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Vivian Diller, Ph.D.

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The Challenge of Aging in a Narcissistic World

Posted: 01/11/11 08:24 AM ET

Aging has never been a walk in the park, but doing so in today's world is a challenge few us were prepared for. Which reminds me of two recent news items that have created quite a flurry. Upon first reading them, they seemed unrelated, but I now believe there is a connection that explains the attention they're getting.

The New York Times article, "A Fate That Narcissists Will Hate: Being Ignored," described the pending removal of narcissistic personality disorder (N.P.D) from the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). The article suggests people are worried that this change is an ominous sign of the times. Removing this particular disorder, they believe, reflects a culture that views narcissism and self-involvement as acceptable character traits.

The Times article makes the important distinction between Narcissistic Personality Disorder and the casual use of the term narcissism. Guilty of the latter myself, I remind us here that N.P.D. is a diagnosis assigned to patients with unrealistic and pathological grandiosity, while the word narcissism is loosely used to those who care little for others -- e.g. selfish spouses, egotistical leaders, self-involved celebs -- and to connote normal self-regard. I remind us too that deleting any category from the DSM in no way means that the disorder or its symptoms have necessarily disappeared. Instead, the deletion of N.P.D. (as well as five other personality disorders) is being suggested because their use as a diagnostic categories have been deemed more confusing than helpful.

As a psychologist, I know that political and academic infighting occurs with every new addition to or subtraction from the DSM. I know too, that the American Psychiatric Association makes these changes after years of debate and only if research indicates the need for refining or redefining any particular diagnoses. Besides, psychotherapists use the DSM as a guide -- more like a handbook for treatment planning and insurance purposes -- not for deeper understanding of psychology, pathology or sociology.

In any case, these "insider" issues are typically of interest only to those academics in charge of reducing complicated mental illnesses into categories. Sometimes they provoke heated conversation among psychotherapists (who find the manual annoyingly simplistic) or insurers (who are concerned changes will expand coverage). But it's the strong reaction by the general public to this particular revision that is striking and I believe is rooted in a larger issue. The fear that narcissism is now being viewed, not as 'next to normal,' but as normal itself is creating enormous discomfort and much of it is coming from the generation (my own) of Baby Boomers.

Which leads me to the second news article that has been gathering attention, "Baby Boomers Approach 65 -- Glumly." Written by the PEW Research Center, an organization that reports social and demographic trends, the piece noted that, "On January 1, 2011, the oldest Baby Boomer will turn 65," By 2030, it claims, fully 18 percent of the nation's population will be at least that age, pointing out that "Baby Boomers are more downbeat than other age groups about the trajectory of their own lives and the direction of the nation as a whole." Disappointment in marriage, finances, economic views, technology, religion and the news were found high among by this group, leading the report to conclude that Boomers in general were "pretty glum."

In all fairness, being down about these concerns seems to cross generations, so singling out Boomers as feeling particularly glum raises questions about what to make of the PEW report. One Huffington Post blogger reacted to the report in her article, "Life After 50: Are You Anxious About Aging":

While reading it, I felt my shoulders sinking lower and lower, my head started to ache and my heart seemed to grow heavier by the second. This visceral reaction wasn't because I was buying into what they were reporting. Far from it. It was because I knew that the media would have a full-blown field day with the findings, and the only thing that people, especially those over 50, would get from it would be that we are depressed, anxious, in a funk, glum and gloomy.

To be sure, the media did have a field day with this PEW Report, but few addressed a key component that gives greater value to its findings. Granted, the fact that 10,000 people will be turning 65 everyday for the next 19 years is a statistic worth noting. That Boomers now account for 26 percent of the total U.S. population is also remarkable. But, what is truly worrisome, is the fact that this group will be getting older by the millions in a culture perceived as self centered and youth obsessed. You see, we Boomers are not just facing personal, professional and financial losses. We face a deep, existential and real fear of becoming irrelevant, unimportant and invisible. Confronted by both visible signs of aging and chronic injuries to our bodies, we come face to face with changes that threaten us with losing our very footing in life. This "forever young" generation expected to live well into our 80s and 90s, we just didn't expect to look and feel so old in a narcissistic culture. Nor did we expect to care as much as we do about it all.

So, what we have here is a perfect, cultural storm. You take the inevitable loss of the strength, virility, health and looks hitting millions of people in a culture that elevates all things young and beautiful and who wouldn't feel "glum?" Perhaps Boomer depression isn't about reaching midlife, but about anticipating living 30 or 40 more years in American culture? This dilemma might explain why so many in our generation are desperately trying to 'anti-age' -- women using plastic surgery to look years younger, men turning to Viagra or Cialis to sustain potency well into the night. Their solution? If we can't turn the direction our culture, we can at least try turning back our biological clocks?

