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Beyond stigma and biomedical frameworks: Humanizing dementia care through narratives 超越耻辱和生物医学框架:通过叙事使痴呆症护理人性化
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2026-01-14 DOI: 10.1016/j.jaging.2025.101397
Ieva Stončikaitė
Contemporary biomedical and pathologizing interpretations of dementia negatively affect the quality of care and limit the narrative agency of people living with the condition. Although the progression of dementia involves a decline in memory, communicative clarity, and reasoning, personhood can be conveyed through narratives, social interaction, and embodied communication. In advanced stages of dementia, especially, the body itself becomes a narrative medium, and acknowledging its agency can function as an act of care per se. This article advocates for the need for more critical humanities-based research and ethical narrative approaches in order to challenge the stigma of dementia and humanize its reductionist representations. The adoption of alternative, relational, and inclusive narratives can support more responsive care practices and policies that are better aligned with the experiences and needs of individuals with dementia. In particular, the article foregrounds the value of literature as a means to better understand the complexities of dementia and ensure epistemic justice. It outlines future directions in dementia research grounded in humanities-based inquiry and a commitment to dignity, both in interpreting and bearing witness to the voices of people with dementia. Ultimately, the article calls for a broader shift within gerontology to recognize and integrate the epistemological contributions that literature and the humanities can offer.
当代对痴呆症的生物医学和病理学解释对护理质量产生了负面影响,并限制了患者的叙事能力。虽然痴呆症的进展涉及记忆力、沟通清晰度和推理能力的下降,但人格可以通过叙述、社会互动和具体化沟通来传达。特别是在老年痴呆症的晚期,身体本身成为一种叙事媒介,承认身体的作用本身就可以作为一种护理行为。这篇文章提倡需要更多的基于人文学科的批判性研究和伦理叙事方法,以挑战痴呆症的耻辱,并使其还原主义表征人性化。采用替代性、关系型和包容性叙事,可以支持更具响应性的护理实践和政策,从而更好地符合痴呆症患者的经历和需求。特别是,文章前景文学的价值,作为一种手段,以更好地了解痴呆症的复杂性和确保认识正义。它概述了痴呆症研究的未来方向,这些方向基于以人文为基础的调查和对尊严的承诺,包括在解释和见证痴呆症患者的声音方面。最后,本文呼吁在老年学中进行更广泛的转变,以认识和整合文学和人文学科可以提供的认识论贡献。
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引用次数: 0
Visual representations of older women in European graphic novels: Moving away from illness and decrepitude? 欧洲漫画小说中老年女性的视觉表现:远离疾病和衰老?
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2026-01-08 DOI: 10.1016/j.jaging.2026.101400
Kateřina Valentová, Maricel Oró Piqueras
This article examines representations of aging female bodies and sexuality in two contemporary Franco-Belgian graphic novels: Le Plongeon (2018) by Séverine Vidal and Victor Pinel and L'Obsolescence programmée de nos sentiments (2021) by Zidrou and Aimée de Jongh. While the scholarship on aging in comics has focused primarily on narratives of illness, decline, or intergenerational care, much less attention has been given to depictions of older women's desire and erotic agency. Our analysis sets these works within the long-standing Franco-Belgian comics tradition, where women over sixty are rarely to be found as central characters.
By comparing two protagonists at different stages of later life one in her sixties, the other in her eighties– we explore how the graphic novel as a multimodal form engages ambivalently with cultural anxieties about aging, sexuality, and visibility. We argue that these works both challenge and reproduce dominant imaginaries of female sexuality and desire in old age, hinging our analysis in theories by Kathleen Woodward, Margaret Gullette, and Lynne Segal with the aim of offering a fertile ground for analyzing the intersections of gender, body, and temporality in contemporary European comics.
