"It is astonishing that in so many communities – and not just in Australia – the
elders and people with community authority, expertise and talent are bypassed
in the rush to ‘fix’ the problems. We have witnessed this for decades in
Australia’s Aboriginal and Torres Strait Islander communities. Policy ideas,
(flung from afar) fall over each other to erase the previous work in an (often
genuine) effort to provide the ‘solution’. That this keeps happening is
astonishing because we know it’s not working."
Jane Vadiveloo retrieved from: http://www.childrensground.org.au/news/42/the-act-of-listening
Power in Oldness is an essay, folks, on "oldness" . So, if it's a bit early in the morning to
be reading through a lengthy essay on age discrimination under the lens of
therapeutic communication, you might prefer diverting at this
point and heading over to the Cameo Travel to Italy Tour and express your interest there.
You're still here? Let's get going then...
The demographic profile around the world is changing inexorably. More and more people are becoming older, living much longer, and having fewer children. This will significantly change the population dynamics around the world. Therapeutic communication has to seriously consider the relative shrinking of young, new people (The Millennium Project, 2006).
The essay evaluates the power in age in relation to therapeutic communication in a rapidly changing demographic. It considers the effects of communication breakdown due to age discrimination in the standard "therapeutic" communication health care model. It concludes, that knowledge and experience born from age, collective wisdom (Bostrom, p. 15, 2013) and ethical decision-making should be reconsidered in the state of the future in health care and reconsidered now.
Good therapeutic communication enables collaboration between disciplines and assists humanity to become more intelligent, more knowledgeable and reduce the cognitive/brain mismatch between younger and older persons. Laffan (2011) describes therapeutic communication as “the process of interacting that focuses on advancing the physical and emotional well-being of a person….therapeutic communication techniques provide support, consideration and information to persons” (NCCHC).
Wisdom is the memory of the past connected through imagination to the present and projected by the power of ingenuity into a future state. Therefore, wisdom is an attempt to master time, to see beyond present circumstances by recalling their basis in the past. Across the lifespan, people collect knowledge that involves past experiences that can be projected by the power of ingenuity into a future state. Therefore, it is conceivable that wisdom and its descendant ethical decision-making are crucial in communication and are factors to consider in the power in oldness.
In modern schemes of education, collective wisdom, ethical decision-making (Verne, 2008) have been dismally undervalued (Verene, 2008). Age discrimination undermines ideas around collective wisdom and ethical decision-making in communication across disciplines and lifespans and, therefore, increases the probability of conflict and existential risk. For example, there appear to be significant existential risks in some of the advanced forms of biotechnology, molecular nanotechnology, and machine intelligence that might be developed in the decades ahead (Bostrom, 2013, p.16).
If we have overlooked even just one such consideration in our communication challenge then all our best efforts might be for nothing - or less. When headed the wrong direction, the last thing needed is progress. And, therefore, important to pursue such lines of inquiry as might disclose an unnoticed crucial consideration or a dismally flawed realization (Bostrom, 2013, p.21) in our quest for understanding the power in oldness, during unprecedented accelerating change in a rapidly changing demographic. (Millennium Project)
A flawed realisation occurs if humanity reaches technological maturity in a way that is dismally and irremediably flawed. By ‘irremediably’ we mean that it cannot feasibly be subsequently put right. By ‘dismally’ we mean that it enables the realisation of but a small part of the value that could otherwise have been realised. (Bostrom, 2013, p. 21)
Power in age is anchored in the rock solid foundation of ethical decision-making and collective wisdom, human assets that have been dismally ignored by mainstream media in pursuit of young, new persons. The omission of experience in western mainstream culture could end badly for us all; it could go down as one of the most dangerous acts of omission in history; the invisibility of older persons is a glaring omission. Let’s hope as we move into the great transition that Conway’s projection (2001) into the future of the media is right. "Ours could be the first century in history to turn media-heated sexuality into a universal bore."
In view of advanced new technology and therefore increased existential risks, can we afford not to consider the possibility that we may have overlooked a key element or have a dismal realization only of possibilities of profound importance, such as the power in oldness, to be harnessed effectively in global coordination and communication? According to Deolitte, the AHRC has found Australian media to be a contributing factor in age discrimination and the invisibility of older Australians. If humanity are to successfully transition into the 22nd century, not good, but great communication is needed and it’s needed now.
