bluuebunny/crossref_metadata_2025 huggingface dataset:
Social Isolation and Loneliness in Old Age: Review and Model Refinement
Authors: Wenger G. Clare , Davies Richard , Shahtahmasebi Said , Scott Anne
Published: November 2008

This paper reviews the empirical literature on social isolation and loneliness and identifies a wide range of published correlates. Using data from a study conducted in North Wales, which included many of the same correlated variables, a statistical modelling technique is used to refine models of isolation and loneliness by controlling for co-variance. The resulting models indicate that the critical factors for isolation are: marital status, network type and social class; and, for loneliness: network type, household composition and health.
The Process of Successful Ageing
Authors: Baltes Margret M. , Carstensen Laura L.
Published: November 2008

As increasingly more people experience old age as a time of growth and productivity, theoretical attention to successful ageing is needed. In this paper, we overview historical, societal and philosophical evidence for a deep, long-standing ambivalence about human ageing that has influenced even scientific views of old age. In recent years, however, discussion of the psychological and behavioural processes people use to maintain and reach new goals in late life has gained momentum. We contribute to this discussion the metamodel of selective optimisation with compensation, developed by Baltes and Baltes. The model is a metamodel that attempts to represent scientific knowledge about the nature of development and ageing with the focus on successful adaptation. The model takes gains and losses jointly into account, pays attention to the great heterogeneity in ageing and successful ageing, and views successful mastery of goals in the face of losses endemic to advanced age as the result of the interplay of the three processes, selection, compensation, and optimisation. We review evidence from the biological and social science literatures for each component and discuss new research avenues to study the interaction of the three processes.
Critical Perspectives on Ageing: New Challenges for Gerontology
Authors: Minkler Meredith
Published: November 2008

Critical gerontology may be seen as evolving along two paths simultaneously, one embracing a broad political economy of ageing framework, and the second emerging from a humanistic orientation. This paper will present and highlight the special contributions of each of these pathways to the understanding of ageing and growing old. Emergent feminist perspectives on ageing, and ‘culturally relevant ways of thinking’ about ageing and diversity will then be presented as complementing and extending critical gerontology. The concept of empowerment will be seen as linking all four of these conceptual approaches, and case studies and examples will be used to illustrate the relevance of these alternative perspectives for better understanding and addressing the problems and challenges facing gerontology in the years ahead.
Consumption and Identity in Later Life: Toward a Cultural Gerontology
Authors: Gilleard Chris
Published: November 2008

This paper considers the role of contemporary consumer culture in helping older people re-fashion their own identity in later life. As a result of the expanding role played by consumption in modern mass societies, adult identities now are being denned as much by how people spend their time and money as by the goods and services they can produce. An increasing number of retired people are able to participate in this consumer culture, and in doing so are creating new possibilities of being ‘old’. The contemporary period, whether deemed ‘late’ or ‘post’ modernity, seems to present a growing challenge to the dominance of structures of age, class and gender in defining the nature of our personal identity. There is more emphasis upon the exercise of choice and agency across all periods of the lifespan. The means by which this process is enacted in the lives of pre- and post-retired people should become central to a new, culturally focused social gerontology.
Continuity or Change: Inequalities in Health in Later Life
Authors: Victor Christina R.
Published: November 2008

Later life and ill health are perceived as being synonymous. To be old is to be unhealthy, while youth is associated with good health. One result of the widespread acceptance of this stereotype is that there has been little analysis of differences in health status within the post-retirement age groups. Data from the 1980 and 1985 General Household Survey (GHS) are used to consider patterns of health in later life. Using cross-sectional analysis, it is shown that morbidity increases with age. However, even for those aged 85+ the experience of ill health is shown not to be universal. Health status varies between both men and women and between the social classes. These differences are shown not to be the result of the varying age composition of the gender and class groups. The data presented show that there are profound age, gender and class differences in health status in later life and these represent the continuation of inequalities observed within the non-retired population.
Informal Care of Dependent Elderly at Home — Some Swedish Experiences
Authors: Johansson Lennarth
Published: November 2008

This study is an attempt to explore the dynamics in a group of family caregivers in a small rural setting in Sweden. Thirty-nine caregivers giving extensive help to elderly family members, who were all on the verge of institutionalisation, were interviewed. The results showed that the motives of caring were usually based on feelings of reciprocity and that the perceived burden of care was related to the proximity of the carer to the person cared for. Despite the existence of a rather well-developed system of formal care, these resources were poorly coordinated with the informal provision of care.
Communication, Language and the Institutionalised Elderly
Authors: Nussbaum Jon F.
Published: November 2008

