Heroines, villains and victims: older people's perceptions of others

2006 ◽  
Vol 26 (6) ◽  
pp. 883-900 ◽  
Author(s):  
JEAN TOWNSEND ◽  
MARY GODFREY ◽  
TRACY DENBY

This paper examines older people's contrasting images of older people as ‘those like us’ and as ‘others’. It draws on data from a qualitative study about the experience of ageing that was undertaken in partnership with two local groups of older people in England. Whilst the informants acknowledged their chronological age, changes in appearance and physical limitations, most did not describe themselves as old. They challenged the idea of older people as being ‘past it’. Older people who personified their own values of inter-dependence, reciprocity and keeping going were seen as ‘heroines’ of old age, but negative stereotypes were ascribed simultaneously to others, ‘the villains’. Aspects of behaviour which evoked censure were ‘giving up’; ‘refusal to be helped’ and ‘taking without putting back’, and were usually attributed to acquaintances known only at a distance. The victims of old age were primarily people with dementia, who were perceived as ‘needing to be looked after’ and objects of pity and concern. The paper explores the ways in which these various images of old age related to people's self-identity and management of the ageing process; especially in a society that has ambivalent conceptions of old age. The findings contribute to an understanding of how people's values underpin their conception of ‘a good old age’ and how they shape their interpretation of societal stereotypes. They also indicate the importance of considering whose voices are heard in the context of exploring the identity and contributions of older people to achieve a more inclusive society.

2016 ◽  
Vol 10 (2) ◽  
pp. 9-29 ◽  
Author(s):  
Edward Tolhurst

Critical evaluation is undertaken of social scientific conceptualisations of dementia in relation to ageing. In response to the societal tendency to associate dementia with old age, there is a growing body of literature that seeks to explicate the particular challenges faced by younger people with the condition. While recognition of the distinctive impacts presented by dementia at different ages is crucial, an age-related conceptual model that focuses on a lifecourse divide at age 65 is problematic: it promulgates a sense that younger people with dementia have ‘‘unique’’ experiences, while dementia for older people is typical. This also reflects a societal ageism, under which concerns are focused on those situated within ‘‘productive adulthood.’’ Moreover, a straightforward chronological marker cannot adequately represent a social world shaped by significant demographic changes. A more textured appreciation of ageing and dementia is required to help articulate how distinctive experiences emerge across the lifecourse.


2021 ◽  
pp. 71-76
Author(s):  
Liat Ayalon

The concept of successful ageing has instigated the imagination of laypeople, policy stakeholders, and researchers because it offers an alternative to gloomy stereotypes of decline, disability, and dependence commonly associated with old age. Successful ageing proposes an opportunity to transition smoothly from middle-life into old age, with none of the negative stereotypes commonly associated with old age. However, this opportunity comes at a price. This chapter aims to describe and illustrate the ageist features inherited in the concept of successful ageing and its negative, unintended consequences on older people and society at large. The chapter also describes how other- and self-directed ageism may prevent people from ageing successfully. Recommendations for concept refinement and policy are discussed.


2015 ◽  
Vol 27 (11) ◽  
pp. 1755-1756
Author(s):  
Christopher D. Etherton-Beer

Medical care can be both “a blessing and a curse”. The contributions of medicines to increased human lifespan and falling mortality from the major cardiovascular diseases are undisputed. However, in lockstep with remarkable extension of human lifespan has been increase in the numbers of people living with chronic age related neurodegenerative conditions and frailty. In frail, multi-morbid populations, with limited homeostatic reserve and life expectancy, the balance between the risk and harms of medicines can be in equipoise. In this context the number of older people living with dementia is increasing, and understanding threats to the quality of life of people with dementia is of growing significance. Among the myriad potential causes of harm to older people with dementia, in this issue of the journal Mitchell and colleagues present new Australian data reminding us of the importance of admissions due to both intentional and unintentional poisoning.


1997 ◽  
Vol 7 (4) ◽  
pp. 367-371 ◽  
Author(s):  
SE Gariballa ◽  
AJ Sinclair

One of the greatest challenges of medicine in old age is for physicians to understand the process of aging and to be able to distinguish it from disease, lifestyle factors and environmental exposures whose cumulative effects account for many of the changes observed in older people. As a result, physicians have a duty to recognize and intervene appropriately against age-related diseases.


2021 ◽  
pp. BJGP.2020.1118
Author(s):  
Bethany Kate Bareham ◽  
Jemma Stewart ◽  
Eileen Kaner ◽  
Barbara Hanratty

Background: Risk of harm from drinking is heightened in later life, due to age-related sensitivities to alcohol. Primary care services have a key role in supporting older people to make healthier decisions about alcohol. Aim: To examine primary care practitioners’ perceptions of factors that promote and challenge their work to support older people in alcohol risk-reduction. Design and Setting: Qualitative study consisting of semi-structured interviews and focus groups with primary care practitioners in Northern England. Method: Thirty-five practitioners (general practitioners, practice/district nurses, pharmacists, dentists, social care practitioners, domiciliary carers) participated in eight interviews and five focus groups. Data were analysed thematically, applying principles of constant comparison. Results: Practitioners highlighted particular sensitivities amongst older people to discussing alcohol, and reservations about older people’s resistance to making changes in old age; given drinking practices could be established, and promote socialisation and emotional wellbeing in later life. Age-related health issues increased older people’s contact with practitioners; but management of older people’s long-term conditions was prioritised over discussion of alcohol. Dedicated time to address alcohol in routine consultations with older people, and training in alcohol intervention facilitated practitioners; particularly pharmacists and practice nurses. Conclusion: There are clear opportunities to support older people in primary care to make healthier decisions about alcohol. Dedicated time to address alcohol, training in identification of alcohol-related risks, particularly those associated with old age; and tailored interventions for older people, feasible to implement in practice settings, would support primary care practitioners to address older people’s alcohol use.


