Doing fun things with old people

The world is ageing fast. Every day, 10,000 American baby boomers turn 65. Figuring out what to do with them (/us 1) is something we need to think about. Better yet if it can increase well-being across the world.

Photo by Janosch Lino on Unsplash

A recent Economist article described how some university campuses in the United States are building retirement homes. I hope they will forgive me quoting large parts of their article.

Most residents are having a ball. They get a university pass, which allows them to attend the same classes and cultural events as students, but with the distinct benefit of not having to take exams. Golf buggies can drive them around the sprawling campus, though many are still fit enough to mountain bike.

In their dorms, four restaurants serve better food than college grub and amenities include an art studio, a pool and gym, and a games room. Only the second floor feels institutional, with a memory-care centre and rooms for residents who need round-the-clock attention

This is part of a wider trend. An estimated 85 colleges in America are affiliated with some form of senior living. The idea sprang from two college presidents who wanted to retire on campus in the 1980s. Today, universities from Central Florida to Iowa State to Stanford offer senior-living arrangements. Andrew Carle, at Georgetown University, estimates that as many as 20,000 older Americans live like this

Bill Gates—not that one, but an 80-year-old former newspaper editor—moved to [one of these communities] with his wife, who has a PhD in chemistry, two years ago. They have made friends with residents but also, to their surprise, with younger students. “Being among young people is really invigorating,” says Mr Gates. At “pizza and a slice of future”, a discussion group about AI with pizza served halfway through, one of the topics was whether a lifespan of 200 or 250 years would be desirable. “The 20-year-olds were enthusiastic,” he reflects, but those in their 70s and 80s “had some reservations”, he chuckles.

When I saw this, I thought it was a downpayment on heaven. Being in community, attending lectures and discussion groups, surrounded by young people … oh man … what a fantastic way to spend your life’s teatime.

I heard another example from the UK. Our church used to run a day centre for the elderly. I heard of a similar day centre that had combined with a toddler group. So instead of the elderly looking at each across a circle of high-backed chairs, the elderly were looking at each other across a circle of high-backed chairs over a space filled with toddlers doing toddlery things. I can’t imagine how this wouldn’t be fun, perhaps even for all concerned.

Old people are changing. But the picture I have had of them so far in the UK is people on the edge of things, and unbelievably lonely, and deprived of the things that really matter, namely purpose and people. How astonishing and lovely it could be if they were folded back into new forms of extended families and communities; such healing, such wholeness.

The fear of ideas and the playful creativity of curiosity

I saw this article in the current Economist, and I liked it so much that I wanted to share part of it. It was written by an African author called Chigozie Obioma.

I BECAME CURIOUS at a young age, radically so as I grew older. In keeping with Albert Einstein’s dictum that “the important thing is not to stop questioning; curiosity has its own reason for existing,” I exposed myself to every possible idea.

I have studied religious texts from the Bible to the Koran to the Book of Mormon to the tenets of Odinani, the pantheistic religion of Nigeria’s Igbo people. I have read political philosophies from Winston Churchill’s “The River War” to Karl Marx’s “Communist Manifesto”. I have read books considered to be standard-bearers of leftist thinking and those seen as right-wing intellectual staples.

Sometimes I find myself holding several conflicting, incommensurable beliefs, but most often I arrive at a centre—a rich ground that enables me to fully appreciate the complexity of the human condition, to understand the substance of different ideas and why others might hold them. I am forever open to the possibility of changing my mind.

That is why I got such a shock in my first few weeks in America. At an event at the University of Michigan an African-American speaker was hectored and shouted down by a mob. I could not understand; why wouldn’t the audience hear him out? The response I received—that the speaker’s view was “problematic”—would reverberate through the next few months and years. Speakers across various platforms in America were drowned out, attacked and silenced

These conflicting actions and reactions, I think, are a result of a societal malaise that has been developing in the past decade or so: radical incuriosity. It is, in essence, the fear of ideas.

Obioma then goes on to describe the importance of what he calls ‘provisional thinking’: a capacious open-mindedness, encompassing both the moral and the political, in which one’s assumptions can constantly shift, unattached to ideology or dogma. And arrives at a natural resting place for him, namely agnosticism.