Research describing the social world of elderly residents of nursing homes is organised in this paper into three levels of analysis: the institutional level, the relational level and the interactional level. The significance of each level is highlighted, with special attention being given to the interactional level of analysis and the study of language within the nursing home. Data gathered from semi-structured interviews with both elderly residents and nurse aides are presented and interpreted as evidence of interactional problems which may emerge in the resident–staff relationship. Implications and future prospects of incorporating the three levels of analysis into the study of the psychosocial well-being of nursing home residents are considered.
What Is The Future Of Educational Gerontology
Authors: Glendenning Frank
Published: November 2008

Educational gerontology is a comparatively new field of study. In British terminology, it concerns learning in the later years and the methodology relating to this. This special issue of the American journal Educational Gerontology provides an opportunity for reflection on the current state of the art on both sides of the Atlantic. Huey B. Long of the University of Oklahoma, as Guest Editor, invited contributors (eight American and one British) to speculate on likely developments in the field of educational gerontology during the period 1990 to 2010. Not all the authors accepted the challenge and four of the nine papers are considered here.
Informal and Formal Care: Exploring the Complementarity
Authors: Chappell Neena , Blandford Audrey
Published: November 2008

Although several authors have speculated about the type of relationship between informal and formal care, relatively little empirical work directly examines the interface between the two support systems. This paper examines the correlates of using neither system, only one system and several combinations of both systems. It explores the characteristics of those who do and do not make complementary use of both systems and under what circumstances the two systems are complementary. Multivariate analyses are performed, using logistic regression analyses, to examine the correlates of the different sources of support. Analyses demonstrate that those who utilize the formal care system do so while retaining care from the informal network. Use of the formal system in conjunction with informal care appears to take place in two instances:when seniors are in need and critical elements of their informal network are lacking, or when they have an intact informal support network, but their health needs are extremely high. In both of these instances the formal system enters to assist the informal network. The data point to the complementarity of the two care systems, not in terms of task specificity, but rather, in terms of a sharing of overall task load.
Negotiating A Flexible Retirement: Further Paid Work and the Quality of Life in Early Retirement
Authors: Cliff Dallas
Published: November 2008

The economic participation rates of older men have fallen dramatically over the last decade. Early retirements have accounted for much although not all of this reduction and yet early retirement has been a somewhat neglected aspect of the social scientific literature. Initially the prerogative of managers and white-collar workers, early retirement has spread to wider sections of the work force and has generally been seen by managers and trade unions as an uncontentious way of achieving ‘headcount reduction'. Research into the experiences of early retirees is sparse but such survey data as does exist suggests relatively high levels of satisfaction. This paper presents some of the findings of a small, qualitative study of the experience of early retirement from the chemical industry of a sample of 40 men from the West Riding of Yorkshire. An attempt was made to construct a quality-of-life index with which to compare and contrast their experiences and investigate some of the major factors in determining the outcome of early retirement. The paper highlights the role of further paid work in enabling healthy men with marketable skills to effectively negotiate their own ‘flexible retirements’. Those with ill health and a lack of skills were unable to do this and these factors were associated with a relatively low quality of life.
Income, Capital and the Cost of Care in Old Age
Authors: Gibbs Ian
Published: November 2008

According to ‘conventional wisdom’ older people are now relatively well off and, as a result, many are in a position to pay for their own care and housing needs in old age. In reviewing the evidence for this latter proposition the article provides a brief overview for the UK population and the implications of an ageing society for the care services. A summary of the main sources of income available to older people is undertaken, including home ownership and ways of releasing equity which might be employed to generate extra income. On the basis that it is also important to match information about financial resources available to older people to the cost of different services, the article reviews the likely costs of residential and nursing home care and the little that is known about the costs of domiciliary services. In short, the article presents a summary of the relevant background information and examines the issue of whether elderly people could (but not necessarily ‘should’) finance their housing and care needs in old age.
For Better or for Worse: The Experience of Caring for an Elderly Dementing Spouse
Authors: Pollitt P. A. , Andersont I. , O'Connor D. W.
Published: November 2008

The Hughes Hall Project for Later Life screened all people aged 75 years and over on the lists of seven general practices in Cambridge in order to identify those who were suffering from dementia. Of those living at home, it was found that 40% were being cared for primarily by husbands or wives, most of whom were themselves over the age of 75. In this paper we describe a group of 34 married couples in which one partner was diagnosed as demented. We suggest that for the nondernenting partner, the experience of caring differs in important respects from that of the more typical carer – usually younger and female – described in much of the research literature.
The Myth of the Woopie?: Incomes, the Elderly, and Targeting Welfare
Authors: Falkingham Jane , Victor Christina
Published: November 2008

