{"id":893,"date":"2015-11-10T18:59:32","date_gmt":"2015-11-10T17:59:32","guid":{"rendered":"https:\/\/blogs.bmj.com\/medical-humanities\/?p=893"},"modified":"2015-11-10T18:59:32","modified_gmt":"2015-11-10T17:59:32","slug":"khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/medical-humanities\/2015\/11\/10\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\/","title":{"rendered":"Khalid Ali: Ageing (dis)gracefully from Camden pavements to Swiss resorts"},"content":{"rendered":"

Review of \u201cThe lady in the van\u201d directed by Nicholas Hytner, UK release 13th<\/sup> November 2015, and \u201cYouth\u201d directed by Paolo Sorrentino, UK release January 2016 <\/strong><\/p>\n

\u201cThe lady in the van\u201d and \u201cYouth\u201d that recently premi\u00e8red at the London Film Festival (LFF) in October 2015 are two great films about \u201csenior citizens\u201d in two completely different settings. \u201cThe lady in the van\u201d is based on Alan Bennett\u2019s (the famous English writer, https:\/\/en.wikipedia.org\/wiki\/Alan_Bennett) interactions with Miss shepherd in Camden Town in the late 70\u2019s, while \u201cYouth\u201d is a fictional story of three mature artists set in a Swiss Alps resort. In the first instance, the viewer might not immediately see the connection between the two films; however upon closer inspection, one can appreciate that both films explore the trials and tribulations of old age in two distinct socioeconomic backgrounds with striking similarities in their points of view.<\/p>\n

<\/p>\n

Miss Shepherd (superbly played by Maggie Smith) is the cynical, dishevelled, homeless elderly woman who ends up living in Alan Bennett\u2019s (played by Alex Jennings) driveway for 15 years (1974-1989). A brief narrative of their regular encounters formed the basis for his essay\/ obituary for her in the \u201cLondon Review of Books\u201d in 1989, and later on inspired his play of the same name. Miss Shepherd is as close as it gets to a cinematic portrayal of \u201cDiogenes syndrome\u201d. Also referred to as \u201cSenile Squalor Syndrome\u201d, Diogenes syndrome describes a constellation of circumstances where older people exhibit \u201cself-neglect, domestic squalor, social withdrawal, apathy, compulsive hoarding, and lack of shame\u201d. https:\/\/en.wikipedia.org\/wiki\/Diogenes_syndrome<\/p>\n

\"Unknown\"<\/a><\/p>\n

In \u201cYouth\u201d we follow three older artists Fred Ballinger (Michael Caine) a world-famous retired music conductor, Mick Boyle (Harvey Keitel) a film director and Brenda Morel (Jane Fonda) an older actress\/ diva; all struggling with the indignity and frustrations of old age. In spite of their privileged socioeconomic backgrounds, they cannot achieve physical and emotional well-being; Fred is suffering from prostate problems, the highlight of his week being passing urine without straining, Mick is struggling with enormous pressure to direct a master-piece film \u201cLife\u2019s last day\u201d, and Brenda knows that her creative days are long behind her, and reluctantly agrees to appear in a Mexican soap opera.<\/p>\n

Epidemiological ethnographic studies exploring the association between socioeconomic status and ageing stress the importance of higher education and higher personal income as significant determinants of \u201csuccessful ageing\u201d. http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18976546<\/u>. \u201cYouth\u201d dismisses that notion by questioning the components of \u201csuccessful ageing\u201d and argues that \u201cmoney does not guarantee happiness\u201d. In keeping with the \u201clife course theory of aging\u201d, the three lead characters are all prisoners of their complicated family past secrets; Fred\u2019s daughter (Rachel Weisz) marriage to Mick\u2019s son is in crisis bringing shame and misery to their fathers. Similarly past secrets haunt Miss Shepherd in Hytner\u2019s film, and explain why she leads such a squalid existence.<\/p>\n

Chronic illness, frailty and bereavement as common afflictions of old age are humanely portrayed in both films in addition to social isolation. Recent research confirms that social aspects of ageing such as \u201cloneliness\u201d increase the risk of premature death in older people as clearly seen in \u201cYouth\u201d without giving any \u201cplot spoilers\u201d.\u00a0http:\/\/news.uchicago.edu\/article\/2014\/02\/16\/aaas-2014-loneliness-major-health-risk-older-adults<\/p>\n

