Harvard Crooners: Building Intergenerational Relationships Through Participatory Music Making

The world is rapidly aging, and yet aging is fraught with many difficulties. In particular, the rights of older people to participate fully in cultural life are frequently not met. To help address this issue, we propose an innovative model for intergenerational, participatory music-making between younger people and older people. Specifically, instead of giving traditional, non-participatory performances for older people as is commonly done in nursing homes and other elderly institutions, we advocate for engaging seniors in collective music-making and singing. We believe this kind of collective music-making will better meet the rights of older adults to participate in cultural life and will lead to stronger intergenerational relationships.     

Quality of life of older people in Israel: a comparison between older people living at home who are members of a ‘supportive community’ and nursing home residents

The supportive community is a program that was developed in Israel for older people who live at home. The program provides its members with a service package that includes medical and social services, emergency call-button, cultural activities, and a ‘community parent’ who is responsible for the members. Using quantitative method, this study compared the level of quality of life between 55 older people living in their homes who are members of a supportive community (average age = 74.7) and 60 elderly people living in nursing homes (average age = 75.8). As expected, results indicate that quality of life among the older people living at their homes who are members of a supportive community was higher than among the older people living in a nursing home. In addition, the quality of life of married, educated, functionally independent older people in good health and with a good economic situation was higher. Predictor variables of quality of life were: the place of residence, health status, and age. In light of increased life expectancy and the growing need to care for the older population, the practical application of the study focused on a recommendation for the social services to continue the support community development program.     

The experience of quality of life among older people

Although quality of life has been in the focus of attention for over a decade there are few studies available investigating, how the old and the oldest old experience their quality of life or what quality of life actually means for them? To illuminate this, eleven in-depth interviews were conducted with six women and five men (80+) living in their home. An interpretative hermeneutic phenomenological analysis revealed that quality of life in old age meant a preserved self and meaning in existence. Maintained self-image meant that the older people experienced a coherent life with an intact meaning. How quality of life was valued depended on the meaning the old people attached to the areas of importance as well as how they were evaluated. Additionally, areas not generally included when measuring quality of life became discernible. The meaning of home, how life was viewed, thoughts about death and dying, and telling ones story proved to be areas of importance for their perception of quality of life. Thus, indicating that older people's view of quality of life is more complex than some of today's most commonly used quality of life instruments capture and that quality of life assessment tools needs to measure beyond pure health indices. For nursing care the use of life review in everyday care, and an open way towards existential topics as well as a family oriented care along with preventive work helping people to remain in their own homes may enhance their experience of quality of life.     

Going to the Crackhouse: Critical Space as a Form of Resistance in Total Institutions and Everyday Life

This article explores the extent to which organizational identity claims and the formal organization of social control influence how actors in a total institution conceptualize their “real” selves. The setting for this case study is Project Rehabilitate Women, a drug treatment program serving incarcerated female offenders. Using Goffman's analysis of the total institution as a guide, I explore the importance of “secondary adjustments” for self-definition. This analysis will show that the capacity of residents to distance themselves from the label of “addict” is contingent on the formal structure of social control. I will argue that, in the absence of traditional distancing strategies, residents construct “critical space” as an alternative means to subvert institutional control mechanisms and to creatively acquire the resources necessary to articulate definitions of self that are distinct from staff constructions. It is clear that resistance, whether temporary or sustained, successful or failed, is central to how subordinates maintain their sense of self in an environment committed to radical self-transformation.     

Character Contests and Violent Criminal Conduct: A Critique*

Goffman's theory of violent criminal behavior, which is based upon the complementary notions of “character contest” and “stake in conventional institutions,” is relatively unique in that it makes problematic both the violent criminal act and actor. However, the explanation Goffman's work provides is inadequate for three major reasons. First, mutual consent among the conflicting parties to use violence to settle their dispute rarely occurs in violent criminal acts. Secondly, the meanings with which most violent criminal acts are imbued are different from that of a character contest. Finally, violent people cannot be distinguished from non-violent ones merely on the basis of whether or not they have a stake in conformity. Thus, a more accurate and adequate theory of violent criminal behavior which takes into account both the nature of the violent criminal act and actor is needed. The outlines of such a theory are briefly described.     