This is logical and I warmed so much to what he wrote. But I wonder if agnocisim itself is also a little flimsy as a resting-place for your soul. I may be wrong. But if you are open to everything, on what do you base any judgements you make? What values can you hold that are not themselves potentially valueless? I struggle to understand how being agnostic about everything (if that is what is being argued) can enable you to form judgements about anything? Presumably, better minds than mine, not hard to find, have views on this.

But that is why I like the position of Christ as truth, as he claimed to be. Perhaps with him (and what he said) as the foundation, we are able better to judge the value and utility of multiple different political and moral viewpoints? At least we have somewhere to start.

And that starting point, Christ himself, was and is iconoclastic, turning some truths upside down, reshaping others, fulfilling others, just like Truth would if ever, like some icebreaker, it started ploughing through the frigid accumulation of our reasonings. Hmmm..

Created by Dall-E-3

The perils of music

Especially if you’re trying to avoid invisible beings

It can bite. Photo by Raúl Cacho Oses on Unsplash

I had to write an article recently about what happens to people who leave God and God-stuff alone 2.

I wrote about my suspicion that God doesn’t leave them alone.

One culprit was music:

Perhaps this is a stretch for some of us. But theology teaches us that music is a shared feature of heaven and earth. Both realms ring with song, heaven more so than earth, and for a reason. Think of an orchestral or choral performance: unity, diversity, individual gifts, some performers with a great range and others just bashing triangles at appropriate moments, all blended into a completeness that is not static or boring, but fluid and dynamic; at its best, an ever-flowing perfection of fulfilled performers harmonizing together. Isn’t it, can’t it be, a heavy hint of what God and his people are destined finally to be? When you hear or perform music, are you distantly echoing what the divine is and does? Are your expressing a desire for something greater than what you have now? Are you reaching for transcendence? If I may say so, I think you may be. Even some of the most hard-boiled atheists I know seek transcendence in music.  

Food for thought.

Healing, brokenness, and the mental health industrial complex

Photo by SIMON LEE on Unsplash

It’s interesting to watch — from the safe vantage point of vast ignorance — cracks in the gleaming exterior of Western mental health care. To say the least, it’s not like flying a plane, where highly trained people, following international standards of safety and expertise, successfully take people to places they want to go. Psychiatry and psychology are not like that. They may want to look like that, but they are not like that. 3 Here are some of the cracks:

  1. The standards aren’t, well, standard. The American Psychiatric Association publishes a thing called the DSM (the diagnostic and statistical manual of mental disorders), currently on its fifth edition, DSM-5. It’s widely referred and accepted and is the product of much scholarly endeavour. But it changes, and practice changes with it. After DSM-4 was published, ADHD diagnoses tripled, autism diagnoses increased 20-fold and bipolar diagnoses 40-fold. 4 This was not a sudden epidemic of mental illness, it was a consequence of widening the categories. So, beware, with the next edition of the book, your illness could become a variant of normalcy, or your normalcy be re-categorized as illness.
  2. It’s subjective, not objective. Physical medicine is at least a mixture of both, blood tests and MRI scans complementing the doctor’s own judgement. Mental illness appears not to be independently testable. This subjectivity on the part of mental health professionals has consequences: I have seen people bounced between diagnoses of Borderline Personality Disorder, PTSD, Bipolar, and schizophrenia in a process that seems a bit like different practitioners sticking random Post-It stickers on people’s heads. (Though it’s worth remembering that people who practice mental health care all are there to do something good for the broken and damaged people whom they meet every day and they want to help them thrive. They are not dabbling with words; getting it right matters. The bitterness of the debate is because everyone cares, not because no-one does.)
  3. Commercial interests are involved. As one kept alive by various drugs, I am very fond of big pharma, but I do acknowledge that they have a commercial interest in selling drugs for mental health, and that must influence their own influence in this subjective area. Certainly different groups of all stripes campaign to change the DSM in their favour, which must mean each DSM is a product of power struggles as well as pure evidence.
  4. It victimizes people. Telling my liver that it is abnormally swollen does not upset my liver too much; telling my head I have a personality disorder, and that, no, they haven’t really found a cure, affects my whole sense of who I am and what I am to do about it.
  5. It oversimplifies, or at least wrongly frames, the problem. Have mental health problems rocketed, powered by social media, relationship breakdown, unwise romantic choices, and covid-19 exclusions? Or have otherwise normal people across our communities been battered by exceptional stresses? Are they, at root, diseased or injured? That matters a great deal for how, and if, you can get well again.
  6. It’s not been great for children. Apparently (according to my source article again) as late as the 1990s it was ‘unusual to prescribe medication or give diagnostic labels to under-18s.’ That is no longer the case. It would be good to know what the evidence is for this change. I hope it’s solid. I can’t help thinking that diagnosing children -a subjective process and one that is inconsistent across practitioners- on the basis of the child’s own grasp of the problem, is a shaky place from which to start chemical intervention or medical labelling.
  7. Can it mean that problems are treated here in the West as primarily medical, rather than, say, primarily to do with relationships, poverty, trauma, abuse, poor choices, or just the kind of ennui that doesn’t know what to aim for or what to aspire to be, or what the point of living is; that we are attempting to treat medically a kind of lostness?
  8. Can it be that we are underplaying the social, the relational, the physical, and the spiritual and overemphasising the medical? This I find really intriguing because I think I have learnt that healing in any sphere is basically about shalom, peace and contentment; that’s the mark of the healed, even if those same healed ones limp around in broken bodies and perhaps with damaged minds. To thrive before God and people, in all circumstances, that’s healing.

