‘Having a say’: children and young people talk about consultation

There has been a recent surge of interest in consulting children and young people about issues affecting them. Research in this area can in the main be said to have been motivated by adult agenda, with little attempt to seek the views of children and young people themselves. This paper is based on what children have said about consultation. They were critical of some of the more widely used methods, largely because they saw them as unrepresentative. The main message from the research is that children want to be consulted if it is done properly, if it is about issues directly affecting them and if they see it as likely to yield results that are likely to benefit them or other young people. Copyright © 2003 John Wiley & Sons, Ltd.     

Reciprocities in caregiving relationships in Danish elder care

This article examines the nature of the reciprocal relationships between elderly people and both their informal caregivers and home helpers in Denmark. One of the key results concerns the importance that elderly care recipients attached to various forms of reciprocity. The two major ones were hospitality and gift giving. While informal caregivers see their caregiving as normative or as generalized reciprocity, many stressed that the elderly person's personality and their expressions of gratitude and appreciation (symbolic reciprocity) were important factors facilitating caregiving. Home helpers spoke of satisfaction in helping others, but also underlined the fact that they could see some good role models for their own old age. The results are analyzed on the backdrop of the nature of the Danish welfare system, which provided liberal pensions and benefits. This indirect reciprocity enabled elderly people to retain their ability to participate in reciprocal social relations and preserve their integrity and independence.     

Low-income young people's problematic relationship with individualised policy in England

There is much debate within youth studies regarding whether or not, or to what extent, young people subjectively experience individualised life-pathways. This article suggests that alongside these debates, it might be fruitful to also explore if young people are being institutionally individualised ‘from above’. Using the current UK Government's child poverty policy as a case study, it explores the extent to which this policy individualises low-income young people, arguing that it strongly pushes them towards the project of self-making and choice-biographies. This is regardless of whether or not they subjectively see themselves as self-makers, or whether or not they are equipped for the task. Working with 38 young people around England, who were some of targets of this policy, this article then goes on to document how this individualisation ‘from above’ was actively rejected. Given the opportunity to write their own, ideal child poverty policy, created as part of this research, these young people instead underscored the importance of structural inequalities in shaping the problems of poverty as they saw them. Their policy highlighted a desire for collective, universalistic interventions to correct for these inequalities, rather than individualised solutions imposed ‘from above’.     

推行子女照护责任货币化,促进老年照护社会化

随着我国人口老龄化和高龄化速度加快,在完善社会养老保险制度的同时,迫切需要进行制度创新,从我国实际出发着力发展居家养老,开拓居家养老服务所需的资金来源,促进居家养老服务的可持续发展。     

The exclusion of older people in disability activism and policies — A case of inadvertent ageism?

Using Sweden as a case, the article discusses the tendency within disability activism and policies to overlook elderly people. From an analysis of a major Swedish government investigation on disability it is clear that disability policies in Sweden have come to rest upon stereotyped age norms that divide the life course into set stages, and there has been a tendency to define elderly disabled people as elderly rather than disabled. It is argued that this exclusion is partly the result of a successful endeavor to provide disabled people of younger ages with rights that are typical of non-disabled citizens. Justice and equality have been defined in comparison to citizens of similar ages: children, youth and adults of “active age”. Based on the analysis of the paper it is argued that activities of movements struggling to liberate oppressed populations may contribute to ageism, and that anti-ageist research must go beyond the idea that ageism is a simple matter of attitudes towards older people.     

Live to 70 Years and Older or Suffer in Silence: Understanding Health Insurance Status Among the Elderly Under the NHIS in Ghana

Ghana has introduced a National Health Insurance Scheme (NHIS). Embedded in the NHIS is a policy to exempt poor and vulnerable groups from premiums and user fees. There has been some debate as to why the start-off age for exemption among the elderly is 70 years. Ghana has a shorter life expectancy than middle- and high-income countries and its current age of retirement is 60 years. This study explores the financial and social implications of continuing to charge premiums to people aged 60 to 69 years. Based on the analysis of data from a representative household survey, it is recommended that the exemption policy should be expanded to include all vulnerable elderly persons, regardless of age.     

Role and function: Aspects of quality of life of older people in rural Bangladesh

The aim of this study is to explore the meaning of quality of life (QoL) for elderly people in a rural community in Bangladesh. Data were obtained through in-depth interviews with 11 elderly persons aged 63–86 years. Interview data were analysed using content analysis to determine the conceptual meaning of elderly peoples' experiences of QoL. Two major themes emerged from the data as being of utmost importance in QoL of elderly people in rural Bangladesh. These were: (i) having a role in the family and the community and (ii) being functional, both physically and economically. Results also showed that elderly people in rural Bangladesh prioritise being healthy, having a good social network, social support and a secure financial situation in order to have good QoL. This study is a step towards a better understanding of QoL experienced by the elderly people themselves in a rural Bangladeshi context.     

