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Identity in the fourth age: perseverance, adaptation and maintaining dignity

Published online by Cambridge University Press:  06 August 2012

LIZ LLOYD ,
MICHAEL CALNAN ,
AILSA CAMERON ,
JANE SEYMOUR  and
RANDALL SMITH
LIZ LLOYD*
Affiliation:
School for Policy Studies, University of Bristol, Bristol, UK.
MICHAEL CALNAN
Affiliation:
School of Social Policy, Sociology and Social Research, Michael Calnan, University of Kent, Canterbury, UK.
AILSA CAMERON
Affiliation:
School for Policy Studies, University of Bristol, Bristol, UK.
JANE SEYMOUR
Affiliation:
Sue Ryder Care Centre for the Study of Supportive, Palliative and End of Life Care, University of Nottingham, Nottingham, UK.
RANDALL SMITH
Affiliation:
School for Policy Studies, University of Bristol, Bristol, UK.
*
Address for correspondence: Liz Lloyd, School for Policy Studies, University of Bristol, 8 Priory Road, Bristol BS8 1TZ, UK. E-mail: [email protected]
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Abstract

The fourth age remains a poorly understood phenomenon and there is a lack of understanding of the perceptions of those who might be considered to be living in it. This article draws on findings from a study of dignity in later life which examined the day-to-day experiences of participants who were in need of support and care because of failing health. It discusses their accounts of the changes to their sense of self and their identity that came about as a result of their ageing and health problems and looks also at the ways in which the support and care they received helped to shape their adjustment to those changes. The accounts given by participants reveal a great deal about the physical, mental and emotional effort entailed in maintaining a sense of self and highlight the essential role played by social relationships in the maintenance of identity. These findings are analysed by reference to emerging theories of the fourth age.

Keywords

fourth ageidentitydignityperseverancerelational autonomyadaptation
Type
Articles
Information
Ageing & Society , Volume 34 , Issue 1 , January 2014 , pp. 1 - 19
Copyright
Copyright © Cambridge University Press 2012 

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References

Baldock, J. 2005. Identity, meaning and social support. In Walker, A. (ed.), Understanding Quality of Life in Old Age. Open University Press, Maidenhead, UK, 130–45.Google Scholar
Bauman, Z. 1992. Mortality, Immortality and Other Life Strategies. Blackwell, Oxford.Google Scholar
Bourdieu, P. 1984. Distinction: A Social Critique of the Judgement of Taste. Routledge, London.Google Scholar
Coleman, P. and O'Hanlan, A. 2004. Ageing and Development: Theories and Research. Arnold, London.Google Scholar
Cumming, E. and Henry, W. E. 1961. Growing Old. Basic, New York.Google Scholar
Gilleard, C. and Higgs, P. 2010. Aging without agency: theorizing the fourth age. Aging & Mental Health, 14, 2, 121–8.CrossRefGoogle ScholarPubMed
Gott, M., Small, N., Barnes, S., Payne, S. and Seamark, D. 2008. Older people's views of a good death in heart failure: implications for palliative care provision. Social Science and Medicine, 67, 7, 1113–21.CrossRefGoogle ScholarPubMed
Heikkinnen, R.-L. 2000. Ageing in an autobiographical context. Ageing & Society, 20, 4, 467–83.CrossRefGoogle Scholar
Held, V. 2006. The Ethics of Care: Personal, Political, Global. Oxford University Press, Oxford.Google Scholar
Higgs, P. and Rees-Jones, I. 2009. Medical Sociology and Old Age: Towards a Sociology of Health in Later Life. Routledge, London.CrossRefGoogle Scholar
Lawton, J. 2000. The Dying Process: Patients’ Experiences of Palliative Care. Routledge, London.Google Scholar
Lloyd, L. 2000. Dying in old age: promoting wellbeing at the end of life. Mortality, 5, 2, 171–88.CrossRefGoogle Scholar
Lloyd, L. 2010. The individual in social care: the ethics of care and the “personalisation agenda” in services for older people in England. Ethics and Social Welfare, 4, 2, 188–200.Google Scholar
Merleau-Ponty, M. 1963. The Structure of Behaviour. Beacon Press, Boston.Google Scholar
Nordenfelt, L. 2009. The concept of dignity. In Nordenfelt, L. (ed.), Dignity in Care for Older People. Wiley-Blackwell, Oxford, 26–51.CrossRefGoogle Scholar
Spencer, L., Ritchie, J. and O'Connor, W. 2009. Analysis: practices, principles and processes. In Ritchie, J. and Lewis, J. (eds), Qualitative Research Practice: A Guide for Social Science Students and Researchers. Sage, London, 199–218.Google Scholar
Tadd, W. and Calnan, M. 2009. Caring for older people: why dignity matters – the European experience. In Nordenfelt, L. (ed.), Dignity in Care for Older People. Wiley-Blackwell, Oxford, 119–42.CrossRefGoogle Scholar
Twigg, J. 2006. The Body in Health and Social Care. Palgrave, London.Google Scholar
Vincent, J. 2003. What is at stake in the ‘war on anti-aging medicine’? Ageing & Society, 23, 5, 675–84.Google Scholar
Wainwright, P. and Gallagher, A. 2008. On different types of dignity in nursing care: a critique of Nordenfelt. Nursing Philosophy, 9, 1, 46–54.Google Scholar
Woolhead, G., Calnan, M., Dieppe, P. and Tadd, W. 2004. Dignity in older age: what do older people in the United Kingdom think? Age and Ageing, 33, 2, 165–70.Google Scholar