Age discrimination affects not only the net utility of a society, but on a personal level it undermines the person’s self-esteem, financial security, physical and mental health and what’s more, limits a person’s custodial duty to hand over and preserve the inheritance of humanity passed onto us by our ancestors and convey it safely to our descendants. We do not want to be the failing link in the chain of generations (Bostrom, 2013, p. 23).
Great therapeutic communication could assist national programs for improving the collective intelligence by integrating human resources of both younger and older persons in therapeutic communication. Age discrimination commissioner, Susan Ryan (AHRC, 2013) draws from research to highlight the following statistics:
An increase in 5% in paid employment of Australians over the age of 55 would result in a $48 billion impact on the national economy every year.
Age discrimination robs the economy. How much do businesses alone lose through discarding experience and wisdom? (AHRC- National prevalence survey of age discrimination in the workplace, 2105) The growth in the number of older Australians provides significant benefits and opportunities for Australia. For example, older Australians are a large and growing consumer market for an extensive range of products and services.
Younger persons see older persons differently to how older persons see themselves. Misconceptions lead to barriers in therapeutic communication. These barriers often are the result of different opinions as to the definition of age, related to false stereotypes resulting in bullying and discrimination (Fact or Fiction? Stereotypes of Older Australians, Human Rights Commission, 2013).
Passive aggressive bullying of older persons is master of non-verbal communication and invisibility. The Australian Human rights commission is taking age discrimination and negative stereotypes seriously and building bridges through the power of the internet to bring about a change of attitude in relation to age discrimination. Active listening is a step in the right direction to improving negative attitudes. (Australian Human Rights Commission, 2013) Bullying of older persons negates the power in oldness; it includes passive-aggressive responses and ‘failure to respond (‘the silent treatment’), ignoring requests or failing to follow instructions or communicate information” (O’Toole, 2012, p.185).
Bullying is designed to create a negative view of the person in an attempt to destroy their credibility and reputation (Crossman et al 2011 in O’Toole, p. 184). Particularly disturbing is the fact that bullying of older persons is usually passive aggressive in nature and therefore not too easy to recognize. What’s more alarming is that passive aggressive bullying of older persons is so pervasive in education, workplace and the community it can be viewed as "normal" even by older persons.
Many factors contribute towards the effectiveness of communication between younger and older Australians. Factors specific to the health care professional and factors specific to the receiver or the ‘audience’ (O’Toole, 2012, p. 7). Factors include bridges and barriers, effective and ineffective listening, verbal and non-verbal techniques. The sender, health professional or teacher, can enable or disable therapeutic communication.
Unless you have been living under a rock or you are an older person in denial of the power in oldness, possibly because of negative stereotypes, a new age has dawned in the transition to a global, coordinated community and it’s premised on age. Can therapeutic communication bridge the age divide on the democratic Western landscape and deconstruct the barriers and negative stereotypes that are threatening our future and preventing many amazing people from reaching their full potential in education, the workplace and the community? (AHRC, 2013).
If we do not see or know that something is possible, then we will not try to make it happen. Will therapeutic communication recognize the power in age, and that age discrimination and it’s consequence, the dismal undervaluation of wisdom, is as an existential risk, build bridges to equal opportunities regardless of age, in education, the workplace, and community? Can communication in nursing consider the possibility that collective wisdom and its descendant ethical decision-making might be important considerations in discussing therapeutic communication in the state of the future? Paradoxically, younger persons are depending on it.
Feel free to use any part of this essay but please remember to reference or link back to this page. Thank you.
4th May 2015
Kolb published his learning style in 1984. (Mcleod, 2013) There are four phases in the cycle. During the reflective observation stage of particular importance, are inconsistencies between the experience and understanding. Morrison and Robinson, in a seminal work claimed (1997) that feelings of violation are the result of an interpretation process, known as sense-making, wherein the individual attempts to derive meaning from a perceived breach of obligation. Sense-making occurs when one’s expectations of events are in-congruent with one’s perceptions of actual events. The discrepancy between expected and actual events stimulates information seeking, explanation, and interpretation.
Personal Sense-making during the reflective observation stage gave rise to the understanding that the causal consequence of age discrimination comes with a heavy price tag - the loss of collective wisdom.
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