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.     

Hidden boundaries and shared meanings: the roles of researcher characteristics and cultural norms in shaping understandings of sexuality in the unstructured interview setting

This paper examines the role of the research process in shaping the construction of knowledge about sensitive topics in in-depth interviews particularly with regard to researcher identity and cultural influences or norms. We argue that these influences shape all aspects of the research process and that researchers will benefit from reflecting upon them when planning, undertaking and interpreting qualitative studies. Drawing on an empirical study interviewing Australian women aged 55 years and older about sexuality we address differences and similarities between researchers and participants; cultural constructions of sexuality and ageing, and generational influences. Using examples from our interview data we interrogate the contribution of each of these aspects to the interview dynamic and the co-production of meaning. Our analysis draws attention to the fluidity of insider and outsider status and to the existence of hidden boundaries that impact on how certain topics can be discussed in interviews. The paper argues that knowledge about sensitive topics such as older people’s sexuality must be viewed as a situated occurrence shaped by the particularities of the interview and the cultural context. Finally, we discuss the implications of these findings for qualitative inquiries into sensitive topics.     

Content validity analysis of ISD-1: an instrument for social diagnosis in care homes for older persons†

This article presents the validity study for ISD-1 (Instrument for Social Diagnosis), designed to be used in the specialist field of intervention in care homes for older persons. The study has focused on the evidence regarding the validity of its content. The definition of the operative area of ISD-1 (social diagnosis in care homes), and its representativeness and relevance, are decisive aspects for its validity. Two validation procedures were used, with the participation of two independent groups of experts. Both procedures had the objective of obtaining a quantitative measure assessing the representation of the area and of the degree of association between the dimensions and the items of the instrument. We may conclude that there is a sufficient degree of evidence for the representativeness, relevance and usefulness of the content of ISD-1, meaning it may be considered a suitable instrument for the formulation of social diagnoses in care homes for older persons.     

Children Caught in the Middle

Children from divorced homes are caught in the middle of parental conflict significantly more often and are experiencing more resulting stress than children from intact homes. Our intention was to use a brief educational intervention to reduce the number of times divorced parents put their children in the middle. Participants were 45 high school students with divorced parents (male = 22, female = 23; Mage = 15.8). These subjects rated the frequency and stressfulness of 32 such situations. The parents of the intervention group were mailed the subjects' averaged responses on the 32 items and an explanatory letter. The same 32-item questionnaire was given about 1 month after the mailing as the intervention evaluation. Subjects in the intervention group improved more than the two control groups combined, F(1,42) = 3.45, p < .10. These results imply that having divorced parents read some brief information is sufficient to produce behavior changes in the majority of those parents.     

“It’s a Dignity Thing”: Nursing Home Care Workers’ Use of Emotions1

This article examines how nursing home care workers use emotions to construct dignity at work. Previous scholarship has shown how the financial and organizational characteristics of nursing homes shape and constrain emotion work among staff. Using evidence gathered during 18 months of participant observation in two nursing homes and 65 interviews with staff, this article analyzes how, despite obstacles, nursing home care workers generated authentic emotional attachments to residents. Surprisingly, some staff members said they particularly appreciated working with residents difficult to control. They felt accomplished when such residents successfully transitioned from life at home to life in institutional care. Emotions created dignity for staff and induced compliance among residents. Emotions are not only generated by organizations and imposed on workers; staff themselves produced emotions—sometimes in ways consistent with organizational demands, and sometimes not—and they consistently found in their emotions a resource to manage the strains of their work lives.     

The Impact of Training Videos on Attitudes About Parenting After Divorce

Many U.S. states require divorcing parents to take education classes about the impact of divorce on parents and children. As educators, psychiatrists, social workers, and others create these classes, it is important to evaluate what elements of the curriculum are effective in achieving targeted outcomes. Successful Coparenting After Divorce (https://coparenting.fsu.edu) is a free online divorce education course that focuses on issues such as the emotional impact of divorce, conflict reduction, and skills for parental cooperation. The course also includes videos covering topics including examples of negative and positive parental behavior, and testimonials from children. Pilot testing of the videos and the overall course impact with divorcing parents (n = 218) suggested that the videos’ utility were significantly related to the positive change in parents’ perceptions of their relationship with their former spouse, and their child-focused attitudes. Implications for practitioners who design or provide divorce education to parents are discussed.     

