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The timescapes of older adults living alone and receiving home care: An interview study 接受家庭护理的独居老年人的时间景观:访谈研究
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-02-02 DOI: 10.1016/j.jaging.2024.101212
Kristin S. Voie , Janine Wiles , Kjersti Sunde Mæhre , Margrethe Kristiansen , Ann Karin Helgesen , Bodil H. Blix

In this study, we drew on Barbara Adam's (1998) timescape perspective and applied a timescape lens to our analysis of how nine older adults who live alone, receive home care and are considered by home care professionals to be frail, experience living (in) time. Over a period of eight months, we conducted three interviews with each of the nine participants. We analysed the data using reflexive thematic analysis and drew on timescapes to further interpret our preliminary analysis. Our results show that situated everyday time, place across time, and large-scale time interact in the framing and shaping of older adults' everyday lives. Older adults' embodied experiences of being of advanced age, living alone and receiving home care influenced their timescapes. We propose that paying attention to older adults' timescapes can enable home care professionals and other supporters to consider older adults' health, well-being, vulnerabilities and strengths from a broader perspective than the ‘here and now’ and thereby enhance the provision of person-centred care.

在这项研究中,我们借鉴了芭芭拉-亚当(Barbara Adam,1998 年)的时空视角,并运用时空透视法分析了九位独居、接受家庭护理并被家庭护理专业人员视为体弱的老年人是如何体验(在)时间中生活的。在八个月的时间里,我们对九名参与者每人进行了三次访谈。我们使用反思性主题分析法对数据进行了分析,并利用时间景观对我们的初步分析进行了进一步解释。我们的研究结果表明,日常情景时间、跨时空地点和大规模时间在构建和塑造老年人日常生活的过程中相互作用。老年人的高龄、独居和接受家庭护理的经历影响了他们的时间景观。我们建议,关注老年人的时间景观可以使家庭护理专业人员和其他支持者从比 "此时此地 "更广阔的视角来考虑老年人的健康、福祉、脆弱性和优势,从而加强以人为本的护理服务。
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引用次数: 0
Influence of materiality in professional geriatric care: Conceptual, methodological and empirical insights1 老年专业护理中物质性的影响:概念、方法和实证见解
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-01-25 DOI: 10.1016/j.jaging.2024.101210
Hanna Wüller , Rosa Mazzola

Most people become more reliant on care and support as they age. The constitution of ageing people in the context of nursing support thus represents a material aspect in the daily life of these people and must be taken into account in the science of gerontology. However, theories of (geriatric) care have previously been predominantly human-centric. In light of the material turn, the goal of this paper is to highlight the potential to be found in using agential realism to critically examine geriatric care. It will begin by detailing previous perspectives on geriatric care and any use of material aspects to be found in it. It will then present a conceptual-methodical approach that allows for an examination of the act of caring, taking material aspects into account. The application of this approach to empirical material drawn from an example of acute care in Germany will, in conclusion, illustrate significant elements that, in light of agential realism, must also be taken into account when investigating what it means to provide good geriatric care.

随着年龄的增长,大多数人越来越依赖护理和支持。因此,老龄人在护理支持方面的构成是这些人日常生活中的一个物质方面,必须在老年学科学中加以考虑。然而,(老年)护理理论以前主要是以人为中心的。鉴于物质转向,本文旨在强调使用代理现实主义对老年护理进行批判性研究的潜力。本文将首先详细介绍以往关于老年护理的观点,以及其中对物质方面的使用。然后,它将介绍一种概念-方法论方法,这种方法允许对护理行为进行研究,并将物质方面考虑在内。最后,将这一方法应用于从德国急症护理实例中提取的经验材料,以说明在研究提供良好老年护理的意义时,根据代理现实主义也必须考虑的重要因素。
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引用次数: 0
‘Robbed out of mind’: Reflections on Alzheimer's and gendered subjectivity in select Indian literary narratives 被抢走了心智":对部分印度文学叙事中阿尔茨海默氏症和性别主体性的思考
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-01-22 DOI: 10.1016/j.jaging.2024.101211
Debashrita Dey, Priyanka Tripathi

