Midweek Review
COVID-19: Some more discerning reflections
By Dr. B. J. C. Perera
Specialist Consultant Paediatrician
In the setting of a major contagion COVID-19, caused by an entirely new organism which is causing absolute havoc all over the planet, there are many things that gradually come to light as the world staggers its way through the pandemic. It is true to say that the scenario is in a state of flux with many still unanswered questions. As things develop our knowledge base too gets extended, sometimes in considerable amounts and occasionally in leaps and bounds as well. Quite a few of the original thoughts on the subject have had to be either withdrawn, modified and even completely revised in the light of newer knowledge. This is something to be expected as it is the very nature of progress in science. When more information is available and some things have had to be revised, it is not a reason to cause aspersions to be levelled against the original pronouncements or the people who propagated those. The basic content which have then had to be revised had to be undertaken through necessity. It has to be acknowledged that, from a medical point of view, all necessary steps have indeed been taken in good faith.
Not all that long ago, the thinking was that this disease was primarily transmitted through droplet infections following sneezing, coughing and even talking by those affected by the virus and that it was the primary route for human to human spread of the disease. The aerosol droplets so created generally had a possible transmission distance of perhaps around one metre. The need for physical distancing of people for a separation of at least one metre originated from this argument. Additionally, in the face of that same contention, the wearing of face masks by those affected by the virus and good cough etiquette of the same group were also promoted as a means of controlling the spread of the disease.
However, one of the more recent developments that has made it necessary to change some of our practices is the accumulation of more and more evidence for the possibility of air-borne transmission of the disease. This means that very fine droplets containing the virus may be carried through the air, perhaps for distances greater than one metre, and worse still, they may remain suspended in air and be floating about for quite some time. Added to this is the information that the virus could survive on surfaces on which it is deposited for considerable periods of time, which per se increases the potential infectivity of the virus. All these bits of data that have come to light makes the proper wearing of face masks by everybody becoming quite a lot more significant and all that much more important. Although some of the face masks do not provide a fool-proof one hundred per cent guarantee of defence against infection by the virus, properly worn masks will be able to provide a certain degree of protection. For an enhanced degree of safety, one needs to resort to the wearing of specialised masks which are specifically designed to protect against even the viruses. It is pertinent to point out that in the light of the latest information, if and when the schools reopen, the wearing of face masks by students within the school, and for that matter even from the time they leave home, becomes a really necessary measure. The current stipulations by the health authorities regarding this, where they imply that wearing of masks in school is not all that necessary, will need to be changed accordingly and perhaps sooner rather than later. These newer bits of information also make, physical separation of individuals everywhere and stringent hand-washing wherever possible, as well as the use of hand sanitizers and antiseptic cleaning of surfaces, even more important than ever before.
It is well-known by now that the major brunt of the damage caused by the virus in COVID-19 is borne by the respiratory system, especially the lungs. Initially it was just thought to cause a severe pneumonia which is mainly an inflammation of the gas-exchanging components of the lungs. In very simple terms, the air exchanging components of the lung become solid due to the inflammation. However, there is emerging evidence, at least in some cases, of a major involvement of the blood vessels that supply the lungs as well. Of course, there are reports of many other organs being involved in a multi-system attack by the virus and the degree to which they are involved would be reflected by the general severity of the disease. Although a significant proportion of people who are infected by this coronavirus may remain without symptoms, extensive investigations such as special scanning techniques, have shown that even in some of them, there is evidence of lung involvement although they do not show any major symptoms. These newer findings have obvious implications for the management of even symptomless COVID-19 infected persons, who are prime candidates for dissemination of the virus as well.
