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A taxonomy of successful ageing conceptions 成功老龄化概念的分类
Pub Date : 2021-10-01 DOI: 10.1093/med/9780192897534.003.0003
C. Tesch-Römer, H. Wahl, Suresh I. S. Rattan, L. Ayalon
The authors propose a taxonomy of successful ageing conceptions organized according to five selected models of successful ageing used in ageing research. The models are rooted—explicitly or implicitly—in philosophical traditions describing a good life. The dominant model in gerontological research, Rowe and Kahn’s model of successful ageing, follows the tradition of American pragmatism, emphasizing practical effects of concepts and ideas. In addition to this model, four additional models of successful ageing are introduced and discussed: hedonic, eudaimonic, capability approach, and care ethics-based, each of them coming from different philosophical schools. The five models are compared according to the following criteria: age relevance, inclusiveness, locus of responsibility, normativity, and measurability. The taxonomy lies the ground for all the arguments that follow in the remainder of the book.
作者根据老龄化研究中使用的五个选定的成功老龄化模型,提出了成功老龄化概念的分类。这些模型或明或暗地植根于描述美好生活的哲学传统。在老年学研究中占主导地位的Rowe和Kahn的成功老龄化模型遵循了美国实用主义的传统,强调概念和思想的实际效果。除此之外,本文还介绍并讨论了另外四种成功老龄化的模型:享乐模式、幸福模式、能力模式和基于关怀伦理的模式,每一种模式都来自不同的哲学流派。根据以下标准对五种模型进行比较:年龄相关性、包容性、责任所在地、规范性和可测量性。这种分类法为本书其余部分的所有论证奠定了基础。
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引用次数: 0
Towards a new narrative on successful ageing 走向成功老龄化的新叙事
Pub Date : 2021-10-01 DOI: 10.1093/med/9780192897534.003.0009
C. Tesch-Römer, H. Wahl, Suresh I. S. Rattan, L. Ayalon
The major task of this closing chapter is to strive for reconciliation between the very divergent positions and perspectives on successful ageing that have been outlined in this book. The building blocks enabling at least partial reconciliation are the emphasis of the need for pluralism in conceptual reasoning on the notion of successful ageing; the insistence that one must be aware of the full implications of choosing any particular model of successful ageing; and the claim that the discourse on successful ageing can only, to a limited extent, be driven by empirical data. Instead, illuminating the underlying normative conceptions of what it means to enjoy a good life in old age is key to arrive at a more holistic picture of successful ageing that comes with heuristic utility. At the same time, visions of the good life in old age need further elaboration, but remaining ambivalences seem unavoidable.
这最后一章的主要任务是努力在本书中概述的关于成功老龄化的非常不同的立场和观点之间达成和解。至少能够实现部分和解的基本要素是强调对成功老龄化概念的概念推理需要多元化;坚持认为人们必须意识到选择任何成功老龄化模式的全部含义;还有一种说法是,关于成功老龄化的论述只能在有限的程度上由经验数据驱动。相反,阐明在老年时享受美好生活的潜在规范概念,是获得一幅更全面的成功老龄化图景的关键,这种图景伴随着启发式效用。与此同时,老年美好生活的愿景需要进一步阐述,但仍然存在的矛盾似乎是不可避免的。
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引用次数: 0
History of successful ageing 成功老龄化的历史
Pub Date : 2021-10-01 DOI: 10.1093/med/9780192897534.003.0001
C. Tesch-Römer, H. Wahl, Suresh I. S. Rattan, L. Ayalon
The notion of successful ageing has been one of the most successful but also one of the most controversial concepts of ageing research over the last 60 years. Attempts to uncover the secret of successful ageing have often resembled something like a quest for the Golden Fleece. And that quest continues within contemporary gerontology—so far with no end in sight. As shown in this introductory chapter, human history is full of strivings to live a youthful life without end. Still, controversies over successful ageing continue. In the following chapters of the book various conceptual models are analysed, and strategies and interventions for successful ageing discussed.
