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Why CLD is relevant to
health and wellbeing
          A parable of our time




Andrew             Jean




         Jade and Darren
                                               Soundings from Scotland



Do people perceive materialism, consumerism and
individualism as influential in daily life? What does this
mean for their wellbeing and that of those around them?

Exploring these questions with groups/individuals drawn
from elite, secure and excluded Scotland*.

(*Adapted from the Scottish Council Foundation’s conceptualisation of Scotland as
three different types of place to live: settled, insecure, excluded.)
                          The Iron Cage of Consumerism

“People live in their own bubble, getting in their own car
to drive to work, staying in their own home. Community
spirit has gone and this compounds the issue. We’re all in
debt. You’re stressed, you go to work, you go home.
You sit in front of the TV. There’s no family dinner, no
time to talk problems through, sort things out. You’re
just working to afford that TV. There’s no time for your
children when you come home at night. No time to
talk.”
                                              (Prisoner group)
                             Education as a consumer product

“People everywhere live busy, consumer-driven lives. Their
energies are devoted to money, mortgages and there’s no time
for emotional energy. Parents round here want to be something,
they’re conscious of material wealth and income and have
worked hard to get here. They have more stuff, cars, washing
machines – but they’re still dreadfully poor, because it’s
relative. They know that educational qualifications are what
allow you to make that step up so they push for results. They
can’t afford to pay the fees but they want to treat us as a private
school! Their children are the same. It’s very much ‘I want to
be a lawyer, doctor or dentist’. They’re very materially
focused.”
                                                         (Headteacher)
                                   Experiencing exclusion

“It’s symptomatic of a kind of society that doesn’t value
people but does value possessions. I think it may be that
for a certain group of people it's becoming okay to sneer
at the poor.”
“The economy depends on you being unhappy because
you haven't got these things. So you have to work to
buy them to be happy. If it wasn't for you being
unhappy because of this, the economy wouldn't work.”
“In a third world society I would be a millionairess with
money, a home, warmth. I’m low down in my society
because I don’t work and live on benefits.”
                                        (Mental Health Advocacy Group)
                 Spiritual value or exploitation through fear

“Our focus needs to go down to the spiritual, to the value
and worth of a human being. Virtually nothing in society
promotes that. We are exploitable because we are fearful.
If you live in a society that’s been founded on exploitation
of the masses, how are you going to de-condition them?
How do you make people feel more confident in
themselves?”

“We‘re all trapped in the cycle of consumerism. And
powerful groups can’t be expected to support anything that
will counter techniques for maintaining social dominance.”
                                                                                The Integral
                                                                                      Model

                     I                                               It
               Subjective                                        Objective
 thoughts, feelings, perceptions, values,          material body and brain; physical health
beliefs, attitudes, assumptions; intentions;        & well-being; activities & behaviours;
    moral sense; motivation, purpose,              tools & techniques; material resources;
  resolve, commitment; mental health &             diet & fitness; actions towards others &
     well-being; spiritual commitment                           the environment

                                               I
                  We                                                Its
            Inter-subjective                                   Inter-objective
                                                   natural & built environments; ecological &
   shared attitudes, beliefs, meanings,            human systems; government/community
  worldviews; collective norms & ethics;            institutions; infrastructure & governance
 shared visions & goals, stories & myths;             processes; organisational systems &
   shared history, customs, language,              structures; programmes & services; laws,
   relationships & cultural background                          policies & protocols
                       Andrew goes to his GP with depression, alcohol
                                  concerns and obesity

                    Inner/                        Outer/ Objective
                   Subjecti
                     ve
Individual level      I                                  It
                              Various forms of treatment offered:
                              anti-depressant medication / CBT/ positive
                              psychology etc;
                              Advice on lifestyle changes (physical activity;
                              diet; alcohol etc).