So much to learn!

That surprising Mr Warnock

Just read a fascinating article about Raphael Warnock, Georgia’s freshly elected Democratic Senator.5

Mr Warnock is still a pastor, of Martin Luther King’s old church in Atlanta. He has, it seems, a fresh take on the tired left/right, liberal/conservative tropes that like leaden wordclouds, rain down on our politics both in the UK and the US. There’s just a sniff of Advent hope about him. Here are a few quotes:

‘Democracy is the political enactment ofa spiritual idea, the sacred worth of all human beings.’

‘A vote is a kind of prayer for the world we desire.’

Martin Luther King, he says, ‘Used his faith not as a weapon to crush other people, but as a bridge to bring us together.’ Now there’s an idea.

He is a kinder sort than is typical among democrats, seeing the Jan 6th sackers of the Capitol as people who had suffered the ‘violence’ of poverty, ‘a kind of violence that crushes all the humanity of poor people,’ but who retaliated badly and mistakenly. I’m not myself a massive fan of stretching the word ‘violence’ to mean ‘any bad stuff that happens to people’, but still, this reaching out in sympathy to the illiberal is notable if only because it doesn’t represent a default setting for Democrats in my observation. It’s something a little new, loving his enemies. He reiterates:

‘There’s a kind of violence of poverty, a failure to recognise that there is enough in God’s world for all God’s children. There’s no poverty of possibility. There is a poverty of moral imagination.’

Interesting.

‘Theology after Bucha’

The team that I am part of reads hundreds of magazines each year and we file references and notes about them to use in the new version of the best-selling prayer handbook ‘Operation World’, eighth edition due out sometime.

Sometimes we share articles around. Here’s one from the person who monitors Russian and Ukranian magazines. I’m sorry it’s not in the cheerier terms in which I usually try to write.

Last week Ukrainian troops liberated the entire territory of the Kyiv region. What they discovered in the cities of Irpin, Gostomel, Bucha, and dozens of surrounding villages, words cannot convey. As I write these lines, my hands begin to tremble, and my eyes fill with tears.

Hundreds and hundreds of unarmed civilians were shot dead with their hands tied. Burned bodies of raped women. Dead bodies cover the streets of cities, fill basements, and decompose in looted apartments. Entire towns and villages destroyed to the ground. Russian military vehicles are full of stolen goods (household appliances, jewellery, underwear, perfumes, plumbing fixtures, etc.). The Russian soldiers in the border regions’ post offices send everything they looted to their families back in Russia.

