Sir Harry Burns
Chief Medical Officer
The Scottish Government
Transforming ScotlandThe Early Years Collaborative
in context
18
51
18 -18
55 53
18 -18
59 57
18 -18
63 61
18 -18
67 65
18 -18
71 69
18 -18
75 73
18 -18
79 77
18 -18
83 81
18 -18
87 85
18 -18
91 89
18 -18
95 93
18 -18
99 97
19 -19
03 01
19 -19
07 05
19 -19
11 09
19 -19
15 13
19 -19
19 17
19 -19
23 21
19 -19
27 25
19 -19
31 29
19 -19
35 33
19 -19
39 37
19 -19
43 41
19 -19
47 45
19 -19
51 49
19 -19
55 53
19 -19
59 57
19 -19
63 61
19 -19
67 65
19 -19
71 69
19 -19
75 73
19 -19
79 77
19 -19
83 81
19 -19
87 85
19 -19
91 89
19 -19
95 93
19 -19
99 97
20 -20
03 01
-2
00
5
Life expectancy trends
Life expectancy: Scotland & other Western European Countries, 1851-2005
Source: Human Mortality Database
90.0
80.0
70.0
Portugal
60.0
Scotland
50.0
40.0
30.0
20.0
All cause mortality males 15-44
Cirrhosis mortality males 15-44
Workers in the 1950s
Alvin Toffler – Future Shock 1970
u
u
“To survive, to avert what we have termed future
shock, the individual must become infinitely
more adaptable and capable than ever before.
We must search out totally new ways to anchor
ourselves, for all the old roots - religion, nation,
community, family, or profession - are now
shaking under the hurricane impact of the
accelerative thrust.”
Sense of coherence....
“.....expresses the extent to which one has a
feeling of confidence that the stimuli deriving
from one's internal and external environments
in the course of living are structured,
predictable and explicable, that one has the
internal resources to meet the demands posed
by these stimuli and, finally, that these
demands are seen as challenges, worthy of
investment and engagement."
For the creation of health....
....the social and physical environment
must be:
u Comprehensible
u Manageable
u Meaningful
u ......or the individual would experience
chronic stress
Creating wellbeing
Generalised
resistance resources
Family
Nurture
Intelligence
Work
Material resource
Identity
Cultural stability
Optimism
Stable set of answers
Sense of coherence
Seeing the world as:
Structured
Predictable
Feeling that it is:
Manageable
Meaningful
Events
Stress
Tension
Resolution
Wanting to engage
Wellbeing
Alienation and Frankenstein
u
"I came across people, other beings which I could see
were almost like myself. Or so I thought at first when I
approached them, though, I found that they did not
consider me as one of their own kind. As soon as they
saw me, their faces became twisted with fear. They
shouted at me and threw things and ran away from me,
just as my own maker had done. So this is what I
learned about myself - that I was a disgusting creature.
Even though I had given them no cause, all men hated
me."
Mary Shelley
Man’s search for meaning
u
“Those who have a 'why' to live,
can bear with almost any 'how'.”
Viktor Frankl 1902-97
Creating wellbeing
Generalised
resistance resources
Sense of coherence
Seeing the world as:
Structured
Predictable
Self actualisation
Esteem needs
Belongingness needs
Safety needs
Physiological needs
Feeling that it is:
Manageable
Meaningful
Events
Stress
Tension
Resolution
Wanting to engage
Wellbeing
The cycle of alienation
Initial event
Chaotic early
years
Unequal outcomes
In health,
education
offending
Alienation
Consequences
Worklessness
Poverty