Cough, breathlessness and reduction in the oxygen content of the blood are the important manifestations of lung involvement. When the blood oxygen levels fall, the increase in the rate of breathing, difficulty in breathing and increased work of breathing are the signs that are seen. Some compensatory mechanisms employed by the respiratory system lead to an increase in the rate and depth of breathing. External oxygen for breathing has to be provided for these patients and those who are severely affected may need mechanical ventilation where the entire process of inflation and deflation of the lungs to facilitate gas exchange is taken over by a machine. Some severely affected patients have needed mechanical ventilation for prolonged periods of time even extending on to several weeks. Early chest physiotherapy to facilitate breathing, maintenance of the patency of the airway tubes and lung expansion in the acute phase, are invaluable for recovery. These are the initial steps in the process of lung recuperation, pulmonary rehabilitation and restoration of the functional capacity of the respiratory system, which will be a prolonged process extending on to the times even after discharge from hospital. There is some suspicion that even after apparent recovery, some patients may show evidence of residual persistent lung damage and that they would really need protracted efforts to improve their lung functions. Many of those who recover would need training on specific breathing patterns and tailor-made physiotherapy manoeuvres. In addition to physiotherapy aimed at the respiratory system, they may have extreme muscle weakness and profound tiredness as well as several psychological disturbances. They would benefit from aerobic exercises, muscle strength improving resistance training and general physical training procedures.
There are some recent concerns regarding the ability of humans to mount a sustained level of immunity to the virus even following recovery from the situations where persons have been infected by the virus. The affected persons may be with or without symptoms but the degree to which their bodies can resist a second infection and protect them against a subsequent infection is the important component for immunological considerations. There is some evidence, at least from several recent studies, to suggest that the immunity acquired as a result of infection may wane off in a matter of a few weeks or months.
Even if the antibody levels go down, whether the already sensitised immune cells of the body would be able to mount an enhanced protective response when exposed to the virus again is the crucial matter for consideration and contemplation. What we do not know is whether these people who have recovered are either resistant to reinfection, or are even a little more susceptible to reinfection by any chance or are likely to develop a more severe illness if re-infected; the latter being reminiscent of what happens in some cases of dengue. Uncertainty regarding these aspects would cast doubts on the postulations on ‘herd immunity’ being a useful element in our efforts towards keeping the virus at bay. That type of general immunity in the population is the prospect of a sufficient proportion of the populace gaining a degree of immunity which prevents the virus from getting into the herd and producing an epidemic or a pandemic.
The immune profile of the virus also has some implications for the development of vaccines against SARS-CoV-2 bug that causes COVID-19 as well. There is a keenly contested race on at the moment as several countries and a whole host of pharmaceutical companies are engaged in many endeavours to produce a successful vaccine against COVID-19. Any useful vaccine would need to maintain a high level of neutralising antibodies against the virus for a significant length of time. If, just like in the case of natural infection, the antibody response following vaccination is short lived, then one may need to administer several doses of the vaccine or it may need to be given repeatedly at pre-determined time intervals. An ideal vaccine would be one that will provide long-term protection following the administration of just one or two doses. Extensive clinical trials on volunteers of different age groups, with repeated measurement of antibodies would be required to determine the efficacy and cost-effectiveness of any future vaccines. It will be an expensive and labour-intensive protocol to test out such a vaccine in the forthcoming months and years. Yet for all that, it would be an absolutely essential undertaking before the usefulness of a future vaccine could be unequivocally established. It must also be clearly stated that an effective vaccine is a dire necessity and the companies or institutions that could produce such a vaccine is in line for absolutely massive financial benefits as a result of the discovery of an effective vaccine.
The next few months would be crucial in a quest towards improving and fine-tuning our knowledge about this little virus that has been able to induce even powerful nations to keel over and even be at the mercy of the bug without any respite in sight. This tiny bug has shown in no uncertain terms how much the human race is vulnerable, in spite of the degree to which nations and technology have advanced. We would need to keep on learning on very many different facets of the virus and of COVID-19 disease caused by the virus. Scientific collaboration among the best brains across all areas of the planet would be the need of the hour in a determined mission towards winning the war against this coronavirus. It will not be a venture beyond us if only we decide to put aside petty differences and concentrate on the matter at hand, as a committed global humanitarian initiative.
