, Development Centre in Stevenage, Tuesday 12th November 2019). I was privileged to share the platform with Mr Justice Mumby and professor Bob Hudson. It was a daunting experience given their prestigious national profiles. My subject was listed as 'Compassionate ageism in Care Services', though I had at the outset to reclaim the original title which I had proposed, namely "Compassionate Ageism - a curse within Social Care".
Whilst I did not write a paper, using only notes and headings, this blog is basically my speech written from those fairly chaotic scribblings which I now hope reflect more or less the performance!
A TRINITY OF SOURCES
One of the best analyses I have read on the existing social care narrative was recently published by Social Care Futures' (Talking about a Brighter Social Care Future, 2018), written by Neil Crowther.
The second source was the late feminist writer and gerontologist, Betty Friedan, from North America, The Fountain of Age (1993), which, for me, is one of the most influential books on my shelves, introducing me to the concept of Compassionate Ageism and in particular, its pernicious effects on how we think about age and ageing, and hence the practice of social care.
Finally, a book published only a few months ago, edited by four amazing individuals and with contributions from a number of writers (Rob Mitchell, Elane James, Hannah Morgan, Ian Burgess and Mark Harvey). I was privileged to speak at the London book launch at what I consider a publishing social work sensation (Social Work, Cats and Rocket Science, 2019). It has been said of this book that it has 'been written by social workers who dearly love their work, powerful, hopeful, funny and informative'.
I, therefore, wish to apply the Neil Crowther narrative about social care's injustices in how we think about and communicate compassionate ageism; the challenge of Betty Friedan in understanding the destructiveness of this form of ageism with the inspirational, practical application of what social work is, can be and ought to be in Social Work, Cats and Rocket Science.
REFRAMING THE SOCIAL CARE NARRATIVE AND MESSAGING
We understand, and it is a given, that in general terms, social care lacks adequate financial investment. We accept, too, that there are structural and systemic issues in how it is delivered and carried out and 'the gap between those requiring good support and those accessing it'. In Crowther's view, this is set to get wider.
Both policy and certainly campaigners and the media in highlighting the social care deficit and shortfalls focus on presentations and a narrative of decline, deficit and othering of older adults seeking support. We, and here I speak as an ageing baby boomer, are 'somebody else'. By seeking to appeal to the public and politicians' hearts and minds, existing narratives and messaging is about the plight, negativity, rescue, pity and fatalism. Older adults are a burden, a drain on limited resources, lonely, increasingly living with the risk of dementia, frail and long-term care, whether in the community or institutions, evidence a demographic time bomb, which is at the tipping point of an explosion. What is argued is that we need beds, more beds, and even MORE beds. Let us resource the provision of beds, more nursing and residential care, more home care, more clubs, and all will be well.
This is a pernicious narrative, one that, in my view, has and remains at the heart of present-day social care, third sector effort, and political ambivalence. It is one that blames older adults for the 'care crises', one that rigs our responses to primarily outdated so-called 'responses'. Responses that patronise older adults, infantilises them, and others them. In addition, it too frequently disempowers, removes real choice and control from many social care workers, and ALL older adults. We collude with the plight, negativity, rescue, pity and fatalism, rather than the hope and optimism of citizenship, human rights, ownership, control and, above all, the radicalisation of social care.
Compassion and empathy are important. Even Compassionate Ageism, coined by Robert Binstock (1984) was originally one that led to policies and politics on ageing that benefited older adults through its 'collective concern.' Indeed the very construction of 'an old age welfare state' was facilitated by it. But, over the past half-century, it has arguably become corrupted, which was the Friedan view and social care policy and practice, in this context, is potentially destructive.
Returning to Crowther, the values we hold today and how they are framed need to inspire hope and possibility, but also need to be regarded as a certainty. We need a more collaborative and cooperative social care model. The ethics and values of social care/work that underpin practice has to communicate a set of different values, a different vision, a different underpinning in the context of age and ageing, and a narrative adopted professionally of social care and by the public. 'The messaging of organisations campaigning for reform and spending on social care and the consequent impact on public thinking is at the heart of the problem concludes Crowther.