本文研究了当代法国-比利时漫画小说中对衰老女性身体和性行为的表现:ssamverine Vidal和Victor Pinel的《Le Plongeon》(2018年)和Zidrou和aimsame de Jongh的《L’obsolescence程序性的阴郁》(2021年)。虽然漫画中关于衰老的学术研究主要集中在疾病、衰退或代际关怀的叙述上,但对老年女性欲望和情爱代理的描写却少得多。我们的分析将这些作品置于长期存在的法国-比利时漫画传统中,在这些漫画中,60岁以上的女性很少成为中心人物。通过比较两个主人公在晚年生活的不同阶段——一个60多岁,另一个80多岁——我们探索了图形小说作为一种多模式形式是如何矛盾地与关于衰老、性和可见性的文化焦虑联系在一起的。我们认为,这些作品既挑战又再现了对老年女性性欲和欲望的主流想象,将我们的分析与凯瑟琳·伍德沃德、玛格丽特·古莱特和琳恩·西格尔的理论联系起来,目的是为分析当代欧洲漫画中性别、身体和时间性的交叉点提供肥沃的土壤。
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引用次数: 0
Data talk: Mapping older Canadians' understandings of digital technologies and their data 数据谈话:绘制加拿大老年人对数字技术及其数据的理解
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2026-01-06 DOI: 10.1016/j.jaging.2025.101398
Nicole K. Dalmer , Cal Biruk , Stephanie Hatzifilalithis
Older adults' experiences with technologies and data are typically flattened amid a focus on the functionalities of “techno-fixes” for the “afflictions” of later life. In this paper, we challenge this narrow focus by presenting older adults' own understandings of and experiences with data. Reporting on an online qualitative survey with 70 older Canadians, we argue that rather than being passive agents amid datafication, older adults are agentively theorizing, tinkering with, and engaging with data and devices. Organizing our analysis around three thematic threads (data associations, affordances and pitfalls of data, and data in relation to the aging self) we reveal how older adults vernacularize circulating discourses about data, producing their own meanings and interpretations. This paper also demonstrates the methodological potential of online surveys for collecting unexpectedly rich qualitative data. Our ‘conversations’ with respondents deepened our understandings of older adults' own perspectives, jargon, and terminologies around data and digital technologies and revealed the importance of considering data in relation to their devices.
老年人对技术和数据的体验通常是扁平化的,因为他们关注的是“技术修复”对晚年生活“痛苦”的功能。在本文中,我们通过展示老年人自己对数据的理解和经验来挑战这种狭隘的焦点。在对70名加拿大老年人进行的在线定性调查报告中,我们认为,老年人在数据化过程中不是被动的行动者,而是能动地理论化、摆弄和参与数据和设备。围绕三个主题(数据关联、数据的可用性和缺陷、数据与衰老自我的关系)组织我们的分析,我们揭示了老年人如何将关于数据的流通话语白话化,并产生他们自己的意义和解释。本文还展示了在线调查在收集出乎意料的丰富定性数据方面的方法学潜力。我们与受访者的“对话”加深了我们对老年人自己关于数据和数字技术的观点、行话和术语的理解,并揭示了将数据与他们的设备联系起来考虑的重要性。
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引用次数: 0
Care access barriers and adaptive strategies of older migrants in Germany 德国老年移民获得护理的障碍和适应策略
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2026-01-03 DOI: 10.1016/j.jaging.2025.101396
Edward Omeni
The increasing number of older migrants in Germany presents a distinctive set of challenges in accessing home care services, largely due to linguistic, bureaucratic, and cultural barriers. This study employs the analytical lens of bricolage to examine the adaptive strategies employed by older migrants, informal carers, and professionals in addressing care gaps. The research, which draws on 49 semi-structured interviews conducted across Berlin, Leverkusen, and Brandenburg, reveals that older migrants rely on familial and community networks for a range of support, including translation, emotional support, and navigation of complex systems.
Informal carers often utilise a combination of personal support and digital tools such as translation apps to surmount encountered barriers, thereby demonstrating resilience while drawing attention to the inequities in care accessibility. Similarly, professionals adopt improvised strategies, but they are constrained by factors such as staffing shortages, resource limitations, and structural discrimination, which compromise the delivery of culturally responsive care.
