Monday, February 8, 2016

The Objective of Education Is Learning, Not Teaching’

‘The Objective of Education Is Learning, Not Teaching’

In their book, Turning Learning Right Side Up: Putting Education Back on Track, authors Russell L. Ackoff and Daniel Greenberg point out that today’s education system is seriously flawed — it focuses on teaching rather than learning. “Why should children — or adults — be asked to do something computers and related equipment can do much better than they can?” the authors ask in the following excerpt from the book. “Why doesn’t education focus on what humans can do better than the machines and instruments they create?” 

“Education is an admirable thing, but it is well to remember from time to time that nothing that is worth learning can be taught.”    — Oscar Wilde

Traditional education focuses on teaching, not learning. It incorrectly assumes that for every ounce of teaching there is an ounce of learning by those who are taught. However, most of what we learn before, during, and after attending schools is learned without its being taught to us. A child learns such fundamental things as how to walk, talk, eat, dress, and so on without being taught these things. Adults learn most of what they use at work or at leisure while at work or leisure. Most of what is taught in classroom settings is forgotten, and much or what is remembered is irrelevant.

In most schools, memorization is mistaken for learning. Most of what is remembered is remembered only for a short time, but then is quickly forgotten. (How many remember how to take a square root or ever have a need to?) Furthermore, even young children are aware of the fact that most of what is expected of them in school can better be done by computers, recording machines, cameras, and so on. They are treated as poor surrogates for such machines and instruments. Why should children — or adults, for that matter — be asked to do something computers and related equipment can do much better than they can? Why doesn’t education focus on what humans can do better than the machines and instruments they create?

When those who have taught others are asked who in the classes learned most, virtually all of them say, “The teacher.” It is apparent to those who have taught that teaching is a better way to learn than being taught. Teaching enables the teacher to discover what one thinks about the subject being taught. Schools are upside down: Students should be teaching and faculty learning.

After lecturing to undergraduates at a major university, I was accosted by a student who had attended the lecture. After some complimentary remarks, he asked, “How long ago did you teach your first class?” 

I responded, “In September of 1941.” 

“Wow!” The student said. “You mean to say you have been teaching for more than 60 years?”

“Yes.”

“When did you last teach a course in a subject that existed when you were a student?”

This difficult question required some thought. After a pause, I said, “September of 1951.”

“Wow! You mean to say that everything you have taught in more than 50 years was not taught to you; you had to learn on your own?”

“Right.”

“You must be a pretty good learner.”

I modestly agreed.

The student then said, “What a shame you’re not that good a teacher.”

The student had it right; what most faculty members are good at, if anything, is learning rather than teaching. Recall that in the one-room schoolhouse, students taught students. The teacher served as a guide and a resource but not as one who force-fed content into students’ minds.

Ways of Learning 

There are many different ways of learning; teaching is only one of them. We learn a great deal on our own, in independent study or play. We learn a great deal interacting with others informally — sharing what we are learning with others and vice versa. We learn a great deal by doing, through trial and error. Long before there were schools as we know them, there was apprenticeship — learning how to do something by trying it under the guidance of one who knows how. For example, one can learn more architecture by having to design and build one’s own house than by taking any number of courses on the subject. When physicians are asked whether they leaned more in classes or during their internship, without exception they answer, “Internship.”

In the educational process, students should be offered a wide variety of ways to learn, among which they could choose or with which they could experiment. They do not have to learn different things the same way. They should learn at a very early stage of “schooling” that learning how to learn is largely their responsibility — with the help they seek but that is not imposed on them.

The objective of education is learning, not teaching.

There are two ways that teaching is a powerful tool of learning. Let’s abandon for the moment the loaded word teaching, which is unfortunately all too closely linked to the notion of “talking at” or “lecturing,” and use instead the rather awkward phrase explaining something to someone else who wants to find out about it. One aspect of explaining something is getting yourself up to snuff on whatever it is that you are trying to explain. I can’t very well explain to you how Newton accounted for planetary motion if I haven’t boned up on my Newtonian mechanics first. This is a problem we all face all the time, when we are expected to explain something. (Wife asks, “How do we get to Valley Forge from home?” And husband, who does not want to admit he has no idea at all, excuses himself to go to the bathroom; he quickly Googles Mapquest to find out.) This is one sense in which the one who explains learns the most, because the person to whom the explanation is made can afford to forget the explanation promptly in most cases; but the explainers will find it sticking in their minds a lot longer, because they struggled to gain an understanding in the first place in a form clear enough to explain.

The second aspect of explaining something that leaves the explainer more enriched, and with a much deeper understanding of the subject, is this: To satisfy the person being addressed, to the point where that person can nod his head and say, “Ah, yes, now I understand!” explainers must not only get the matter to fit comfortably into their own worldview, into their own personal frame of reference for understanding the world around them, they also have to figure out how to link their frame of reference to the worldview of the person receiving the explanation, so that the explanation can make sense to that person, too. This involves an intense effort on the part of the explainer to get into the other person’s mind, so to speak, and that exercise is at the heart of learning in general. For, by practicing repeatedly how to create links between my mind and another’s, I am reaching the very core of the art of learning from the ambient culture. Without that skill, I can only learn from direct experience; with that skill, I can learn from the experience of the whole world. Thus, whenever I struggle to explain something to someone else, and succeed in doing so, I am advancing my ability to learn from others, too. 

Learning through Explanation

This aspect of learning through explanation has been overlooked by most commentators. And that is a shame, because both aspects of learning are what makes the age mixing that takes place in the world at large such a valuable educational tool. Younger kids are always seeking answers from older kids — sometimes just slightly older kids (the seven-year old tapping the presumed life wisdom of the so-much-more-experienced nine year old), often much older kids. The older kids love it, and their abilities are exercised mightily in these interactions. They have to figure out what it is that they understand about the question being raised, and they have to figure out how to make their understanding comprehensible to the younger kids. The same process occurs over and over again in the world at large; this is why it is so important to keep communities multi-aged, and why it is so destructive to learning, and to the development of culture in general, to segregate certain ages (children, old people) from others.