I don’t know how to live with it. We have liberated only a tiny part of our country from the invaders. However, we can already say that in Ukraine, Russian troops have repeated the crimes of Srebrenica and Rwanda.

A month and a half ago, I could have given a lecture or preached a sermon on how to forgive enemies and support victims of violence. But today, I can only cry. I used to be tormented by the question of why so many Holocaust survivors later committed suicide. It is worth mentioning the poet Paul Celan, the philosopher Jean Amery, a great witness to the horrors of Auschwitz (in which my own grandmother also died), and Primo Levy.

A month ago, I could have given a lecture or preached a sermon on how to forgive enemies and support victims of violence. But today…

Today, I understand that the violence and evil they experienced deprived them of ways to return to everyday life, normal relationships, and trust in other people. They, like Eli Wiesel, have been in such an abyss of evil that it is almost impossible to look away from it.

Who knows how to pray with a woman raped for a week by a Russian soldier, who then shot dead her sick mother when the woman refused to go with him to Russia? How should I pray for a six-year-old boy who turned grey because the Russian military raped his mother day after day in front of him?

What words can be said to the elderly residents of a care home that ruthlessly reduced to rubble by a Russian tank? What can be said to the people who survived hell on earth, which was arranged for them by the Russian military? How can we bring comfort a wife whose husband ran out to seek help because she had given birth but was killed near the house? How do we mourn civilians who have been tortured so much that they cannot be identified?

Apparently, my readers find it hard to believe all this. A few weeks ago, I would not have believed that this is possible. But this is Ukraine, and this is the 21st century. And I think with even greater horror, what else will we learn when we liberate the rest of our territories?

I am not ready to talk more about this today, but I know that a new theology has emerged in Ukraine these days: Theology after Bucha.

This piece was written by Ukrainian church leader Rev. Dr. Roman Soloviy and published by The Dnipro Hope Mission.

Relevance in an age of transience

Any excuse for a pic of Ely Cathdral. This was a day or two before the first lockdown when it shut its doors for the first time in approximately forever.

What do you when when you were the young whippersnapper but are being replaced by still younger whippersnappers? I found this brilliant piece from Wired magazine by Megan O’Gyblin (March 2021) in my notebook. It made me want to read a lot more of her stuff. She was answering the question from a 30-year-old that began, ‘I’m only 30 but already I feel myself disengaging from youth trends.’ (This is an excerpt.)

The sense that our lives are part of an ongoing narrative that began before we were born and will continue after we die.’ I have barely dipped my toes in this, even after the all decades my heart has been beating.

I don’t mean to depress you, only to slightly reframe the question. If perpetual relevance is a chimeric virtue, as futile as the quest for eternal life, the question then becomes: What will make your life more enriching and meaningful? On one hand, it might seem that acquiring more knowledge—staying up to date on music, slang, whatever—will lead to more meaning, at least in its most literal sense. To grow old, after all, is to watch the world become ever more crowded with empty signifiers. It is to become like one of those natural language processing models that understands syntax but not semantics, that can use words convincingly in a sentence while remaining ignorant of the real-world concepts they represent. It feels, in other words, as though you’re becoming less human.

But knowledge is not the only source of meaning. In fact, at a moment when information is ubiquitous, cheap, and appended with expiration dates, what most of us long for, whether we realize it or not, is continuity—the sense that our lives are part of an ongoing narrative that began before we were born and will continue after we die. For centuries, the fear of growing old was assuaged by the knowledge that the wisdom, skills, and experience one acquired would be passed down, a phenomenon the historian Christopher Lasch called “a vicarious immortality in posterity.” When major technological innovations arrived every few hundred years rather than every decade it was reasonable to assume your children and grandchildren would live a life much like your own. This sense of permanence made it possible to construct medieval cathedrals over the course of several centuries, with artisanal techniques bequeathed like family heirlooms.