Neurological degeneration is a potent signifier molding older lives, divesting them of ‘personhood’ and making them a ‘target of care’. This article delineates the depictions of Alzheimer's and its associated losses in select Indian literary narratives- Jalsobi: In the Shadow of Light (2018) and Girl in White Cotton (2019) and seeks to understand how ‘ageing into disability’ for older women has severe implications that marginalize their embodied existence, foisting a symbolic death. Through the fictional accounts, the article explores two primary threads of consideration - how the ‘selfhood’ gets eroded/reclaimed while experiencing cognitive impairment and how the shift from the patient-centric to the person-centric approach alters the relational care dynamics in the Indian context. It also attempts to situate the conception and representation of age-induced cognitive loss within the framework of critical disability studies, which understates the reductionist biomedical perspective and fosters an alternative, inclusive, and empathetic understanding of dysfunctionality.

神经系统退化是塑造老年人生活、剥夺其 "人格 "并使其成为 "照顾对象 "的有力标志。本文选取印度文学叙事--《贾尔索比:在光的阴影中》(2018 年)和《穿白棉衣的女孩》(2019 年)--中对阿尔茨海默氏症及其相关损失的描写,试图理解老年妇女 "老化为残疾 "如何产生严重影响,使她们的肉身存在边缘化,造成象征性死亡。通过虚构的叙述,文章探讨了两条主要的思考线索--在经历认知障碍时,"自我身份 "是如何被侵蚀/恢复的,以及在印度背景下,从以患者为中心到以人为本的转变是如何改变关系护理动态的。它还试图在批判性残疾研究的框架内对年龄引起的认知功能丧失的概念和表述进行定位,这种研究低估了还原论的生物医学观点,并促进了对功能障碍的另一种、包容性和感同身受的理解。
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引用次数: 0
“We're still alive, much to everyone's surprise”: The experience of trans older adults living with dementia in an ageist, cisgenderist, and cogniticist society "我们还活着,让所有人都感到惊讶":在一个年龄歧视、顺性别歧视和认知歧视的社会中,患有痴呆症的变性老年人的经历
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-01-16 DOI: 10.1016/j.jaging.2024.101208
Alexandre Baril , Marjorie Silverman

Trans and non-binary older adults living with dementia experience forms of marginalization, pathologization, and discrimination embedded in epistemic violence that leads them to be mistreated and dismissed as knowledgeable subjects. Based on empirical findings from a Canadian study examining the experiences of trans and non-binary people living with dementia and their carers, we combat this epistemic violence by focusing on the first-hand narratives of this population and their carers. Narrative interviews were conducted with six participants (N = 6): four carers of trans and non-binary adults living with dementia and two trans (binary) people living with dementia. Through a thematic analysis, we examine the unique aspects of living with dementia as a trans or non-binary person. First, the findings show how cogniticism impacts the experience of gender identity and cisgenderism, for example through blocked surgeries, excessive gatekeeping, and not being taken seriously by practitioners. Second, the findings discuss how dementia impacts gender identity and cisgenderism, for example, by increasing the need for formal care that can in turn increase vulnerability to structural violence. Third, the findings illustrate how cisgenderism and gender identity impact the experience of dementia and cogniticism, for example by limiting care options and the ability to advocate for oneself. Fourth, the findings highlight the silo mentality among practitioners, since most of them do not work with an intersectional lens. The article concludes by offering recommendations.