Subalterns ‘speak’: migrant bodies,and the performativity of the arts

ABSTRACT

The contemporary globalizing world has unleashed new flows of migrant labour, among which are young women working in homes. As is well known, many find themselves in a situation of virtual slavery, having no juridical protections against both physical and emotional abuse, and against being held in servitude against their wills. While the situation of migrant domestic workers is increasingly well known, there has been little analysis of how their precarious lives look from their points of view and the complex set of affects and relations that make their lives meaningful. The following investigation treats the way their precarity can become political critique. It focuses on a critical locus of enunciation supplied by the conditions of migrant female domestic workers as it is articulated not in ethnographic work that solicits their actual voices, but through a focus on literary and cinematic texts in which the female protagonists compare domestic servitude to colonialism (in the case of Ousmane Sembene’s film Black Girl) and to war crimes (in the case of Zadie Smith’s story, The embassy of Cambodia). Mediated with some thoughts from Gayatri Spivak’s Can the subaltern speak and Mahasweta Devi’s short story The breast-giver, we also reflect on the ethical significance of aesthetic interruptions through other genres as illustrated by our reading of images from Ramiro Gomez’s Happy Hills painting and cardboard cutting series. In effect, the artistic texts we analyse raise an important ethico-political question regarding the effect of capitalist modernization on ethical life while provoking us to recognize the ethical weight of proximate and distant others.     

Systemic Practice in the Time of COVID: Conversations Among Culturally Diverse Therapists

The COVID‐19 pandemic has changed the delivery of clinical services and education of health professionals, including family therapists. This paper distils two separate Zoom conversations between myself (as the lead author) and two eminent family therapists, Professors Maurizio Andolfi and Harry Aponte, where challenges and opportunities for the profession during and after the pandemic are discussed. Creativity and resourcefulness are two important elements therapists and educators have needed to access during the pandemic to find alternative ways to continue to provide clinical services and teaching. Most therapists have transitioned using online technology and various platforms such as Zoom and Skype; for some this has been a somewhat familiar experience, for most it has been a novel one. Key themes emerged from the conversations including the personal and professional ‘lived experiences’ of the pandemic; the financial impact on clients and students; the importance of touch for human social connection; the use of ‘self’ as an instrument of change and alternative platforms of service delivery and teaching. We reflected on what has been lost, such as the nuances inherent in face‐to‐face human interactions, and what has been gained, such as observing families in situ in their own environments.     

Bullying,sexual harassment and happiness in residential children's homes

Much is now known about bullying and, to some extent, sexual harassment in settings such as schools. In residential children's homes, however, the two remain disturbing features of institutional life. This is a particular cause for concern as many of the residents in these homes, given their troubled backgrounds, are at greater risk of becoming victims of perpetrators. This article looks at the incidence and effects of these related maladies within the context of a wider study involving 223 children in 48 residential homes in five local authorities. The study found that fellow residents, rather than staff, were the main sources of physical and sexual abuse. Both bullying and harassment (actual and attempted) were strongly associated with the widespread misery reported by many residents. Copyright © 2000 John Wiley & Sons, Ltd.     

The Good,the Bad and the Unhappy: The Cultural Meanings of Newspaper Reporting on Jackpot Winners

Accounts of jackpot winners and big gambling wins are common in Swedish newspapers. Analysis of over 2000 such newspaper articles reveals that their content is structured according to specific themes and cultural topics. Four such topics are identified: wealth as a test of morals and character, the social impact of wealth, the just and good world, and luck and the occult. Culturally structured narratives like these—which elaborate on mythological and moralistic schemes of good and evil, rewards and punishments, and which concern questions of human nature and social values—have a long history in folk tradition and in Christian moral teachings. Jackpot wins provide a discursive realm for moral and existential questions that, to some extent, fills a void left by the decline of traditional folklore and formal religion. Apparently, this discourse stimulates interest in games and constitutes one of the cultural roots of contemporary gambling.     

LABOR MARKET PERFORMANCE EFFECTS OF DISCRIMINATION AND LOSS OF SKILL

We examine the impact of discrimination on labor market performance when workers are subject to a risk of losing skills during an unemployment experience. Within a search and matching framework, we show that both natives and immigrants are affected by discrimination. Discrimination in one sector has positive spillovers, inducing employment to increase in the other sector and the effect on labor market performance therefore depends on whether discrimination is present in only one sector or in both. Discrimination may induce workers to train more or less than natives after having lost their skills, dependent upon in which sector there is discrimination. Net output tends to be most negatively affected by discrimination among high‐skilled workers. (JEL J15, J31, J61, J64, J71)     

Why Seek Asylum? The Roles of Integration and Financial Support

The suspicion that asylum seekers seek beneficial conditions in host areas has become a controversial and popular topic. It has led to accusations of economic migration, with deterrent and preventative measures introduced to try to control this “problem”, and in particular, the intended uniformity of asylum procedures has been a key aim of European harmonisation talks. As a small, qualitative study, this article is based upon thirteen semi‐structured interviews held with Somali individuals who sought asylum. It aims to explore destination choices with reference to the experiences and explanations given by some whose voices are otherwise largely excluded from debates. It asks to what extents and why they occurred. It reveals that having homes, jobs, educations, and more were key parts of what exile meant to these individuals, and so demonstrates reactivity behind topics more typically held to be “voluntary” concerns. Choices upon destinations were limited, however, and far bigger influences were the people smugglers or agents whom most relied upon to facilitate their entries past the preventative border controls. Beyond this, deterrence or prevention measures had no effect. The data is also used to explore the controversial and similarly under‐researched role of financial support. It is shown to have been connected with the interests that persons had in adjusting to new areas and dealing with their interim disadvantage, and not as something that justifies suspicions. This study supports arguments that policy makers should concentrate less upon deterrence or prevention, and more on the conditions that exist to propel such movements. Its findings suggest that insufficient certainty, support, or quality of life can create pressures for seeking asylum and that these should be addressed by policy makers; it also argues that “voluntary” aspects of movements might more recognisably be parts of exile.     

