Not that old person: Older people’s responses to ageism revealed through digital storytelling

2021 ◽  
pp. 144078332110401
Author(s):  
Diana Bossio ◽  
Anthony McCosker ◽  
Max Schleser ◽  
Hilary Davis ◽  
Ivana Randjelovic

One of the issues limiting prevention of elder abuse in Australia is lack of a strong evidence base to target social drivers of abuse, particularly ageism. This evidence gap is exacerbated by social discourses that perpetuate negative representations of older age as a time of vulnerability and physical decline, often in opposition to people’s actual experience of ageing. This article presents findings of the ‘OPERA Project’, which used co-designed digital storytelling to explore how ageing and ageism are perceived by older people. The project findings indicated that preventing elder abuse requires discursive intervention to combat negative social discourses representing older people, and to frame social acceptance of the inherent complexity of experiences of ageing. Using a social constructionist approach, this article puts forward a ‘middle path’ through traditional theories of ageing and associated ‘positive ageing’ discourses, which often problematise ageing itself.

2021 ◽  
Vol 33 (S1) ◽  
pp. 3-4

AbstractThe world is ageing fast with a renewed emphasis on comprehensive healthcare for older people. This has created a paradigm shift towards rights and social justice-based approach to augment the medical model of mental healthcare. Dignity is one such construct embedded into the human-rights approach. It comprises of self-respect and worthiness of an individual as well as social acceptance of his/her identity. Dignity is a multi-faceted concept and consists of privacy, independence, inclusion, autonomy, etc. It includes community participation, functional abilities, rights to sexuality and oral healthcare, outcomes which are often neglected in conventional psychogeriatric care. Ageism and fear of ageing can exacerbate social stereotypes thereby compromising dignity in older people and risk of elder abuse.Geriatric psychiatry is uniquely positioned to equip mental healthcare with a ‘dignity-based’ approach promoting social connectedness and health equality. This further needs integration into all levels of public health for better access and holistic psychosocial management.With this background and on the backdrop on the unique psychosocial challenges posed by the COVID- 19 pandemic, this symposium glances at various dimensions of dignity-based psychogeriatric care: –Practical approach towards dignity promotion in healthcare using an attributional model–Perspectives, healthcare challenges and research from LMIC like Brazil and India related to dignity among older people and its impact on ageism and human rights–Rights-based geriatric mental healthcare in the developed nations–Finally, an urgent call for Convention on human rights of older persons for promoting dignity in healthcare and combatting ageism


2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 107-107
Author(s):  
Bridin Carroll ◽  
Kieran Walsh

Abstract Older people experiencing homelessness and older Irish Travellers (OTOH) are both over-represented in the cohort who use acute health services. Impending health care reform in Ireland will be based on primary care models, meaning home and community care will be, for the first time, underpinned by a regulatory framework. For these reasons, this study aims to gain a nuanced understanding of how OTOH, as marginalised older people, might be best served by new home care and community care models. Using a qualitative, voice-led approach, a life course and structural determinants lens is employed to probe the health conditions, experiences and expectations of OTOH, as well as their perceptions and values around the concept of ‘home’. The research processes and outcomes of one of five phases of research are presented in this paper: participant-led research. In this phase, five OTOH were trained and assisted to complete a short research project which fed into the goals of the wider study. Emergent findings suggest that social connections underpin health and well-being for OTOH, throughout the life course, and presently. This was also seen as a fundamental element for healthy and positive ageing. In addition, ‘home’ was defined with reference to the presence (or absence) of familial or other social connections. This study represents an important contribution to scholarship on old age social exclusion. It is entirely novel in its approach to focusing on OTOH health and wellbeing. The outputs of this study also have important implications for upcoming health reform policies in Ireland.


2021 ◽  

Criminological concerns with the victimization of the elderly has developed parallel to, and independently of, the elder abuse debate. Criminologists have traditionally been concerned with the commission of acts against the older person in public as opposed to private space. A further hindrance to criminological enquiry is the practice of defining elder abuse in terms of victim needs, rather than of basic human rights. There has been no neat evolutionary process from positive treatment of the elderly, attributed to some golden age in the past to their increasing present victimization rates globally. Elder victimization is a long way from the simplistic notions of “granny battering.” There is general agreement among scholars that older people regularly suffer victimization in private space—in the household and in care institutions. They regularly experience multiple forms of abuse. One can attribute some of these experiences to major social changes as declining family support for older people diminishes and the proportion of young to old decreases. The World Health Organization (WHO) states that as the global population ages, the number of people aged sixty years and older is estimated to reach 1.2 billion worldwide by 2025. More pointedly, the longevity is also inextricably linked to the maltreatment of the global old. In particular, we have seen offenders apprehended in transgressions against the young, women, and ethnic minorities but have yet to see an active criminal justice response concerned with the experience of elder victimization. The discipline’s reluctance to recognize elder victimization is associated with it commonly being labeled as victimization by intimates, and to be understood through the lenses of psychology and psychiatry rather than through a criminal justice model. Care and individual needs of the elderly have been the traditional focus, rather than social justice, reason, and rights. Justice and rights involve choice and free will. Older people are not simply passive recipients of other people’s actions—they resist their victimization and often fight back. This article is a critical exposition of the sources available on elders abused as part of a larger account of the experience of older people worldwide. In particular, the reader is reminded that this article is limited due to publishing word constraints. Therefore, it provides a balanced, limited overview of the major literature and research available in the Western context. More pointedly, the literature cited here is intended to reflect on recent scholarship considered to have the potential of adding to the debate in criminology and elder victimization. Given that the study of elder abuse is still in its infancy in the discipline of criminology, this article is therefore necessarily interdisciplinary.