患有痴呆症的变性和非二元老年人经历着各种形式的边缘化、病态化和歧视,这些都包含在认识论暴力中,导致他们受到虐待,并被视为知识主体而遭到否定。基于一项加拿大研究对变性和非二元性痴呆症患者及其照顾者的经历进行调查后得出的经验性结论,我们通过关注这些人群及其照顾者的第一手叙述来对抗这种认识暴力。我们对六位参与者(N = 6)进行了叙事访谈:四位变性和非二元成人痴呆症患者的照顾者,以及两位变性(二元)痴呆症患者。通过主题分析,我们研究了变性人或非二元人与痴呆症患者共同生活的独特之处。首先,研究结果表明了认知主义如何影响性别认同和顺性别主义的体验,例如通过手术受阻、过度把关以及不被从业者认真对待等。其次,研究结果讨论了痴呆症如何影响性别认同和顺性别主义,例如,痴呆症增加了对正规护理的需求,这反过来又增加了对结构性暴力的脆弱性。第三,研究结果说明了顺性别主义和性别认同如何影响痴呆症和认知症的体验,例如,限制了护理选择和为自己辩护的能力。第四,研究结果凸显了从业人员的筒仓心态,因为他们中的大多数人并没有从交叉视角开展工作。文章最后提出了建议。
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引用次数: 0
More than words: Doing the work of being open and inclusive 不只是说说而已:努力做到开放包容
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-01-13 DOI: 10.1016/j.jaging.2023.101204
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引用次数: 0
Cared for masculinities in nursing homes - A material perspective on the intersectionality of institutional, spacial, gendered and corporal materiality 疗养院中的男性关怀--从物质角度看机构、空间、性别和身体物质性的交叉性
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-01-11 DOI: 10.1016/j.jaging.2024.101206
Rafaela Werny

This paper takes the co-construction of age and gender over the course of a life as a starting point and expands this perspective by looking at the intersectional interplay of institutional, spatial, and bodily materiality in the setting of a nursing home. Nursing homes are often perceived as a female space, both socially and physically. Moreover, they are institutional spaces that are primarily oriented towards the deficits of aging and bodies in need of care so that age and aging are reproduced in a narrative of decline, and gender hardly has space to be constructed. This interweaving of institutional spaces, bodies in need of care, and gender poses the question: How are age and gender produced through the space(s) of the nursing home and its materiality, and vice versa? On this basis, the influence on the construction of masculinities in the context of materialism is discussed.

This paper draws on two case studies, Walter Probst (age 93) and Günther Schiffke (age 78), based on biographical interviews, to focus on the perspective of very old men in need of care and work out the interplay between the material nature of the institutional space and the body in need of care. It will be shown how closely the performance of age, gender, and masculinities is determined by spatial materiality in the nursing home and the increasing dependence of bodies in need of care, as well as how these bodies produce the spaces in turn. On the basis of the case studies, three aspects of materiality of care home spaces are highlighted. The first aspect of this materiality shows how the body can be increasingly perceived and treated as a material object. The second aspect is defined by the body situated in space, and its relationship to objects and aids. As a third aspect, the possibilities of interacting in communal and private spaces of the nursing home are explored. The article thus contributes to linking the (re-) construction of biographic narratives more strongly to spatial materiality and to embedding the construction and performance of age and gender in spatial and institutional structures, thus demonstrating that spaces and environments shape age, gender, and masculinities in a reciprocal way.

本文以生命过程中年龄与性别的共同建构为出发点,通过研究疗养院环境中机构、空间和身体物质性的交叉相互作用,扩展了这一视角。养老院通常被视为女性的空间,无论是在社会上还是在物质上。此外,养老院的机构空间主要面向衰老的缺陷和需要照顾的身体,因此年龄和衰老在衰退的叙事中再现,性别几乎没有被建构的空间。机构空间、需要照顾的身体和性别的交织提出了一个问题:年龄和性别是如何通过疗养院的空间及其物质性产生的,反之亦然?本文以 Walter Probst(93 岁)和 Günther Schiffke(78 岁)这两个案例研究为基础,通过传记访谈,重点关注需要护理的高龄男性的视角,并探讨机构空间的物质性与需要护理的身体之间的相互作用。研究将显示年龄、性别和男性气质的表现是如何被养老院的空间物质性和需要护理的身体日益增长的依赖性密切决定的,以及这些身体是如何反过来制造空间的。在案例研究的基础上,我们强调了疗养院空间物质性的三个方面。这种物质性的第一个方面显示了身体如何越来越多地被视为一种物质对象。第二个方面是身体在空间中的位置及其与物体和辅助工具的关系。第三方面,探讨了在养老院的公共和私人空间进行互动的可能性。因此,这篇文章有助于将(重新)构建传记叙事与空间物质性更紧密地联系起来,并将年龄和性别的构建和表现嵌入空间和机构结构中,从而证明空间和环境以互惠的方式塑造年龄、性别和男性气质。
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引用次数: 0
Age differences in emotional reactions to ageist memes and changes in age of one's Best Self 对年龄歧视备忘录的情绪反应的年龄差异和最佳自我年龄的变化
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-01-10 DOI: 10.1016/j.jaging.2024.101207
Patricia Kahlbaugh , Jacklyn Ramos-Arvelo , Madison Brenning , Loreen Huffman

