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Ageing in place with non-medical home support services need not translate into dependence 在提供非医疗家庭支助服务的情况下,老龄化不一定转化为依赖
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-10-09 DOI: 10.1017/s0144686x23000478
Kaitlyn Kuryk, Laura M. Funk, Grace Warner, Marilyn Macdonald, Michelle Lobchuk, Julie Rempel, Lauren Spring, Janice Keefe
Abstract Older adults who age at home independently are often celebrated as having anticipated and planned for their care needs in the later stages of life, whereas those who receive assistance from home support services are often stigmatised as dependent and characterised as a ‘drain on the system’. However, this thematic analysis of interview data from 12 home care clients in two Canadian provinces offers evidence that counters the assumption that home care clients are passive recipients of care. Extending Corbin and Strauss' theorisation of how individuals manage chronic conditions alongside Dorothy Smiths' conception of work, we explore how home care clients ‘work’ to receive care as they age in place. Specifically, home care clients not only engage in daily life work, illness work and biographical work, but also advocate for themselves and their workers, co-ordinate and negotiate with members of their caring convoys and networks, and adapt in various ways to navigate personal, relational, structural and policy-level challenges. We suggest that work done by older adults who are ageing in place be addressed, acknowledged and incorporated into care planning and operational policy development to challenge both the stigma of dependency and neoliberal narratives of self-sufficiency.
在家中独立生活的老年人通常被庆祝为他们在生命后期阶段的护理需求进行了预期和计划,而那些从家庭支持服务中获得帮助的人往往被污名化为依赖并被描述为“系统的流失”。然而,对加拿大两个省的12个家庭护理客户的访谈数据的专题分析提供了证据,反驳了家庭护理客户是被动接受护理的假设。将Corbin和Strauss关于个人如何管理慢性疾病的理论与Dorothy Smiths的工作概念相结合,我们探索了家庭护理客户如何在年老时“工作”以接受护理。具体来说,家庭护理客户不仅要从事日常生活工作、疾病工作和传记工作,还要为自己和他们的工人辩护,与他们的护理车队和网络成员协调和协商,并以各种方式适应个人、关系、结构和政策层面的挑战。我们建议将老年人所做的工作纳入到护理计划和操作政策制定中,以挑战依赖的耻辱和新自由主义的自给自足叙事。
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引用次数: 0
Exploring financial abuse involving people with dementia: an empirical legal study of nation-wide court rulings over a decade in Taiwan 探讨涉及痴呆症患者的财务滥用:台湾十年来全国法院裁决的实证法律研究
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-10-09 DOI: 10.1017/s0144686x23000533
Li-Jung Elizabeth Ku, Sieh-Chuen Huang, Yi-Han Liao, Hsin-Yu Kang, Chao-An Chung
Abstract Previous literature attempted to gain insight into financial abuse involving people with dementia by analysing court cases, but these studies were limited in sample size or scope. This study collected 214 court rulings directly related to the financial decisions of people with dementia to identify characteristics of the financial abuse victim, perpetrators and the types of assets. The models of bystander intervention and routine activity theory were used as conceptual models to guide analysis regarding the role of bank staff as well as the court's decision in cases of financial abuse. The majority of financial abuse perpetrators were family members (73.8%), as opposed to outsiders (19.2%). Transfer of real estate was the most common legal issue, and land was the most common financial asset involved. Difficult intra-family relationships seem to pose a great risk of financial abuse involving people with dementia since adult children were found to be the most likely perpetrators (52.7%) but also plaintiffs accusing financial abuse (57.6%). In accordance with the bystander intervention model, bank staff were more likely to be suspicious of financial abuse when an outsider was regarded as the perpetrator. In accordance with the routine activity theory model, the court was more likely to acknowledge the case as an invalid financial decision when an outsider was regarded as the perpetrator in financial abuse cases. Since people with dementia suffer from greater losses due to their family members, future policies should establish guidelines for front-line bank staff to identify warning signs to reduce the risk of financial abuse involving people with dementia, not only to prevent fraud by outsiders but also exploitation by family members.