Conceptualising informal institutions: Drawing on the case of guanxi

Institutions regulate social life through formal rules and sanctions. These are distinguished from another source of social regulation, the informal incentives and constraints inherent in cultural currents and customary practices. Informal practices may be based not simply on cultural forces, though, but expectations regularised by informal rules and sanctions, which may operate as informal institutions. One approach holds that informal institutions arise out of formal institutional voids. Another holds that informal institutions operate in response to situations in which formal institutions frustrate the interests of individuals and groups who engage informal institutions to augment, compromise, or subvert formal institutions. After developing the concept of informal institution, the article goes on to indicate how an informal relationship pervasive in modern China, guanxi, may be understood as an informal institution. It is shown that by drawing on the case of guanxi the scope of the concept informal institution can be extended and also that our understanding of guanxi is enriched when the concept of informal institution is applied to its analysis.     

Quality of Life in Nursing Homes

Abstract

The Nursing Home Reform Act (NHRA) of 1987 established nursing home requirements and dually emphasized quality of care and quality of life outcomes. We researched elders' perceptions of quality of life in nursing homes using focus groups. Analysis revealed four major themes important to residents: generativity, spiritual well-being, homelike environment, and privacy. Themes were used to analyze the disparity between NHRA's goal of dual emphasis and the dominance of quality of care in the treatment of frail elders living in nursing homes. Policies and procedures must be developed that promote decisional control in everyday matters of an older person's life.     

Impediments to Health Care for the Foreign Student

Abstract

Today's college students occupy a “window” between older adults, whose need for hepatitis B vaccination is minimal, and younger people who receive the vaccine as part of their childhood immunization series. However, because of the high-risk activities that are often part of student behavior, college students are among the individuals who are at the highest risk for this disease; 75% of all reported hepatitis B cases occur in persons between the ages of 15 and 39 years. It is therefore imperative that college health professionals take seriously their responsibility to educate students about issues related to hepatitis B and make available programs that enable the students to receive immunizations. This article briefly describes a successful hepatitis B education and immunization program at an institution that has no mandatory prematriculation immunization requirements.     

Maintaining mastery despite age related losses. The resilience narratives of two older women in need of long-term community care

The aim of this article is to examine how older people mobilise sources of strength, often denoted under the concept of resilience, to maintain mastery over their lives in the context of significant threats to their function. Departing from a relational approach to resilience, we focus on how they cooperate and interact with significant others to achieve their personal goals. This is illustrated by the narratives of two older women. The concept of resilience helps us to reflect on their stories and to gain an in-depth understanding of the mediating sources of strength older people rely on when encountering the losses associated with old age. The narratives of the women show that what on the surface appears to be a similar burden to a life or function, turned out to be interpreted and responded to in a different way. Maintaining mastery in old age is a symbolic and interactional process, and a shared responsibility for older persons and their social environment. Important mediating sources of strength that turn out to influence positively one's sense of mastery include a positive perception of one's situation, openness about one's vulnerability and responsiveness to help. In order to promote older people's sense of mastery, significant others need to approach them in a positive way, by being aware of the way support is offered, by believing in their potential and strength and by allowing reciprocity in the relationship. When these conditions are fulfilled, it becomes possible to enter into a constructive dialogue and recommendations can be developed – in terms of treatment – that are consistent with the older persons' values and expectations.     

Residential care for children with intellectual disabilities in the social protection system in Serbia

This paper presents and discusses the characteristics of the social protection of children with intellectual disabilities who are placed in children's homes in Serbia. It draws on a survey that covered the entire population—586 users in all five institutions for children with intellectual disabilities who resided there in 2009. The analysis shows the heterogeneity of users in relation to age and degree of intellectual disability, their long-term stay in homes, the inadequate structural and functional standards, and insufficient health care. Residential care becomes the most common form of permanent rather than temporary care. These findings suggest the need for a number of strategies to be adopted, and the paper concludes by outlining potential ways forward.     