Which leads me back to the DSM and the fierce reaction that the potential revision is creating by large groups of people outside of academia. Surely deleting any diagnosis associated with the term narcissism can be unsettling. But I believe what is truly disturbing is that so many of us are facing the ultimate narcissistic injury; getting older in a world that equates aging with invisibility. We need to join forces (all 78 million of us!) to find ways to feel confident, proud and optimistic as we reach 65 in a culture pushing us in the opposite direction. We need to draw attention to the many contributions our vital generation continues to offer so that we can make "gleam the new glum."

Instead of focusing on PEW stats or removing N.P.D. from the DSM, Boomers could work on finding an identity that goes beyond graphs, percentages and diagnoses . How about we call ourselves the ABV generation -- Aging But Vital -- so everyone can see us for who we are; far from being eliminated and definitely not dead yet.

Tell me what you think about starting an ABV movement? And ideas about how we can do that? And don't forget to "friend" me on facebook, follow me on twitter and take a look at my website, www.FaceItTheBook.com.

 
 
 

Follow Vivian Diller, Ph.D. on Twitter: www.twitter.com/DrVDiller

Aging has never been a walk in the park, but doing so in today's world is a challenge few us were prepared for. Which reminds me of two recent news items that have created quite a flurry. Upon first r...
Aging has never been a walk in the park, but doing so in today's world is a challenge few us were prepared for. Which reminds me of two recent news items that have created quite a flurry. Upon first r...
 
 
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02:41 PM on 01/24/2011
"We need to join forces (all 78 million of us!) to find ways to feel confident, proud and optimistic as we reach 65 in a culture pushing us in the opposite direction."

Speaking as a young person (24) in the corporate environment, I don't think you the boomers could be holding on to their prominence and sense of importance any more desperately than they already are. I encounter almost nothing but condescension and dismissal from boomers, because they are threatened by my youth and technological savvy. I would like to get on track in my life so I can start paying off my student loans and maybe marry my girlfriend and buy a house, but I don't see that happening while boomers (all 78 million of you!) are snapping up all the entry-to-mid-level positions with their 25 year long resumes.

Consider this quote: "A society grows great when old men plant trees whose shade they know they shall never sit in." --Greek

Perhaps instead of thinking of ways to cling to your former glory and confidence, and instead of griping about the indignity of aging that every generation ever has taken in stride, why don't you focus on the continued success of our nation and your progeny?
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thepostalfeminist
05:55 PM on 01/15/2011
You have described it perfectly! Over 65, I have experienced becoming 'invisible', being talked to
like I am a child (particularly regarding computers) and of course, looking in the mirror with a high degree of dissatisfaction. My health is consistent with what could be described as an 'ageing body'.

Still, it didn't take me long to get a grip. My description of my self that 'I am a happy woman'.
Some days it just happens naturally, other days it is an active choice. Lest you think my life
has been easy, be assured that like everyone else, I have had more than my share of 'setbacks'.