生态养老:养老服务中场所性的健康促进策略

老年人口占总人口比例以及提供健康服务成本的财政需求增加,正日益威胁着全球的稳定性。同时,这样的人口发展趋势也给传统的老年人健康服务供给带来挑战。本文以澳大利亚的案例为背景,论证在养老服务中运用场所性的健康促进能够给老年人创造更大的福利,缩短通常与年龄增长有关的慢性病患病率时间。提倡生态养老意味着无需像以前那样对老年人实行隔离管理,而是将他们视为整个社会生活、工作和娱乐不可缺少的一部分。文章比对了健康促进学校与养老产业等场所性的健康促进的特征,认为涵盖各种养老服务的场所是建立一个新的健康促进场所的最佳选择。场所性的健康促进策略的核心就在于为老年人的生活创造有利的环境。更广义地说,生态养老指导我们将环境与健康联系在一起,减少这一日益庞大的人口群体对环境的影响。因此,在老龄事业中应用场所性的健康促进策略有助于降低待赡养的老年人口对全球稳定性的威胁。     

The Constitution of Impairment: modernity and the aesthetic of oppression

Impairment has been set aside in debates about disability dominated by the social model. This paper seeks to go beyond the Cartesianism which produces this neglect. It suggests that radical disability studies can prosper from a critique of modernity which entails a shift from its singular epistemological origins in the critique of capitalism. The argument challenges the contention that the oppression of disabled people is reducible to social restrictions which are the outcome of a set of structural determinations. It suggests that the oppression of disabled people is also umbilically linked to the visual constitution of impairment in the scopic regime of modernity. The vision of modernity is impaired by the assumption that to see is to know, that is, by its ocularcentrism. In deconstructing the visual culture of modernity, it is possible to demonstrate that the non-disabled gaze is a product of this specific way of seeing which actually constructs the world that it claims to discover. Using the work of Sartre and, to a lesser extent, Foucault, this paper argues that impairment is constructed-not discovered-in the non-disabled gaze. The invalidation and disfigurement of impaired bodies is, therefore, not simply an economic and cultural response to them, but also arises in the mode of perception which visualises and articulates them as strangers.     

The Health Status of Elderly People and the New Direction of Health Services

The projected increase of people in Japan aged 75 years and older in the years to come implies the increase of the disabled elderly. Thus, the core of societal preparation for the aging of the population is generally considered to be the expansion of services for the disabled elderly. However, gerontological studies on the health status of the elderly conducted in Japan show that the prevalence of disability is quite low and even decreasing. Relative to the services for the disabled elderly, preventive services for the healthy elderly have long been overlooked. In 1994, the Metropolitan Tokyo Government organized a task force to develop a new health education program as the preventive health service for the healthy urban elderly. A preliminary plan outlining the health education program consisting of propagation with a booklet, on-the-job training of practitioners, and development of new curricula and teaching materials was proposed by the authors for discussion within the task force. Although the inquiry has just begun and the plan is still nascent, it seems adequate to fit the needs for preventive health services in the near future.     

Chapter 2. Housing and Household Movement in Later Life

ABSTRACT

In most developed countries housing policies are focusing on enabling elderly and very elderly people to remain in their own homes. Attention is also turning to people in the Third Age to see how their housing needs to be different from earlier stages of their lives but also as a preparation for old age. This paper presents evidence from the United Kingdom (UK) about choices and policies at different stages of middle and old age and on the developing range of housing options to meet these needs.     

The making of ‘the elderly’: Constructing the subject of care

The provision and arrangement of care for elderly people is one of the main challenges for the future of European welfare states. In both political and public discourses elderly people feature as the subjects who are associated with particular needs, wishes and desires and for whom care needs to be guaranteed and organised. Underlying the cultural construction of the care regime and culture is an ideal type model of the elderly person. This paper analyses the discursive construction of elderly people in the discourses on care in Austria. An understanding of how elderly people as subjects, their wishes and needs and their position within society are constructed enables us to analyse, question and challenge the current dominant care arrangements and its cultural embeddings. The paper demonstrates the processes of silencing, categorisation and passivation of elderly people and it is argued that the socio-discursive processes lead to a particular image of the elderly person which consequently serves as the basis on which the care regime is built.     