These results emphasise the collective nature of bricolage, whereby stakeholders work and improvise to address deficiencies in care. Although bricolage encourages autonomy, it also highlights care system shortcomings that contribute to the reliance on improvised solutions. Policy recommendations include enhancing linguistic accessibility, leveraging migrant-led organisations, and fostering interdisciplinary collaboration to build more equitable care systems in Germany.
德国越来越多的老年移民在获得家庭护理服务方面面临着一系列独特的挑战,主要是由于语言、官僚主义和文化障碍。本研究采用拼凑的分析视角来考察老年移民、非正规护理人员和专业人员在解决护理差距方面采用的适应性策略。这项研究利用了在柏林、勒沃库森和勃兰登堡进行的49次半结构化访谈,揭示了老年移民依赖家庭和社区网络获得一系列支持,包括翻译、情感支持和复杂系统的导航。非正式护理人员通常结合个人支持和翻译应用程序等数字工具来克服遇到的障碍,从而展示复原力,同时提请人们注意护理可及性方面的不平等。同样,专业人员采用临时策略,但他们受到人员短缺、资源限制和结构性歧视等因素的制约,这些因素损害了文化响应性护理的提供。这些结果强调了拼凑的集体性质,即利益攸关方通过合作和即兴发挥来解决护理方面的缺陷。虽然“拼凑”鼓励自主,但它也凸显了护理系统的缺陷,导致人们依赖临时解决方案。政策建议包括加强语言可及性,利用移民主导的组织,促进跨学科合作,以在德国建立更公平的医疗体系。
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引用次数: 0
Mapping intersectional aging vulnerabilities in Aragón: A new GIS methodology from a gender perspective 绘制相交老化脆弱性Aragón:一种新的GIS方法从性别的角度
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2026-01-02 DOI: 10.1016/j.jaging.2025.101399
Irene González-Fernández, Belinda López-Mesa, Lucía C. Pérez-Moreno
The research aims to develop an evidence-based feminist methodology to address aging vulnerability in the region of Aragón in Spain. The study is motivated by Spain's demographic aging and care crisis, caused by an increased aging population, life expectancy, and prevalence of age-related illnesses. The investigation targets the gender-specific challenges of caregiving, highlighting women's predominant roles in care practices. The main novelty of the study lies in integrating feminist epistemology and situated knowledge theories to quantify and map aging vulnerability, an approach previously unexplored in the context of regional planning and aging studies. Seventeen intersectional indicators, based on open-source municipal data across six dimensions (demographic aging, dependency, gender, aged care, healthcare, and territorial structure), are mapped using GIS tools and data-driven decision-making methods. The indicators are classified according to risk levels to visualize areas with higher aging vulnerability. The findings show Aragón's territorial disparities and challenges in demographic aging, gender gaps among older adults, and regional variations in aged care and healthcare access. The study offers policymakers a holistic roadmap for efficient resource allocation, promoting sustainable strategies to enhance the well-being of older adults in Aragón and other regions facing similar challenges.