My questions to all of us engaged in some way in adult social care is: where is the power, ownership and benefit held? Where are the voices of discontent, indeed who are the social care professionals that silence the voices of those wanting to reshape the narrative? Crowther has articulated the story we want to tell and the dominant framing that has allowed Westminster to dither and delay and put off the Social Care Green Paper. What is worse is my fear that, if that consultation paper ever sees the light of day, it will be based on the very negative framing of which Crowther warns!
A CURSE ON ALL OUR SOCIAL CARE HOUSES
Compassion is biased and tends to tilt assessments and subsequent actions and outcomes that benefit the agency's commissioning and provision of services. It is about feeling good about ourselves as financial managers or gatekeepers, charity trustees, elected politicians, practitioners, volunteers. God help us! We think celebrity endorsement of our third sector objectives/purpose is a cherry atop a cake of stale ingredients, which is consumed with gratitude, as little alternatives are on the menu.
"Ageism in broad terms is 'complicated'. Ageism is not equivalent to sexism and racism; there is no one group discriminatory against another. Younger people can be discriminated against, as can older adults. Indeed we are all, throughout our lives, oppressed by ageism, by dominant expectations about age, expectations that dictate how we behave and relate to each other" writes Bill Bytheway ( Ageism in Age and Ageing Ed. Malcolm Johnson 2005)
Little, however, is mentioned about Compassionate Ageism, though we are increasingly becoming familiar with the Decline System of New Ageism. The economic drain of older adults on society, time bombs, demographic tsunamis, the boomers robbing of generations x/millennials, the innocent absorption of cultural signals, youthful age anxiety, and so-called 'middle ageism' dominates ageing narratives (Gullett, M, 2013). Where is the notion of how compassion compromises human rights, wellbeing, belonging, citizenship and hope? We are blinded to the potentially pernicious consequences of our social care actions and responses. All of us in this room is at risk of colluding with the pretence that our practice is without prejudice, myths and stereotypes about older adult users - nay, older adults generally. Eligibility criteria, resource constraints, case demands and our internalised cultural attitudes to and about older adults shape our responses. Compassionate Ageism demonises and commodifies ageing, leading to a belief that we are doing what is in their best interests. It leads to systemic stereotyping and discrimination against people we deem older. It is the offensive exercise of social care power in reference to age. It oppresses. It is a social construct. All evidenced by and through both our behaviour and language-imaging, negative narratives and communications which dehumanise and depersonalise. It sees our older adult 'users' as victims and vulnerable, and it pathologises and others. Older adults become somebody else! Evidence? Look at case notes, care plans and minutes.
Compassionate Ageism is a curse dressed up as concern and as sympathy. As a professor of Social Gerontology Tom Scharf (Newcastle University) coined, 'benevolent patronage'. Compassion exists and here's the rub - it exists in the minds and attitudes of older adults themselves. Older adults 50yrs plus are essentially the same and worthy of government assistance. The notion of "silver or grey" power is a myth. We see older adults as goodies or baddies (deserving or undeserving, needy and desperate, requiring special policies). It is a time of loss and decline. Ageing celebrity endorsements have in my view, distorted the narrative around loneliness, dementia, social isolation and poverty.
Compassionate Ageism sees:
- Older adults as a problem = they are somebody else
- Dependency, sickness and deficit = plight
- Imaging = negativity (decline) eg images of wrinkly hands
- We must do something = rescue
- Age has to be avoided = pity
Plight, pity, decline and rescue - beware! A rescuer can easily become the persecutor, and good intentions, risk assessments, safeguarding policies, care homes, day centres, eligibility criteria, home care, budgets, financial management, and adult social care generally, become, in reality, oppression.
FROM OPPRESSION TO "LIBERTY" - THE ANTIDOTE
The third and final source on which I have drawn for this presentation is the recent publication Social Work, Cats and Rocket Science (1919). The authors reflect in my view a different pathway and value base, which moves the narrative from hopelessness to hope. It is a narrative of ambition and a belief in a better social care future for adults - especially older adults. It is a narrative of opportunity and freedom. We move from the rhetoric of 'personalisation and co-production' and professional/political grandstanding to the reality of outcomes that people actually want.