Midweek Review
Daya Pathirana killing and transformation of the JVP
JVP leader Somawansa Amarasinghe, who returned to Sri Lanka in late Nov, 2001, ending a 12-year self-imposed exile in Europe, declared that India helped him flee certain death as the government crushed his party’s second insurrection against the state in the ’80s, using even death squads. Amarasinghe, sole surviving member of the original politburo of the JVP, profusely thanked India and former Prime Minister V.P. Singh for helping him survive the crackdown. Neither the JVP nor India never explained the circumstances New Delhi facilitated Amarasinghe’s escape, particularly against the backdrop of the JVP’s frenzied anti-India campaign. The JVP has claimed to have killed Indian soldiers in the East during the 1987-1989 period. Addressing his first public meeting at Kalutara, a day after his arrival, Amarasinghe showed signs that the party had shed its anti-India policy of yesteryears. The JVPer paid tribute to the people of India, PM Singh and Indian officials who helped him escape.
By Shamindra Ferdinando
Forty years after the killing of Daya Pathirana, the third head of the Independent Student Union (ISU) by the Socialist Students’ Union (SSU), affiliated with the JVP, one-time Divaina journalist Dharman Wickremaretne has dealt with the ISU’s connections with some Tamil terrorist groups. The LTTE (Liberation Tigers of Tamil Eelam) hadn’t been among them, according to Wickremaretne’s Daya Pathirana Ghathanaye Nodutu Peththa (The Unseen Side of Daya Pathirana Killing), the fifth of a series of books that discussed the two abortive insurgencies launched by the JVP in 1971 and the early ’80s.
Pathirana was killed on 15 December, 1986. His body was found at Hirana, Panadura. Pathirana’s associate, Punchiralalage Somasiri, also of the ISU, who had been abducted, along with Pathirana, was brutally attacked but, almost by a miracle, survived to tell the tale. Daya Pathirana was the second person killed after the formation of the Deshapremi Janatha Vyaparaya (DJV), the macabre wing of the JVP, in early March 1986. The DJV’s first head had been JVP politburo member Saman Piyasiri Fernando.
Its first victim was H. Jayawickrema, Principal of Middeniya Gonahena Vidyalaya, killed on 05 December, 1986. The JVP found fault with him for suspending several students for putting up JVP posters.
Wickremaretne, who had been relentlessly searching for information, regarding the violent student movements for two decades, was lucky to receive obviously unconditional support of those who were involved with the SSU and ISU as well as other outfits. Somasiri was among them.
Deepthi Lamaheva had been ISU’s first leader. Warnakulasooriya succeeded Lamahewa and was replaced by Pathirana. After Pathirana’s killing K.L. Dharmasiri took over. Interestingly, the author justified Daya Pathirana’s killing on the basis that those who believed in violence died by it.
Wickremaretne’s latest book, the fifth of the series on the JVP, discussed hitherto largely untouched subject – the links between undergraduates in the South and northern terrorists, even before the July 1983 violence in the wake of the LTTE killing 12 soldiers, and an officer, while on a routine patrol at Thinnavely, Jaffna.
The LTTE emerged as the main terrorist group, after the Jaffna killings, while other groups plotted to cause mayhem. The emergence of the LTTE compelled the then JRJ government to transfer all available police and military resources to the North, due to the constant attacks that gradually weakened government authority there. In Colombo, ISU and Tamil groups, including the PLOTE (People’s Liberation Tigers of Tamil Eelam) enhanced cooperation. Wickremaretne shed light on a disturbing ISU-PLOTE connection that hadn’t ever been examined or discussed or received sufficient public attention.
In fact, EROS (Eelam Revolutionary Organisation of Students), too, had been involved with the ISU. According to the author, the ISU had its first meeting on 10 April, 1980. In the following year, ISU established contact with the EPRLF (Eelam People’s Revolutionary Liberation Front). The involvement of ISU with the PLOTE and Wickremaretne revealed how the SSU probed that link and went to the extent of secretly interrogating ISU members in a bid to ascertain the details of that connection. ISU activist Pradeep Udayakumara Thenuwara had been forcibly taken to Sri Jayewardenepura University where he was subjected to strenuous interrogation by SSU in a bid to identify those who were involved in a high profile PLOTE operation.