Memes on social media can carry ageist messages and can elicit reactions that are both emotional and self-evaluative. The present study investigates age-related differences in nine discrete emotions and in the evaluation of when individuals have been or will be their best selves. Participants (n = 360) representing young (m = 26 years), middle-aged (m = 39 years) and older adults (m = 63 years) were randomly assigned to view either non-ageist (animals) or ageist (e.g., incompetent older people) memes. After viewing memes, we assessed nine emotional reactions (i.e., fear, anger, sadness, happiness, anxiety, discomfort, disgust, surprise, enjoyment) and Best Self evaluations. Younger and middle-aged people reported more intense emotional reactions to memes than older people, with the exception that older people reported more discomfort and disgust in response to ageist versus non-ageist memes. Younger adults were less surprised by ageist memes (vs. non-ageist) and for all age groups ageist memes (vs. non-ageist) elicited less happiness and enjoyment and were less likely to be shared. With respect to evaluations of one's Best Self, older individuals were more likely to report being their best selves in the past, while after viewing ageist memes, younger individuals were more likely to report being their best selves in the future. Emotions of disgust and discomfort were related to identifying one's Best Self as further in the past. The current study adds to the literature on the impact of ageism by examining age-related differences in the emotions and self-evaluations experienced when confronted with memes on social media.

社交媒体上的备忘录可能带有年龄歧视的信息,也可能引起情绪和自我评价方面的反应。本研究调查了九种离散情绪中与年龄有关的差异,以及对个人何时已经或将成为最好的自己的评价。参与者(n = 360)分别代表年轻人(m = 26 岁)、中年人(m = 39 岁)和老年人(m = 63 岁),他们被随机分配观看非年龄歧视(动物)或年龄歧视(如不称职的老年人)的备忘录。观看备忘录后,我们评估了九种情绪反应(即恐惧、愤怒、悲伤、快乐、焦虑、不适、厌恶、惊讶、享受)和最佳自我评价。与老年人相比,年轻人和中年人对信息备忘录的情绪反应更强烈,但老年人对有年龄歧视的信息备忘录和无年龄歧视的信息备忘录的不适感和厌恶感更强烈。较年轻的成年人对老龄歧视主题(与非老龄歧视主题相比)的惊讶程度较低,而对所有年龄组的人来说,老龄歧视主题(与非老龄歧视主题相比)引起的快乐和享受程度较低,被分享的可能性也较低。在对 "最好的自己 "的评价方面,年龄较大的人更倾向于认为自己在过去是最好的自己,而年龄较小的人则更倾向于认为自己在未来是最好的自己。厌恶和不适的情绪与认为过去的最佳自我更进一步有关。本研究通过考察人们在面对社交媒体上的漫画时所体验到的情绪和自我评价方面与年龄有关的差异,为有关年龄歧视影响的文献增添了新的内容。
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引用次数: 0
Counter-narratives of active aging: Disability, trauma, and joy in the age-friendly city 积极老龄化的反叙事:老年友好型城市中的残疾、创伤与欢乐
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2024-01-06 DOI: 10.1016/j.jaging.2023.101205
Karine Côté-Boucher , Tamara Daly , Sally Chivers , Susan Braedley , Sean Hillier

Dominant narratives about late life promote active aging, while anti-aging ones mobilize tropes of decline and irrelevance. In contrast, counter-narratives raise questions that spark new conversations about the promising practices that could foster more age-friendly cities. In this article, we describe our feminist and ethnographic approach to interviews and digital storytelling that aim to amplify the voices of marginalized older adults living with disability, violence, and colonialism, and share findings from this endeavor. We discuss the interviews with, and stories shared, by two disabled older adults - an Indigenous woman and a white paraplegic man - and the aging futures their counter-stories suggest. These stories reveal these participants' ongoing struggles to create meaning in their lives, and how their relationships to the physical, cultural, and social environment of the city, including its supports and services, can both support and hinder this becoming.

