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VIEWS & REVIEWS:
Marianne Falconer and Desmond O'Neill
Out with "the old," elderly, and aged
BMJ 2007; 334: 316 [Full text]
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Rapid Responses published:

[Read Rapid Response] How language changes
Geoffrey D Madden   (9 February 2007)
[Read Rapid Response] We are all getting older
Joanne M Shaw   (12 February 2007)
[Read Rapid Response] Copy Sport or wine
Mary E Black   (12 February 2007)
[Read Rapid Response] Old Age or Later Life
Dermot Walsh   (13 February 2007)
[Read Rapid Response] "Political Correctness" is the politically correct word for Hypocrisy
Adrian Mondry   (19 February 2007)
[Read Rapid Response] Not the PC police again!
Diane-Marie Campbell   (28 February 2007)

How language changes 9 February 2007
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Geoffrey D Madden,
general practitioner
Beenleigh, Australia 4127

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Re: How language changes

Of tangential interest no doubt, but I could not help recalling Stan Freberg's efforts to sing "Old Man River" on his satirical radio show in the 1950s while being watched by a representative of what would now be called political correctness. He got no further than the first three words when his reviewer let off a horn and explained that "old" was offensive and suggested he sing "Elderly Man River" instead. I haven't noticed "elderly" decending into disrepute but predict "older" will follow it to oblivion and by then "old" may be able to be recycled. However we refer to our patients and friends of advanced years [?acceptable] we can all agree that respect is the key and if so be rewarded by their stories and their trust.

Competing interests: None declared

We are all getting older 12 February 2007
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Joanne M Shaw,
Chairman, Ask About Medicines
2 Rutland Mews West, London SW7 1NY

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Re: We are all getting older

At Ask About Medicines, the independent campaign to increase people's involvement in decisions about their use of medicines (www.askaboutmedicines.org), we agree that what you call people matters. As well as inadvertently causing offence, careless use of language can affect the way messages are heard.

We are all ageing and as we do so, most of us will be taking more medicines - on average one additional drug for every decade past the age of 50. Which is why the theme for Ask About Medicines Week 2006: "Asking About Medicines As We Get Older" is relevant to all of us.

A similar logic has led us to this year's theme. Ask About Medicines Week 2007 will run from 5th-9th November, focusing on "Asking About Medicines As We Grow Up".

Competing interests: None declared

Copy Sport or wine 12 February 2007
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Mary E Black,
Public Health Physician
Belgrade

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Re: Copy Sport or wine

In most sports there are additional and well-publicised categories for seniors or masters. These are popular with athletes, especially in sports such as golf, rowing and tennis, where the added skill and profile of the players bring additional spectators. Zen sports such as archery and martial arts have assumed that age brings additional skills and wisdom, and so have a much greater age range of players and do not pander to the disposability of players in other sports.

Or why not copy from the great wines, which are known as vintage?

Competing interests: None declared

Old Age or Later Life 13 February 2007
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Dermot Walsh,
Consultant Psychiatrist
Health Research Board, Dublin,4

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Re: Old Age or Later Life

The Royal College of Psychiatrists recognises a specialism of "Old Age Psychiatry". This manifestation of ageism is odd for a body which has run camapaigns to counter stigma in the field of mental health. In this jurisdiction I have promoted the less offensive " Later Life Psychiatry" with some measure of sucess.

Competing interests: None declared

"Political Correctness" is the politically correct word for Hypocrisy 19 February 2007
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Adrian Mondry,
Locum Consultant in General Medicine and Geratology
Horton General Hospital, Banbury, OX16 9AL

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Re: "Political Correctness" is the politically correct word for Hypocrisy

Disrespect, by any other name, will sting as much. On doing my ward rounds, I notice that virtually all nursing staff and all my junior doctors address my senior patients using their first names, or well intentioned wordings such as "love", and "darling". At the same time, I have had several of these same patients ask me how to address me (whether as Mr. rather than Dr., in the way consultants were addressed traditionally).

So I perceive senior citizens who still care about formalisms that the younger health professionals at best snigger about (most aren't even aware of them) being treated as incompetent, mentally inferior/ inadequate/ dependent individuals, while their age group is given some new and constantly changing hypocritical designation.

I say: name things, and people, as they are. A fat man is fat, not big; and old woman is old, not agely challenged. But when you interact with them, give them all the respect they deserve. And that includes to NOT use the straight words later on in a derogative way while being hypocritically (sorry: politically correct) in their face.

Competing interests: None declared

Not the PC police again! 28 February 2007
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Diane-Marie Campbell,
itinerant emergency physician
NSW Australia 2291

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Re: Not the PC police again!

Surviving to be elderly is one of my ambitions in life.

"Elder" is a term of respect in some cultures and indicates an office-bearer in some churches. The Cambridge dictionary defines elder as "an older person, especially one with a respected position in society." I have more respect for an elderly car in good repair than I have for a new one. It is not the term which is disrespectful.

Conversely, "oldies" probably is disrespectful. Appropriating the use of Christian names without invitation, particularly when speaking to elders, is disrespectful. My elderly great-aunts were far too gracious to correct staff who used their first names. But they introduced family members formally, and their habit of referring to their own contemporaries as "your uncle John" or "Auntie Jane" when speaking to my 70-year old father told the astute listener their expectations.

"Senior" has too many other uses. A Senior Registrar is rarely elderly, nor is a senior officer in the army. "Older" is equally useless, one refers to small children and older children. Treat the elderly with respect and it won't matter. Above all, stop blaming them for the state of the health system!

Competing interests: None declared