以前的文献试图通过分析法庭案件来深入了解涉及痴呆症患者的金融滥用,但这些研究的样本量或范围有限。本研究收集了214份与痴呆症患者财务决策直接相关的法院裁决,以确定财务滥用受害者、肇事者和资产类型的特征。以旁观者干预模型和日常活动理论模型作为概念模型,指导分析银行工作人员在金融滥用案件中的作用以及法院的判决。以家庭成员(73.8%)居多,而外人(19.2%)居多。房地产转让是最常见的法律问题,土地是最常见的金融资产。由于成年子女是最有可能的施暴者(52.7%),而且原告也指控经济虐待(57.6%),因此,家庭内部关系困难似乎会给痴呆症患者带来很大的经济虐待风险。根据旁观者干预模型,当局外人被视为金融滥用的加害者时,银行工作人员更容易对金融滥用产生怀疑。根据常规活动理论模型,在金融滥用案件中,当局外人被视为行骗者时,法院更容易承认案件为无效的金融决策。由于痴呆症患者因其家庭成员而遭受更大的损失,未来的政策应该为一线银行工作人员制定指导方针,以识别警告信号,以减少涉及痴呆症患者的金融滥用风险,不仅要防止外人的欺诈,还要防止家庭成员的剥削。
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引用次数: 0
Doing ageing research in pandemic times: a reflexive approach towards research ethics during the COVID-19 pandemic – CORRIGENDUM 在大流行时期开展老龄化研究:COVID-19大流行期间研究伦理的反思性方法-勘误表
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-10-04 DOI: 10.1017/s0144686x23000582
Lucie Galčanová Batista, Anna Urbaniak, Anna Wanka
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引用次数: 1
Contemporary Narratives of Ageing, Illness, Care Katsura Sako and Sarah Falcus (eds), Routledge, Abingdon, UK, 2022, 216 pp., hbk £120.00, ISBN 13: 9780367528393 《衰老、疾病、护理的当代叙事》,佐柯和莎拉·法克斯(编),劳特利奇,阿宾顿,英国,2022年,216页,hbk£120.00,ISBN 13: 9780367528393
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-10-02 DOI: 10.1017/s0144686x23000338
Francisca Ortiz Ruiz
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引用次数: 0
The complexities of implementing an LGBT inclusion scheme in residential care: sharing knowledge, overcoming opposition and producing in- and exclusion 在住宿护理中实施LGBT包容计划的复杂性:分享知识,克服反对,产生接纳和排斥
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-10-02 DOI: 10.1017/s0144686x23000624
Roos Pijpers, Krystel Honsbeek
Abstract A growing number of organisations in residential care for older people are working towards safe and inclusive environments for LGBT residents. In the Netherlands, these efforts are supported by an LGBT inclusion scheme called ‘Pink Passkey’. Drawing on critical organisational diversity studies, the paper understands inclusion as ‘accomplished’ in interactions across difference, and as always inherently partial ( i.e. exclusion-producing). Qualitative methods are used to study the implementation process of the Pink Passkey in two nursing homes during one year. In sum, the paper contributes evidence of positive change associated with the use of the Pink Passkey as an inclusion scheme characterised by a long-term, open-ended and comprehensive approach. Compared to fixed-term projects and stand-alone measures described in previous LGBT ageing literature, an inclusion scheme helps to gain sustained attention to sexual and gender diversity (despite gaps in the implementation process), to normalise it more and to overcome opposition (though this does not disappear). The inclusion accomplished is, indeed, partial: bisexual, transgender and other gender non-conforming identities are less represented than gay and lesbian identities. Also, there is an emphasis on residents' agency to disclose LGBT identities and preferences, which excludes involuntary same-sex sexual expressions caused by disinhibited behaviour. The paper ends by suggesting disinhibited behaviour in older LGBT adults as an issue of interest to the wider literature on LGBT ageing, given the increasing prevalence of dementia and Parkinson's disease. Here, the role of care professionals who are able to understand and respond to bodily cues that echo struggles with otherness merits further consideration.