Choosing to be happy is a 'no-brainer' when you consider the alternative.
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HUFFPOST BLOGGER
Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
10:39 AM on 01/16/2011
I would like to write a piece about just what you describe above, getting past our "uh-oh" moments --getting to the other side of that experience when we confront looking and feeling older for the first time. It seems once we move past it, we settle into a more comfortable stage of life, as you have. Thanks for sharing your own experience of moving from a sense of "invisibility" to a new kind of internal visibility (perhaps the title of my next post)! It helps to think that the latter kind of visibility can last a life time, right?
09:20 PM on 01/14/2011
THE REFLECTION
Is the image in the mirror important?
Just a little perhaps.
What is more important than the wonder of the body
is the unseen reflection of the Soul
projected into the world in my actions and attitude.
The Love manifests through me so that I take more care
in the balance and harmony within that I touch
than I do with image in the mirror.
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HUFFPOST BLOGGER
Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
09:28 AM on 01/15/2011
A reflection on 'reflection.' Clever play on the word. Reflections go deeper than the surface images reflected from a mirror. Yes, agreed and said nicely in your response. Thanks.
04:27 PM on 01/13/2011
Instead of trying to make yourself perfect, try to make yourself healthy and happy. I am all about DIY green natural beauty tips to make you look & feel amazing. love this~ http://www.fourgreensteps.com/infozone/lifestyle-health/top-15-natural-beauty-secrets
10:21 AM on 01/13/2011
"Don't forget to friend me on Facebook,follow me on Twitter,and take a look at
my website!" who is the Narcissist now Ms.Diller? LOL!!!
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HUFFPOST BLOGGER
Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
05:15 PM on 01/13/2011
The purpose of following this thread on Facebook, Twitter or on my website, is to continue the conversation, one that hopefully leads to change. If I have to promote change through these avenues, so be it. Public speaking use to be the means toward change, now it's social networking. I'd call it healthy narcissism.
08:11 PM on 01/14/2011
I think she was only joking :)
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HUFFPOST BLOGGER
Irene Rubaum-Keller
author of the book Foodaholic, psychotherapist
02:49 PM on 01/12/2011
Hi Vivian, Good blog! Here is my take on the physical changes you talk about http://www.huffingtonpost.com/irene-rubaumkeller-/priscilla-im-sorry-about-_b_93758.html. Elayne Boosler says she is so invisible now that she is overweight and over 50 that she could work for the governement and go in and steal documents and no one would see her.
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HUFFPOST BLOGGER
Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
05:23 PM on 01/13/2011
I loved the piece you referred me to in your comment. I've heard stories like yours, like when your dog gets noticed instead of you. I call them "uh-oh moments. I write about how to turn them into "ah-ha" ones in my book Face It: What Women Really Feel as Their Looks Change. If you have a chance to read it, I'd be interested in hearing what you think. Thanks for your comment.
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HUFFPOST BLOGGER
Barbara Hannah Grufferma
author, The Best of Everything After 50
02:18 PM on 01/12/2011
Terrific post, Vivian, and thank you for referencing my article, which ran right here on Huffington Post. I love all of these different views from those who have commented, too.
Best,
Barbara
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HUFFPOST BLOGGER
Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
02:44 PM on 01/12/2011
I enjoyed reading your book. And I find your work here on Huffington Post often parallels mine, although I believe we come from different backgrounds. I'm glad to reference your articles and please feel free to do the same with mine if they stimulate ideas for you. And, if you happen to read "Face It: What Women Really Feel as Their Looks Change," let me know what you think.

I really do believe there is a need for our generation to join together. Giving us a name; ABV --Aging But Vital --seems a good way to promote that idea. Glad you liked the piece. Dr. Diller
11:30 PM on 01/13/2011
The "but" somewhat disqualifies the "vital". Maybe: 'Aging with vitality' or some such thing that presents confidence vs defensiveness. How bout the good ol': 'Aging gracefully'?
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Vajara
vajara
09:30 AM on 01/12/2011
Why bring the DSM into the discussion of aging? We are not a narcisstic population like we have with politicians, professors, CEO's, bankers, judges, models, movie & media stars, many therapists and others working in power-control systems as administrators. Aging can be a great learning experience when we accept, allow, appreciate and enjoy our relationship with Nature. I am enjoying life to the fullest while turning 76 in the Spring and continue to maintain my daily health routine and work as an integrative health practitioner with injured warriors and their families. Our true nature is not improved by labeling and drugging our elders. Seek safe, skillful and nourishing touch to support and improve the human development processes as we "grow young." http://www.jerryvest.pages.qpg.com/id14.html
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HUFFPOST BLOGGER
Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
02:57 PM on 01/12/2011
Because too many Boomers are being given a DSM diagnosis of depression and anxiety as a result of their circumstances being poorly understood. This post was an attempt to take the pathology out aging. If a culture makes aging feel pathological, then it's the culture that requires the diagnosis, not the person, right?
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Vajara
vajara
04:22 PM on 01/12/2011
Yes, so true. I would never let someone diagnose and label me or my clients experiencing a human process. Thank you, I may have missed your point as the DSM has no validity or reliability test for most, if not all of their disorders....it is truly sick care at its worst.
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antaeus
Marriage Equality Is Here
12:13 AM on 01/12/2011
Hard subject for those of us Gen-Xers who found our Boomer parents always to have been selfish and careless of the others in their lives.
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Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
08:27 AM on 01/12/2011
Your comment is hard to read by Boomers who did everything they could to give their children opportunities they never had, and now are struggling as they age on their own without the support of family. There are all kinds of parents and all kinds of families in every generation. But, all parents age and need support at the end of their lives.