The author ascertained that the SSU suspected Pathirana’s direct involvement in the PLOTE attack on the Nikaweratiya Police Station, and the Nikaweratiya branch of the People’s Bank, on April 26, 1985. The SSU believed that out of a 16-member gang that carried out the twin attacks, two were ISU members, namely Pathirana, and another identified as Thalathu Oya Seneviratne, aka Captain Senevi.
The SSU received information regarding ISU’s direct involvement in the Nikaweratiya attacks from hardcore PLOTE cadre Nagalingam Manikkadasan, whose mother was a Sinhalese and closely related to JVP’s Upatissa Gamanayake. The LTTE killed Manikkadasan in a bomb attack on a PLOTE office, in Vavuniya, in September, 1999. The writer met Manikkadasan, at Bambapalitiya, in 1997, in the company of Dharmalingham Siddharthan. The PLOTE had been involved in operations in support of President Chandrika Bandaranaike Kumaratunga’s administration.
It was President Premadasa who first paved the way for Tamil groups to enter the political mainstream. In spite of some of his own advisors expressing concern over Premadasa’s handling of negotiations with the LTTE, he ordered the then Elections Commissioner Chandrananda de Silva to grant political recognition to the LTTE. The LTTE’s political wing PFLT (People’s Front of Liberation Tigers) received recognition in early December, 1989, seven months before Eelam War II erupted.
Transformation of ISU
The author discussed the formation of the ISU, its key members, links with Tamil groups, and the murderous role in the overall counter insurgency campaign during JRJ and Ranasinghe Premadasa presidencies. Some of those who had been involved with the ISU may have ended up with various other groups, even civil society groups. Somasiri, who was abducted along with Pathirana at Thunmulla and attacked with the same specialised knife, but survived, is such a person.
Somasiri contested the 06 May Local Government elections, on the Jana Aragala Sandhanaya ticket. Jana Aragala Sandhanaya is a front organisation of the Frontline Socialist Party/ Peratugaami pakshaya, a breakaway faction of the JVP that also played a critical role in the violent protest campaign Aragalaya against President Gotabaya Rajapaksa. That break-up happened in April 2012, The wartime Defence Secretary, who secured the presidency at the 2019 presidential election, with 6.9 mn votes, was forced to give up office, in July 2022, and flee the country.
Somasiri and Jana Aragala Sandhanaya were unsuccessful; the group contested 154 Local Government bodies and only managed to secure only 16 seats whereas the ruling party JVP comfortably won the vast majority of Municipal Councils, Urban Councils and Pradeshiya Sabhas.
Let us get back to the period of terror when the ISU was an integral part of the UNP’s bloody response to the JVP challenge. The signing of the Indo-Lanka accord, in late July 1987, resulted in the intensification of violence by both parties. Wickremaretne disclosed secret talks between ISU leader K.L. Dharmasiri and the then Senior SSP (Colombo South) Abdul Cader Abdul Gafoor to plan a major operation to apprehend undergraduates likely to lead protests against the Indo-Lanka accord. Among those arrested were Gevindu Cumaratunga and Anupa Pasqual. Cumaratunga, in his capacity as the leader of civil society group Yuthukama, that contributed to the campaign against Yahapalanaya, was accommodated on the SLPP National List (2020 to 2024) whereas Pasqual, also of Yuthukama, entered Parliament on the SLPP ticket, having contested Kalutara. Pasqual switched his allegiance to Ranil Wickremesinghe after Gotabaya Rajapaksa’s ouster in July 2022.
SSU/JVP killed K.L. Dharmasiri on 19 August, 1989, in Colomba Kochchikade just a few months before the Army apprehended and killed JVP leader Rohana Wijeweera. Towards the end of the counter insurgency campaign, a section of the ISU was integrated with the military (National Guard). The UNP government had no qualms in granting them a monthly payment.
Referring to torture chambers operated at the Law Faculty of the Colombo University and Yataro operations centre, Havelock Town, author Wickremaretne underscored the direct involvement of the ISU in running them.
