What Frailty Can Tell Us About Successful Ageing: Towards a Different Paradigm for Ageing Well.

IF 4.6 2区 医学 Q1 GERONTOLOGY Gerontologist Pub Date : 2024-12-13 DOI:10.1093/geront/gnae057
Susan Pickard
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Abstract

This paper considers the concept of successful aging by means of a dialogue with the concept of frailty. This dialogue reveals the limits and blind spots of both concepts as well as their apparent dichotomy and the importance of understanding both the objective and subjective experience of aging. In particular, the dialogue highlights that both frailty and successful aging are social constructs that derive their meaning from what society values (autonomy, youthful capacities). They cannot by themselves account for the fact that flourishing and frailty are often found together whilst conversely successful aging may not bring satisfaction. I argue that the arts and humanities supply us with conceptual and methodological tools with which to revisit what it is to age well offering a holistic approach that combines sensitivity both to older people's lived experience and to the underpinning material conditions and embodied realities. For this purpose, and building on previous scholarship in cultural gerontology, I suggest the unique value of concepts and frameworks associated by Simone de Beauvoir. When brought into alignment with the tenets of cultural and narrative gerontology, these concepts facilitate a rich understanding of the nuances and paradoxes of flourishing in deep old age which can also aid in restorying both old age and the life course more generally. I illustrate this through two examples: a feminist self-help guide to aging, which accepts both limitations and growth and a film that imagines the possibilities of authentic aging even despite a context of poverty, patriarchy, and Alzheimer's disease.

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虚弱对健康老龄化的启示:走向 "成功老龄化 "的另一种范式。
本文通过与 "虚弱 "概念的对话来探讨成功老龄化的概念。这种对话揭示了这两个概念的局限性和盲点,以及它们明显的二分法和理解老龄化的主客观体验的重要性。对话特别强调,衰弱和成功老龄化都是社会建构的概念,其含义来自社会的价值观(自主性、年轻能力)。它们本身无法解释这样一个事实,即蓬勃发展和虚弱往往同时存在,反之,成功的老龄化可能不会带来满足感。我认为,艺术和人文学科为我们提供了概念和方法上的工具,使我们能够重新审视什么是安享晚年,提供一种整体的方法,既关注老年人的生活经验,又关注基本的物质条件和具体的现实。为此,在以往文化老年学研究的基础上,我提出了与西蒙娜-德-波伏瓦(Simone de Beauvoir)相关的概念和框架的独特价值。当这些概念与老年文化学和老年叙事学的信条相吻合时,就能促进人们丰富地理解在深度老年中蓬勃发展的细微差别和悖论,这也有助于恢复老年生活和更广泛的生命历程。我将通过两个例子来说明这一点:一个是女权主义的老年自助指南,它既接受局限性,也接受成长;另一个是一部电影,它想象了在贫困、父权制和阿尔茨海默病的背景下,真正的老年生活的可能性。
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来源期刊
Gerontologist
Gerontologist GERONTOLOGY-
CiteScore
11.00
自引率
8.80%
发文量
171
期刊介绍: The Gerontologist, published since 1961, is a bimonthly journal of The Gerontological Society of America that provides a multidisciplinary perspective on human aging by publishing research and analysis on applied social issues. It informs the broad community of disciplines and professions involved in understanding the aging process and providing care to older people. Articles should include a conceptual framework and testable hypotheses. Implications for policy or practice should be highlighted. The Gerontologist publishes quantitative and qualitative research and encourages manuscript submissions of various types including: research articles, intervention research, review articles, measurement articles, forums, and brief reports. Book and media reviews, International Spotlights, and award-winning lectures are commissioned by the editors.
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