Comments made by a UK Government minister in 1989 concerning poverty, or rather the lack of it, amongst elderly people once again reflected the idea that the majority are well-off and less in need of State support than was the case in the past. The idea of a new group of Woopies (well off older persons) has been used as justification for debate about the introduction of means-testing for certain benefits directed at the elderly population. This paper challenges that view. It traces the evolution of the Woopie using published data and then examines the socio-economic characteristics of such a group. In a series of logit estimates to determine what factors are of importance in determining ‘Woopie status’, unsurprisingly receipt of income from assets and from an occupational pension are the most significant variables. Finally the scope for policy changes is examined.
The Politics of Caregiving: The Professionalisation of Informal Care
Authors: Bond John
Published: November 2008

This article reviews some of the literature on caregiving from social policy and on professionalisation from sociology. The context of the article is the care of dementia sufferers with particular reference to the role of family and other informal caregivers. The theoretical contributions on informal and formal caregiving have been dominated by the gender order and the professional order to the detriment of other aspects of structure. In the light of these theoretical contributions the article explores the inherent contradiction in society's desire to provide care to dementia sufferers without compromising the position of informal and formal caregivers.
Perceptions of the Adult Life Course: A Cross-cultural Analysis
Authors: Ikels Charlotte , Keith Jennie , Dickerson-Putman Jeanette , Draper Patricia , Fry Christine , Glascock Anthony , Harpending Henry
Published: November 2008

A team of seven anthropologists conducted a coordinated, cross- cultural investigation to examine how structural and cultural variables shape the strategies people employ to assure themselves a secure old age. Central to the investigation was the goal of determining how people in the societies involved (Hong Kong, the United States, Ireland, and Botswana) perceive old age and its place in the adult life course, e.g. whether they view old age as an improvement or a decrement compared with other stages of life and the characteristics on which they base their views. The seven sites were selected to ensure broad representation in terms of the key structural variables of scale, complexity, subsistence pattern, residential mobility, and population structure. Both across and within sites people differed in their willingness and ability to discuss the concept of the life course. We attribute this variation to five factors: (i) characteristics of the social field, (2) education, (3) cultural salience of age categorisation, (4) predictability of life events, and (5) variability in timing of normative social or work roles.
Institutional Care for the Elderly in the 19th Century: Old People in The Hague and their Institutions
Authors: Veen Willem Jan Van Der , Poppel Frans Van
Published: November 2008

This study focuses on the residents of three ecclesiastical homes for the elderly in The Hague in the i9th century. These homes took in poor members of the church who were at least 60 years old. Most of the elderly who resided in these homes had received poor relief before their admission. The main reason for their decision to request admission to a home was that they were no longer able to run a household independently. Most of the residents were well past the age of 60 upon entering the home, women generally being a few years older than men. There were no significant gender differences in duration of residence. The female age at death was a few years higher than for males. The health of the residents appeared to be worse than that of the total elderly population of The Hague, resulting in a higher death rate. In general, residents had independently run a household prior to admission.
Community Structure and Support Network Variations
Authors: Wenger G. Clare , Leger† Fred St
Published: November 2008

This paper presents data from two studies of support networks conducted in North Wales and Northern Ireland. Five types of support networks are identified and it is shown that the distribution of network type is related to community. Distribution of network type is further shown to be influenced by population stability and population density. It is argued that since network type is correlated with service use, identification of network type provides a useful tool for policy makers and practitioners in the context of care in the community.
The Role of Day Centres in Caring for People in the Final Year of Their Lives
Authors: Farrow Graham N.
Published: November 2008

The information reported here comes from a study of a random sample of adult deaths registered in 1987. Interviews were sought with the person who could tell us most about the last twelve months in the life of the person who died; 639 people took part in the study. Just under one in ten of the people who died had attended a day centre in their final year. Attenders were more likely to be aged 75 or over at death, to be women and to have been living alone. They were also more likely to have suffered from a number of long-term symptoms and restrictions. According to respondents it would have been helpful if a further 11% of those who died had attended a day centre in the last year of their lives. The most often stated reason for this was that it would have given the carer a break from the demands of caring. But the most often given reason why the person who died had not attended a day centre was that they had not wanted to – an indication of some conflict between family and friends providing care and those they cared for
Sources of Instrumental Support for Dependent Elderly People in Three Parts of France
Authors: Curtis S. , Bucquet D. , Colvezt A.
Published: November 2008