Maj. Tuan Nizam Muthaliff, who had been in charge of the Yataro ‘facility,’ located near State Defence Minister Ranjan Wijeratne’s residence, is widely believed to have shot Wijeweera in November, 1989. Muthaliff earned the wrath of the LTTE for his ‘work’ and was shot dead on May 3, 2005, at Polhengoda junction, Narahenpita. At the time of Muthaliff’s assassination, he served in the Military Intelligence.
Premadasa-SSU/JVP link
Ex-lawmaker and Jathika Chinthanaya Kandayama stalwart Gevindu Cumaratunga, in his brief address to the gathering, at Wickremaretne’s book launch, in Colombo, compared Daya Pathirana’s killing with the recent death of Nandana Gunatilleke, one-time frontline JVPer.
Questioning the suspicious circumstances surrounding Gunatilleke’s demise, Cumaratunga strongly emphasised that assassinations shouldn’t be used as a political tool or a weapon to achieve objectives. The outspoken political activist discussed the Pathirana killing and Gunatilleke’s demise, recalling the false accusations directed at the then UNPer Gamini Lokuge regarding the high profile 1986 hit.
Cumaratunga alleged that the SSU/JVP having killed Daya Pathirana made a despicable bid to pass the blame to others. Turning towards the author, Cumaratunga heaped praise on Wickremaretne for naming the SSU/JVP hit team and for the print media coverage provided to the student movements, particularly those based at the Colombo University.
Cumaratunga didn’t hold back. He tore into SSU/JVP while questioning their current strategies. At one point a section of the audience interrupted Cumaratunga as he made references to JVP-led Jathika Jana Balawegaya (JJB) and JJB strategist Prof. Nirmal Dewasiri, who had been with the SSU during those dark days. Cumaratunga recalled him attending Daya Pathirana’s funeral in Matara though he felt that they could be targeted.
Perhaps the most controversial and contentious issue raised by Cumaratunga was Ranasinghe Premadasa’s alleged links with the SSU/JVP. The ex-lawmaker reminded the SSU/JVP continuing with anti-JRJ campaign even after the UNP named Ranasinghe Premadasa as their candidature for the December 1988 presidential election. His inference was clear. By the time Premadasa secured the presidential nomination he had already reached a consensus with the SSU/JVP as he feared JRJ would double cross him and give the nomination to one of his other favourites, like Gamini Dissanayake or Lalith Athulathmudali.
There had been intense discussions involving various factions, especially among the most powerful SSU cadre that led to putting up posters targeting Premadasa at the Colombo University. Premadasa had expressed surprise at the appearance of such posters amidst his high profile ‘Me Kawuda’ ‘Monawada Karanne’poster campaign. Having questioned the appearance of posters against him at the Colombo University, Premadasa told Parliament he would inquire into such claims and respond. Cumaratunga alleged that night UNP goons entered the Colombo University to clean up the place.
The speaker suggested that the SSU/JVP backed Premadasa’s presidential bid and the UNP leader may have failed to emerge victorious without their support. He seemed quite confident of his assertion. Did the SSU/JVP contribute to Premadasa’s victory at one of the bloodiest post-independence elections in our history.
Cumaratunga didn’t forget to comment on his erstwhile comrade Anupa Pasqual. Alleging that Pasqual betrayed Yuthukama when he switched allegiance to Wickremesinghe, Cumaratunga, however, paid a glowing tribute to him for being a courageous responder, as a student leader.
SSU accepts Eelam
One of the most interesting chapters was the one that dealt with the Viplawadi Janatha Vimukthi Peramuna/Revolutionary Janatha Vimukthi Peramuna (RJVP), widely known as the Vikalpa Kandaya/Alternative Group and the ISU mount joint campaigns with Tamil groups. Both University groups received weapons training, courtesy PLOTE and EPRLF, both here, and in India, in the run-up to the so-called Indo-Lanka Peace Accord. In short, they accepted Tamils’ right to self-determination.
The author also claimed that the late Dharmeratnam Sivaram had been in touch with ISU and was directly involved in arranging weapons training for ISU. No less a person than PLOTE Chief Uma Maheswaran had told the author that PLOTE provided weapons training to ISU, free of charge ,and the JVP for a fee. Sivaram, later contributed to several English newspapers, under the pen name Taraki, beginning with The Island. By then, he propagated the LTTE line that the war couldn’t be brought to a successful conclusion through military means. Taraki was abducted near the Bambalapitiya Police Station on the night of 28 April, 2005, and his body was found the following day.