What went on in the one-room schoolhouse is much like what I have been talking about. In fact, I am not sure that the adult teacher in the one-room schoolhouse was always viewed as the best authority on any given subject! Long ago, I had an experience that illustrates that point perfectly. When our oldest son was eight years old, he hung around (and virtually worshiped) a very brilliant 13-year-old named Ernie, who loved science. Our son was curious about everything in the world. One day he asked me to explain some physical phenomenon that lay within the realm of what we have come to call “physics”; being a former professor of physics, I was considered a reasonable person to ask. So, I gave him an answer — the “right” answer, the one he would have found in books. He was greatly annoyed. “That’s not right!” he shouted, and when I expressed surprise at his response, and asked him why he would say so, his answer was immediate: “Ernie said so and so, which is totally different, and Ernie knows.” It was an enlightening and delightful experience for me. It was clear that his faith in Ernie had been developed over a long time, from long experience with Ernie’s unfailing ability to build a bridge between their minds — perhaps more successfully, at least in certain areas, than I had been.

One might wonder how on earth learning came to be seen primarily a result of teaching. Until quite recently, the world’s great teachers were understood to be people who had something fresh to say about something to people who were interested in hearing their message. Moses, Socrates, Aristotle, Jesus — these were people who had original insights, and people came from far and wide to find out what those insights were. One can see most clearly in Plato’s dialogues that people did not come to Socrates to “learn philosophy,” but rather to hear Socrates’ version of philosophy (and his wicked and witty attacks on other people’s versions), just as they went to other philosophers to hear (and learn) their versions. In other words, teaching was understood as public exposure of an individual’s perspective, which anyone could take or leave, depending on whether they cared about it.

No one in his right mind thought that the only way you could become a philosopher was by taking a course from one of those guys. On the contrary, you were expected to come up with your own original worldview if you aspired to the title of philosopher. This was true of any and every aspect of knowledge; you figured out how to learn it, and you exposed yourself to people who were willing to make their understanding public if you thought it could be a worthwhile part of your endeavor. That is the basis for the formation of universities in the Middle Ages — places where thinkers were willing to spend their time making their thoughts public. The only ones who got to stay were the ones whom other people (“students”) found relevant enough to their own personal quests to make listening to them worthwhile.

By the way, this attitude toward teaching has not disappeared. When quantum theory was being developed in the second quarter of the twentieth century, aspiring atomic physicists traveled to the various places where different theorists were developing their thoughts, often in radically different directions. Students traveled to Bohr’s institute to find out how he viewed quantum theory, then to Heisenberg, to Einstein, to Schrodinger, to Dirac, and so on. What was true of physics was equally true of art, architecture…you name it. It is still true today. One does not go to Pei to learn “architecture”; one goes to learn how he does it — that is, to see him “teach” by telling and showing you his approach. Schools should enable people to go where they want to go, not where others want them to.

Malaise of Mass Education

The trouble began when mass education was introduced. It was necessary


  • To decide what skills and knowledge everyone has to have to be a productive citizen of a developed country in the industrial age 


  • To make sure the way this information is defined and standardized, to fit into the standardization required by the industrial culture 


  • To develop the means of describing and communicating the standardized information (textbooks, curricula) 


  • To train people to comprehend the standardized material and master the means of transmitting it (teacher training, pedagogy) 


  • To create places where the trainees (children) and the trainers (unfortunately called teachers, which gives them a status they do not deserve) can meet — so-called schools (again a term stolen from a much different milieu, endowing these new institutions with a dignity they also do not deserve) 


  • And, to provide the coercive backing necessary to carry out this major cultural and social upheaval 

In keeping with all historic attempts to revolutionize the social order, the elite leaders who formulated the strategy, and those who implemented it, perverted the language, using terms that had attracted a great deal of respect in new ways that turned their meanings upside down, but helped make the new order palatable to a public that didn’t quite catch on. Every word — teacher, student, school, discipline, and so on — took on meanings diametrically opposed to what they had originally meant.

Consider this one example from my recent experience. I attended a conference of school counselors, where the latest ideas in the realm of student counseling were being presented. I went to a session on the development of self-discipline and responsibility, wondering what these concepts mean to people embedded in traditional schooling. To me, self-discipline means the ability to pursue one’s goals without outside coercion; responsibility means taking appropriate action on one’s own initiative, without being goaded by others. To the people presenting the session, both concepts had to do solely with the child’s ability to do his or her assigned class work. They explained that a guidance counselor’s proper function was to get students to understand that responsible behavior meant doing their homework in a timely and effective manner, as prescribed, and self-discipline meant the determination to get that homework done. George Orwell was winking in the back of the room.

Today, there are two worlds that use the word education with opposite meanings: one world consists of the schools and colleges (and even graduate schools) of our education complex, in which standardization prevails. In that world, an industrial training mega-structure strives to turn out identical replicas of a product called “people educated for the twenty-first century”; the second is the world of information, knowledge, and wisdom, in which the realpopulation of the world resides when not incarcerated in schools. In that world, learning takes place like it always did, and teaching consists of imparting one’s wisdom, among other things, to voluntary listeners.



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Coconut Milk And Turmeric Drink – Powerhouse Detox & Anti-Inflammatory

Coconut Milk And Turmeric Drink – Powerhouse Detox & Anti-Inflammatory

Learn to detox body organs and fight inflammation with coconut milk and turmeric. Check out the article we found over at Family Health Freedom Network.

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Golden Milk is a wonderful beverage to have in the evening and the benefits are extraordinary.

The main ingredient in this recipe is turmeric. Turmeric contains curcumin, the polyphenol identified as its primary active component and which exhibits over 150 potentially therapeutic activities, which include antioxidant, anti-inflammatory and anti-cancer properties.

Adding black pepper to turmeric or turmeric-spiced food enhances curcumin’s bioavailability by 1,000 times, due to black pepper’s hot property called piperine. Yup by mixing turmeric and black pepper together, you increase your body’s absorption of the turmeric by 2000%!

Golden Milk

Step 1: Turmeric Paste:

Ingredients:

-1/4 cup of turmeric powder

-1/2 teaspoon of ground pepper

-1/2 cup of filtered water

Directions:

Mix all ingredients in a small a small sauce pan and mix well. Turn the heat to medium high and stir constantly until the mixture is a thick paste. This does not take long so don’t walk away from the pan.

Let this mixture cool and then keep it in a small jar in the fridge.