该研究旨在开发一种基于证据的女权主义方法,以解决西班牙Aragón地区的老龄化脆弱性问题。这项研究的动机是西班牙的人口老龄化和护理危机,这是由人口老龄化、预期寿命增加和与年龄有关的疾病的流行所引起的。调查的目标是护理工作的性别挑战,突出了妇女在护理实践中的主导作用。该研究的主要新颖之处在于将女性主义认识论和情境知识理论结合起来量化和绘制老龄化脆弱性,这是以前在区域规划和老龄化研究背景下未探索的方法。使用GIS工具和数据驱动的决策方法,基于六个维度(人口老龄化、抚养、性别、老年护理、医疗保健和领土结构)的开源市政数据绘制了17个交叉指标。这些指标根据风险等级进行分类,以可视化老龄化脆弱性较高的地区。调查结果显示Aragón在人口老龄化、老年人性别差距以及老年护理和医疗保健获取方面的地区差异和挑战。该研究为政策制定者提供了有效资源配置的整体路线图,促进可持续战略,以提高Aragón和其他面临类似挑战的地区老年人的福祉。
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引用次数: 0
‘The point isn't that we're old, but that we're the founders’: A generational perspective on older adults' protest participation “问题不在于我们老了,而在于我们是创始人”:从一代人的角度看老年人参与抗议活动
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-12-10 DOI: 10.1016/j.jaging.2025.101395
Gabriela Spector-Mersel , Ayelet Dassa
A generational perspective is effective in exploring older adults' social participation, yet it has rarely been employed to examine their political engagement. To explore the potential role of generational affiliation in later-life protest participation, we employed Mannheim's generational framework to investigate older Israelis' massive participation in the 2023 social protest. Through four focus-group interviews, comprising 27 Israeli Jews regularly participating in the protest, we scrutinised participation motivations, experiences, and the meanings attributed to their age concerning participation. A framework analysis identified four themes: 1) Participants recounted a narrative of participation that positioned their protest as linking their past contributions to Israel's founding and existence, to the future, represented by their offspring. This narrative, based on participants' self-identification as the founding generation, provided a sense of generativity, stemming from their efforts to protect the legacy they leave for future generations. 2) Participation experience intertwined a sense of generational belonging, establishing participants' collective identity as founders, and intergenerational belonging, representing their desire to belong to the state they built, thereby resisting their ageist marginalization. 3) Participants' self-depiction as the ‘tribal elders,’ guiding and supporting younger protesters, was intertwined with being ‘the founders,’ permitting them to acknowledge age-related limitations in the protest without being considered ‘ordinary’ old people. 4) Participants neutralised age as relevant in their protest, corresponding with their mythic founders' status. Our study demonstrates the merits of a generational perspective in identifying further layers of meaning in older people's political participation. Its employment can enrich understanding of past findings and generate future insights regarding this growing phenomenon.
代际视角在探索老年人的社会参与方面是有效的,但很少被用来研究他们的政治参与。为了探索代际关系在晚年抗议参与中的潜在作用,我们采用了曼海姆的代际框架来调查以色列老年人在2023年社会抗议中的大规模参与。通过四个焦点小组访谈,包括27名经常参加抗议的以色列犹太人,我们仔细研究了参与的动机、经历,以及他们参与的年龄所带来的意义。一项框架分析确定了四个主题:1)参与者讲述了他们的参与叙事,将他们的抗议定位为将他们过去对以色列的建立和存在的贡献与他们后代所代表的未来联系起来。这种基于参与者作为开国元勋一代的自我认同的叙述,提供了一种产生感,源于他们努力保护自己为后代留下的遗产。2)参与体验交织着代际归属感,建立了参与者作为创始人的集体身份认同;代际归属感,代表了他们对自己所建立的国家的归属感,从而抵制了年龄歧视的边缘化。3)参与者将自己描述为引导和支持年轻抗议者的“部落长者”,这与“发起人”的身份交织在一起,让他们在抗议活动中承认与年龄有关的限制,而不会被视为“普通”老年人。4)参与者将年龄作为抗议的相关因素,与他们神话般的创始人身份相对应。我们的研究证明了代际视角在确定老年人政治参与的更深层次意义方面的优点。它的使用可以丰富对过去发现的理解,并对这一日益增长的现象产生未来的见解。
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引用次数: 0
Tragedy or ordeal? How reshaping discourses can contribute to reimagining approaches to care and the value of life in times of crisis 悲剧还是磨难?在危机时刻,重塑话语如何有助于重新构想护理方法和生命价值
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-12-01 DOI: 10.1016/j.jaging.2025.101384
Sabrina Lessard , Tamara Sussman
Attending to the discourses surrounding a crisis can offer important insights into who and what is valued in society. The COVID-19 pandemic offers just this opportunity as it represents a modern societal crisis.
