The Transition Town concept

Jonathan Dawson suggests that ecovillages are moving toward encouraging Transition Towns, which allo

A great thing about living in such a large community (I know that the 500 or so souls who call this place home may not seem like a major conurbation to any Londoners reading this blog, but it is large by the standard of most ecovillages) is the scale of diversity that it affords. The place often feels like a small village that believes itself to be an unusually dynamic, medium-sized town, with so much happening on so many different fronts.

An interesting recently-launched initiative involving a number of community members is the creation of a Transition Town group in our local town, Forres. The Transition Towns concept is elegant and powerful and may just be the saving of us all.

For participating communities, it involves a three-step process. First, acknowledge the strong probability that in the near future, our communities are going to have much less cheap energy available to them than at present. Second, recognise that pretty much all our systems – for food production, clothing, house-building, making a living – are more or less completely dependent on the availability of cheap energy sources. Third, embrace the reality of energy descent as an opportunity to re-design our communities and entire societies along more human-scale, inclusive, equitable and convivial lines.

Now, you could say that this is what we have been doing here for decades, that Findhorn already is a Transition Town (or rather, Transition Village that believes itself to be a town). However, the point about the Transition Town concept – and what makes it so alive and popular at present – is that it offers a way for everyone to get involved in the work of creating sustainable communities, not just those choosing to live in ecovillages whose core purpose is finding ways of living lightly on the earth.

A key weakness of the ecovillage model in today’s world is that it lacks an effective replication strategy. Almost all of the large and well-established ecovillages like Findhorn were created in the 1960s and 70s at a time of low land prices and lax planning regulations. While some new ecovillages are forming, they are few in number and tend to face prodigious difficulties in finding affordable land and in winning planning permission.

So it is that our month-long ecovillage training programmes have, for the most part, shifted from being courses in how to create ecovillages into immersion experiences in ecovillages (from which participants emerge inspired and better resourced to be able to get stuck into building sustainability back in their home places).

We have an ecovillage training programme in Findhorn at the moment - 25 or so people from across Europe come here for a month of deep exploration of the four key elements of sustainability: technology, economy, spirituality (or world views) and the social dimension of sustainability.

I teach the economy module and, as ever, find myself divided between focusing on the specificity of creating and nurturing ecovillage-level economies or on looking more widely at the challenges and opportunities facing local economies in society at large. This time, as is generally the case, the predominant demand was for the latter. I find myself with increasing frequency pointing course participants to the Transition Town rather than the ecovillage model as the vehicle for their new-found enthusiasm.

I see ecovillages like Findhorn as having many parallels to monasteries. Does this sound sad and gloomy? This is not the way I experience it. Think of Iona and the other great Celtic monasteries created by Colomba, Brendan, Patrick and others. These were centres of light, dedicated to keeping alive the flames of learning and beauty during a dark age in European civilisation.

The role of ecovillages in the wider push towards sustainability is still unclear in this age when the traditional door to organic community development from the ground up is all but closed off. However, if our contribution is to be no more than as centres of deep experimentation, removing ourselves a little from the world in order to better be able to dream it anew, and then to manifest and communicate that vision through training, this is a lineage that I embrace with pride.

Jonathan Dawson is a sustainability educator based at the Findhorn Foundation in Scotland. He is seeking to weave some of the wisdom accrued in 20 years of working in Africa into more sustainable and joyful ways of living here in Europe. Jonathan is also a gardener and a story-teller and is President of the Global Ecovillage Network.
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Want to know how you really behave as a doctor? Watch yourself on video

There is nothing quite like watching oneself at work to spur development – and videos can help us understand patients, too.

One of the most useful tools I have as a GP trainer is my video camera. Periodically, and always with patients’ permission, I place it in the corner of my registrar’s room. We then look through their consultations together during a tutorial.

There is nothing quite like watching oneself at work to spur development. One of my trainees – a lovely guy called Nick – was appalled to find that he wheeled his chair closer and closer to the patient as he narrowed down the diagnosis with a series of questions. It was entirely unconscious, but somewhat intimidating, and he never repeated it once he’d seen the recording. Whether it’s spending half the consultation staring at the computer screen, or slipping into baffling technospeak, or parroting “OK” after every comment a patient makes, we all have unhelpful mannerisms of which we are blithely unaware.

Videos are a great way of understanding how patients communicate, too. Another registrar, Anthony, had spent several years as a rheumatologist before switching to general practice, so when consulted by Yvette he felt on familiar ground. She began by saying she thought she had carpal tunnel syndrome. Anthony confirmed the diagnosis with some clinical tests, then went on to establish the impact it was having on Yvette’s life. Her sleep was disturbed every night, and she was no longer able to pick up and carry her young children. Her desperation for a swift cure came across loud and clear.

The consultation then ran into difficulty. There are three things that can help CTS: wrist splints, steroid injections and surgery to release the nerve. Splints are usually the preferred first option because they carry no risk of complications, and are inexpensive to the NHS. We watched as Anthony tried to explain this. Yvette kept raising objections, and even though Anthony did his best to address her concerns, it was clear she remained unconvinced.

The problem for Anthony, as for many doctors, is that much medical training still reflects an era when patients relied heavily on professionals for health information. Today, most will have consulted with Dr Google before presenting to their GP. Sometimes this will have stoked unfounded fears – pretty much any symptom just might be an indication of cancer – and our task then is to put things in proper context. But frequently, as with Yvette, patients have not only worked out what is wrong, they also have firm ideas what to do about it.

We played the video through again, and I highlighted the numerous subtle cues that Yvette had offered. Like many patients, she was reticent about stating outright what she wanted, but the information was there in what she did and didn’t say, and in how she responded to Anthony’s suggestions. By the time we’d finished analysing their exchanges, Anthony could see that Yvette had already decided against splints as being too cumbersome and taking too long to work. For her, a steroid injection was the quickest and surest way to obtain relief.

Competing considerations must be weighed in any “shared” decision between a doctor and patient. Autonomy – the ability for a patient to determine their own care – is of prime importance, but it isn’t unrestricted. The balance between doing good and doing harm, of which doctors sometimes have a far clearer appreciation, has to be factored in. Then there are questions of equity and fairness: within a finite NHS budget, doctors have a duty to prioritise the most cost-effective treatments. For the NHS and for Yvette, going straight for surgery wouldn’t have been right – nor did she want it – but a steroid injection is both low-cost and low-risk, and Anthony could see he’d missed the chance to maximise her autonomy.

The lessons he learned from the video had a powerful impact on him, and from that day on he became much more adept at achieving truly shared decisions with his patients.

This article first appeared in the 01 October 2015 issue of the New Statesman, The Tory tide