Step 2: Golden Milk

Ingredients:

-1 cup of almond milk (hemp or coconut are also good options)

-1 teaspoon coconut oil

-1/4 teaspoon or more of turmeric paste

–Honey

Directions:

Combine all the ingredients, except honey in a saucepan. Turn the heat to medium. While heating make sure to stir constantly and do not allow the mixture to boil. Add honey to taste.

Next Article: The Best Way To Do A Detox Bath and Why You Need Too!

Read full article: Coconut Milk and Turmeric Recipe To Detox Organs and Fight Inflammation Fast


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DECOY: Six Photographers Each Have A Photo Session With The Same Man

Six Photographers Each Have A Photo Session With The Same Man – The Results Will Definitely Surprise You!

Six Photographers Each Have A Photo Session With The Same Man – The Results Will Definitely Surprise You!

When six photographers are tasked with taking portraits of the same man, the results are astonishing. Here’s the twist: each photographer is told a different (fake) personal history of the man. As portrait photographers, it’s their goal to portray this man, as they see him, in a single photograph. Though he comes to each photo session dressed exactly the same, carries himself the same way, and speaks with each photographer in the same manner, the photographers treat him differently and photograph him completely differently depending on the background story.

This “experiment” is a perfect illustration of how we all deal with preconceived notions about the people we encounter, and how that affects the way we view them and even the way we treat them. The experiment is titled “Decoy” and was developed as an exercise for photographers that are seeking to improve their craft. Each photographer is assigned one of six histories: millionaire, fisherman, life-saver, psychic, former prison inmate, and recovering alcoholic, and asked to capture this person’s essence in a portrait. When all of the photographers are brought back at the same time to see their portraits together, they realize immediately that each portrait is radically different. It’s as if they were all photographing a completely different person. In a way, they were.

Though this experiment was designed to teach photographers about perspective, it clearly reveals something important about all of us. We see and judge people based on their histories and how we perceive those histories. Though the subject presented himself to each photographer in exactly the same way, they each treated him in a different manner. Before they even met the man, the photographers had already decided his character. In reality, they knew very little about the man. Here’s the important lesson: the labels we give people do not actually determine who they are, only how we perceive them.



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Sunday, February 7, 2016

Traditional Remedy For Asthma & Lung Disease

Traditional Remedy For Asthma & Lung Disease

Many are suffering from asthma and even other lung diseases. Don’t let you, a family member or friend suffer any longer.  The remedy on the next page has been used for a very long time to treat lung issues.  Why not give this natural remedy a try!  After all, it’s as old as time.

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Learn how to make this traditional remedy for asthma & lung disease. Check out the article we found over at Buy Non-GMO Seeds.

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Lung disorders are a common occurrence; people get them every single year. But, why suffer when you can heal yourself with a recipe as old as time?

Ingredients:

1 Kg Purple Onion

1 Kg Sugar

Lemons

2 ½ liters water

10 Tbsp Natural raw honey

Method:

Heat the sugar in a metal container at a medium temperature constantly stirring  until it reddens. Add the onion, sliced into small pieces, fry them, and add the water Boil at a medium temperature until 1.3 of the water evaporates. Let it cool, and then add the honey and lemon juice and stir everything well. Let it sit overnight and then squeeze out the liquid and pour it into a glass bottle.

Have 1 Tbsp before each meal until the entire mixture is gone. Repeat until your lungs feel better. If giving to children give one tsp before each meal not Tbsp.

Image credit: Buy Non-GMO Seeds

Read full article: Our Grandmothers Know Best: Traditional Remedy for Asthma, Bronchitis, Cough & Lung Diseases


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Can life in a nursing home be made uplifting and purposeful?

Can life in a nursing home be made uplifting and purposeful?

In 1991, in the tiny town of New Berlin, in upstate New York, a young physician named Bill Thomas performed an experiment. He didn’t really know what he was doing. He was 31 years old, less than two years out of family residency, and he had just taken a new job as medical director of Chase Memorial Nursing Home, a facility with 80 severely disabled elderly residents. About half of them were physically disabled; four out of five had Alzheimer’s disease or other forms of cognitive disability. 

Up until then Thomas had worked as an emergency physician at a nearby hospital, the near opposite of a nursing home. People arrived in the emergency room with discrete, reparable problems – a broken leg, say, or a cranberry up the nose. If a patient had larger, underlying issues – if, for instance, the broken leg had been caused by dementia – his job was to ignore the issues or send the person somewhere else to deal with them, such as a nursing home. He took this new medical director job as a chance to do something different. 

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The staff at Chase saw nothing especially problematic about the place, but Thomas with his newcomer’s eyes saw despair in every room. The nursing home depressed him. He wanted to fix it. At first, he tried to fix it the way that, as a doctor, he knew best. Seeing the residents so devoid of spirit and energy, he suspected that some unrecognised condition or improper combination of medicines might be afflicting them. So he set about doing physical examinations of the residents and ordering scans and tests and changing their medications. But, after several weeks of investigations and alterations, he had accomplished little except driving the medical bills up and making the nursing staff crazy. The nursing director talked to him and told him to back off. ‘I was confusing care with treatment,’ he told me. 

He didn’t give up, though. He came to think the missing ingredient in this nursing home was life itself, and he decided to try an experiment to inject some. The idea he came up with was as mad and naive as it was brilliant. That he got the residents and nursing home staff to go along with it was a minor miracle. 

But to understand the idea – including how it came about and how he got it off the ground – you have to understand a few things about Bill Thomas. The first thing is that, as a child, Thomas won every sales contest his school had. They would send the kids off to sell candles or magazines or chocolates door-to-door for the Boy Scouts or a sports team, and he would invariably come home with the prize for most sales. He also won election as student body president in high school. He was chosen captain of the athletics team. When he wanted to, he could sell people almost anything, including himself. 

At the same time, he was a terrible student. He had miserable grades and repeated run-ins with his teachers over his failure to do the work they assigned. It wasn’t that he couldn’t do the work. He was a voracious reader and autodidact, the kind of a boy who would teach himself trigonometry so he could build a boat (which he did). He just didn’t care about doing the work his teachers asked for, and he didn’t hesitate to tell them so. 