2006 ◽  
Vol 30 (3) ◽  
pp. 97-100
Author(s):  
Fionnuala Kelly ◽  
Julianne Reidy ◽  
Gregory Swanwick

Aims and MethodThe aim of this study was to provide a name for a psychiatric service for older people in Dublin. A total of 296 individuals (167 doctors, 129 workshop attendees) were surveyed regarding their views on a name for the service.Results‘Age-related psychiatry’ was a universally popular term. It was chosen by 43% of general practitioners, 56% of hospital doctors and 44% of the workshop attendees, as one of their top three choices. ‘Psychiatry of old age’, ‘geriatric psychiatry’ and ‘psychogeriatrics' were unpopular with all three groups.Clinical ImplicationsNames can gradually become stigmatising over time. This applies to the terms for ‘old’ and ‘psychiatry’. In this survey all groups surveyed rejected some of the terms in widespread clinical use.


2020 ◽  
Vol 125 (2) ◽  
pp. 385-395
Author(s):  
Pat Thane

Abstract Contrary to widespread belief, significant numbers of people have lived long lives throughout recorded history. On average, women have lived longer than men. Definitions of old age as beginning between the ages of sixty and seventy have been remarkably consistent through time, despite major social and economic changes, as has government enforcement of age-related regulations, increasingly as government bureaucracy grew from the eighteenth to the twentieth centuries. Despite long-prevailing simplified stereotypes, the reality of old age has always been highly diverse. Nowhere have people been respected or cared for simply because of their age; nor have all been frail dependents. Some have always been active to late ages, making positive, independent contributions to their families and communities, a fact that is too often overlooked by historians. Older people have mattered in all cultures and should not be overlooked.


2011 ◽  
Vol 12 (3-4) ◽  
pp. 45-49
Author(s):  
Alice Coffey

AbstractAgeing is a normal process and much diversity exists in the physical, psychosocial and spiritual needs of older individuals. While many older people remain independent active and well, there is a rise in the prevalence of dementia. Developments in surgical techniques and improved patient outcomes have resulted in larger numbers of older people now undergoing surgery. However, age-related risks and complexities persist including the existence of cognitive impairment and dementia. Perioperative care of older patients with dementia provides additional challenges for nurses and other healthcare professionals. This paper discusses the unique care needs of older people with dementia and the role of perioperative nurses in meeting these needs.


1991 ◽  
Vol 11 (2) ◽  
pp. 103-126 ◽  
Author(s):  
Angie Williams ◽  
Howard Giles

ABSTRACTThis paper overviews a series of recent investigations of the sociopsychological meanings of older people's language and communication. The first set of studies investigated young people's perceptions of younger and older voices. Older voices were, in general, downgraded relative to younger voices by young people. In addition, younger people's messages were recalled significantly better than older people's messages. The next set of studies was concerned with whether people seek information differently from people of various ages. The findings indicate that different questions were posed depending on the target's age. Further studies show that young people's information-seeking strategies draw on various ageist assumptions to formulate questions to both younger and older targets. The next investigation examined how young people address both younger and older people when they are requesting different kinds of assistance from them. Not only do we find ageist assumptions mediating the kinds of compliance-gaining young people use with older people, but also negative stereotypes emerge when younger people are asked what kinds of compliance-gaining strategies older people themselves usually adopt. Finally, the above findings are meshed with a new model being developed concerning the relationships between language, health and the elderly.


2009 ◽  
Vol 29 (6) ◽  
pp. 929-952 ◽  
Author(s):  
YOSHIKO MATSUMOTO

ABSTRACTThis paper examines the ways in which older people depict verbally the life changes that accompany old age. It reports a study of Japanese elderly women's casual conversations with their friends, during which they talked about their husbands' deaths and illnesses. A frequently observed discourse practice among old people is ‘painful self-disclosure’ (PSD), in which unhappy personal information on one's ill health, immobility or bereavement is revealed and speakers describe themselves using negative stereotypes of old age. During the observed conversations, however, the PSD accounts were frequently accompanied by humour and laughter. This paper examines the complex structure of the PSDs. To exemplify, a simple statement of death and illness given early in a conversation is later elaborated with descriptions of unremarkable domestic events, e.g. complaints about the husband's behaviour. Through shifting the frame of the narrative to quotidian normality, the elderly speakers convert painful life events to everyday matters that they can laugh about. Furthermore, it was found that the humour is sustained through interactions during which the hearers often laughed with the speaker. The study suggests that the disclosure of age-related negative experiences is not necessarily uniformly gloomy, but rather is combined with expressions of personal and social identities and nuanced and modulated through a complex resolution of the speaker's intentions and social expectations.


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