‘A unique concept for senior living in beautiful
surroundings’. This is how the Old Deanery residential care home describes
itself on its website. It’s a bit rich, coming from the Essex home where ‘care’
workers were filmed abusing residents. Undercover footage of their heartless
actions featured prominently in the BBC Panorama
programme on residential care in the UK, broadcast on Wednesday 30 April
2014.
Cue national scandal – and not for the first time. After
successive revelations over the past few years, the horror, the horror of
residential care has become a dog bites man story. That is, the latest revelation
that care workers are slapping elderly residents and calling them bitches, is
hardly more surprising than a dog bite on the postman’s bum.
I am not saying – not for a nanosecond – that ‘elder abuse’
is on the same level as the postie’s posterior. I am saying that since we
already know it goes on, also that the goings-on are more than isolated
incidents, discovery of a further, furtive episode is no grounds for sounding
like Cilla Black on Surprise Surprise!
Moreover, feigning surprise is as unhelpful as the official response – the
Department of Health announcing plans to test workers on how much they care, as
if those capable of violence towards the elderly are not also capable of acting,
playing the role expected of them, for the duration of the test.
Some may find my comments callous. I disagree. It seems to
me that for those not immediately involved – whose relatives have not been
abused in residential care homes, who have no direct role in the immediate
prevention of abusive behaviour, the first line in a truly humane response is NOT
to be caught up in the rush to say how disgusted we are. Instead we should be looking
around for an explanation. It is not for us to give vent to our emotions;
moreover, the whole Shock! Horror! routine, on the part of those who have no
business performing it, can only obstruct the level of circumspection which
must be arrived at in order to address the wider problem.
So what is it about current circumstances which prompts some
people working in care homes to treat other people as if they are non-people –
like beasts to be prodded and pushed around? Stock responses to this searching
question include: low-paid workers are not paid enough (their low pay is effectively
an insult which some of them pass on to the people in their care); and, bearing
down on care workers, time pressures prevent adequate care and create tensions
which cannot be taken care of, so that some care workers end up taking it out
on the people they are meant to be caring for.
There is something to be said for both these observations. On
the other hand, care work never has been highly paid; and throughout history it
has often been performed in straitened circumstances – seemingly without recourse
to the level of abusive behaviour which, in its frequency and intensity,
appears to be a distinctly recent phenomenon. Hence, if such behaviour is indeed increasing
and increasingly virulent, it can only be accounted for by reference to something
– something peculiar, something different – in the way we live now.
Could it be that some people are now treating other people
as non-people because, according to current definitions, those other people
hardly qualify as people, and the task of looking after them is not something
that any proper person should be seen doing? From this perspective, people,
i.e. ‘care workers’, who are paid to look after persons who do not qualify as
people, i.e. elderly care home residents, are also being called upon to destroy
or at least negate their own personhood, as currently defined, throughout their
entire time at work. In which case, every hour spent doing care work, is also an
hour of being an un-person ‘caring’ for non-persons; with predictable results.
But surely only a Nazi nutcase would take the demented
position that those suffering from dementia do not count as human beings? Unfortunately,
something akin to this position is not such a rarity. While ‘master race’ eugenics
have been consigned to the nut-house of history, the cultural equivalent of
eugenics now occupies centre stage. The
dominant culture of the day is narcissistic – we have to keep looking at
ourselves; and heavily aestheticised – to participate, you have to be good-looking
enough to be looked at. Moreover, if you fail on either of these counts, under present
conditions there is little or no justification for your existence.
However sketchy, this outline at least draws on how our
sense of who we are and what we should be doing, has changed considerably in
recent years. We have only recently arrived at a version of the self which is
defined by the selfie. According to the current definition of selfhood, I am
only myself as and when I am doing something which I would like to see photographed
and uploaded as a selfie; on all other occasions I am something less than
myself, not a real person under the terms of the current definition.
There is clearly no place for washing old men and cleaning
old ladies according to the selfie definition of selfhood; although there may
be a place for me (and my narcissistic sense of selfhood) next to the old
codgers when they are photographed trying to blow out the candles, preferably a
hundred of them, on their birthday cakes.
Seen in this light, a care worker slapping an elderly woman
is the barbaric realisation of today’s culture of narcissism. The terrible
irony is that being inhuman to the elderly conforms to the emerging definition
of what it means to be human: manifesto
ergo sum – I show myself, I upload myself; therefore I am.
It is fitting, then, that the latest residential care
scandal involves a care home in Braintree, Essex, better known as the home base
of the reality tv show, The Only Way Is
Essex (TOWIE). In TOWIE, a cast of photogenic people play themselves in a
series of semi-scripted scenes. Of course everyone knows that ‘reality tv’ is
largely artificial. But no more so than our real lives are supposed to be,
according to the current definition of what it means to be human.
On a day-to-day basis, if you do not do anything which is up-loadable,
which is comparable and compatible with the kind of actions and facial expressions
on show in shows such as TOWIE, then, according to today’s definition, you are
not living the life of a human being; you have failed to meet the minimum
requirements of being human; you are not so very much more than a piece of
meat.
Of course this is a grossly fetishised interpretation of our
common humanity; there is no room for the terrible mess of contradictions that
we really are, which being human really is. In particular, it cannot encompass the
continuous contradiction of growing old and feeble, of slipping inexorably away
from what we were in our prime, yet not going gently into that good night (pace Dylan Thomas, whose 100 candles would
have been lit this October).
The fetish deals only in icons and their antithesis: the
iconic version of self – the selfie, versus that which prevents me from living
in the iconic world of selfies, e.g. my job cleaning up after the elderly.
Ironically, this is the iconography which the Old Deanery website is still trying
to ingratiate itself with (‘a unique concept for senior living in beautiful
surroundings’). In a further irony, even the Shock! Horror! response to elder
abuse accords with the flattening out of our contradictory humanity into a set
of up-loadable icons. Here the horrified response becomes the inverted image of
the horrifying events which prompted it; in their current appearance, both of
them are equally one-dimensional.
More disclaimers: I am not claiming that TOWIE made them do
it; rather that TOWIE reflects a culture disposed towards a particularly narrow,
fetishised definition of humanity. I am not absolving the guilty parties of individual
responsibility for their actions. Again, I am trying to account for the
disposition to behave in this way, which is not the same thing as explaining
why some people give in to this disposition while most others succeed in
resisting it.
For myself, as someone trying to live by a spirit of inquiry
rather than the culture of narcissism, I see it as my responsibility to arrive
at a more humane description of the current, historically specific iteration of
man’s inhumanity to man.