Earlier we explored Neil Crowther's analysis of the importance of language, messaging and communication. We now look at the importance of upholding respect for the inherent dignity, equality, and worth of all people. Upholding social justice and human rights and, quoting judge James Mumby, 'being a servant, not a master'. To this I would add: not being a jailor to a prisoner of social care or work bondage.
Much is said and written these days about loneliness epidemics, dementia tsunamis, mental incapacity and frailty. I urge you to read chapter one of Social Work, Cats and Rocket Science. In fact, I urge you to read all the chapters. Read Mavis's story. It is a familiar one, one that was evident in the late 1960s when I first started my social work career. And it is evident in November 2019, as I stand behind this lectern. To quote two sentences, 'We are guests in people's lives, and it is not always benign or good.' And 'social care is about standing up for peoples' rights, to have a right to a home and a private family life'. To Liberty!
Mavis died in her sleep, waiting to return to her home, with her lifelong partner. Her husband was the eighth person to be informed of her death.
The years, months or days remaining to an older adult is of value: everyone is capable of exercising choice and everyone has a right to participate in society. So what is the nature of wellbeing, of social justice, of choice and control? On what grounds are they denied? What are the existing protections in place? I leave these provocations with you.
I have, over the years, given and heard eulogies at funerals, and frequently thought that they provide more information on the deceased than ever obtained on the living through social care assessments and processes. Knowing the person, not the labels, of loneliness, dementia and frailty is written large. It's not rocket science!
Monday, October 7, 2019
" THE JOY OF SEX BEYOND 70" ROYAL COLLEGE OF NURSING EVENT PRESENTATION ( 23.09.19)
My own focus was to explore two areas seldom discussed within the Age Sector: Older Sex Workers and the Pornography Industry and Porn use and engagement by older adults.
The event was chaired and facilitated by Tammy WhyNot (a very unique experience). Each speaker was given 8minutes to present to which surprisingly I was compliant. What follows, therefore, is the pre-prepared full text, most of which went unsaid given the time constraint, but hopefully, you may find of interest.
THE CONTEXT AND THE "MISSING VOICES"
We are increasingly beginning to explore, understand and respond to the issues of ageing and wellbeing in the context of sexuality, sex and intimacy. Most of us would probably agree that sex has been a neglected issue in much gerontologic research. There are of course some notable exceptions. What research, however, has been undertaken is inclined to focus on sexual activity and sexual health, but what is encouraging, but not surprising, given the age demographic, is the role and meaning of sex in new intimate late-in-life relationships.Sex, however, is frequently framed in terms of the ideology of LOVE whereby causal sexual adventures are frowned upon and views about the sexual behaviour of young adults/adolescents perceived as being less healthy than that of older adults.
What is frequently absent is research incorporating the voices and views of older adults themselves. Asking older adults their views, opinions, experiences and attitudes with regard to their sexuality and activity. It is important here in the context of tonight, to respect a wish not to engage, not to be ambushed and Dawne, in her presentation rightly emphasised the absolute necessity of permissions, contexts, cultures and belief systems. The ethics of researchers ensure the protection of these obligations, but too frequently outside that construct, people can be coerced into "a confession based" interaction.
Those older voices that have been sought however seems to show:
- Older women describe male sexuality as simple and pleasure orientated - but men tended to actually subscribe to the same ideology of LOVE as the female adult.
- Sexual interest and activity is rekindled in new relationships and frequently seen as sexually better than previous relationships
- The importance of sexual self-realization (especially older adult women)
- Marriage was not seen as important for having a sexually intimate relationship
- Sex, however, was not entirely liberalized, but framed in an ideology of love.
AREAS SELDOM EXPLORED
1. PROSTITUTION AND OLDER SEX WORKERS: A Co-operative approach
- Control of working conditions and safety
- Profits that benefits the workers
- Scholarships for sex workers
- Loans
- Employment opportunities for those wishing to exit sex work.