Our former work, which examined media discourses surrounding life in LTC during the COVID-19 pandemic, revealed a discourse that framed life in LTC as tragic. In this study, using a life story approach, we explore how, if at all, the tragedy discourse shifts when older persons in LTC (n = 15) are invited to share their experiences of COVID-19.
Our analysis revealed three interrelated categories that together highlight the myriad of factors impacting the value of life in LTC during the COVID-19 pandemic and which act as counter-narratives to the dominant discourse. These counter-narratives are captured in the categories: COVID-19 as a component of a larger life story; Resisting isolation despite restrictions; and Contrasting experiences of life in LTC before, during, and after COVID-19, and highlight how residents strove to retain a sense of belonging, care and connection during this time of crisis.
Introducing counter-narratives of residents who lived through COVID-19 in LTC provides an impetus for reconstructing this period of global unrest from that of a tragedy to that of an ordeal. It also reminds us of the valiant efforts people continue to make to ensure the value of their lives are seen and recognized even when dominant discourses are supporting their erasure.
参与围绕危机的讨论可以提供重要的见解,了解社会中有价值的人和东西。COVID-19大流行提供了这一机会,因为它代表了一场现代社会危机。我们之前的工作考察了COVID-19大流行期间围绕LTC生活的媒体话语,揭示了一种将LTC生活视为悲剧的话语。在本研究中,我们采用生活故事的方法,探讨了当LTC的老年人(n = 15)被邀请分享他们的COVID-19经历时,悲剧话语如何发生变化(如果有的话)。我们的分析揭示了三个相互关联的类别,它们共同突出了在COVID-19大流行期间影响LTC生命价值的无数因素,并作为主流话语的反叙述。这些相反的叙述分为以下几类:2019冠状病毒病是一个更大的生活故事的组成部分;不顾限制抵制隔离;并对比了在COVID-19之前、期间和之后LTC的生活经历,并突出了居民在这一危机时期如何努力保持归属感、关怀和联系感。在LTC引入经历COVID-19的居民的反叙述,为从悲剧到磨难的全球动荡时期的重建提供了动力。它还提醒我们,即使在主流话语支持抹杀他们的时候,人们仍在继续做出勇敢的努力,以确保他们生命的价值被看到和认可。
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引用次数: 0
‘Kindness, respect and consultation’ versus ‘being kept active and busy’: The differences between residents' and families' expectations of high-quality care in nursing homes “友善、尊重和咨询”与“保持活跃和忙碌”:居民和家庭对养老院高质量护理期望的差异
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-12-01 DOI: 10.1016/j.jaging.2025.101383
Jo-Anne Rayner, Deirdre Fetherstonhaugh, Linda McAuliffe
High-quality care is a right and an expectation of older people living in nursing homes; however, recent Australian evidence suggests that the care provided is sub-standard. To understand what older Australians living in nursing homes and their family members expect of high-quality aged care, semi-structured interviews were undertaken with older people (n = 51) and family members (n = 29) in 15 nursing homes. Transcripts were thematically analysed. Findings suggest that older peoples' and family members' expectations of high-quality care differ. Overwhelmingly, older people spoke about meals and the interpersonal aspects of care, including the importance of relationships with others, being treated respectfully as individuals with kindness, being given choice and involvement in care decisions, and staff responding to their care needs promptly. For families, high-quality care was about having a clean physical environment, more staff to provide individualised care, better communication with families, and keeping their relatives active and busy. Older people also spoke about the need for more staff, but their concern related to staff workload rather than the quality of their care. This research found that the care priorities of older people in nursing homes differ from those of their families. Staff must not assume that the expectations of older people and families regarding high-quality care are the same; they should provide person-centred care to older people and improve communication with families.
