Imagine a day in the life of a Beatle

From an era before selfies, Paul McCartney’s cache of photos, even the out of focus ones, prompts Jamie Mulvaney to consider what perspective we need on ourselves.

Jamie Mulvaney

Jamie is Associate Minister at Holy Trinity Clapham, London.

Two gallery vistor stair at four photo portraits of The Beatles.

Viewing Paul McCartney Photographs 1963–64: Eyes of the Storm.

National Portrait Gallery.

Imagine a day in the life of a Beatle. It's easy if you try. Or is it?

Last year, the late Matthew Perry allowed us a searing insight into life with a rollicking read about his very high highs and very low lows. Yet more books have been published recently on the toxicity of fame. Britney Spears is the subject of an autobiography and a biography. Another simply borrows the title, Toxic. John Updike wrote that 'fame is the mask that eats the face'. Baz Luhrmann last year documented Elvis Presley's destruction in his typically kaleidoscopic way. And into this media mix a recent exhibition shows a more innocent, intimate moment in the fame prototype of Beatlemania, intriguingly entitled Eyes of the Storm.

Surely with the Beatles predating the selfie-stick and Snapchat, we'd be reliant on paparazzi. But as Sir Paul McCartney can play pretty much every musical instrument, it's not a surprise he knows how to use a camera. And so, it emerged during lockdown that he had kept 1,000 previously unseen photos from 1961-1963.

To relaunch the beautifully remodelled National Portrait Gallery, McCartney displayed a whole cache of photos. One of the criticisms of present-day photography is that it's too easy, that we retain all sorts of out-of-focus photos on our phone. McCartney had preserved all these, and although it's curated and edited, there's many photos that wouldn't normally be seen.

You get the fab four goofing about, and also in quieter moments. There's young George looking shattered in the back of a car, and John concentrating. McCartney forgot that Lennon pulled this particular face, with his finger to his lip. His song 'Help!' emerged a year later. He told Playboy, 'I was fat and depressed, and I was crying out for 'help'.’ They were indeed in the eye of a storm.

We’ve lived with an orthodoxy that we understand ourselves through self-expression – that we ourselves are the ones to define who we are.

And in the middle of the storm, we see the Beatles finding moments of joy. They land in New York for the Ed Sullivan Show, at the top of the charts and the top of their fame. Fans chasing them down Manhattan streets, fans balancing precariously on an airport roof, and one inexplicably holds a monkey. American optimism had been battered by JFK's assassination and the Beatles' arrival was a welcome respite. This joy became even clearer (and more vivid?) as McCartney switched to colour when they reached Miami. But before the colour, the songwriter in conversation with Stanley Tucci singled out seeing a worker he snapped while they were on the train – perhaps a mirror to his own working-class roots and family.

But then there are also the more explicit self-reflections… A series that struck me were McCartney's self-portraits, looking in mirror, out of focus. McCartney said that his first thought was this was the National Portrait Gallery - at least they could be in focus! But then he realised they had a warmth, and a softness to them.

Those of us who are not Beatles, or famous, also often live our lives out of focus, with blind spots, or a little dizzy from the storms around us and within us. Canadian Catholic philosopher Charles Taylor, before the selfie was invented, wrote about our self-perception in relation to the outside world, and that we are 'self-interpreting animals'.

Since the eighteenth century we’ve lived with an orthodoxy that we understand ourselves through self-expression – that we ourselves are the ones to define who we are and how we relate to the world - even how we relate to ourselves. It’s so much the norm, it might seem confronting to question it, but in an increasingly confusing world, this is an increasingly difficult way to understand ourselves. Whilst many of the Beatles' songs are about perception, King David also wrote in the psalms about our need for an external perspective:

'You have searched me, Lord,

and you know me.

You know when I sit and when I rise;

you perceive my thoughts from afar.'

What we each need is a perspective on ourselves from the outside that is warm, soft, but also in focus. What if there was a perspective on ourselves free from blind spots, a precision lens that fully sees and fully understands the essence of who we are, and who we might be? Someone who sees the deleted photos, and yet is completely gentle and loving in how they see us? The way we truly understand ourselves is in relation to our Creator. God shows us both what is seen and unseen. Like in these photos, God is not fazed by the contrast of light and darkness, and provides a way out of the storm:

'Search me, God, and know my heart;

test me and know my anxious thoughts.

See if there is any offensive way in me,

and lead me in the way everlasting.'

Article

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?"

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.