Today, we would diagnose him as having Oppositional Defiant Disorder. In the 1970s they just thought he was trouble. The two personas – the salesman and the defiant pain in the neck – seemed to come from the same place. 

Bill Thomas with a nursing home resident. PHOTO: changingaging.org

I asked Thomas what his special technique for sales was as a kid. He said he didn’t have any. It was simply that ‘I was willing to be rejected. That’s what allows you to be a good salesperson. You have to be willing to be rejected.’ It was a trait that let him persist until he got what he wanted and avoid whatever he didn’t want. 

For a long time, though, he didn’t know what he wanted. He had grown up in the next county over from New Berlin, in a valley outside the town of Nichols. His father had been a factory worker, his mother a telephone operator. Neither had gone to college, and no one expected Bill Thomas to go either. As he came to the end of high school, he was on track to join a union training programme. But a chance conversation with a friend’s older brother who was visiting home from college and who told him about the beer, the girls, and the good times made him rethink. 

He enrolled in a nearby state college, SUNY Cortland. There, something ignited him. Perhaps it was the high school teacher who predicted as he left that he would be back in town pumping gas before Christmas. Whatever it was, he succeeded far beyond anyone’s expectation, chewing through the curriculum, holding on to a 4.0 grade point average, and becoming student body president again. He had gone in thinking he might become a gym teacher, but in biology class he began thinking that maybe medicine was for him. He ended up becoming Cortland’s first student to get into Harvard Medical School. 

He loved Harvard. He could have gone there with a chip on his shoulder – the working-class kid out to prove he was nothing like those snobs, with their Ivy League educations and trust fund accounts. But he didn’t. He found the place to be a revelation. He loved being with people who were so driven and passionate about science, medicine, everything. 

‘One of my favourite parts of medical school was that a group of us had dinner at the Beth Israel Hospital cafeteria every night,’ he told me. ‘And it would be two and a half hours of arguing cases – intense and really great.’ 

He also loved being in a place where people believed he was capable of momentous things. Nobel Prize winners came to teach classes, even on Saturday mornings, because they expected him and the others to aspire to greatness. He never felt the need to win anyone’s approval, however. 

The faculty tried to recruit him to its specialised training programmes at big-name hospitals or to its research laboratories. Instead, he chose family medicine residency in Rochester, New York. It wasn’t exactly Harvard’s idea of aspiring to greatness. Returning home to upstate New York had been his goal all along. ‘I’m a local guy,’ he told me. In fact, his four years at Harvard were the only time he ever lived outside upstate New York. During vacations, he used to bicycle from Boston to Nichols and back – a 330-mile ride in each direction. He liked the self-sufficiency – pitching his tent in random orchards and fields along the road and finding food wherever he could. Family medicine was attractive in the same way. He could be independent, go it alone. 

Part-way through residency, when he had saved up some money, he bought some farmland near New Berlin that he had often passed on his bike rides and imagined owning some day. By the time he finished his training, working the land had become his real love. He entered local practice but soon focused on emergency medicine because it offered predictable hours, on a shift, letting him devote the rest of his time to his farm. He was committed to the idea of homesteading – being totally self-reliant. 

He built his home by hand with friends. He grew most of his own food. He used wind and solar power to generate electricity. He was completely off the grid. He lived by the weather and the seasons. Eventually, he and Jude, a nurse who became his wife, expanded the farm to more than 400 acres. They had cattle, draught horses, chickens, a root cellar, a sawmill and a sugarhouse, not to mention five children. 

‘I really felt that the life I was living was the most authentically true life I could live,’ Thomas explained. He was at that point more farmer than doctor. He had a Paul Bunyan beard and was more apt to wear overalls beneath his white coat than a tie. But the emergency-room hours were draining. ‘Basically, I got sick of working all those nights,’ he said. So he took the job in the nursing home. It was a day job. The hours were predictable. How hard could it be? 

From the first day on the job, he felt the stark contrast between the giddy, thriving abundance of life that he experienced on his farm and the confined, institutionalised absence of life that he encountered every time he went to work. What he saw gnawed at him. The nurses said he would get used to it, but he couldn’t, and he didn’t want to go along with what he saw. Some years would pass before he could fully articulate why, but in his bones he recognised that the conditions at Chase Memorial Nursing Home fundamentally contradicted his ideal of self-sufficiency. 

Thomas believed that a good life was one of maximum independence. But that was precisely what the people in the home were denied. He got to know the nursing home residents. They had been teachers, shopkeepers, housewives and factory workers, just like people he had known growing up. He was sure something better must be possible for them. So, acting on little more than instinct, he decided to try to put some life into the nursing home the way that he had done in his own home – by literally putting life into it. If he could introduce plants, animals and children into the lives of the residents – fill the nursing home with them – what would happen? 

He went to Chase’s management. He proposed that they could fund his idea by applying for a small New York State grant that was available for innovations. Roger Halbert, the administrator who had hired Thomas, liked the idea in principle. He was happy to try something new. During 20 years at Chase, he had ensured that the facility had an excellent reputation, and it had steadily expanded the range of activities available to the residents. Thomas’s new idea seemed in line with past improvements. So the leadership team sat down together to write the application for the innovation funding. Thomas, however, seemed to have something in mind that was more extensive than Halbert had quite fathomed. Thomas laid out the thinking behind his proposal. 

The aim, he said, was to attack what he termed the Three Plagues of nursing home existence: boredom, loneliness and helplessness. To attack the Three Plagues they needed to bring in some life. They would put green plants in every room. They would tear up the lawn and create a vegetable and flower garden. And they would bring in animals. So far this sounded OK. An animal could sometimes be tricky because of health and safety issues. But nursing home regulations in New York permitted one dog or one cat. Halbert told Thomas that they had tried a dog two or three times in the past without success. The animals had the wrong personality, and there were difficulties arranging for proper care. But he was willing to try again. 

So Thomas said, ‘Let’s try two dogs.’ Halbert said, ‘The code doesn’t allow that.’ Thomas said, ‘Let’s just put it down on paper.’ There was silence for a moment. Even this small step pushed up against the values at the heart not only of nursing home regulations but also of what nursing homes believed they principally exist for – the health and safety of elders. Halbert had a hard time wrapping his mind around the idea. When I spoke to him not long ago, he still recalled the scene vividly. 