高质量的护理是生活在养老院的老年人的权利和期望;然而,最近澳大利亚的证据表明,所提供的护理是不合标准的。为了了解住在养老院的澳大利亚老年人及其家庭成员对高质量老年护理的期望,我们对15家养老院的老年人(n = 51)和家庭成员(n = 29)进行了半结构化访谈。对转录本进行主题分析。研究结果表明,老年人和家庭成员对高质量护理的期望不同。绝大多数老年人谈到了膳食和护理的人际关系方面,包括与他人建立关系的重要性,被尊重地对待,被给予选择并参与护理决策,以及工作人员及时响应他们的护理需求。对于家庭来说,高质量的护理是指有一个干净的物理环境,更多的工作人员提供个性化护理,更好地与家人沟通,让他们的亲属保持活跃和忙碌。老年人也谈到需要更多的工作人员,但他们担心的是工作人员的工作量,而不是他们的护理质量。这项研究发现,老年人在养老院的护理优先级不同于他们的家庭。工作人员不能认为老年人和家庭对高质量护理的期望是相同的;它们应为老年人提供以人为本的护理,并改善与家庭的沟通。
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引用次数: 0
(not) lovely: Enacting solidarity in dementia care through participatory Arts. (不)可爱:通过参与式艺术在痴呆症护理中发挥团结作用。
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-12-01 Epub Date: 2025-08-07 DOI: 10.1016/j.jaging.2025.101352
Chloé Bradwell

This article considers how artists can help highlight the value of negative emotions for care home residents living with dementia. It continues the discussion on arts and health in dementia care by looking at wellbeing beyond mere individual happiness and considering sadness as an integral part of it. This study focuses on Entelechy Arts, a participatory arts company creating cultural programmes for isolated older adults and those in care environments. Focusing on a specific interaction from their Walking Through Walls programme, this article offers a thick description and theoretical analysis of how the creative practitioners fostered solidarity among artists, residents, and staff by validating a resident's feelings of sadness and anger through kinaesthetic attunement. The study argues that by attuning to negative emotions, artists can challenge notions of utopian happiness. This counters the idea that negative emotions must be suppressed to promote wellbeing and enact solidarity as a collective and activist act of care. This is critical in the context of care home residents living with dementia, for whom negative feelings are often interpreted as challenging behaviours that can lead to medication and isolation. Instead, this paper suggests that artists can help re-frame such behaviours as important relational acts that challenge the normalisation of oppressive institutional systems.

这篇文章探讨了艺术家如何帮助老年痴呆症患者强调负面情绪的价值。它继续讨论痴呆症护理中的艺术和健康,通过关注幸福而不仅仅是个人幸福,并将悲伤视为其不可分割的一部分。这项研究的重点是Entelechy Arts,这是一家参与式艺术公司,为孤立的老年人和护理环境中的老年人创造文化节目。这篇文章聚焦于他们的“穿墙行走”项目的具体互动,对创造性的实践者如何通过动觉调谐来验证居民的悲伤和愤怒情绪,从而培养艺术家、居民和工作人员之间的团结进行了详尽的描述和理论分析。该研究认为,通过适应负面情绪,艺术家可以挑战乌托邦式幸福的概念。这反驳了必须抑制负面情绪以促进幸福和制定团结作为集体和积极的关怀行为的观点。对于患有痴呆症的养老院居民来说,这一点至关重要,因为对他们来说,负面情绪往往被解释为具有挑战性的行为,可能导致药物治疗和孤立。相反,本文建议艺术家可以帮助将这些行为重新定义为挑战压迫性制度系统正常化的重要关系行为。
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引用次数: 0
Editorial for special issue Ethical concerns: Envisioning ethnographic fieldwork with cognitively impaired older adults 特刊社论伦理问题:设想与认知受损的老年人民族志田野调查
IF 1.9 3区 社会学 Q2 GERONTOLOGY Pub Date : 2025-12-01 DOI: 10.1016/j.jaging.2025.101358
Barbara Pieta , Cristina Douglas , Matthew Lariviere , Maria D. Vesperi
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引用次数: 0
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Journal of Aging Studies
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