The paper focuses on the provision of instrumental support provided to dependent elderly people in France, presenting information collected in social surveys conducted in three regions of the country. This information is considered in the light of the results of studies from other countries on instrumental social support to the dependent elderly which are reviewed. The data analysed included measures of the potential social network of the respondent based on household composition, marital status, number of living children and frequency of visits by family, friends and neighbours. Measures of instrumental support received were based on reported need for help for specific tasks, and the main source of help provided. The results reported here suggest that not all members of the dependent elderly person's social network were equally involved in providing instrumental help and supports a hierarchical model of the informal care structure with family members as the predominant source of help. The results also demonstrate the comparatively small role played by the formal caring services compared with the informal sector. The context of care for dependent elderly people in France is discussed and the implications of these results for social policy are considered.
Equity Release Schemes and Equity Extraction by Elderly Households in Britain
Authors: Mullings Beverley , Hamnett Chris
Published: November 2008

The policy and popular debates suggest that the housing equity of elderly home-owners has provided them with a considerable stock of wealth which will influence the future social structure of the United Kingdom, as wealth is transferred to a wider cross-section of British society through inheritance. While various estimates suggest that the distribution of intergenerational transfers of equity is set to widen in the future (Hamnett, Harmer and Williams 1991), it is not known whether the rate of growth of housing inheritance will continue at the pace set in the 1970s and 1980s. This is due to the process of equity extraction by elderly persons, largely from their housing assets. The extent to which one form of equity extraction (formal equity release schemes) has influenced future housing inheritances is the focus of this paper. Drawing on data collected during a postal survey of institutions offering formal equity release schemes, and secondary literature, we conclude that such schemes are unlikely to have a substantial impact on future intergenerational transfers of housing equity. The equity withdrawn under existing schemes is minimal and is likely to remain so due to lack of demand and inflexibility in the supply of existing schemes. In this paper we shall examine the participation of elderly persons in, and the market for, equity release schemes.
The Construction and Deconstruction of Self in Alzheimer's Disease
Authors: Sabat† Steve R. , Harré† Rom
Published: November 2008

The loss of self in Aizeheimer's Disease is examined from a social constructionist view of the nature of the self. Empirical evidence derived from the structure of the discourse and behaviour of three Alzheimer's sufferers is presented to show that self1, the self of personal identity, persists far into the end stage of the disease. Self2, the multiple personae that are projected into the public arena, and which require the cooperation of others in order to come into being, can be lost, but only indirectly as a result of the disease. The primary cause of the loss of self2 is the ways in which others view and treat the Alzheimer's sufferer. Recommendations are made regarding interactions between Alzheimer's sufferers and caregivers.
Residential Care for Elderly People: The Correlates of Quality
Authors: Gibbs Ian , Sinclair* Ian
Published: November 2008

Given the vulnerability of elderly people living in long-term hospitals and in other forms of institutional provision, it is essential that the quality of their care is as high as possible. This observation, moreover, has widespread relevance irrespective of variations in the structure of health and social care provision in different countries. In pursuit of this objective the newly established ‘arm's length’ inspection units in Britain will be responsible for setting and also safeguarding standards in homes. The article, based on research commissioned by the Social Services Inspectorate, uses a global measure of quality derived from the inspection of residential care homes, examines the correlates of this measure in a sample of local authority and independent homes in Britain and discusses the implications of the findings for policy and further research.
Friendship and Care for Elderly People
Authors: Allan Graham
Published: November 2008

In recent years policy initiatives on caring for elderly people have stressed the need for ‘care by the community’: the use of various informal relationships to provide the elderly with more effective forms of care. The present paper analyses the potential of one type of informal relationship – friendship – to act in this way and argues that, despite appearances, friendship is not a particularly suitable basis for care provision. Not only are many elderly people in need of care excluded from the contexts in which friendships are usually generated and serviced, but more importantly the normal exchange basis of friendship is undermined when there is long-term, unilateral provision of care. Similar factors apply to primary carers' friendships. By analysing these issues fully, the paper shows that attempts to incorporate friends into systematic caring is unlikely to be successful. While friends will help in a crisis, in the long run such help is as contradictory to the nature of friendship as it is compatible with it.
Sexuality and Ageing
Authors: Thienhaus Ole J. , Conter Elizabeth A. , Bosmann H. Bruce
Published: November 2008