‘The director of nursing, Lois Greising, was sitting in the room, the activities leader, and the social worker… And I can see the three of them sitting there, looking at each other, rolling their eyes, saying, “This is going to be interesting.” I said, “All right, I’ll put it down.” I was beginning to think, “I’m not really into this as much as you are, but I’ll put two dogs down.” ’ 

Thomas: ‘Now, what about cats?’ 

Halbert: ‘What about cats? We’ve got two dogs down on the paper.’ 

Thomas: ‘Some people aren’t dog lovers. They like cats.’ 

Halbert: ‘You want dogs and cats?’ 

Thomas: ‘Let’s put it down for discussion purposes.’ 

Halbert: ‘OK. I’ll put a cat down.’ 

Thomas: ‘No, no, no. We’re two floors. How about two cats on both floors?’ 

Halbert: ‘We want to propose to the health department two dogs and four cats?’ 

Thomas: ‘Yes, just put it down.’ 

Halbert: ‘All right, I’ll put it down. I think we’re getting off base here. This is not going to fly with them.’ 

Thomas: ‘One more thing. What about birds?’ 

Halbert: ‘The code says clearly, “No birds allowed in nursing homes.” ’ 

Thomas: ‘But what about birds?’ 

Halbert: ‘What about birds?’ 

Thomas: ‘Just picture – look out your window right here. Picture that we’re in January or February. We have three feet of snow outside. What sounds do you hear in the nursing home?’ 

Halbert: ‘Well, you hear some residents moaning. You possibly hear some laughter. You hear televisions on in different areas, maybe a little more than we’d like them to be. You’ll hear an announcement over the PA system.’ 

Thomas: ‘What other sounds are you hearing?’ 

Halbert: ‘Well, you’re hearing staff interacting with each other and with residents.’ 

Thomas: ‘Yeah, but what are those sounds that are sounds of life – of positive life?’ 

Halbert: ‘You’re talking birdsong.’ 

Thomas: ‘Yes!’ 

Halbert: ‘How many birds are you talking to 

create this birdsong?’ 

Thomas: ‘Let’s put one hundred.’ 

Halbert: ‘One hundred birds? In this place? You’ve got to be out of your mind! Have you ever lived in a house that has two dogs and four cats and one hundred birds?’ 

Thomas: ‘No, but wouldn’t it be worth trying?’ 

‘Now that’s the crux of the difference between 

Dr Thomas and me,’ Halbert told me. ‘The other three that were sitting in the room, their eyes were bugging out of their heads now, and they were saying, “Oh my God. Do we want to do this?”  

‘I said, “Dr Thomas, I’m into this. I want to think outside the box. But I don’t know that I want it to look like a zoo, or smell like a zoo.” I said, “I can’t picture doing this.” 

‘He said, “Would you just hang with me?” 

‘I said, “You’ve got to prove to me that this is something that has merit.” ’ 

That was just the opening Thomas needed. Halbert hadn’t said no. Over a few subsequent meetings, Thomas wore him and the rest of the team down. He reminded them of the Three Plagues, of the fact that people in nursing homes are dying of boredom, loneliness and helplessness and that they wanted to find the cure for these afflictions. Wasn’t anything worth trying for that? 

Illustration: Jonathan Burton

They put the application in. It wouldn’t stand a chance, Halbert figured. But Thomas took a team up to the state capital to lobby the officials in person. And they won the grant and all the regulatory waivers needed to follow through on it. 

‘When we got the word,’ Halbert recalled, ‘I said, “Oh my God. We’re going to have to do this.” ’ 

The job of making it work fell to Lois Greising, the director of nursing. She was in her 60s and had been working in nursing homes for years. The chance to try a new way of improving the lives of the elderly was deeply appealing to her. She told me that it felt like ‘this great experiment’, and she decided that her task was to navigate between Thomas’s sometimes oblivious optimism and the fears and inertia of the staff members. 

This task was not small. Every place has a deep-seated culture as to how things are done. ‘Culture is the sum total of shared habits and expectations,’ Thomas told me. As he saw it, habits and expectations had made institutional routines and safety greater priorities than living a good life, and had prevented the nursing home from successfully bringing in even one dog to live with the residents. He wanted to bring in enough animals, plants and children to make them a regular part of every nursing home resident’s life. Inevitably the settled routines of the staff would be disrupted, but then wasn’t that part of the aim? 

‘Culture has tremendous inertia,’ he said. ‘That’s why it’s culture. It works because it lasts. Culture strangles innovation in the crib.’ 

To combat the inertia, he decided they should go up against the resistance directly – ‘hit it hard,’ Thomas said. He called it the Big Bang. They wouldn’t bring a dog or a cat or a bird and wait to see how everyone responded. They’d bring all the animals in more or less at once. 

That autumn, they moved in a greyhound named Target, a lapdog named Ginger, the four cats and the birds. They threw out all their artificial plants and put live plants in every room. Staff members brought their children to hang out after school; friends and family put in a garden at the back of the home and a playground for the kids. It was shock therapy. 

An example of the scale: they ordered the hundred parakeets for delivery all on the same day. Had they figured out how to bring a hundred parakeets into a nursing home? No, they had not. When the delivery truck arrived, the birdcages hadn’t. The driver therefore released them into the beauty salon on the ground floor, shut the door and left. The cages arrived later that day, but in flat boxes, unassembled. 

It was ‘total pandemonium,’ Thomas said. The memory of it still puts a grin on his face. He is that sort of person. He, his wife, Jude, the nursing director, Greising, and a handful of others spent hours assembling the cages, chasing the parakeets through a cloud of feathers around the salon and delivering birds to every resident’s room. The elders gathered outside the salon windows to watch. 

‘They laughed their butts off,’ Thomas said. He marvels now at the team’s incompetence. 

‘We didn’t know what the heck we were doing. Did, Not, Know what we were doing.’ Which was the beauty of it. They were so patently incompetent that almost everyone dropped their guard and simply pitched in – the residents included. Whoever could do it helped line the cages with newspaper, got the dogs and the cats settled, got the children to help out. It was a kind of glorious chaos – or, in the diplomatic words of Greising, ‘a heightened environment’. 

