Old Age in European Cultures: A Significant Presence from Antiquity to the Present

2020 ◽  
Vol 125 (2) ◽  
pp. 385-395
Author(s):  
Pat Thane

Abstract Contrary to widespread belief, significant numbers of people have lived long lives throughout recorded history. On average, women have lived longer than men. Definitions of old age as beginning between the ages of sixty and seventy have been remarkably consistent through time, despite major social and economic changes, as has government enforcement of age-related regulations, increasingly as government bureaucracy grew from the eighteenth to the twentieth centuries. Despite long-prevailing simplified stereotypes, the reality of old age has always been highly diverse. Nowhere have people been respected or cared for simply because of their age; nor have all been frail dependents. Some have always been active to late ages, making positive, independent contributions to their families and communities, a fact that is too often overlooked by historians. Older people have mattered in all cultures and should not be overlooked.

2006 ◽  
Vol 26 (6) ◽  
pp. 883-900 ◽  
Author(s):  
JEAN TOWNSEND ◽  
MARY GODFREY ◽  
TRACY DENBY

This paper examines older people's contrasting images of older people as ‘those like us’ and as ‘others’. It draws on data from a qualitative study about the experience of ageing that was undertaken in partnership with two local groups of older people in England. Whilst the informants acknowledged their chronological age, changes in appearance and physical limitations, most did not describe themselves as old. They challenged the idea of older people as being ‘past it’. Older people who personified their own values of inter-dependence, reciprocity and keeping going were seen as ‘heroines’ of old age, but negative stereotypes were ascribed simultaneously to others, ‘the villains’. Aspects of behaviour which evoked censure were ‘giving up’; ‘refusal to be helped’ and ‘taking without putting back’, and were usually attributed to acquaintances known only at a distance. The victims of old age were primarily people with dementia, who were perceived as ‘needing to be looked after’ and objects of pity and concern. The paper explores the ways in which these various images of old age related to people's self-identity and management of the ageing process; especially in a society that has ambivalent conceptions of old age. The findings contribute to an understanding of how people's values underpin their conception of ‘a good old age’ and how they shape their interpretation of societal stereotypes. They also indicate the importance of considering whose voices are heard in the context of exploring the identity and contributions of older people to achieve a more inclusive society.


1997 ◽  
Vol 7 (4) ◽  
pp. 367-371 ◽  
Author(s):  
SE Gariballa ◽  
AJ Sinclair

One of the greatest challenges of medicine in old age is for physicians to understand the process of aging and to be able to distinguish it from disease, lifestyle factors and environmental exposures whose cumulative effects account for many of the changes observed in older people. As a result, physicians have a duty to recognize and intervene appropriately against age-related diseases.


2021 ◽  
pp. BJGP.2020.1118
Author(s):  
Bethany Kate Bareham ◽  
Jemma Stewart ◽  
Eileen Kaner ◽  
Barbara Hanratty

Background: Risk of harm from drinking is heightened in later life, due to age-related sensitivities to alcohol. Primary care services have a key role in supporting older people to make healthier decisions about alcohol. Aim: To examine primary care practitioners’ perceptions of factors that promote and challenge their work to support older people in alcohol risk-reduction. Design and Setting: Qualitative study consisting of semi-structured interviews and focus groups with primary care practitioners in Northern England. Method: Thirty-five practitioners (general practitioners, practice/district nurses, pharmacists, dentists, social care practitioners, domiciliary carers) participated in eight interviews and five focus groups. Data were analysed thematically, applying principles of constant comparison. Results: Practitioners highlighted particular sensitivities amongst older people to discussing alcohol, and reservations about older people’s resistance to making changes in old age; given drinking practices could be established, and promote socialisation and emotional wellbeing in later life. Age-related health issues increased older people’s contact with practitioners; but management of older people’s long-term conditions was prioritised over discussion of alcohol. Dedicated time to address alcohol in routine consultations with older people, and training in alcohol intervention facilitated practitioners; particularly pharmacists and practice nurses. Conclusion: There are clear opportunities to support older people in primary care to make healthier decisions about alcohol. Dedicated time to address alcohol, training in identification of alcohol-related risks, particularly those associated with old age; and tailored interventions for older people, feasible to implement in practice settings, would support primary care practitioners to address older people’s alcohol use.


2016 ◽  
Vol 10 (2) ◽  
pp. 9-29 ◽  
Author(s):  
Edward Tolhurst

Critical evaluation is undertaken of social scientific conceptualisations of dementia in relation to ageing. In response to the societal tendency to associate dementia with old age, there is a growing body of literature that seeks to explicate the particular challenges faced by younger people with the condition. While recognition of the distinctive impacts presented by dementia at different ages is crucial, an age-related conceptual model that focuses on a lifecourse divide at age 65 is problematic: it promulgates a sense that younger people with dementia have ‘‘unique’’ experiences, while dementia for older people is typical. This also reflects a societal ageism, under which concerns are focused on those situated within ‘‘productive adulthood.’’ Moreover, a straightforward chronological marker cannot adequately represent a social world shaped by significant demographic changes. A more textured appreciation of ageing and dementia is required to help articulate how distinctive experiences emerge across the lifecourse.


2006 ◽  
Vol 30 (3) ◽  
pp. 97-100
Author(s):  
Fionnuala Kelly ◽  
Julianne Reidy ◽  
Gregory Swanwick

Aims and MethodThe aim of this study was to provide a name for a psychiatric service for older people in Dublin. A total of 296 individuals (167 doctors, 129 workshop attendees) were surveyed regarding their views on a name for the service.Results‘Age-related psychiatry’ was a universally popular term. It was chosen by 43% of general practitioners, 56% of hospital doctors and 44% of the workshop attendees, as one of their top three choices. ‘Psychiatry of old age’, ‘geriatric psychiatry’ and ‘psychogeriatrics' were unpopular with all three groups.Clinical ImplicationsNames can gradually become stigmatising over time. This applies to the terms for ‘old’ and ‘psychiatry’. In this survey all groups surveyed rejected some of the terms in widespread clinical use.