“Good Manner of Dying” as a Normative Concept: “Autocide,”“Granny Dumping” and Discussions on Euthanasia/Death with Dignity in Japan

The purpose of this paper is to clarify the two characteristics of the way the issue of euthanasia/death with dignity has been discussed in Japan, compared with the situation in Europe and the USA. The two characteristics are: (i) that the concept of “euthanasia” is sharply distinguished from that of “death with dignity” in Japan in that the former only refers to the killing of a patient by administration of a lethal drug while the latter refers to letting a patient die by withholding or withdrawing life‐prolonging medical treatments; and (ii) that the view that it is sinful to commit suicide is not as common in Japan as it is in the West. In order to clarify these characteristics, I examine the nature of suicide and murder in relation to the issue of euthanasia and death with dignity while briefly reviewing the history of the debates in Japan in order to see how the characteristic understanding of “death with dignity” has generated. I also clarify, by giving examples, the structure of those narratives with regards to the “good manner of dying,” which excludes from society the elderly and people with incurable diseases and ones with motor and intellectual disabilities. In the end, I describe how biopolitics functions in the current Japanese situation.     

Research and empowerment: involving people with learning difficulties in oral and life history research

This paper takes as its central theme the argument that inclusive learning disability research has the potential to be empowering for the people who are involved in it. The author draws from two oral and life history research projects to explore the multiple uses of story-telling and the multi-layered picture of learning disability history that emerged. People with learning difficulties were involved in all stages of the research process, contributing their stories as oral and life historians but also co-researching written records in a bid to know and understand more about their own and other people's past lives. The research enabled participants not only to tell their stories but also to reflect on them, to develop new insights into their meaning and to see them in a wider social and political context.     

Retirement Income Security in the United States of America

Abstract

Population aging in the United States poses a challenge for the present and coming generations: how to financially support the growing numbers of retired people? There is also a need to explore the potential for conflict across generations if young people see themselves as funding a system that may not be able to support them fully when they are older. This paper explores this intergenerational dimension and suggests that such stories of potential conflict are not borne out by research.     

Hong Kong and China in 1997

In 1997, Hong Kong changes from a British colony to a Special Administrative Region (SAR) of China. While officially it has been agreed that the status change should not alter the economic or social conditions in the territory substantially, many people believe that residents' lives will be considerably affected. Hong Kong society has always been highly mobile and fluid in terms of migration, and it is only very recently that over half of the population have been born in the tenitory Many elderly people in Hong Kong were bom elsewhere and many Hong Kong families are fragmented, with members living in China, elsewhere in the Asia-Pacific region, North America, Australia, and Britain. The potential impact of 1997 on the lives and conditions of elderly residents is only now forming a focus of concern. This article considers what may happen in the closing years of this century and early next when the SAR emerges. There is already growing popular belief that, for financial and social reasons, some elderly people are going back to China for their retirement. However, evidence from a survey of 419 noninstitutionalized respondents found relatively few expressing a desire or willingness to retire to China. This article concludes with a discussion of why this may be so. A major reason may be that, with the increasing ease of visits between Hong Kong and China, Hong Kong elderly people might feel more comfortable with alternately living in China and Hong Kong instead of taking the bold decision of permanently living in China.     

The health status of elderly people and the new direction of health services

The projected increase of people in Japan aged 75 years and older in the years to come implies the increase of the disabled elderly. Thus, the core of societal preparation for the aging of the population is generally considered to be the expansion of services for the disabled elderly. However, gerontological studies on the health status of the elderly conducted in Japan show that the prevalence of disability is quite low and even decreasing. Relative to the services for the disabled elderly, preventive services for the healthy elderly have long been overlooked. In 1994, the Metropolitan Tokyo Government organized a task force to develop a new health education program as the preventive health service for the healthy urban elderly. A preliminary plan outlining the health education program--consisting of propagation with a booklet, on-the-job training of practitioners, and development of new curricula and teaching materials--was proposed by the authors for discussion within the task force. Although the inquiry has just begun and the plan is still nascent, it seems adequate to fit the needs for preventive health services in the near future.     

The invisibility of age: gender and class in later life

Sociology almost entirely neglects later life. This contrasts with social policy where elderly people are largely seen as a burden on society and their carers. The article examines three areas of sociological enquiry and suggests reasons for the omission of elderly people. Parallels are drawn with sociology's earlier neglect of women. The feminist agenda has largely excluded the concerns of elderly women and at times has contributed to the pathological image of elderly people as burdens to be shouldered by their daughters. We argue that sociological theories would be enriched by incorporating the experiences of elderly people within their theoretical net.