越来越多的老年人住宿护理组织正在努力为LGBT居民提供安全和包容的环境。在荷兰,这些努力得到了一项名为“粉色通行证”的LGBT包容计划的支持。借鉴关键的组织多样性研究,本文将包容理解为在跨越差异的相互作用中“完成”,并且总是固有的部分(即排斥产生)。采用定性方法,对两家养老院一年内粉色通行证的实施过程进行了研究。总而言之,本文提供了与使用粉红通行证相关的积极变化的证据,作为一种以长期,开放式和全面方法为特征的纳入方案。与之前LGBT老龄化文献中描述的固定期限项目和独立措施相比,包容性计划有助于获得对性和性别多样性的持续关注(尽管在实施过程中存在差距),使其更加正常化,并克服反对意见(尽管这并没有消失)。事实上,这种包容性只是部分的:双性恋、变性人和其他不符合性别标准的身份比同性恋身份更少。同时,强调居民自主披露LGBT身份和偏好,排除因不受约束的行为导致的非自愿的同性性表达。论文最后提出,鉴于痴呆症和帕金森氏症的日益流行,老年LGBT成年人的去抑制行为是有关LGBT老龄化的更广泛文献感兴趣的问题。在这里,护理专业人员的角色是能够理解和回应身体暗示,回声与他者的斗争值得进一步考虑。
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引用次数: 0
Revisiting the social construction of old age 重新审视老年社会建构
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-10-02 DOI: 10.1017/s0144686x23000570
Chris Gilleard
Abstract The aim of this paper is to review the social constructionist view of age and ageing that emerged in the late 1970s and early 1980s. It begins with a general consideration of social constructionism as an epistemological framing of the world, before turning to its use in social gerontology. It considers two distinct social constructionist approaches treating later life as a social reality: (a) as a structural consequence of the rise of the modern state and its organisation of the labour market and (b) as a consequence of shifting cultural and social representations. Arguing that the earlier more structuralist accounts have gradually become overshadowed by concerns over age as identity, socially constructivist approaches now place as much emphasis upon the social representation of age as on its social-structural organisation. The paper then reviews the costs and benefits of social constructionism in general and its becoming a key part in the study of ageing. Its benefits arise from drawing attention to the salience of the cultural and the social in fashioning age and ageing and thereby advancing the sociology of later life. At the same time, social constructionist approaches to old age risk neglecting an other personal and social reality arising from corporeal decline and fear of the body-to-come. The paper concludes by noting how, whether approaching ageing and old age as natural kinds or as human kinds, adopting biological or sociological methodologies, all such methods privilege the externality of age – whether as a social or a biological fact. What is not captured by either is the problematic internality of age. What might be called the subjectivity of age will remain a topic for cultural representation, beyond the methods of both biological and social science.
摘要:本文的目的是回顾20世纪70年代末和80年代初出现的年龄和老龄化的社会建构主义观点。它开始与社会建构主义作为世界的认识论框架的一般考虑,然后转向其在社会老年学的使用。它考虑了两种截然不同的社会建构主义方法,将晚年生活视为一种社会现实:(a)作为现代国家崛起及其劳动力市场组织的结构性后果;(b)作为文化和社会表征变化的结果。社会建构主义的研究方法认为,早期的结构主义研究逐渐被对年龄和身份的关注所掩盖,现在社会建构主义的研究方法既强调年龄的社会表征,也强调其社会结构组织。然后,本文回顾了社会建构主义的成本和收益,以及它成为老龄化研究的关键部分。它的好处在于引起人们对文化和社会在塑造年龄和老龄化方面的突出作用的关注,从而推动了晚年社会学的发展。与此同时,社会建构主义的老年研究方法可能会忽视另一种个人和社会现实,这种现实源于身体的衰退和对即将到来的身体的恐惧。论文最后指出,无论是作为自然物种还是作为人类物种来看待衰老和老年,采用生物学或社会学的方法,所有这些方法都赋予了年龄的外部性特权——无论是作为社会事实还是作为生物学事实。这两种观点都没有抓住的问题是年龄的内在性。所谓的年龄的主体性将会是一个超越生物和社会科学方法的文化表征的话题。
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引用次数: 0
Experiences of COVID-19 lockdown among older people in Aotearoa: idyllic or dystopian? 奥特罗阿老年人的COVID-19封锁经历:田园诗般的还是反乌托邦的?
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-10-02 DOI: 10.1017/s0144686x23000545
Mary Breheny, Christine Stephens
Abstract The COVID-19 pandemic prompted concern about the wellbeing of older people, however, there have also been accounts of increased sense of community in response to the disruption of established routines. To explore how older people experienced lockdown in Aotearoa/New Zealand, we analysed 635 written comments on the 2020 wave of the Health, Work and Retirement longitudinal survey of people aged 55–85 years. Using narrative genre analysis, we discuss two narratives of lockdown: a narrative of lockdown as ‘idyllic’ and a ‘dystopian’ narrative of distrust. Using the idyllic narrative, people described pleasant activities and linked these stories to earlier times when community life was less time-pressured and people were more connected to one another. The dystopian narrative was used to describe politicians and the media as untrustworthy and to depict new vulnerabilities created by the rules of lockdown. These narrative genres provide different positions for older people. In the idyllic narrative, older people are treasured and supported by younger community members, whereas in the dystopian narrative older people feel abandoned and manipulated. These genres draw on possible late-life futures that are familiar to older people: either treasured or discarded. Identifying these narrative genres reveals the different vulnerabilities older people experience. This information can be used to support older people to experience security and to flourish in uncertain times.