But, bottom line, parents, regardless of which generation they come from, require a good balance between selflessness and caring for oneself to be considered good parents. There is no excuse for not making the sacrifices needed to be a good parent.
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antaeus
Marriage Equality Is Here
12:08 PM on 01/12/2011
This was another wonderful, thought-provoking essay--I eagerly anticipate reading your pieces. I recognize that generational categories (Greatest Generation, Silent Generation) are overly broad and limited in their application to specific individuals. There are plenty of decent Boomers. And I wonder if the small-n narcissism we tend to ascribe to that generation is a result of their enculturation during a period of unequaled American ascendancy. Their time in the prime marketing cohort coincided with the peak of their country's economic, cultural, and political power. Who wouldn't be pumped up by that? That said, a belief in one's exceptionalism is not an attractive trait. Aging is a universal truth, and there are plenty of examples of wise people who seem to have made the best of it. Another comment mentions Doris Lessing; I often think of President and Mrs. Carter. There are many more.
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BabaLou7
Insignificant, yet eternal God Fractal
10:03 PM on 01/11/2011
Quite a number of years ago, when I was still quite vital and young, I read Doris Lessing's "The Summer Before the Dark." It's a story about a 45 year old vibrant, fashionable woman who, due to a series of crises, finds herself that summer suddenly aged and quite invisible. Angered and appalled, she turns the summer into an exploration of "the dark impersonal forces that underlie all our lives" and a process of self-discovery that strips her of everything she once thought she was.

Now at 60, I am having that same experience. In a sense, most of America is having a bit of it, as the ravished state of our economy is forcing a redefinition of our identities, egos and values. For the boomers, add a layer of impending mortality to a generation that functioned as a cultural tsunami. As we all move through our life stages, we must constantly let go of, grieve and reinvent our many life identities.
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Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
11:41 PM on 01/11/2011
"As we all move through our life stages, we must constantly let go of, grieve and reinvent our many life identities­."

Nicely said. We all age and can learn from each other how to let go and move on. Thanks for your comment.
08:30 AM on 01/12/2011
Thank you! So true. I always ahd a wonderful job and was very successful. Although my life has changed and is quiet now I find I appreciate more of the smaller things in life. I have faith, that helps. We can all look to look differently and younger but the real look is inside us. Who do you want to be is not always in a job it is in who we really are and how we still make things happen. Diagonosed with cancer at Christmas was my life altering event. If I have some aging it will be fine...as long as I am aging! How we look at things will change everyday in our lives> A smile and hug to you!
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BabaLou7
Insignificant, yet eternal God Fractal
10:24 AM on 01/12/2011
I am so sorry, bresponsible, for your recent diagnosis. May you weather this with minimal effort and effect. Follow Norman Cousins and laugh as much as you can to get those healing chemicals going in your body. Big healing hugs to you.
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HUFFPOST SUPER USER
sf omega man
09:50 PM on 01/11/2011
Or... these people could just age gracefully.
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Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
08:34 AM on 01/12/2011
Ah, if it were so easy, I wouldn't be writing posts like this. I see many an unhappy middle aged patient struggling with depression, anxiety, and showing other signs of discomfort that makes it hard to "just age gracefully," As I wrote in this piece, there is a great deal of fear of losing one's footing in a society where being successful, staying married and employed is equated with being young.