Ageing itself abolishes neither the need nor the capacity for sexual activity. A number of studies confirm the continuance of sexual activity in old age. Normal physiological changes with age affect erectile function and ejaculation in males, and the vaginal tissue in females. Psychological and social factors that affect sexual function in old age include the individual's degree of sexual activity throughout earlier life, the psychological resiliency in adapting to the altered physiological conditions, demographic factors, and society's attitudes towards sex in old age. Furthermore, pathologies that are more prevalent among the elderly can interfere with sexual function.
Family and State: Recent Trends in the Care of the Aged in Sweden
Authors: Sundström Gerdt
Published: November 2008

Drawing upon a variety of research data and national statistics, this paper presents a detailed analysis of the contribution made by family and informal care to the support of elderly Scandinavians. Comparative data from other countries are employed to highlight some similarities with other European, American and Far Eastern societies. Formal help is directed at the childless and those who live alone, but the conclusions draw attention to the dangers of this concentration if it excludes essential support to overburdened carers.
Families and Households of the Elderly Population: Prospects for those Approaching Old Age
Authors: Timaeus Ian
Published: November 2008

Long-term demographic trends that determine the absolute and relative size of the elderly population also underlie changes in the proportions of older people with living spouses and children. Such changes have important implications for residential isolation, the provision of care and the overall quality of life of the old. Demographic trends influencing the family situations of older people in Britain are discussed and detailed projections presented for women reaching age 60 in the period 1971–96. Increases in the propensity to marry and bear children after about 1940, together with declining mortality, mean that the proportions of older women that are married and that have children are likely to increase until the second decade of the next century. It is often assumed that demographic ageing will result in an increase in the number of elderly women living alone. However, the increase in the proportion of them that are married offsets this trend.
Older Persons' Perceptions of the Quality of their Human Support Systems
Authors: Hawley Peggy , Chamley John D.
Published: November 2008

Fifty elders, 61–91 years of age, identified and evaluated the important people in their lives. Characteristics which typified good relationships in general were reciprocity, trustworthiness, friendliness and responsibility. Highest mean scores on the semantic differential scale were found for friends, lowest for neighbours. Significant differences between these two groups indicates that they cannot be combined. Grandchildren did not appear to play a central role in the lives of this group of elders. Spouses gave each other low ratings relative to other groups of supporters. If replicated in a larger sample, the possibility should be investigated that respondents may evaluate intimate relationships on a different ‘psychological yardstick’ than other relationships and relatively low evaluations may not indicate marital dissatisfaction.
Older Carers, Interdependence and the Care of Mentally Handicapped Adults
Authors: Grant Gordon
Published: November 2008

Elderly people are often seen as the recipients of informal care. In the study reported here, there are clear indications that carers of mentally handicapped people are predominantly female and often beyond retirement age. For some the task is burdensome, but for many it provides a reciprocity both of care and of companionship. Older carers are observed to receive more professional aid than younger carers. But as demographic trends make this caring relationship more common it will be necessary for formal support systems to become more integrated and comprehensive.
Daughters Caring for Mothers: the Experience of Caring and its Implications for Professional Helpers
Authors: Lewis Jane , Meredith Barbara
Published: November 2008

Recent research on ways of ‘supporting the supporters’ of elderly people at home has taken a ‘snapshot’ approach to assessing carers' needs and has focussed primarily on the perceptions of service providers. Such an approach tends to neglect the complexity of caring relationships (particularly that between carer and person cared for), which must be understood if carers are to be offered appropriate help. The present paper reports the construction of ‘caring biographies’, using in-depth interviews with 41 daughters who had cared for their mothers on a co-resident basis and who had ceased to do so within the last ten years. The biographies were used to examine the nature of the caring process in terms of the carer's motivation to care, changes in the mother/daughter relationship and in the carer's extra-caring life. The research reveals both the power exerted by the injunction to care and the mixed legacy of satisfaction overlaid with bitterness that was experienced by a majority of respondents, largely as a result of inadequate and/or inappropriate support. We suggest ways in which professional workers may recast the way in which they approach the needs of carers based on a deeper understanding of the temporal and relational dimensions of caring.
Older Workers and the Peripheral Workforce: The Erosion of Gender Differences
Authors: Dale Angela , Bamford Claire
Published: November 2008

