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Narrative Methods for the Human Sciences

Research Interviewing: Context and Narrative

After Virtue: A Study in Moral Theory

‘Active ageing’ is a topic of increasing attention in scientific and policy discussions on ageing, yet there is no consensus on its actual meaning. The current paper proposes a detailed classification of various definitions that have been used since its introduction. These definitions are subjected to critical investigation, and subtle differences with regard to such terms as ‘healthy ageing’ and ‘productive ageing’ are clarified. Bearing the hazards of previous definitions in mind, a comprehensive strategy is initiated. Given that earlier definitions have tended to exclude frail older adults, this strategy pays particular attention to the translation of the active-ageing concept to situations of dependency by centring on three key principles: fostering adaptability, supporting the maintenance of emotionally close relationships and removing structural barriers related to age or dependency.

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‘Active ageing’: from empty rhetoric to effective policy tool

Purpose of the study The purpose of this study was to analyze the range of critiques of successful aging models and the suggestions for improvement as expressed in the social gerontology literature. Design and methods We conducted a systematic literature review using the following criteria: journal articles retrieved in the Abstracts in Social Gerontology, published 1987-2013, successful aging/ageing in the title or text (n = 453), a critique of successful aging models as a key component of the article. Sixty-seven articles met the criteria. Qualitative methods were used to identify key themes and inductively configure meanings across the range of critiques. Results The critiques and remedies fell into 4 categories. The Add and Stir group suggested a multidimensional expansion of successful aging criteria and offered an array of additions. The Missing Voices group advocated for adding older adults' subjective meanings of successful aging to established objective measures. The Hard Hitting Critiques group called for more just and inclusive frameworks that embrace diversity, avoid stigma and discrimination, and intervene at structural contexts of aging. The New Frames and Names group presented alternative ideal models often grounded in Eastern philosophies. Implications The vast array of criteria that gerontologists collectively offered to expand Rowe and Kahn's original successful model is symptomatic of the problem that a normative model is by definition exclusionary. Greater reflexivity about gerontology's use of "successful aging" and other normative models is needed.

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Successful Aging and Its Discontents: A Systematic Review of the Social Gerontology Literature

At the beginning of the 21st century, the new mantra—“successful” and “resourceful” aging—is used interchangeably and intoned often unreflectively by a society eager to find ways to reduce aged-related losses. Yet despite numerous empirical studies and public health promotion strategies directed at ways of aging well, negative images of aging have an enduring vitality. This article examine sageism in a range of political, social, and cultural manifestos that have a productive role in encoding tacit assumptions and stereotypes about older people’s lives. Particular attention is given to the pervasive use of the concept of “dependency,” a stereotypic and productive ageist mechanism that continues to infiltrate what are arguably more inclusive strategies directed toward a global model of aging well. The authors explore some potential strategies to combat stereotypes and warn that aging well initiatives based on individualism and “self-responsibility” risk reproducing existing power relations that continue to...

Ageism: A Threat to “Aging Well” in the 21st Century:

This paper examines the marginalisation of nursing discourse, which followed the enactment of the Aged Care Act 1997. This neo-reform period in aged care, dominated by theories of economic rationalism, enshrined legislation based upon market principles and by implication, the provision of care at the cheapest possible price. This paper exposes some of the gaps in the neo-reform period and challenges the assertion that the amalgamation of nursing homes and hostels in such an environment can provide better quality of care and life for residents. It argues that this amalgamation entails a transformation towards a social model of care and fails to address the professional healthcare needs of the acutely sick and complex extreme old person and makes evident new gaps in the provision of aged care services. The paper proceeds to present strategies where the future for nursing practice in aged care necessarily involves a judicious balancing of individual cases alongside economic prescriptions of care and ever-changing public policy initiatives. It concludes that this can be achieved through a more interactive public, professional and advocacy discourse. The methodology involves extensive analysis of public documents including media, academic journals, government reports and interviews with recognised leaders in the field of aged care. The study utilises a critical interpretative framework consistent with the logic of Michel Foucault.

The paradox of the Aged Care Act 1997: the marginalisation of nursing discourse.

The aim of this research study was to examine the impact of the provision of a lifelike baby doll as a therapeutic tool on the behaviour of a person living with dementia. Specifically, this single ...

Doll therapy: A therapeutic means to meet past attachment needs and diminish behaviours of concern in a person living with dementia – a case study approach:

Quiet please, there's a lady on stage:: Centering the person with dementia in life story narrative

Illness such as dementia has particular linguistic and cognitive difficulties, not the least of which is its depiction in narrative, which may not be taken seriously. This paper builds upon a recently published manuscript by the authors, that describes a methodological approach utilising structural and thematic forms of narrative analysis to keep the person with dementia 'centre stage' in their own life story narrative. The aim of this paper is to utilise the same methodological approach and data to explore the narrative threads of a life-long disability, as experienced by a person called Janet who lives with dementia. Janet's story locates disability not as personal impairment but within the social and cultural context of family and religious life. This contributes to a better understanding of resilience built up over time; in so doing, provides further insight into Janet's enduring sense of self as she embraced a more challenging journey along the pathway of dementia.

Jocelyn Angus

Papers

Ageism: A Threat to “Aging Well” in the 21st Century:

The paradox of the Aged Care Act 1997: the marginalisation of nursing discourse.

Doll therapy: A therapeutic means to meet past attachment needs and diminish behaviours of concern in a person living with dementia – a case study approach:

Quiet please, there's a lady on stage:: Centering the person with dementia in life story narrative

A self narrative of life-long disability: A reflection on resilience and living with dementia