The LTTE conferred the “Maamanithar” title upon the journalist, the highest civilian honour of the movement.
In the run up to the Indo-Lanka Peace Accord, India freely distributed weapons to Tamil terrorist groups here who in turn trained Sinhala youth.
Had it been part of the overall Indian destabilisation project, directed at Sri Lanka? PLOTE and EPRLF couldn’t have arranged weapons training in India as well as terrorist camps here without India’s knowledge. Unfortunately, Sri Lanka never sought to examine the origins of terrorism here and identified those who propagated and promoted separatist ideals.
Exactly a year before Daya Pathirana’s killing, arrangements had been made by ISU to dispatch a 15-member group to India. But, that move had been cancelled after law enforcement authorities apprehended some of those who received weapons training in India earlier. Wickremaretne’s narrative of the students’ movement, with the primary focus of the University of Colombo, is a must read. The author shed light on the despicable Indian destabilisation project that, if succeeded, could have caused and equally destructive war in the South. In a way, Daya Pathirana’s killing preempted possible wider conflict in the South.
Gevindu Cumaratunga, in his thought-provoking speech, commented on Daya Pathirana. At the time Cumaratunga entered Colombo University, he hadn’t been interested at all in politics. But, the way the ISU strongman promoted separatism, influenced Cumaratunga to counter those arguments. The ex-MP recollected how Daya Pathirana, a heavy smoker (almost always with a cigarette in his hand) warned of dire consequences if he persisted with his counter views.
In fact, Gevindu Cumaratunga ensured that the ’80s terror period was appropriately discussed at the book launch. Unfortunately, Wickremaretne’s book didn’t cause the anticipated response, and a dialogue involving various interested parties. It would be pertinent to mention that at the time the SSU/JVP decided to eliminate Daya Pathirana, it automatically received the tacit support of other student factions, affiliated to other political parties, including the UNP.
Soon after Anura Kumara Dissanayake received the leadership of the JVP from Somawansa Amarasinghe, in December 2014, he, in an interview with Saroj Pathirana of BBC Sandeshaya, regretted their actions during the second insurgency. Responding to Pathirana’s query, Dissanayake not only regretted but asked for forgiveness for nearly 6,000 killings perpetrated by the party during that period. Author Wickremaretne cleverly used FSP leader Kumar Gunaratnam’s interview with Upul Shantha Sannasgala, aired on Rupavahini on 21 November, 2019, to remind the reader that he, too, had been with the JVP at the time the decision was taken to eliminate Daya Pathirana. Gunaratnam moved out of the JVP, in April 2012, after years of turmoil. It would be pertinent to mention that Wimal Weerawansa-Nandana Gunatilleke led a group that sided with President Mahinda Rajapaksa during his first term, too, and had been with the party by that time. Although the party split over the years, those who served the interests of the JVP, during the 1980-1990 period, cannot absolve themselves of the violence perpetrated by the party. This should apply to the JVPers now in the Jathika Jana Balawegaya (JJB), a political party formed in July 2019 to create a platform for Dissanayake to contest the 2019 presidential election. Dissanayake secured a distant third place (418,553 votes [3.16%])
However, the JVP terrorism cannot be examined without taking into JRJ’s overall political strategy meant to suppress political opposition. The utterly disgusting strategy led to the rigged December 1982 referendum that gave JRJ the opportunity to postpone the parliamentary elections, scheduled for August 1983. JRJ feared his party would lose the super majority in Parliament, hence the irresponsible violence marred referendum, the only referendum ever held here to put off the election. On 30 July, 1983, JRJ proscribed the JVP, along with the Nawa Sama Samaja Party and the Communist Party, on the false pretext of carrying out attacks on the Tamil community, following the killing of 13 soldiers in Jaffna.