At a time when the proportion of full-time permanent jobs is decreasing and there is evidence of a growth in ‘peripheral’ forms of work, it is important to review the position of older workers, both men and women. Using data from the Labour Force Survey of 1984, it is shown that, while the employment rate falls sharply in the ten-year period prior to state retirement age, it is only those of post-retirement age who are disproportionately represented in peripheral forms of work. It is suggested that some ‘peripheral’ forms of work allow greater flexibility in age of retirement than permanent full-time jobs. While there are clear gender differences among those of pre-retirement age, with a higher proportion of women than men in peripheral jobs, there is a marked erosion of these gender differences amongst men and women who work beyond state retirement age.
Retirement and the Lifestyles of Older Women
Authors: Voges Wolfgang , Pongratz Hannelore
Published: November 2008

Change of residence from a private household to a residential care facility, implying the relinquishing of household activities, is as critical a life event for older women as retirement from employment outside the home is for older men. This transition terminates many of the activities that had structured the older women's lives for decades, and implies modification of patterns of lifestyle. Based on interviews with female residents of residential care facilities in the Munich area, a close relative who had observed the transition and an employee at the facility, the impacts of the move on dimensions/aspects of lifestyle were analysed, as well as the success with which adaptation to the new setting was made. The positive relationship posited by the continuity hypothesis between continuity in lifestyle and contentment with life situation were generally upheld, although the compensation for a dimension of lifestyle disrupted by the transition by another dimension often occurred.
Dependency and Old Age: Theoretical Accounts and Practical Understandings
Authors: Dant Tim
Published: November 2008

The concept of dependency is involved in two strands of the literature on old age, and is used in each with a different effect. In the literature on ‘structured dependency’ the concept is used to describe and criticise a relationship between elderly people and the state that is determined by social policy. In the literature on ‘dependency scales’ the concept is used as a basis for categorising elderly people for research, planning and service purposes. More recent commentary on the role of the concept in relation to elderly people suggests that dependency needs to be understood in a fuller way if it is to be useful in understanding the situation of elderly people in contemporary society. This paper develops the idea that dependency refers to a form of relationship characterised by an unequal distribution of power.
Continuing care of Old People—A Medical Viewpoint
Authors: Lewis Richard , Wattis John
Published: November 2008

Provision for old people who are in need of continuing care requires close co-operation between informal carers and different agencies and disciplines providing health and social care. In the United Kingdom, the present system of care has evolved from earlier patterns of care centred on the asylums and the poor law with its workhouse institutions. It lacks cohesion. Despite the designation of old people as a priority group, resources are still inadequate to provide a good quality of care. Organisational differences between health and social services can lead to inefficient use of existing resources. More specialised medical, psychiatric and social services for old people enhance the possibilities for co-operation even though they may appear to lead to greater fragmentation. The history of the development of these services in the UK, including the recent expansion of private sector care, is reviewed, with special attention from the medical perspective to the phenomenon of ‘bed blocking’. The recently published Griffiths Report on community care is briefly considered, and some principles for future developments are laid down.
Ageing as a Challenge for Sociological Theory
Authors: Kohli Martin
Published: November 2008

The sociology of ageing has often turned to general sociology in search of useful theoretical approaches, but there has been little cognitive influx back into general theory. By this one-sided relation, the sociology of ageing has typically constituted itself as an applied field. It can be argued, however, that the problems of an ageing society bring forth not only a new topical area but also a challenge for some of the foundations of sociological theory, which were largely laid before these problems became visible. The paper deals with some of the systematic issues that arise in this respect. It takes as its point of departure that modern society has been theoretically conceived as a ‘work society’. If social life is structured around work and its organisation, how can we theoretically cope with a situation in which a large (and still growing) part of the population has left the domain of formally organised work? This question is discussed on three levels: (I) the structure of social inequality (e.g. welfare classes instead of production-based classes); (2) cultural meaning structures (e.g. leisure instead of productivity and achievement); and (3) socialisation (e.g. biographical anticipation and reminiscence instead of a ‘situational’ orientation).
Council Housing, Tenure Polarisation and Older People in Two Contrasting Localities
Authors: Means Robin
Published: November 2008

This article attempts to illustrate the importance of housing issues in old age and to argue for a more sophisticated view of older people than that achieved by much housing research. Tenure relationships in two contrasting localities are explored and it is shown that cruder models of social and tenurial polarisation need to be treated with care because of the tendency for aggregate data to hide important variations in relationships between tenures and within tenures. Many older people wish to enter local authority council housing and they have strong views on what is the ‘best’ and ‘worst’ property on offer.
The Economic ‘Burden’ of Ageing and the Prospect of Intergenerational Conflict
Authors: Walker Alan
Published: November 2008

This article examines the mounting pessimism of policy-makers concerning the implications of societal ageing. It is argued that underlying this pessimism are primarily macroeconomic worries about the economic ‘burden’ that older people are said to represent to the economy and, specifically, the working population. It is suggested that, in turn, these particular concerns are ideologically inspired; hence it is the public expenditure costs of pensions and health care rather than, for example, the economic costs of ageing for older people and their families, that are the chief causes of anxiety. Thus political ideology has distorted and amplified the macroeconomic consequences of population ageing in order to legitimate anti-welfare state policies.