2019 ◽  
Vol 4 (2) ◽  
pp. 123-133 ◽  
Author(s):  
Carlo Fabian ◽  
Sandra Janett ◽  
Tobias Bischoff ◽  
Riccardo Pardini ◽  
Johanna Leitner ◽  
...  

As the growing number of older people, particularly in urban areas, and changing lifestyles are increasing the importance of continuing to live in the community (ageing in place), studies show that age-related planning of living environments is often shaped by stereotypes, and that the needs of present and future older people are not sufficiently taken into account. In this context, two case studies based on Henri Lefebvre’s theory presented in his book The Production of Space investigate how ‘age-appropriate’ living environments are conceived, practiced and lived, and to what extent age-related stereotypes affect these processes. The two cases examined are an intergenerational project to promote physical activity and the development of a new city square. For both cases, interviews and walkthroughs were conducted with experts from various planning disciplines, as well as with current and future older people. The findings show that in planning practice the notions of old age and older people often remain diffuse and, at the same time, older people are often seen as a homogeneous and fragile group. The results indicate that the importance given to neighbourhood in old age can vary greatly. For social work, this implies that older people should be even more involved in the design of their living environments, through participatory processes, in order to better meet the heterogeneity of their needs.


2005 ◽  
Vol 25 (5) ◽  
pp. 637-654 ◽  
Author(s):  
FRANÇOISE CRIBIER

The experience of retirement and old age of two cohorts of the residents of Paris, born successively around 1907 and 1921, have been studied through prospective longitudinal studies, each of which comprised several waves of interviews. The two cohorts were first interviewed as they approached retirement and old age, in respectively 1972 and 1984. Moulded by the strong contemporaneous social change, the principal life experiences of the two cohorts have been quite different – from the social and geographic settings of their birth, their childhood and education, through their occupations and career advancement, parenting and family lives, housing conditions and residential mobility, earned incomes and pensions, longevity, and utilisation of medical care. Above all, their long lives have been strongly conditioned by rapid and radical socio-economic changes, particularly in the occupational structure, the rising standard of living, and improvements in urban housing standards, social protection, personal services and average life span. In contrast to their rising material standards, the cohorts have faced the gradual spread of less sympathetic attitudes towards older people, particularly those who lose their autonomy. As the number of people in advanced old age has relentlessly increased, they have in several respects become more distant from the rest of society. Maintaining the continued ‘inclusion’ and full citizenship of frail older people is not only a growing moral and practical problem, but also a major political problem in a democracy.


2009 ◽  
Vol 19 (2) ◽  
pp. 103-118 ◽  
Author(s):  
Sarah J Mitchell ◽  
Sarah N Hilmer ◽  
Andrew J McLachlan

SummaryThere is a high prevalence of pain in older people. Optimal assessment and management of pain in this population is challenging. The pharmacokinetics and pharmacodynamics of analgesic medications are affected by ageing and frailty, as well as by intercurrent medical conditions and their treatments. This review describes what is currently understood about the impacts of old age and frailty on the clinical pharmacology of commonly used analgesics, to provide a rational basis for the use of these medicines. In view of the wide age-related inter-individual variability in pharmacokinetics and pharmacodynamics of analgesic medications, monitoring of clinical response and adverse effects is essential to optimize pain control in older people.


Author(s):  
Yagyik Mishra ◽  
Negalur Vijay ◽  
Thakor Krunal ◽  
Bhat Nagaraj ◽  
Shubhasri B.

The growth of any country or society depends on the number of youth dwelling in that country but according to recent statistical data we soon will have older people more than children and more people at extreme old age than ever before. The number of people aged 65 or older is projected to grow from an estimated 524 million in 2010 to nearly 1.5 billion in 2050. Geriatrics (Jarachikitsa) is the branch of medicine dealing exclusively with the problems of aging and the diseases of elderly. The term Rasayana (rejuvination) refers to nourishment or nutrition. Rasayana therapy act essentially on nutrition dynamics and rejuvenate the body on both physical and mental levels. The problems of health due to modernization can be solved by increasing resistance against diseases and psychological improvement by implementing Rasayana therapy. Aging (Jara) is one among the Swabhavika Vyadhis. Jara Chikitsa is one among the Astanga of Ayurveda which is specifically dedicated for geriatric care. As per estimation, India currently has around 75 million persons over 65 years. By proper administration of Rasayana therapy as preventive tool one can delay Jara Janita Vyadhis to occur. This paper highlights the role of Rasayana in geriatric care.


2021 ◽  
Vol 30 (11) ◽  
pp. 652-655
Author(s):  
Carlos Laranjeira

The COVID-19 pandemic compelled states to limit free movement, in order to protect at-risk and more vulnerable groups, particularly older adults. Due to old age or debilitating chronic diseases, this group is also more vulnerable to loneliness (perceived discrepancy between actual and desired social relationships) and social isolation (feeling that one does not belong to society). This forced isolation has negative consequences for the health of older people, particularly their mental health. This is an especially challenging time for gerontological nursing, but it is also an opportunity for professionals to combat age stereotypes reinforced with COVID-19, to urge the measurement of loneliness and social isolation, and to rethink how to further adjust interventions in times of crisis, such as considering technology-mediated interventions in these uncertain times.


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