Telling Others How You Live—Refining Goffman's Stigma Theory Through an Analysis of Housing Strugglers in a Homeowner Nation

This article revisits Goffman's stigma theory from the perspective of housing studies. We elaborate on Goffman's approach by exploring how housing tenure can work as a proxy for moral character. We interviewed twenty‐seven people who are excluded from access to homeownership in two cities in Norway, which is a “homeowner nation.” These individuals are unable to enter the dominant “homeowner class” for different reasons, including drug‐dependency, mental illness, refugee background, low socioeconomic status; thus, they must access housing through other tenures; private renting or social housing. To many of them, housing becomes a stigma, in Goffman terms, an “undesired differentness.” Social housing is known to carry stigma in Norway. It was thus a paradox, that those with the softest differentness—private rental—were most likely to practice (Goffman:) “information control” over their housing situation. Goffman's theoretical apparatus, and his distinction between the discreditable and the discredited in particular, helped us make this paradox comprehensible. Through this analysis, refinements to Goffman's theory were discovered. We suggest that “multiple stigmas,” which was not seen clearly by Goffman himself, should be a key notion in stigma studies. We use this notion to distinguish between possible sub‐types to the discredited‐discreditable distinction.     

Quality of Life for People with Learning Difficulties Moving to Community Homes

Research concerning people with learning difficulties who have left institutions has typically investigated how well people 'adapt' to life in the community, and has often ignored users' own perceptions of the changes in their quality of life resulting from the move. In this study, eight people with learning difficulties who moved from a hospital and seven people who moved from parental homes to live in staffed homes in the community were interviewed. Choice, privacy, social life and relationships with their parents and staff emerged as important factors in participants' perception of their quality of life. Their relationships with their parents were found to be close, and in some cases their parents were overprotective. Staff were perceived in some cases as too controlling and in others as providing too little support. The findings indicate that people with learning difficulties moving to community residences have aspirations which encompass far more than a wish to adapt to life in the community, and their relationships with family and staff are a central factor in achieving such aspirations.     

Practising partnership--participative inquiry with older people

This paper examines the importance of approaching research with minority groups of older people in an inclusive way. For older people, ageism is a key feature of the discrimination and marginalisation they experience, but some are excluded and marginalised further on the basis of their ethnicity and sexuality. The 'invisibility' of these groups poses a challenge to social workers and social work educators, as assumptions about their experiences and needs may be made which do not reflect the subjective experiences of these older people. The use of Participatory Action Research as a method of including service users in knowledge and theory development will be analysed, and a research proposal undertaken in partnership with a local voluntary agency will be explored. The importance for social work education of pursuing 'inclusive' methods of research so that service users have more power over knowledge produced about their lives, will be discussed.     

Sociology of Humor and a Critical Dramaturgy

Goffman's analytic framework can provide tools useful for a critical theory of modern society. While commentators have remarked on Goffman's apparent technical neutrality, a sociology of humor can help reveal his critical thrust. Using a latent content analysis, we demonstrate how several frames found in Jerry Seinfeld's humor are both dramaturgical and covertly critical. We use these themes to illuminate the critical analyses of modern social life provided by Goffman's method.     

Planning and execution of a successful hepatitis B immunization program

Today's college students occupy a "window" between older adults, whose need for hepatitis B vaccination is minimal, and younger people who receive the vaccine as part of their childhood immunization series. However, because of the high-risk activities that are often part of student behavior, college students are among the individuals who are at the highest risk for this disease; 75% of all reported hepatitis B cases occur in persons between the ages of 15 and 39 years. It is therefore imperative that college health professionals take seriously their responsibility to educate students about issues related to hepatitis B and make available programs that enable the students to receive immunizations. This article briefly describes a successful hepatitis B education and immunization program at an institution that has no mandatory prematriculation immunization requirements.     