2019冠状病毒病大流行引发了人们对老年人福祉的担忧,然而,也有报道称,随着既定惯例的中断,社区意识有所增强。为了探索新西兰奥特罗阿的老年人是如何经历封锁的,我们分析了关于2020年55-85岁人群健康、工作和退休纵向调查浪潮的635条书面评论。运用叙事体裁分析,我们讨论了禁闭的两种叙事:一种是“田园诗般的”禁闭叙事,另一种是不信任的“反乌托邦”叙事。使用田园诗般的叙述,人们描述了愉快的活动,并将这些故事与早期社区生活时间压力较小,人们彼此联系更紧密的时代联系起来。反乌托邦的叙事被用来形容政客和媒体不值得信任,并描绘封锁规则带来的新漏洞。这些叙事体裁为老年人提供了不同的立场。在田园诗般的叙事中,老年人受到年轻社区成员的珍视和支持,而在反乌托邦的叙事中,老年人感到被抛弃和被操纵。这些流派描绘了老年人所熟悉的可能的晚年未来:要么珍惜,要么抛弃。识别这些叙事类型揭示了老年人所经历的不同脆弱性。这些信息可用于支持老年人体验安全,并在不确定时期蓬勃发展。
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引用次数: 0
The role of uncertainty in planning for self-funded social care for older people with a diagnosis of dementia 不确定性在为诊断为痴呆症的老年人规划自筹资金的社会护理方面的作用
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-10-02 DOI: 10.1017/s0144686x23000594
Kate Baxter, Kate Gridley, Yvonne Birks
Abstract This paper considers how a diagnosis of dementia affects people's planning for future social care needs and associated costs. It addresses the gap in knowledge about how people recently diagnosed with dementia, and their family carers, engage with planning for social care needs that are uncertain in timing and scale. The paper also considers people's attitudes to planning for care that they may need to pay for privately, and what facilitates or hinders acting on such plans. We conducted and undertook thematic qualitative analysis of 39 in-depth interviews with 27 people newly diagnosed with dementia and/or their carers over a two-year period. Topics included current care and support, planning and co-ordinating care, paying for care, and expectations and planning for the future. The research took place in England. Our findings indicate that whilst people recognised they would have future care needs, with associated financial implications, this knowledge did not necessarily translate into actively planning for care or its cost. A key reason that recognition did not translate into action was uncertainty, manifested in three areas: the timescales and trajectory of their dementia and thus need for care; the potential for care needs to change and so negate care planning efforts; and uncertainty over their own capabilities to plan for and access paid-for care, given the perceived complexity of social care and associated financial arrangements. The paper discusses how anticipated regret may affect decision-making and contributes to debates about appropriate professional support for older self-funders with dementia. It suggests the task for those involved in the care of people with dementia is to identify the points and places in the care system where worries about future self-funded care can be addressed, and carers and the people they care for can be prompted and supported to act.
摘要本文考虑了痴呆症的诊断如何影响人们对未来社会护理需求和相关成本的规划。它解决了关于新近诊断为痴呆症的患者及其家庭护理人员如何参与规划时间和规模不确定的社会护理需求方面的知识差距。该报告还考虑了人们对他们可能需要私人支付的护理计划的态度,以及促进或阻碍这种计划的因素。在两年的时间里,我们对27名新诊断为痴呆症的患者和/或他们的护理人员进行了39次深度访谈,并进行了主题定性分析。主题包括当前护理和支持、计划和协调护理、支付护理费用以及对未来的期望和计划。这项研究在英国进行。我们的研究结果表明,虽然人们认识到他们未来会有护理需求,并伴有相关的财务影响,但这种认识并不一定转化为积极的护理计划或其成本。认识没有转化为行动的一个关键原因是不确定性,表现在三个方面:痴呆症的时间尺度和轨迹,因此需要护理;护理的潜力需要改变,从而否定护理计划的努力;考虑到社会护理和相关财务安排的复杂性,他们自己计划和获得付费护理的能力存在不确定性。本文讨论了预期的后悔如何影响决策,并为老年痴呆症自筹资金者提供适当的专业支持做出了贡献。它建议那些参与痴呆症患者护理的人的任务是确定护理系统中可以解决对未来自费护理的担忧的点和地方,并且可以提示和支持护理人员和他们所照顾的人采取行动。
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引用次数: 0
ASO volume 43 issue 10 Cover and Back matter ASO第43卷第10期封面和封底
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-09-20 DOI: 10.1017/s0144686x2300065x
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
此内容的摘要不可用,因此提供了预览。当您可以访问此内容时,可以通过“保存PDF”操作按钮获得完整的PDF。
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引用次数: 0
ASO volume 43 issue 10 Cover and Front matter ASO第43卷第10期封面和封面问题
3区 社会学 Q2 GERONTOLOGY Pub Date : 2023-09-20 DOI: 10.1017/s0144686x23000648
An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
此内容的摘要不可用,因此提供了预览。当您可以访问此内容时,可以通过“保存PDF”操作按钮获得完整的PDF。
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引用次数: 0
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Ageing & Society
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