Collective level    We                                  Its
                                           Systems, structures, economies
                              Public Health adds its contribution

                    Inner/                       Outer/ Objective
                   Subjecti
                     ve

Individual level      I                                 It
                              Various forms of treatment offered:
                              anti-depressant medication / CBT/ positive
                              psychology etc;
                              Advice on lifestyle changes (physical activity;
                              diet; alcohol etc).
Collective level    We                                 Its
                              A social marketing to promote mental wellbeing.
                              Action on the structural determinants of health
                              (better public transport, food availability,
                              pollution control, access to green spaces etc).
                              Policies on work-life balance.
                                    An integral approach

                         Inner/                       Outer/ Objective
                       Subjective
Individual                 I                                 It
level
             Contemplative, mindful         Treatment offered:
             practices such as meditation   Lifestyle changes supported
             and prayer to promote self-    Physical and mental health
             awareness/ self-mastery.       seen as a key resource
Collective               We                                 Its
level
             Move towards global forms of   Action on the structural
             consciousness, aware of the    determinants of health (better
             finite and vulnerable nature   public transport, food
             of our physical environment.   availability, pollution control,
             We make social consumption     access to green spaces etc).
             decisions. We think and act    Workplace policies on work-life
             out of concerns for a          balance.
             sustainable, equitable human   Greater Equity. Less targets.
             future.
                                  Modernity is in crisis


    Materialism   Individualism




           Consumerism
                                                  Economism


Dis-eases of modernity
                  Modernity is coming to an end – a change of age



    Materialism   Individualism




           Consumerism
                                              Sustainability


Dis-eases of modernity

                                             Economism
Plato’s idea
                          Plato and Wilber


                       Inner/          Outer/
                     Subjective       Objective




Individual level          I               It
                   The inner life –   Objective -
                       self &         empirical
                     conscious        Exterior –
                        ness          biological,
                                       physical
Collective              We               Its
level
                     The inter-        Systems,
                   subjective or      structures,
                   cultural world     economies
                                      Integral Living


               True
              Scientific




                 Life
             Integrates
              the true,
              the good
            the beautiful

Beautiful                   Right
Aesthetic                   Ethical
                         Integral Public Health


             True
            Scientific




            Integral
             Public
             Health



Beautiful                Good
Aesthetic                Ethical
                                Integral Public Health


               Conventional
                 Science



Ecological                    Ecological
Aesthetics                     Science



                 Integral
                  Public
                  Health



Conventional                  Conventional
 Aesthetic                      Ethics



               Ecological
                 Ethics
               Integral Public Health – health services
                            Evidence based medicine
Working for and
interacting with                   Conventional                  Complexity
                                     Science
NHS lifts spirits                                                theory – order
and raises                                                       generating rules
consciousness       Ecological                    Ecological
                    Aesthetics                     Science



                                     Integral
                                      Public
                                      Health
                                                                 Do less harm
 Beautiful
                    Conventional                  Conventional   Promote
 buildings           Aesthetic                      Ethics       autonomy – self
 Healing                                                         care and mutual
 environments                      Ecological
                                                                 care
                                     Ethics



                       Contraction and convergence
                Health protection: regeneration
                            Evidence based methods for
                             housing and place making
Places and
buildings that lift                  Conventional                  Training,
                                       Science
our                                                                education,
consciousness                                                      employment etc.
                      Ecological                    Ecological     and ‘whole of life’ -
                      Aesthetics                     Science       a single complex
                                                                   interactive system
                                       Integral
                                        Public
                                        Health
                                                                   Rights and
    Places and                                                     responsibilities
                      Conventional                  Conventional
    buildings          Aesthetic                      Ethics
                                                                   balanced
    that lift our
                                                                   Citizens not
    spirits
                                     Ecological
                                                                   consumers
                                       Ethics



            On planet living – the spirit level analsysis
                Health improvement: food
                         Evidence based protocols: to
                         prevent disease and promote
Mindsets change            health and sustainability
resulting in a                    Conventional                 Understand the
                                    Science
different                                                      impact of whole
relationship with                                              food system on
food.               Ecological                  Ecological     human and
                    Aesthetics                   Science
                                                               ecosystem
                                                               wellbeing
                                    Integral
                                     Public
Slow food                            Health
                                                               Access to
Seasonal food
                                                               healthy food for
                    Conventional                Conventional
Food for             Aesthetic                    Ethics
                                                               all.
friendship,
                                                               Ensure food
ritual,
                                   Ecological
                                                               security
communication                        Ethics



      Zero waste: sustainability balanced with health and cost
  Integral Community Learning and Development?



               Conventional
                 Science



Ecological                    Ecological
Aesthetics                     Science



                 Integral
                   CLD



Conventional                  Conventional
 Aesthetic                      Ethics



               Ecological
                 Ethics
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