\"SET<\/a><\/p>\n

The psychological hardships endured while acting as a carer for a family member with mental illness are explored in both films; Fred regularly visits his wife in a care home (possibly due to dementia) lamenting the loss of their companionship in old age, while Alan Bennett\u2019s character also agonizes over the decision to place his mother (who suffers from depression) in a care home.<\/p>\n

Art and creativity, in the case of Fred composing music and Alan Bennett writing fictional literature, is a unifying theme; art is portrayed as a medium for coming to terms with loss of identity seen in their family members. And through art, emotional healing and redemption may be achieved. Even in her homeless existence, Miss Shepherd, who used be a passionate concert pianist, continues to respond to and enjoy music. Creativity in relation to identity is a topical agenda in the UK and Europe, with national initiatives such as \u201cAge of Creativity\u201d attracting widespread interest and support http:\/\/www.ageofcreativity.co.uk\/<\/a> However \u201cYouth\u201d keeps a realistic note about the role of arts in \u201csuccessful ageing\u201d by provoking the viewer to consider the notion that \u201cmusic, art and film\u201d do not have all the answers to \u201cageing gracefully\u201d.<\/p>\n

In spite of both films dealing with the taboos\/ stigma of old age namely, continence, social isolation, and mental illness, humour is used as a way of dealing with those issues; Miss Shepherd rushing into Alan Bennett\u2019s toilet to avoid an embarrassing accident is a laugh-out loud moment. Both films are elegant examples of the complexity of ageing, the interplay of frailty, co-morbidity, creativity and socioeconomic factors in ageing \u201cgracefully\u201d. Whether one is homeless in Camden or resident in a Swiss Alps resort, old age remains the \u201cgreat equalizer\u201d.<\/p>\n

Review by: Dr Khalid Ali, editor for \u201cScreening Room\u201d, Medical Humanities<\/p>\n

Address for correspondence: Khalid.ali@bsuh.nhs.uk<\/u><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Review of \u201cThe lady in the van\u201d directed by Nicholas Hytner, UK release 13th November 2015, and \u201cYouth\u201d directed by Paolo Sorrentino, UK release January 2016 \u201cThe lady in the van\u201d and \u201cYouth\u201d that recently premi\u00e8red at the London Film Festival (LFF) in October 2015 are two great films about \u201csenior citizens\u201d in two completely […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":78,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[206],"tags":[],"class_list":["post-893","post","type-post","status-publish","format-standard","hentry","category-film"],"yoast_head":"\nKhalid Ali: Ageing (dis)gracefully from Camden pavements to Swiss resorts - Medical Humanities<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/medical-humanities\/2015\/11\/10\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Khalid Ali: Ageing (dis)gracefully from Camden pavements to Swiss resorts - Medical Humanities\" \/>\n<meta property=\"og:description\" content=\"Review of \u201cThe lady in the van\u201d directed by Nicholas Hytner, UK release 13th November 2015, and \u201cYouth\u201d directed by Paolo Sorrentino, UK release January 2016 \u201cThe lady in the van\u201d and \u201cYouth\u201d that recently premi\u00e8red at the London Film Festival (LFF) in October 2015 are two great films about \u201csenior citizens\u201d in two completely [...]Read More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/2015\/11\/10\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\/\" \/>\n<meta property=\"og:site_name\" content=\"Medical Humanities\" \/>\n<meta property=\"article:published_time\" content=\"2015-11-10T17:59:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/medical-humanities\/files\/2015\/11\/Unknown-300x168.jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2015\\\/11\\\/10\\\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2015\\\/11\\\/10\\\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\\\/\"},\"author\":{\"name\":\"\",\"@id\":\"\"},\"headline\":\"Khalid Ali: Ageing (dis)gracefully from Camden pavements to Swiss resorts\",\"datePublished\":\"2015-11-10T17:59:32+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2015\\\/11\\\/10\\\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\\\/\"},\"wordCount\":871,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2015\\\/11\\\/10\\\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/files\\\/2015\\\/11\\\/Unknown-300x168.jpeg\",\"articleSection\":[\"Film and Media\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2015\\\/11\\\/10\\\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2015\\\/11\\\/10\\\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/medical-humanities\\\/2015\\\/11\\\/10\\\/khalid-ali-ageing-disgracefully-from-camden-pavements-to-swiss-resorts\\\/\",\"name\":\"Khalid Ali: Ageing (dis)gracefully from Camden pavements to Swiss resorts - 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