They had to solve numerous problems on the fly – how to feed the animals, for instance. They decided to establish daily ‘feeding rounds’. Jude obtained an old medication cart from a decommissioned psychiatric hospital and turned it into what they called the bird-mobile. The bird-mobile was loaded up with birdseed, dog treats and cat food, and a staff member would push it around to each room to change the newspaper liners and feed the animals. There was something beautifully subversive, Thomas said, about using a medication cart that had once dispensed metric tonnes of Thorazine to hand out Milk-Bones. 

All sorts of crises occurred, any one of which could have ended the experiment. One night at 3am, Thomas got a phone call from a nurse. This was not unusual. He was the medical director. But the nurse didn’t want to talk to him. She wanted to talk to Jude. He put her on. 

‘The dog pooped on the floor,’ the nurse said to Jude. ‘Are you coming to clean it up?’ As far as the nurse was concerned, this task was far below her station. She didn’t go to nursing school to clean up dog crap. 

Jude refused. ‘Complications ensued,’ Thomas said. The next morning, when he arrived, he found that the nurse had placed a chair over the poop, so no one would step in it, and left. Some of the staff felt that professional animal wranglers should be hired; managing the animals wasn’t a job for nursing staff and no one was paying them extra for it. In fact, they had hardly had a pay rise in two or three years because of state budget cuts in nursing home reimbursements. Yet the same state government spent money on a bunch of plants and animals? Others believed that, just as in anyone’s home, the animals were a responsibility that everyone should share. When you have animals, things happen, and whoever is there takes care of what needs to be done, whether it’s the nursing home director or a nurse’s aide. It was a battle over fundamentally different world views: were they running an institution or providing a home? Greising worked to encourage the latter view. She helped the staff balance responsibilities. Gradually people started to accept that filling Chase with life was everyone’s task. And they did so not because of any rational set of arguments or compromises but because the effect on residents soon became impossible to ignore: the residents began to wake up and come to life. 

‘People who we had believed weren’t able to speak started speaking,’ Thomas said. ‘People who had been completely withdrawn and nonambulatory started coming to the nurses’ station and saying, “I’ll take the dog for a walk.” ’ All the parakeets were adopted and named by the residents. The lights turned back on in people’s eyes. In a book he wrote about the experience, Thomas quoted from journals that the staff kept, and they described how irreplaceable the animals had become in the daily lives of residents, even ones with advanced dementia. 

Gus really enjoys his birds. He listens to their singing and asks if they can have some of his coffee. The residents are really making my job easier; many of them give me a daily report on their birds (eg, ‘sings all day’, ‘doesn’t eat’, ‘seems perkier’). MC went on bird rounds with me today. Usually she sits by the storage room door, watching me come and go, so this morning I asked her if she wanted to go with me. She very enthusiastically agreed, so away we went. As I was feeding and watering, MC held the food container for me. I explained each step to her, and when I misted the birds she laughed and laughed. 

The inhabitants of Chase Memorial Nursing Home now included one hundred parakeets, four dogs, two cats, plus a colony of rabbits and a flock of laying hens. There were also hundreds of indoor plants and a thriving vegetable and flower garden. The home had on-site child care for the staff and a new after-school programme. Researchers studied the effects of this programme over two years, comparing a variety of measures for Chase’s residents with those of residents at another nursing home nearby. Their study found that the number of prescriptions required per resident fell to half that of the control nursing home. Psychotropic drugs for agitation, like Haldol, decreased in particular. 

The total drug costs fell to only 38 per cent of the comparison facility. Deaths fell 15 per cent. The study couldn’t say why. But Thomas thought he could. ‘I believe that the difference in death rates can be traced to the fundamental human need for a reason to live.’ And other research was consistent with this conclusion. In the early 1970s, the psychologists Judith Rodin and Ellen Langer performed an experiment in which they got a Connecticut nursing home to give each of its residents a plant. Half of them were assigned the job of watering their plant and attended a lecture on the benefits of taking on responsibilities in their lives. The other half had their plant watered for them and attended a lecture on how the staff was responsible for their wellbeing. After a year and a half, the group encouraged to take more responsibility – even for such a small thing as a plant – proved more active and alert and appeared to live longer. In his book, Thomas recounted the story of a man he called Mr L. Three months before he was admitted to the nursing home, his wife of more than 60 years died. He lost interest in eating, and his children had to help him with his daily needs more and more. Then he crashed his car into a ditch, and the police raised the possibility of its having been a suicide attempt. After Mr L’s discharge from the hospital, the family placed him at Chase. 

Thomas recalled meeting him. ‘I wondered how this man had survived at all. Events of the past three months had shattered his world. He had lost his wife, his home, his freedom and, perhaps worst of all, his sense that his continued existence meant something. The joy of life was gone for him.’ 

At the nursing home, despite antidepressant medications and efforts to encourage him, he spiralled downwards. He gave up walking. He confined himself to bed. He refused to eat. Around this time, however, the new programme started, and he was offered a pair of parakeets. 

‘He agreed, with the indifference of a person who knows he will soon be gone,’ Thomas said. But he began to change. ‘The changes were subtle at first. Mr L would position himself in bed so that he could watch the activities of his new charges.’ He began to advise the staff who came to care for his birds about what they liked and how they were doing. The birds were drawing him out. For Thomas, it was the perfect demonstration of his theory about what living things provide. In place of boredom, they offer spontaneity. In place of loneliness, they offer companionship. In place of helplessness, they offer a chance to take care of another being. 

‘[Mr L] began eating again, dressing himself and getting out of his room,’ Thomas reported. ‘The dogs needed a walk every afternoon, and he let us know he was the man for the job.’ 

Three months later, he moved out and back into his home. Thomas is convinced the programme saved his life. Whether it did or didn’t may be beside the point. The most important finding of Thomas’s experiment wasn’t that having a reason to live could reduce death rates for the disabled elderly. 

The most important finding was that it is possible to provide them with reasons to live, period. Even residents with dementia so severe that they had lost the ability to grasp much of what was going on could experience a life with greater meaning and pleasure and satisfaction. It is much harder to measure how much more worth people find in being alive than how many fewer drugs they depend on or how much longer they can live. But could anything matter more? 