While Britain and the US represent leading examples of this trend, there is a danger that, inspired to some extent by the leading international economic agencies, other countries will follow their lead. An unintended result of doing so may be the growth of inter-generational conflict. This concept has achieved quite wide currency in the US literature and has been influential in some policy circles. It is subjected to close scrutiny and found deficient as a basis for policy-making. In conclusion some lessons are drawn about the failure of orthodox social gerontology to counteract the pessimistic accounts emanating from economic and demographic analyses and the need for a more critical stance by the discipline.
Caring for People who Die: The Experience of Family and Friends
Authors: Seale Clive
Published: November 2008

A survey of relatives, friends and others who knew the deceased in a random national sample of adult deaths in England forms the basis of this report. Comparisons of this 1987 sample are made with a similar study carried out in 1969. The sample of deaths was largely one of elderly people, and changes in the family and household compositions of these people reflect changes in the wider population of elderly people. More lived alone, or in smaller family units, and fewer sources of help during their final illness were available from relatives. Women were particularly disadvantaged, both as dependants and carers, who were then bereaved, often themselves left to live alone. The stress and the mixed feelings of carers are described. Nevertheless, a substantial minority were free of serious levels of dependency in their last year of life. Those dying of cancer formed a somewhat younger group, with shorter periods of dependency and greater availability of relatives to look after them. Many of the medical and nursing innovations in the care of the dying have focused exclusively on cancer. This study demonstrates the value of a broader perspective on death and dying that emphasises the needs of older people.
A Research Note on the Hierarchy of Obligations among Informal Carers – A Response to Finch and Mason
Authors: Qureshi Hazel
Published: November 2008

Finch and Mason (1990) have recently referred to various articles, by myself and others, concerning the hierarchy of obligations among network members, in relation to decision-making about the provision of practical help to elderly people. In their fascinating and informative case study, Finch and Mason argue that this hierarchy is best viewed as a normative belief which influences negotiation within families, rather than as a way of predicting people's behaviour in practice. I would argue that the question of the relationship between ‘statistical’ norms of behaviour (i.e. what most people do), and normative beliefs (i.e. what people think is the right thing to do), is a question open to empirical investigation. Certainly, it would be a misuse of case study methodology to suggest that failure to adhere to the hierarchy in one particular instance could be advanced as proof that it did not reflect a norm of behaviour. Statistical norms are never deterministic in individual cases, but it may still be possible to predict what the majority of people will do.
‘What are Families For?’: On Family Solidarity and Preference for Help
Authors: Daatland Svein Olav
Published: November 2008

Norwegian elderly people today are clearly more aware of public help and services compared to the late 1960s, and a growing number of them prefer public rather than family help. A study in Oslo found that a majority would turn to the public services when in need of long-term help, even when children were living close by. Children or other informal helpers were preferred over the public services only when there was a need for short-term assistance. The growing preference for public help is taken primarily as a response to increased availability of public services, and not as a reflection of weaker inter-generational solidarity.
The Emerging Political Power of the Elderly in Britain 1908–1948
Authors: Blaikie Andrew
Published: November 2008

Despite major shifts in the position of older people in British society during the first half of the twentieth century, accounts of the emergence of retirement pensions have ignored the role of old age pressure groups, preferring arguments which emphasise structured dependency rather than human agency. By contrast, this paper examines the political campaigns mounted by two groups – one claiming to speak on behalf of older people, the other composed of older people themselves. The failure of both groups to influence major policy decisions relates not to the passivity or ‘silent suffering’ of older people, or to ‘generational equity’ criteria which privileged younger, unemployed workers, but to the inadequacies of their different styles of campaigning. While the National Conference, in the decade after 1916, focused their moral invective around notions of thrift which failed to arouse or articulate the needs of all but the most ‘respectable aged Britishers’, the uncompromising, combative approach of the National Federation during the critical years leading up to the Beveridge legislation incurred the disdain of policymakers. In the intervening years, trade union activity was underlain by mixed motives. While the historical specificity of the movements and debates that are discussed is significant, the generationally specific lifetime experiences of the older people in question to some extent determined their character.
Women's Perspectives on Informal Care of the Elderly: Public Ideology and Personal Experience of Giving and Receiving Care
Authors: Aronson Jane
Published: November 2008