Conflicts and contestations. Rural populations’ perspectives on the second homes phenomenon

In response to demands to restructure and diversify their economies, many rural communities have welcomed the expanding phenomenon of second homes. However, while the second home owners bring new resources to the host communities, the literature also suggests that large second home populations in rural communities provide fertile ground for a number of economic, social and cultural conflicts and contestations. The present paper analyses the views of the local rural populations on the second home phenomenon, with particular attention to variation in these views, both within and between the rural communities (municipalities). The analysis uses material from the survey City, countryside, second homes 2008, which was conducted among a large-scale and representative sample of the population in Norwegian rural second home municipalities. The first section of the paper addresses the rural populations’ stance towards the second home phenomenon, both in general and as it unfolds in their own vicinity. Results show generally positive views on second home development; however, the analysis identifies a substantial minority which is negative to the second home expansion. Nevertheless, the second section shows that even those rurals who are negative towards further developments of second homes largely report harmonious social relationships with the second home population that is already present. Third, the paper presents and discusses a multivariate logistic regression model to analyse how different segments of the rural population vary in their views on second home phenomena. Here, results suggest differences at both micro and macro levels: the local rural elites, in particular those with direct economic interests in the second home sector, are most positive towards further development. On the municipality level, resistance towards second homes is stronger in municipalities with a high density of second homes. Nevertheless, a high growth rate in the number of second homes, due to high investments, seems to increase local support.     

WAGES,EMPLOYMENT, AND STATISTICAL DISCRIMINATION: EVIDENCE FROM THE LABORATORY

We report results from laboratory experiments designed to examine statistical discrimination. Our design expands upon existing research by generating data both on wage contracts and unemployment rates of directly competing worker groups. We find some evidence for statistical wage discrimination against workers having an identical expected productivity but a higher productivity variance. However, those same subjects are less likely to be unemployed, suggesting that our employer‐subjects view hiring choice and wage contracts as substitutable. A clear implication is that field data discrimination estimates based on wages alone may overestimate the true impact of such discrimination. (JEL C90, J71)     

Shaping social situations: A hidden aspect of care work in nursing homes

A significant aspect of care work in nursing homes involves dealing with emotional responses such as anxiety, fear, pain, depression and anger on the part of residents and their families. Previous care and nursing research on this topic centers around dyadic relationships and does not provide useful conceptualizations of how care workers actively deal with the social situations they encounter as part of their work. Drawing on ethnographic field work and interviews conducted in two Norwegian nursing homes, this article aims to describe and conceptualize a previously neglected aspect of good care work: the active shaping of social situations in order to lessen uneasy feelings of residents and their families. Three episodes of good work are described to illustrate how social situations can be shaped. Strategies include such actions as timing events, regulating one's presence, and composing social groups. The concluding section discusses some implications for nursing home management.     

What are Homes Made of? Building Materials,DIY and the Homeyness of Homes

This article considers the meanings that are attached to, and outcomes produced by, the things that houses are built from. It reflects on the meanings attached to the “robustness” of building materials for people who carry out DIY (Do-It-Yourself) projects. DIY is important to some people as a way to build relationships and perform a culturally valued identity. For interviewees in New Zealand, working on their own homes was an important aspect of their lives, and more malleable building materials allowed such work and had positive connotations and produced feelings of homeyness in contrast to more robust “permanent” materials. The article thus raises questions about how the built material of home relates to our feelings about it as well as highlighting the diverse practices and relationships that—literally—construct homes.     

An Examination of Conflict in Emerging Adulthood Between College Students and Their Parents

Abstract

Two hundred seventy-three college students between the ages of 18 and 22 years, and in the midst of what some researchers would refer to as Emerging Adulthood, reported the most common topics of conflict that they experience with their mothers and fathers and provided their perceptions of these conflicts. Female and male emerging adults reported similar topics of conflict with their mothers and fathers. The sex of the emerging adults and that of their parents who were involved in the conflict appeared to play an important role in the complex dynamic related to their perceptions of their parents following the conflict, especially for positive perceptions of fathers and perceptions of fathers' emotional availability and acceptance. The results of this study further the understanding of conflicts that occur between emerging adults and their parents.