This relationship to the future has become all but impossible in our accelerated digital age. What of our lives today will remain in 10 years, or 20, or into the next century? When the only guarantee is that the future will be radically unlike the past, it’s difficult to believe that the generations have anything to offer one another. How do you prepare someone for a future whose only certainty is that it will be unprecedented? What can you hope to learn from someone whose experience is already obsolete? To grow old in the 21st century is to become superfluous, which might explain why the notion of aging gracefully has become an alien concept. (As one Gen Z-er complained of millennials in Vice: “It all feels like they’re trying to prolong their youth.”) Meanwhile, the young become, for the old, not beneficiaries of wisdom and knowledge but aides in navigating the bewildering world of perpetual disruption—in other words, tech support.

Someone of your age, of course, has a foot in both worlds: still young enough to count yourself as part of the rising culture, yet mature enough to perceive that you are not exempt from the pull of gradual irrelevance. One difficulty of this phase of life is feeling like you don’t have a clear role; another is the constant anxiety over when you will finally tip into fustiness yourself. But to take a brighter outlook, you also inhabit a unique vantage with a clear-eyed view of both the past and the future, and if there’s one thing we could all benefit from right now, it’s a sense of perspective. Rather than merely serving as IT for your older friends and relatives, you might ask them about their lives, if only to remind them—and yourself—that there remain aspects of human nature that are not subject to the tireless engine of planned obsolescence.

As for those younger than you, I suspect your life would seem more meaningful if you focused less on keeping up with transient fads and considered instead whether you have acquired any lasting knowledge that might be useful to the next generation

Ukraine, Russia and Orthodox Christianity

I enjoyed this fascinating article that is doing the rounds where I work, and thought it was worth sharing. It’s a criticism of Russian Orthodoxy’s support for Russia’s actions in Ukraine, signed by representatives of other Orthodox groups.

It’s also a critique of Christian religious nationalism in general. Worth brewing a coffee and reading.

If nothing else, after you’ve read it, you might have a new phrase to accuse people of, ‘ethno-phyletism’. It might also send you scurrying, as it did me, to look up the Epistle to Diognetus.

A declaration on the “Russian World” teaching.

Knowing your doctor well keeps you well as well

Look at this from Private Eye‘s wonderful ‘MD’ (aka Dr Phil Hammond) (15-28 October 2021 p 8)

The model of general practice – trying to manage multiple complex risks and needs in very brief encounters – has long been unsafe and unsustainable. You have 10 minutes to help an 80-year-old woman who is arthritic, breathless, recently bereaved and on 12 tablets. It takes three of those minutes to walk her from waiting room to consulting room.She wants to talk about her late husband; you want to ensure her breathlessness was not a red flag for a life-threatening condition or a side effect of the pills you have prescribed.

It takes another three minutes to undress her and get her up on the couch to be examined. And yet her main reason for coming was loneliness.

….

A study of Norwegian health records, published in the British Journal of General Practice, found that — compared with a one-year patient-GP relationship — those who had had the same doctor for between two and three years were about 13 percent less likely to need out-of-hours care, 12 percent less likely to be admitted to hospital, and 8 percent less likely to die that year. After 15 years, the figures were 30 percent, 28 percent and 25 percent.

Healthcare depends crucially on relationships, and staff knowing and understanding you.

Imagine a GP being resourced enough to combine a vocation as a doctor with the time and stability to develop relationships with patients. Vocation and relationships … just like in a book I recently wrote, which I may have occasionally mentioned in this blog. And which is still ‘forthcoming’…

A refreshing refresher

Get it while you can

The regular readers of this blog, both of you, will know I’ve been exerpting chapters from my new book over the past weeks. Well, it’s finally finished and I’m really pleased with it. Here is the cover art:

It is, I hope, a fun refresher on some of the big themes of discipleship. A refreshing refresher, perhaps.

Lots of us read books that we kind of have to, or ought to. I’ve written a few of these myself.

This is not that book. Nor are the others I’ve been writing in the past few years, More than Bananas, Bread and the comedy trilogy Paradise, The Wheels of the World and The Sump of Lost Dreams.

The way to read this book is in a comfy chair, perhaps with some chocolate nearby, with the squalls of the world shut out, and with your own worries laid aside.

Here are few sample chapters that I put in the blog:

It’s available in its various formats at Amazon, Eden and the like and orderable from any other bookshop worthy of the name.

{Smiles}