Drawing on a qualitative study of thirty-two women aged between 35 and 85, this paper links women's experiences of giving and receiving care in the informal sphere to their wider social and ideological context. While subjects subscribed to cultural assumptions about families, responsibility, gender and old age, they experienced awkwardness in translating them into their own lives. Younger women and women looking back on their middle years experienced contradiction between the cultural expectation that they be responsive to others and their wishes for self-enhancement. Older women experienced contradiction between the cultural imperative to be unburdensome and independent and their wish for security. Feelings of guilt and shame were associated with not living up to these expectations. They rendered subjects' concerns, individual failings and stifled expression of their needs. To facilitate such expression and work towards social policies that enhance women over the life course, it will be necessary to envision alternative types of supportive services and to challenge the ideological barriers to their use that the subjects of this study had so acutely internalised.
The Dialectics of Dementia: With Particular Reference to Alzheimer's Disease
Authors: Kitwood Tom
Published: November 2008

A new theory of the dementing process in old age is presented in outline. Its main focus is on the dialectical interplay between neurological and social-psychological factors, with special emphasis on aspects of the latter which deprive a neurologically impaired individual of his or her personhood. The account of dementia so derived is more comprehensive and less deterministic than those which are based on the simpler versions of a ‘medical model’. Also, it opens up the way for a more personal and optimistic view of caregiving.
Elderly Carers: the Need for Appropriate Intervention
Authors: Wenger G. Clare
Published: November 2008

The literature on caring and carers has tended to emphasise the care of aged parents by middle-aged daughters. A recent government survey, however, has drawn attention to the fact that a substantial proportion of all carers are themselves elderly. This paper focuses on elderly carers. It shows that at least a third of elderly people can expect to become carers during retirement. Elderly carers differ from younger carers in that they: care for shorter periods; are more likely to provide intimate personal care and heavy nursing tasks associated with terminal care; and to be caring for their most significant other, usually a spouse. It is suggested that elderly carers represent a sub-group of carers with special needs not necessarily met by present service provision. Some more appropriate interventions are suggested.
An Ageing World: The Equivocal Response
Authors: Midwinter Eric
Published: November 2008

Old age as a macro-issue was forcibly thrust upon the staff of the Centre for Policy on Ageing recently, when we intrepidly embarked on the first detailed and comprehensive review, statistical and critical, of old age as a worldwide theme. In embarking on such a venture we were well aware that thirty, even twenty, years ago it would scarcely have been tenable, for the touchstone of old age as some form of specific discipline or subject has barely existed for half a century in the so-called ‘developed’ societies, let alone in the vast remainder of the world. Now many countries have services, ministries, institutes or organisations devoted to the topic of old age. This may, of course, be the consequence of living in a bureaucratic epoch in which services, ministries, institutes or organisations have been devoted to practically any subject under the sun, but there must be some fire gently glowing beneath the billowing smoke.
New Poverty and the Old Poor: Pensioners' Incomes in the European Community
Authors: Laczko Frank
Published: November 2008

As we approach 1992, it is likely that elderly people in Britain will increasingly compare themselves with elderly Europeans. In Britain, recent government statements suggest that, for most pensioners, old age is no longer associated with being poor. The purpose of this paper is to compare poverty among elderly people in Britain and other European Community countries. The paper draws upon data from an EC-sponsored study on ‘new poverty’ in the European Community. ‘New poverty’ is not a term commonly used in Britain to describe the changes in poverty that have occurred in the last decade. It is suggested that one of the reasons for this could be because poverty in Britain, more so than in many other EC countries, is still strongly associated with the ‘old poor’. The paper shows that elderly people in the UK are much more dependent on means-tested social assistance (income support) than elderly people in other EC countries.
Individual Experiences as Cultural – a Cross-cultural Study on Loneliness Among the Elderly
Authors: Jylhä Marja , Jokela Jukka
Published: November 2008

Data from six European regions participating in the Eleven Country Study on Health Care of the Elderly suggested that feelings of loneliness were more prevalent in areas where living alone was rarest and where community bonds were strongest. Individual variables describing life-situation did not explain the differences. The article examines loneliness as an historical and cultural phenomenon. It is argued that loneliness reflects, through complex mediations, the mutual relationship between the individual and the community and the extent to which the ideology of individualism prevails in society. In attempts to understand the differences between the study areas, the article looks more closely into the role of the community and the family in two selected areas: the industrial town Tampere in Finland and rural Greece.