During the turbulent 20th century social theory perspectives developed that helped us to understand the way people behave and respond to the situations in which they find themselves. I have found them useful when looking at dysfunctional systems. There will be newer theories that build on these but I think the general thrust will be much the same. On this page I have snatched some broad ideas from works that explored in depth. I have taken from them what is of interest and relevance for understanding what I have called culturopathic ideologies, cultures and behaviour.
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The nature of the world we live in
In the 1960s sociologist Peter Berger built on insights from Philosophers and wrote a thesis and later a book The Social Construction of Reality. He and his co-author indicated that the world was a pretty complicated place which we could only know through our senses. We could then think about what we experienced using words and ideas. This enabled us to understand what was there and then discuss this among ourselves.
Our weakness to ideology
The Canadian author John Ralston Saul writes extensively about our weakness for ideologies and our difficulty in confronting these. In his Massey lectures published as “The Unconscious Civilisation” he argues that western society has become so lost in a maze of illusionary beliefs that it no longer has a grasp of and is unconscious of the real world.
Belief
Berger looked at the stability of the world of ideas. At one end he had a stable well-ordered comfortable world which he called Nomos. At the other was a wildly disorganised world – a state of anomy or chaos. He used this to look at the function of religion in society. He was not challenging any religion although clearly they cannot all be totally true but simply looking at their social role using his insights.
Concepts that are opposites
For our purposes it is useful to look at ideas that represent the opposite ends of a spectrum and to have a continuum between them. We can look at what makes situations or people move towards one or other end of that spectrum. This can lead us to policies that change things by encourage us to move towards the desirable end of the spectrum.
Conclusion
The argument is that we are looking at an aged care system whose discourse is dominated by the powerful neoliberal market and political agenda – a group whose power and control depends on controlling and rationing the information we get.
Because the neoliberal agenda is inappropriate for the sector it clashes with real life creating uncertainty and anomy. True believers are strongly defensive and employ every strategy in the book to neutralize critics.
So we have a system where decisions are made a long way from where care is provided, that is responsive rather than constructive, where individuals tend to be closed minded, and where people need to abandon authenticity in order to find an identity in the system.
The proposed aged care hub is situated close to the bedside and is directly involved in the collection and evaluation of data. This will rebalance the power in the discourse and bring alternate discourses to the discussion which will be local rather than central. Its intention is a constructive pattern of relationships which foster open mindedness and authenticity. Believers will be able to discuss and challenge their beliefs in a context that is not threatening or destructive of their identity.