在过去的60年里,成功老龄化的概念一直是老龄化研究中最成功的概念之一,但也是最具争议的概念之一。试图揭开成功衰老的秘密,往往有点像寻找金羊毛。这种探索在当代老年学中仍在继续——到目前为止还看不到尽头。正如这一引言所示,人类历史上充满了无休止地追求青春的努力。然而,关于成功老龄化的争议仍在继续。在本书的以下章节中,分析了各种概念模型,并讨论了成功老龄化的策略和干预措施。
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引用次数: 0
Biological perspectives on successful ageing 成功衰老的生物学观点
Pub Date : 2021-10-01 DOI: 10.1093/med/9780192897534.003.0002
S. Rattan
From a biological perspective, ageing is generally considered as a downhill phase of life, with a progressive decline in physiological functionality and an increase in the chances of chronic diseases and death. The onset of this phase of life does not start with birth because the early phase of life is a constructive phase of growth, development, maturation, and reproduction. Ageing sets in and happens progressively, exponentially, and intrinsically in the period of survival beyond the naturally evolved essential lifespan of a species. Ageing can be defined as a progressive shrinkage of the homeodynamic space having the fundamental characteristics of stress tolerance, damage control, and constant remodelling. Biologically successful ageing thus implies maintaining, recovering, or even enhancing those abilities that support survival and health in the framework of homeodynamic space.
从生物学的角度来看,衰老通常被认为是生命的一个下坡阶段,生理功能逐渐衰退,患慢性病和死亡的机会增加。生命的这一阶段并不是从出生开始的,因为生命的早期阶段是生长、发育、成熟和繁殖的建设性阶段。在一个物种自然进化的基本寿命之外的生存时期,衰老开始并逐渐地、指数地、本质地发生。老化可以定义为具有应力容限、损伤控制和不断重塑等基本特征的动态空间的逐渐收缩。因此,生物学上成功的衰老意味着在动态空间框架内维持、恢复甚至增强那些支持生存和健康的能力。
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引用次数: 0
Individual strategies for successful ageing 成功安老的个人策略
Pub Date : 2021-10-01 DOI: 10.1093/med/9780192897534.003.0004
C. Tesch-Römer, H. Wahl, Suresh I. S. Rattan, L. Ayalon
Individual strategies are necessary for successful ageing. Three of the models discussed in the previous chapter—the pragmatic, hedonic, and eudaimonic models—put particular emphasis on individuals’ striving to reach their desired endpoints: to be fit, autonomous and engaged; to be happy; or to be wise, respectively. Nevertheless, the primary responsibility for successful ageing lies mainly in the hands of the individual, although external factors may be in place to support the individual’s effort to age successfully. At present, ageing research has focused to a large extent on individual strategies and resources for successful to the individual level. The main results from ageing research are discussed in this chapter.
个人策略是成功老龄化的必要条件。前一章讨论的三个模型——实用主义模型、享乐主义模型和幸福主义模型——特别强调个人努力达到他们想要的终点:适应、自主和参与;要快乐;或者分别成为智者。然而,成功老龄化的主要责任主要在于个人,尽管外部因素可能会支持个人成功老龄化的努力。目前,老龄化研究在很大程度上集中在个人成功的策略和资源上。本章讨论了老龄化研究的主要结果。
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引用次数: 0
Social bonds, care, and successful ageing 社会纽带、关怀和成功的老龄化
Pub Date : 2021-10-01 DOI: 10.1093/med/9780192897534.003.0006
C. Tesch-Römer, H. Wahl, Suresh I. S. Rattan, L. Ayalon
Social bonds and care are important factors for successful ageing. Most people do not grow old in isolation, but together with other people, supporting them and being supported by them. While ageing, people are embedded into a social network formed by family, friends, and neighbours. These social bonds are a necessary precondition for successful self-development over the course of our lives. The process of growing very old is characterized by morbidity, functional loss, and care needs. Hence, it is important to account for factors that enable successful ageing even in a life phase when social support and long-term care are becoming more important for a good life. Therefore, successful ageing must be seen in the context of advanced old age.
社会关系和照顾是成功养老的重要因素。大多数人不是孤独地变老,而是和其他人一起,支持他们,也被他们支持。随着年龄的增长,人们被嵌入到由家庭、朋友和邻居组成的社会网络中。这些社会纽带是我们一生中成功自我发展的必要前提。衰老过程的特点是发病率、功能丧失和护理需求。因此,即使在社会支持和长期护理对美好生活变得越来越重要的生命阶段,也必须考虑到能够成功老龄化的因素。因此,成功的老龄化必须放在高龄的背景下看待。
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引用次数: 0
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Successful Aging
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