Being Mortal by Atul Gawande (Profile Books, £15.99) is available for £13.99 plus £1.95 p&p from Telegraph Books (0844-871 1514books.telegraph.co.uk)



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Friday, February 5, 2016

How presidents pray: The prayer breakfast from Eisenhower to Obama

How presidents pray: The prayer breakfast from Eisenhower to Obama

Evan Vucci, AP
President Barack Obama bows his head towards the Dalai Lama as he was recognized during the National Prayer Breakfast in Washington, Thursday, Feb. 5, 2015. The annual event brings together U.S. and international leaders from different parties and religions for an hour devoted to faith. (AP Photo/Evan Vucci) ORG XMIT: DCEV102 less 

WASHINGTON — For 63 years, presidents have spent the morning of the first Thursday in February gathering with members of Congress and evangelical Christians for the National Prayer Breakfast. For President Obama, this Thursday marks his final time taking part in the tradition while in office.

Originally known as the Presidential Prayer Breakfast, the event was inaugurated in 1953 when President Eisenhower was invited to join an already-existing prayer circle. Since then, the annual event has provided an annual forum for a discussion of the role of faith in public life.

But the event also offers a rare opportunity for presidents to pray and ask for prayers, and talk in personal terms about their the role of prayer in their own lives.

Here are excerpts from some of the more memorable speeches, which are archived at the American Presidency Project:

Associated Press

President Eisenhower comes to the Mayflower Hotel in Washington for breakfast  more

Dwight Eisenhower, 1953

"As Benjamin Franklin said at one time during the course of the stormy consultation at the Constitutional Convention, because he sensed that the convention was on the point of breaking up: 'Gentlemen, I suggest that we have a word of prayer.' And strangely enough, after a bit of prayer the problems began to smooth out and the convention moved to the great triumph that we enjoy today--the writing of our Constitution.

"Today I think that prayer is just simply a necessity, because by prayer I believe we mean an effort to get in touch with the Infinite. We know that even our prayers are imperfect. Even our supplications are imperfect. Of course they are. We are imperfect human beings. But if we can back off from those problems and make the effort, then there is something that ties us all together. We have begun in our grasp of that basis of understanding, which is that all free government is firmly founded in a deeply-felt religious faith."

Henry Burroughs, ASSOCIATED PRESS

President John F. Kennedy and others at the head table bow their heads during more

John F. Kennedy, 1963

"These breakfasts are dedicated to prayer and all of us believe in and need prayer. Of all the thousands of letters that are received in the office of the President of the United States, letters of good will and wishes, none, I am sure, have moved any of the incumbents half so much as those that write that those of us who work here in behalf of the country are remembered in their prayers....

"This morning we pray together; this evening apart. But each morning and each evening, let us remember the advice of my fellow Bostonian, the Reverend Phillips Brooks: 'Do not pray for easy lives. Pray to be stronger men! Do not pray for tasks equal to your powers. Pray for powers equal to your tasks.'"

John Rous, AP

President Lyndon B. Johnson bows his head at the 14th annual presidential prayer breakfast in Washington on Feb. 17, 1966. Standing beside him is evangelist Billy Graham.

Lyndon Johnson, 1964

"No man could live in the house where I live now or work at the desk where I work now without needing and without seeking the strength and the support of earnest and frequent prayer.

"Since last we met, it has fallen to me to learn personally the truth Thomas Jefferson spoke so long ago, when he said: 'The second office of the Government is honorable and easy; The first is but a splendid misery.'

"In these last 70 days, prayer has helped me to bear the burdens of this first office which are too great to be borne by anyone alone.

We who hold public office are enjoined by our Constitution against enacting laws to tell the people when or where or how to pray. All our experience and all our knowledge proves that injunction is good. for, if government could ordain the people's prayers, government could also ordain its own worship--and that must never be. The separation of church and state has served our freedom well because men of state have not separated themselves from church and faith and prayer."

Associated Press

President Nixon and First Lady Pat Nixon attend the annual prayer breakfast, Jan. 30, 1969. At left is evangelist Billy Graham.

Richard Nixon, 1969

"In talking to Billy Graham, who has spoken to us so eloquently today, he told me he had made a study of the presidents of the United States. He had reached an interesting conclusion. Some of them came to the presidency with a much deeper and more basic religious faith than others, but however they may have come to that awesome responsibility, all had left the presidency with a very deep religious faith....

"In these days in which religion is not supposed to be fashionable in many quarters, in these days when skepticism and even agnosticism seems to be on the upturn, over half of all the letters that have come into our office have indicated that people of all faiths and of all nations in a very simple way are saying: 'We are praying for you, Mr. President. We are praying for this country. We are praying for the leadership that this Nation may be able to provide for this world.'

"As I read those letters I realized how great was my responsibility and how great was your responsibility, those who share with me these days in government.

"I realize that people whom we will never meet have this deep religious faith which has run through the destiny of this land from the beginning.

"I realize that we carry on our shoulders their hopes, but more important, we are sustained by their prayers."

Harvey Georges, AP

President Ford and First Lady Betty Ford, left, listen to remarks by evangelist more

Gerald Ford, 1975

"Since we last met, I have discovered another aspect of the power of prayer: I have learned how important it is to have people pray for me. It is often said that the presidency is the loneliest job in the world. Yes, and in a certain sense, I suppose it is. Yet, in all honesty, I cannot say that I have suffered from loneliness these past six months.

"The reason, I am certain, has been that everywhere I go, among old friends or among strangers, people call out from the crowd or will say quietly to me, "We're praying for you," or "You are in our prayers," and I read the same sentiments in my mail. Of course, there are some that are not so inspiring, but the great ground swell of good will that comes from the true spirit of America has been a wonderful source of strength to me as it was, I am sure, to other Presidents before me. Believe me, having counted the votes and knowing that you have them is a great satisfaction, but the satisfaction of knowing that uncounted numbers of good people are praying for you is infinitely more rewarding.

"Prayer is a very, very personal thing, at least for me. Yet, to me, as many of my predecessors, it is a terribly important source of strength and confidence."

Associated Press

President Jimmy Carter and First Lady Rosalynn Carter are applauded by the Rev. Billy Graham, left, as they arrive for the National Prayer Breakfast at a Washington hotel, Jan. 18, 1979.