A Guide to Training Your Own Horses: The Flaneur Appproach and Erving Goffman's Uninhibited Research Practices in Sociology

While Erving Goffman's sociology has enjoyed great popularity and is cited often, the career of his work has been largely confined to other scholars reaping, adapting, and utilizing his concepts. Goffman was opposed to science that just reproduces and orders concepts, and opposed to his students using his concepts as easy tools. Instead, he recommended they train their own horses: While there is much to use in Goffman's work, there is little scholarship that continues the genius of his practical approach. As valuable as Goffman's categories are, his collection practice and his analytical scheme may be even more valuable. On the one hand, they offer an intricate framework for research that is as open as it is directed; on the other hand, they allow researchers to argue freedom from the ever more imposing bad imitations of natural scientific method that threaten to overgrow the social sciences. Together, they allow Goffmanesque work without merely parroting his concepts. This article attempts to outline Goffman's eclectic way of collecting material and his technique for fashioning this material into analyses, reordering this material around different metaphors that make Goffman's contribution distinct. I call Goffman's practical research a flaneur approach, and outline it. The paper then makes an argument for its continuation.     

Housing for Older People in Iceland: Apartments and Nursing Homes

The first residential and nursing homes in Iceland were built in the early 1920s, and the first apartments for older people in the early 1970s. Most of the existing housing for older persons was built in the last 30 years. Legislative provisions on housing and particularly on assisted living have not changed significantly since laws relating to the affairs of the elderly were first passed in 1983. While approximately 90% of older people in Iceland own their own home and the primary stated goal of the government is to support independent living, official policy relies on placement in nursing homes. Services and care at home, provided by social and home healthcare services, has not been developed to the same extent as in the other Nordic countries. Clearer guidelines on integrated service housing are needed to reach the government's primary stated goal. Placing more emphasis on delivering services, care, and rehabilitation to people living in the community could shorten individuals’ length of stay in hospitals, delay admission to nursing homes, and better meet the expectations of older people for independent living.     

Queers in the Line of Fire: Goffman's Stigma Revisited

Using data from in‐depth interviews with young queer people, this article proposes revisions for four areas of Goffman's classic work, Stigma. Interviews reveal a situation between complete acceptance of queer identity and outright hostility, which I term “being in the line of fire,” and three strategies participants use to manage their identity in this situation. Unlike classical identity management, this project considers how their “double consciousness” allows them to respond to stigmatizing situations while remaining insulated from the negative appraisals of others. Instead, they orient toward educating the stigmatizer, minimizing interaction by tailoring their identity, or disengaging. I use these strategies to demonstrate that identity management theory does not properly consider possible responses to hostile reactions, the diversity of stigmatized groups, Goffman's so‐called sympathetic others, or different frames of reference on stigmatized attributes. Orienting to the point of view of the marginalized, this article demonstrates how one manages an accepted identity when one is in the line of fire.     

Goffman's Interaction Order at the Margins: Stigma,Role, and Normalization in the Outreach Encounter

This article considers Goffman's conceptualization of interaction order at the margins of society in encounters between urban welfare workers and their clients. Observations from these encounters demonstrate practices relating to the situated management of stigma and identity, and the accomplishment of role within these service encounters. A reading of Goffman's theoretical contribution lies in revealing how social actors and social structures are realized in situ within the constraints of the interaction order sui generis. The article discusses three aspects of the outreach encounter, namely, (1) the accomplishment of role and motive, (2) the sequential phases of the outreach encounter, and (3) “the normalization ritual,” and introduces the concept of willful disattention.     

The lobby as an arena in the confrontation between acceptance and denial of old age

In two anthropological studies on old-age institutions, the lobby is found to be an arena in which one may examine the styles that seniors use to cope with the end of life. The lobby seemingly symbolizes the socioexistential situation of today's elderly and gives us a credible view of two separate types of institutions: sheltered housing and the old-age home. The article examines three levels of context: the static “set” in the lobby, the traffic of tenants and others through it, and the extent of freedom in its access. The article concludes that each institutional context “promotes” a different style of coping. Sheltered-housing tenants cultivate a middle-aged identity in which they deny the fact that they are old; tenants of the old-age home accept the manifestations of old-age and conduct an overt discourse with death. The reality of life in an institution as one that forces people to cope with question of identity in old age creates an appropriate background for discussion of the costs and utilities of each style of coping.