Under Dissanayake’s leadership, the JVP underwent total a overhaul but it was Somawansa Amarasinghe who paved the way. Under Somawansa’s leadership, the party took the most controversial decision to throw its weight behind warwinning Army Chief General (retd) Sarath Fonseka at the 2010 presidential election. That decision, the writer feels, can be compared only with the decision to launch its second terror campaign in response to JRJ’s political strategy. How could we forget Somawansa Amarasinghe joining hands with the UNP and one-time LTTE ally, the Tamil National Alliance (TNA), to field Fonseka? Although they failed in that US-backed vile scheme, in 2010, success was achieved at the 2015 presidential election when Maithripala Sirisena was elected.
Perhaps, the JVP took advantage of the developing situation (post-Indo-Lanka Peace Accord), particularly the induction of the Indian Army here, in July 1987, to intensify their campaign. In the aftermath of that, the JVP attacked the UNP parliamentary group with hand grenades in Parliament. The August 1987 attack killed Matara District MP Keerthi Abeywickrema and staffer Nobert Senadheera while 16 received injuries. Both President JRJ and Prime Minister Ranasinghe Premadasa had been present at the time the two hand grenades were thrown at the group.
Had the JVP plot to assassinate JRJ and Premadasa succeeded in August 1987, what would have happened? Gevindu Cumaratunga, during his speech also raised a very interesting question. The nationalist asked where ISU Daya Pathirana would have been if he survived the murderous JVP.
Midweek Review
Reaping a late harvest Musings of an Old Man
I am an old man, having reached “four score and five” years, to describe my age in archaic terms. From a biological perspective, I have “grown old.” However, I believe that for those with sufficient inner resources, old age provides fertile ground to cultivate a new outlook and reap a late harvest before the sun sets on life.
Negative Characterisation of Old Age
My early medical education and training familiarised me with the concept of biological ageing: that every living organism inevitably undergoes progressive degeneration of its tissues over time. Old age is often associated with disease, disability, cognitive decline, and dependence. There is an inkling of futility, alienation, and despair as one approaches death. Losses accumulate. As Shakespeare wrote in Hamlet, “When sorrows come, they come not single spies, but in battalions.” Doctors may experience difficulty in treating older people and sometimes adopt an attitude of therapeutic nihilism toward a life perceived to be in decline.
Categorical assignment of symptoms is essential in medical practice when arriving at a diagnosis. However, placing an individual into the box of a “geriatric” is another matter, often resulting in unintended age segregation and stigmatisation rather than liberation of the elderly. Such labelling may amount to ageism. It is interesting to note that etymologically, the English word geriatric and the Sanskrit word jara both stem from the Indo-European root geront, meaning old age and decay, leading to death (jara-marana).
Even Sigmund Freud (1875–1961), the doyen of psychoanalysis, who influenced my understanding of personality structure and development during my psychiatric training, focused primarily on early development and youth, giving comparatively little attention to the psychology of old age. He believed that instinctual drives lost their impetus with ageing and famously remarked that “ageing is the castration of youth,” implying infertility not only in the biological sense. It is perhaps not surprising that Freud began his career as a neurologist and studied cerebral palsy.
Potential for Growth in Old Age
The model of human development proposed by the psychologist Erik Erikson (1902–1994), which he termed the “eight stages of man,” is far more appealing to me. His theory spans the entire life cycle, with each stage presenting a developmental task involving the negotiation of opposing forces; success or failure influences the trajectory of later life. The task of old age is to reconcile the polarity between “ego integrity” and “ego despair,” determining the emotional life of the elderly.
Ego integrity, according to Erikson, is the sense of self developed through working through the crises (challenges) of earlier stages and accruing psychological assets through lived experience. Ego despair, in contrast, results from the cumulative impact of multiple physical and emotional losses, especially during the final stage of life. A major task of old age is to maintain dignity amidst such emotionally debilitating forces. Negotiating between these polarities offers the potential for continued growth in old age, leading to what might be called a “meaningful finish.”