2011 ◽  
Vol 18 (1) ◽  
pp. 64-78 ◽  
Author(s):  
Radka Bužgová ◽  
Kateřina Ivanová

This study focuses on issues of elder abuse in residential settings. Violation of ethical principles is shown in the results of this quantitative study aimed at defining the extent, nature and causes of such abuse by employees’ unethical conduct towards clients in senior homes (i.e. residential nursing homes) in the Moravian-Silesian region of the Czech Republic. The research sample comprised 454 employees and 488 clients from 12 residential homes for older people. The data were collected from interviews with clients, who also received a questionnaire concerning their satisfaction with the institution. Two questionnaires were administered to the employees, one based on a pilot qualitative study and a second to investigate burnout. Outcomes were assessed according to the extent and form of elder abuse, the causes of elder abuse and the violation of basic ethical principles. The responses, in particular those of employees, revealed both psychological and physical abuse of older clients, and thus violation of two basic principles: respect for the person and non-maleficence. The group at risk of elder abuse comprised aggressive and dissatisfied clients, as well as those with mental problems and dementia. The employees most at risk of being abusers were those who had been employed in institutional care for more than five years, had inadequate knowledge about social services and suffered from burnout. The prevention of elder abuse is recommended to be through education focused on ethical principles, increasing employees’ satisfaction by promoting a friendly and safe organizational culture, and providing adequate working conditions.


2015 ◽  
Vol 7 (1) ◽  
pp. 38-51 ◽  
Author(s):  
Fiona McAlinden

Purpose The purpose of this paper is to describe Monash Health’s development of a Policy and Procedure on the abuse of older people in metropolitan Australia. Monash Health is a public healthcare network that consists of six public hospitals and over 40 community health care sites throughout the South East of Melbourne. Design/methodology/approach An Action Research Action Learning approach was employed to develop a comprehensive set of policy and procedure documents to ensure that Monash Health became compliant with the State Government’s expectations around responding to the abuse of older people in a consistent manner. Findings Almost 90,000 Monash Health hospital admissions per year are older people aged over 65 years. Senior Monash Health management recognized that staff did not have adequate information, education and resources to consistently identify and respond to situations of elder abuse. What is more, the existing internal Monash Health document Supporting Older People at Risk did not meet obligations stated in the Victorian Government’s Elder Abuse Strategy (2009). Originality/value The project’s emphasis upon participatory action research, cooperative inquiry and action learning further resulted in the identification of an opportunity to develop a strategic response to violence and abuse for all patients of Monash Health, not just older people.


Author(s):  
Philip Wilkinson ◽  
Ken Laidlaw

This chapter on interpersonal psychotherapy (IPT) describes the theory and practice of this structured psychological treatment. It discusses the implementation of IPT with older people. Next it reviews the applications of IPT with a main focus on the treatment of depression in older adults and distinguishes between the treatment of depression with and without cognitive impairment. It summarizes the structure of IPT and the use of specific techniques, and it then addresses the main therapeutic foci encountered in treatment (grief, interpersonal role disputes, role transitions, and interpersonal deficits). Finally, it briefly reviews the evidence base for IPT with older people.


2019 ◽  
Vol 50 (4) ◽  
pp. 1219-1237 ◽  
Author(s):  
Stephen Coulter ◽  
Stanley Houston ◽  
Suzanne Mooney ◽  
John Devaney ◽  
Gavin Davidson

Abstract Social work practice has an essential, yet ambiguous, relationship with theory. This state of affairs is currently evident in the range of contemporary relationship-based practice (RBP) models being applied within Child and Family Social Work. This article argues that there is an urgent need for a theoretically coherent conceptualisation of these models to enable social work practitioners to embrace their common precepts and so enable more effective interventions. In contrast to attempts to show the distinctiveness of current models for reasons of fidelity, model identity and marketing, this unifying approach advocates for recognition of the commonality and complementarity of contemporary RBP models. The article argues that systemic theory which applies a social constructionist orientation can provide this coherence, helping social workers develop their practice in an informed way. In making this case, the emergent evidence base is noted and recommendations are made about how greater convergence and complementarity can be promoted. This article contributes to the debate about how practice and policy should be guided by theoretical ideas of coherence, alongside more utilitarian ideas advocating the importance of evidence and effectiveness.


2001 ◽  
Vol 7 (1) ◽  
pp. 128
Author(s):  
Sylvie Leber ◽  
Susan Hawthorne ◽  
Kim Baston

In 1998, a unique collaboration commenced between the Performing Older Women's Circus (POW), older residents of the municipality of Maribyrnong, and the Maribyrnong City Council. This collaboration culminated in the circus show The Art of Falling is Never Landing. The show, combines a positive ageing message with the message that falls amongst older people are preventable in a way that crosses linguistic and cultural barriers.


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