2. "DIRTY OLD MEN AND WOMEN AND THEY": PORNOGRAPHY
Pornography is generally defined as "visual depictions that are intended to sexually arouse the viewer" ( Tarrant S The Pornography Industry 2016). Regardless of the medium, the challenge in defining the term, as Tarrant points out is that one person's pornography may seem like hate speech to the next. What is the difference between erotica and porn? Some argue that pornography "reflects patriarchal hegemony or abusing the other, while erotica depicts sex among equals and thus free of subjugation." In short, pornography is about dominance: erotica mutuality.If we reflect on the negative attitudes and stereotypes towards and about older adults and ageing, no wonder there has been so little exploration of this area of engagement and behaviour. Past and existing attitudes towards older women they are multiply dammed, men simply get away with simply being regarded as "a dirty old man". The mere use of the word pornography evokes negative reactions, let alone to those older adults actively engaged and participating in the industry. Tarrant says " the ubiquitous presence of pornography is a rich source for studying the ways in which ideas about gender, race, class, beauty, and sex are constructed, conveyed and maintained." She adds " Pornography is an important media category for questioning normative expectations exploring forms of resistance that challenge racism, classism and ageism" (italics mine)
Is pornography a crime, a sin, a vice or a choice? "It cuts to the heart of sexual pleasure, sexual danger, censorship, coercion and personal agency" (Tarrant again)
Let me ask a question. How far is pornography discussed and a source of sex education within the sex and wellbeing literature, guidance and pr retirement workshops by employers? How far is it a subject of discussion in day centres, residential care, Older adult Forums between sing songs, bingo and Any Other Business?
Dawne Garrett and my dear friend Shirley Ayres ( sitting in the audience) have for some time been discussing a publication ( Journal article?) on a whole range of sex and sexuality in later life. Being a recent convert to social media ( in part Shirley's fault) I checked out Twitter accounts related to sex, sexuality, pornography and dating sites for the over 50's. I'm not particular;y an innocent, but I was surprised by the breadth and scope- all tastes catered for, but that said, I was convinced that the engagement of older adults regardless of genders, sexual orientation and preferences actively engaged as performers in the pornographic industry and/or engaged in viewing was an issue worth exploring in the context of public health, mental health, wellbeing, relationships, addiction. The free and easy availability of porn via social media is rightly well researched with regard to child protection, but it is necessary to explore its impact on older adults, not necessarily in the context of safeguarding ( though that said, it does raise some interesting issues in that regard re MCA) but in addressing sex and ageism, sex and wellbeing, sex that is free from moral judgement, sex and social media, sex and so-called sex toys, sex and health, sex that is, for the over 70's a joy!
Finally, as I was reminded recently, the rejection of sexual activity, however, defined is and remains in the control of each and every one of us.
[Sources: I have avoided lengthy footnotes or references, but are available on request.DM me @Merv.ChangeAGEnt]
Sunday, June 30, 2019
"Here, Kitty, Kitty": From Coverture to Coercive Control; the Abuse of Catherine Dickens
This new extended blog seeks to examine the abuse and cruelty of Catherine Dickens (Nee Hogarth) by her world-famous author husband. In doing so, highlight Charles Dickens' behaviour towards Catherine in the context of the Victorian notion of coverture and the twenty first century term of coercive control.
It is my contention that she played out her life with Dickens in the 'white noise of coercive control, ever-present and ever-threatening. Catherine's strength to live with this and to function daily in a range of domestic and social settings - to survive - was enormous and courageous' 1.
- Monitoring activities with family and friendship networks
- Repeatedly checking up on you
- Questioning your behaviour and decisions
- Setting deadlines for your return home if visiting relatives and friends
- Isolating you from those relatives and friends; and/or
- Choosing your friends and acquaintances
- Controlling what you spend and how you spend it
- Controlling or negatively disparaging comments on what you wear and how you look
- Telling you what you should eat
- Putting you down in public
- Getting angry at the slightest little thing
- Creating an environment both within the family home or outside it where you are in constant fear of upsetting him
- You have to do things in a particular way or they get angry with you
- Your needs are secondary to his