关于晚年生活的主流叙事提倡积极老龄化,而反老龄化叙事则鼓动衰退和无关紧要的陈词滥调。与此相反,反叙事则提出了一些问题,引发了关于可促进更多老年友好型城市的可行做法的新对话。在这篇文章中,我们介绍了我们采用女权主义和人种学方法进行的访谈和数字叙事,旨在放大生活在残疾、暴力和殖民主义环境中的边缘化老年人的声音,并分享这一努力的结果。我们讨论了对两位残疾老年人--一位土著妇女和一位截瘫的白人男子--的采访和他们分享的故事,以及他们的反故事所暗示的老龄化未来。这些故事揭示了这些参与者为创造生命意义而持续奋斗的过程,以及他们与城市的物质、文化和社会环境(包括其支持和服务)之间的关系如何既支持又阻碍了他们的生命意义。
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引用次数: 0
Material gerontology – Central thematic intersections and blurring boundaries 物质老年学--中心主题交叉和界限模糊
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-12-22 DOI: 10.1016/j.jaging.2023.101203
Vera Gallistl , Julia Hahmann , Grit Höppner , Anna Wanka
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引用次数: 0
Healthy aging, self-care, and choice in India: Class-based engagements with globally circulating ideologies 印度的健康老龄化、自我保健和选择:与全球流行意识形态的阶级参与
IF 2.3 3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-11-25 DOI: 10.1016/j.jaging.2023.101194
Sarah Lamb , Nilanjana Goswami

Euro-American notions of successful and healthy aging are taking root globally, shaped and inflected by local cultural and political contexts. India is one place where globally inflected discourses of healthy, active, and successful aging are on the rise. However, notions about just what constitutes healthy aging and how to achieve such a goal do not play out the same way across the globe. This article explores how older Indians of diverse social classes are thinking about their own lives in relation to broader discourses of healthy aging circulating within India and abroad. Analyses of in-depth interviews with 25 individuals (11 women and 14 men, ages 57 to 81, across a range of social classes) reveal that while many among the urban elite are enjoying participating in a globally informed healthy-aging culture, such trends are not at all widespread among the non-elite. Moreover, Indians across social classes tend to interpret their own “healthy aging” goals in ways at odds with their perceptions of Western paradigms of healthy and successful aging, sometimes incorporating critiques of the West into their own reflections about health and well-being in later life. By examining how healthy-successful aging ideologies play out across divergent national-cultural and social-class contexts, our aim is to challenge universalizing models and heighten understanding of social inequalities while opening up a wider set of possibilities for imagining what it is to live meaningfully in later life.

欧美关于成功和健康老龄化的观念正在全球扎根,受到当地文化和政治背景的塑造和影响。在印度,健康、积极和成功老龄化的全球影响话语正在上升。然而,关于什么是健康老龄化以及如何实现这一目标的概念在全球范围内不尽相同。本文探讨了不同社会阶层的印度老年人如何思考他们自己的生活与印度国内外健康老龄化的更广泛话语的关系。对来自不同社会阶层的25人(11名女性和14名男性,年龄在57岁至81岁之间)进行的深度访谈分析显示,虽然城市精英中的许多人都喜欢参与全球知情的健康老龄化文化,但这种趋势在非精英群体中并不普遍。此外,各个社会阶层的印度人对自己的“健康老龄化”目标的解读,往往与他们对西方健康和成功老龄化模式的看法不一致,有时会将对西方的批评纳入他们自己对晚年健康和幸福的反思。通过研究健康成功的老龄化意识形态如何在不同的国家文化和社会阶层背景下发挥作用,我们的目标是挑战普遍化的模式,提高对社会不平等的理解,同时为想象什么是有意义的晚年生活开辟更广泛的可能性。
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引用次数: 0
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Journal of Aging Studies
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