Aging gracefully would be more common if getting older was viewed by Boomers (and those around them) as a natural, honorable stage of life, ABV.
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Lisa Claudio
?
11:39 AM on 01/16/2011
I have no choice BUT to age gracefully! Can't afford botox, hair replacement, designer clothes - even super duper plumping moisturizing lipstick in Easter Pink is cost-prohibitive! Don't think I can afford the therapy to help me get through it either...
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Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
09:20 AM on 01/17/2011
Sometimes having all those options run women into trouble. I've seen many in Manhattan at my psychotherapy office who have come from their surgical treatments to decide if they need something else to feel better about themselves (yes they can afford both therapy and botox and more). And I'm not sure if our work toward internal happiness would be easier if they hadn't exercised those external options first. I like to work on helping them feel good about themselves. Then they can decide if cosmetic surgery makes sense to them. Just a different perspective I wanted you to hear.
08:53 PM on 01/11/2011
I would rather call it Aging And Vital--using the word "but" seems to buy into the youth obsessed culture. As we 50+-ers age, I say use your wisdom to not let a narcissism trending culture influence you. As we age it is time to stop caring so much about what others think! Show those youth obsessed younger folks that age is merely a number. Sure maybe we don't look like we did when we were young, but we can have not just vitality, but wise and self-assured vitality. Living your life in full force, in full bloom,will always have value in the world. It only won't when you think it won't...Laura http://lauracarroll.com
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09:37 PM on 01/11/2011
That solution is wise, but it is harder for people who have substantially "traded" economically and socially on their looks. The only thing some people have going for them, if you call it that -- is that they used to be pretty. They did fine with just pretty, so they never took up smart, educated, independent, successful, sage, righteous, funny, powerful, caring, conservative (small c), and good - or some combo of OTHER good qualities & attributes that can come to you along the way if you make an effort.
11:34 AM on 01/12/2011
Yes--being pretty can end up with big downsides in our culture. Hard as it may be, my possibly idealistic but not impossible thought is -- it's never too late to make the effort-- define what success means to you at a given time in life and use vitality to find the hutzpa to make it happen. I have known a number of people who created their younger lives through their looks, and as they aged, became educators, went back to school, started businesses, etc. -- they took their past with them and reinvented themselves as they aged.....
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Johnny Steps
I'd rather waltz than just walk through the forest
05:17 PM on 01/11/2011
One positive thing your overlooking is that obese Americans will be accustomed to the treatment of the aged and will weather it much better. Being obese is like being invisible.
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Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
06:37 PM on 01/11/2011
I see obesity as an illness, not to be overlooked. Aging is natural, not to be overlooked. That either gets equated with invisibility is sad. We need to see past looks, age, whatever. Alive and vital, no matter what.
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BlackYowe
I am a classical- liberal woman and a Jeweler.
07:40 PM on 01/11/2011
I see arrogance as a illness.
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08:00 PM on 01/11/2011
And I meant, by agreeing, that obesity will be a mitigating factor in losing the world's notice for some boomers who are obese and never got noticed in the first place, not that it's a positive in the aggregate that there are obese boomers.
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Puffin16
82.7% of all statistics are made up on the spot
04:42 PM on 01/11/2011
The problem I have with using the word "Aging" in any description is that it implies a negative, when in fact everyone is aging from the moment of birth. Instead of being revered for your experience and wisdom, there is a stigma to being an older person in our country. Remember when you cringed the first time you received a letter from AARP? The other day, I was talking to my son's 22-year old girlfriend who was singing the blues about getting older, and I asked her to imagine for one minute that she was in her 50's. She couldn't do it, and even started to tear up. Too bad she was too young to understand, but too old for a time out.
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Phoebe917
old hermit who lives in the woods
05:45 PM on 01/11/2011
the first time i got a letter from AARP, i almost vomited. that was five years ago, and i've settled into being a happy middle-aged woman. what cracks me up is when i am having a conversation with one of my young adult children, and they refer to people in their thirties as "old". :)
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CoastalNC
Good thoughts create good things
06:31 PM on 01/11/2011
LOL....the first time I got a letter from AARP I threw it away with a disgusted "why are they sending that to me" comments.... :-)
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Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
06:40 PM on 01/11/2011
It's up to us AARP members to let the next generation know that we're not singing the blues. If we don't, who can blame them for tearing up?
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Neal Jansons
Author and Poet
04:30 PM on 01/11/2011
I, for one, am more than ready for this self-involved and short-sighted generation to get silenced, become invisible, and stop running the planet further and further into destruction. And no self-pity, either. If the Boomers are suffering or will suffer from the present economy and social climate, they have no one to blame but themselves.
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Vivian Diller, Ph.D.
Psychologist and author of "Face It: What Women Re
06:44 PM on 01/11/2011
No need to silence this large group, but rather let them speak from experience. Everyone ages. You will too. We need to join together --generation with generation --to change the course of how things are going. Otherwise, we will all end up suffering, young and old.
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Halsey
"There is a price to pay for speaking the truth. T
08:53 PM on 01/11/2011
Vivian, Neal has a valid point of anger. I'm a boomer and see in how many ways we forgot the dream and bought stuff.
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Halsey
"There is a price to pay for speaking the truth. T
08:52 PM on 01/11/2011
Ouch Neal. Harsh. But I get it. I'm a boomer but heh a YOUNG one (1955); and yes, we blew it. We DID have a moment Neal, 1968-1974ish. We got fat (not just physically, but materially), spoiled and forgot the bad and violent, yet progressive days of the late 60's. I apologize for the planet's spoiling and am a vegetarian now. I recycle everything. The torch is passed to you, Neal. The Ipods, Ipads, I tablets..all made from "rare metals", assembled by abused workers. You know that. I ask that you not make our mistake. Keep the gadgets to a minimum, computers and the GAMES played use electricity which comes from oil or coal or..NUKE. See, Neal, it's not easy and yes, we boomers let go of the dream of MLK and Robert Kennedy.
What you and I CAN find is perhaps backing Michael Moore, Julian Assange, Chris Hedges, David Sirota (sp?). The gauntlet is yours, learn from our mistakes and selfishness.

Peace On Neal. I mean that.