Jimmy Carter, 1980

"The Bible says even the worst sinners love and pray for their friends, the ones who love them. And sometimes we don't go that one more step forward in growth, not on a single cataclysmic, transforming experience, but daily, and count those against whom we are alienated. At least every day, list them by name, and say, 'God, I pray for that person or those people.' Every day, I pray for the Ayatollah Khomeini. Every day I pray for the kidnappers who hold our innocent Americans. And every day, of course, I pray for those who are held hostages as innocents. It's not easy to do this, and I have to force myself sometimes to include someone on my list, because I don't want to acknowledge that that person might be worthy of my love. And the most difficult thing of all, I think, is to go one step even further than that and thank God for our own difficulties, our own disappointments, our own failures, our own challenges, our own tests.

"But this is what I would like to leave with you. To set a time in each day to list all of the things that you consider to be most difficult, most embarrassing, the worst challenge to your own happiness, and not only ask God to alleviate it but preferably thank God for it. It might sound strange, but I guarantee you it works.

"And you might say, 'Why in the world should I ask God for thanks — give thanks, for something that seems to me so bad or so damaging?' Well, growth in a person's life, growth for a nation, growth spiritually, all depend on our relationship with God. And the basis for that growth is an understanding of God's purpose, and a sharing of difficult responsibilities with God through prayer."

J. Scott Applewhite, AP

President Reagan bows his head and prays during the National Prayer Breakfast, more

Ronald Reagan, 1984

"We all in this room, I know, and we know many millions more everywhere, turn to God in prayer, believe in the power and the spirit of prayer. And yet so often, we direct our prayers to those problems that are immediate to us, knowing that He has promised His help to us when we turn to Him. And yet in a world today that is so torn with strife where the divisions seem to be increasing, not people coming together, within countries, divisions within the people, themselves and all, I wonder if we have ever thought about the greatest tool that we have — that power of prayer and God's help.

"If you could add together the power of prayer of the people just in this room, what would be its megatonnage? And have we maybe been neglecting this and not thinking in terms of a broader basis in which we pray to be forgiven for the animus we feel towards someone in perhaps a legitimate dispute, and at the same time recognize that while the dispute will go on, we have to realize that that other individual is a child of God even as we are and is beloved by God, as we like to feel that we are."

Barry Thumma, AP

President George H.W. Bush, along with First Lady Barbara Bush, Joint Chiefs more

George H.W. Bush, 1989

"We're facing some serious opportunities and some great opportunities in our country — tough problems and great opportunities. And I believe that a wonderful resource in dealing with them is prayer — not just prayer for what we want but prayer for what is in the heart of God for us individually and as a nation.

"And shouldn't we also remember, with all that we have to be grateful for, to pause each day to offer a prayer of thanksgiving. All of us should not attempt to fulfill the responsibilities we now have without prayer and a strong faith in God.

Abraham Lincoln said: 'I've been driven many times to my knees by the overwhelming conviction that I have nowhere else to go.' Surely he was not the first President, certainly not the last, to realize that."

Greg Gibston, AP

President Clinton and First Lady Hillary Clinton, along with Rev. Billy Graham, more

Bill Clinton, 1999

"You do not make peace with your friends, but friendship can come with time and trust and humility when we do not pretend that our willfulness is an expression of God's will.

"I do not know how to put this into words. A friend of mine last week sent me a little story out of Mother Teresa's life, when she said she was asked, 'When you pray, what do you say to God?' And she said, 'I don't say anything. I listen.' And then she was asked, 'Well when you listen, what does God say to you?' And she said, 'He doesn't say anything, either. He listens.'

"In another way, St. Paul said the same thing: 'We do not know how to pray as we ought, but the Spirit, Himself, intercedes for us with sighs too deep for words.'

"So I ask you to reflect on all we have seen and heard and felt today. I ask you to pray for peace, for the peacemakers, and for peace within each of our hearts — in silence."

Gerald Herbert, AP

President George W. Bush bows his head during the invocations at the National Prayer Breakfast in Washington, Thursday, Feb. 1, 2007.

George W. Bush, 2001

"Every president since the first one I can remember, Dwight Eisenhower, has taken part in this great tradition. It's a privilege for me to speak where they have spoken and to pray where they have prayed. All presidents of the United States have come to the National Prayer Breakfast, regardless of their religious views. No matter what our background, in prayer we share something universal, a desire to speak and listen to our Maker and to know His plan for our lives....

"I believe in the power of prayer. It's been said, 'I would rather stand against the cannons of the wicked than against the prayers of the righteous.' The prayers of a friend are one of life's most gracious gifts. My family and I are blessed by the prayers of countless Americans. Over the last several months, Laura and I have been touched by the number of people who come up and say, 'We pray for you.' Such comforting words. I hope Americans will continue to pray that everyone in my administration finds wisdom and always remembers the common good."

Barack Obama, 2012

"Mark (Sen. Mark Pryor, D-Ark.) read a letter from Billy Graham, and it took me back to one of the great honors of my life, which was visiting Rev. Graham at his mountaintop retreat in North Carolina when I was on vacation with my family at a hotel not far away...

"And we had a wonderful conversation. Before I left, Reverend Graham started praying for me, as he had prayed for so many presidents before me. And when he finished praying, I felt the urge to pray for him. I didn't really know what to say. What do you pray for when it comes to the man who has prayed for so many? But like that verse in Romans, the Holy Spirit interceded when I didn't know quite what to say.

"And so I prayed. Briefly, but I prayed from the heart. I don't have the intellectual capacity or the lung capacity of some of my great preacher friends here to pray for a long time, but I prayed. And we ended with an embrace and a warm goodbye.

"And I thought about that moment all the way down the mountain, and I've thought about it in the many days since. Because I thought about my own spiritual journey: growing up in a household that wasn't particularly religious, going through my own period of doubt and confusion, finding Christ when I wasn't even looking for him so many years ago, possessing so many shortcomings that have been overcome by the simple grace of God. And the fact that I would ever be on top of a mountain, saying a prayer for Billy Graham, a man whose faith had changed the world and that had sustained him through triumphs and tragedies and movements and milestones, that simple fact humbled me to my core.

"I have fallen on my knees with great regularity since that moment, asking God for guidance not just in my personal life and my Christian walk, but in the life of this nation and in the values that hold us together and keep us strong. I know that He will guide us. He always has, and He always will. And I pray his richest blessings on each of you in the days ahead."



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