I do not dispute the concept of biological ageing. However, I do not regard old age as a terminal phase in which growth ceases and one is simply destined to wither and die. Though shadowed by physical frailty, diminishing sensory capacities and an apparent waning of vitality, there persists a proactive human spirit that endures well into late life. There is a need in old age to rekindle that spirit. Ageing itself can provide creative opportunities and avenues for productivity. The aim is to bring life to a meaningful close.
To generate such change despite the obstacles of ageing — disability and stigmatisation — the elderly require a sense of agency, a gleam of hope, and a sustaining aspiration. This may sound illusory; yet if such illusions are benign and life-affirming, why not allow them?
Sharon Kaufman, in her book The Ageless Self: Sources of Meaning in Late Life, argues that “old age” is a social construct resisted by many elders. Rather than identifying with decline, they perceive identity as a lifelong process despite physical and social change. They find meaning in remaining authentically themselves, assimilating and reformulating diverse life experiences through family relationships, professional achievements, and personal values.
Creative Living in Old Age
We can think of many artists, writers, and thinkers who produced their most iconic, mature, or ground-breaking work in later years, demonstrating that creativity can deepen and flourish with age. I do not suggest that we should all aspire to become a Monet, Picasso, or Chomsky. Rather, I use the term “creativity” in a broader sense — to illuminate its relevance to ordinary, everyday living.
Endowed with wisdom accumulated through life’s experiences, the elderly have the opportunity for developmental self-transformation — to connect with new identities, perspectives, and aspirations, and to engage in a continuing quest for purpose and meaning. Such a quest serves an essential function in sustaining mental health and well-being.
Old age offers opportunities for psychological adaptation and renewal. Many elders use the additional time afforded by retirement to broaden their knowledge, pursue new goals, and cultivate creativity — an old age characterised by wholeness, purpose, and coherence that keeps the human spirit alive and growing even as one’s days draw to a close.
Creative living in old age requires remaining physically, cognitively, emotionally, and socially engaged, and experiencing life as meaningful. It is important to sustain an optimistic perception of health, while distancing oneself from excessive preoccupation with pain and trauma. Positive perceptions of oneself and of the future help sustain well-being. Engage in lifelong learning, maintain curiosity, challenge assumptions — for learning itself is a meaning-making process. Nurture meaningful relationships to avoid disengagement, and enter into respectful dialogue, not only with those who agree with you. Cultivate a spiritual orientation and come to terms with mortality.
The developmental task of old age is to continue growing even as one approaches death — to reap a late harvest. As Rabindranath Tagore expressed evocatively in Gitanjali [‘Song Offerings’], which won him the Nobel Prize:: “On the day when death will knock at thy door, what wilt thou offer to him?
Oh, I will set before my guest the full vessel of my life — I will never let him go with empty hands.”
by Dr Siri Galhenage
Psychiatrist (Retired)
[sirigalhenage@gmail.com]
Midweek Review
Left’s Voice of Ethnic Peace
Multi-gifted Prof. Tissa Vitarana in passing,
Leaves a glowing gem of a memory comforting,
Of him putting his best foot forward in public,
Alongside fellow peace-makers in the nineties,
In the name of a just peace in bloodied Sri Lanka,
Caring not for personal gain, barbs or brickbats,
And for such humanity he’ll be remembered….
Verily a standard bearer of value-based politics.
By Lynn Ockersz
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JVP leader Somawansa Amarasinghe, who returned to Sri Lanka in late Nov, 2001, ending a 12-year self-imposed exile in Europe, declared that India helped him flee certain death as the government crushed his party’s second insurrection against the state in the ’80s, using even death squads. Amarasinghe, sole surviving member of the original politburo of the JVP, profusely thanked India and former Prime Minister V.P. Singh for helping him survive the crackdown. Neither the JVP nor India never explained the circumstances New Delhi facilitated Amarasinghe’s escape, particularly against the backdrop of the JVP’s frenzied anti-India campaign. The JVP has claimed to have killed Indian soldiers in the East during the 1987-1989 period. Addressing his first public meeting at Kalutara, a day after his arrival, Amarasinghe showed signs that the party had shed its anti-India policy of yesteryears. The JVPer paid tribute to the people of India, PM Singh and Indian officials who helped him escape.