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Loneliness among older people as a social problem: the perspectives of medicine, religion and economy

Published online by Cambridge University Press:  27 August 2015

WERNER SCHIRMER*
Affiliation:
TEFSA – Platform for Theory-driven Research in Social Work, Department of Social and Welfare Studies, University of Linköping, Sweden.
DIMITRIS MICHAILAKIS
Affiliation:
TEFSA – Platform for Theory-driven Research in Social Work, Department of Social and Welfare Studies, University of Linköping, Sweden.
*
Address for correspondence: Werner Schirmer, TEFSA – Platform for Theory-driven Research in Social Work, Department of Social and Welfare Studies, University of Linköping, SE 60174 Norrköping, Sweden. E-mail: [email protected]

Abstract

This article offers a theoretical framework for studying loneliness among older people from a social problems perspective. The framework combines the constructionist approach to social problems (Spector and Kitsuse) and systems theory (Luhmann). Based on the first approach, we understand the social problem of loneliness among older people to be the result of claims-making activities by different key actors. These activities are guided by underlying moralities, causalities and solutions. With the second approach, we can explain how social problems are framed differently within different social systems. The proposed framework is primarily aimed at researchers studying social (in contrast to bio-medical or psychological) aspects of loneliness among older people. It helps not only to guide research designs in order to address conflicting perspectives, rationalities and interests but also to enable researchers to grasp fully how ‘loneliness among older people’ is attributed (potentially shifting) meanings through communicative acts by influential stakeholders in the ‘social problems industry‘. Combining constructionism and Luhmann's theory also helps to interpret and explain concrete claims-making concerning loneliness as a social problem. The argument in this article is illustrated via three different social systems: medicine, religion and economy. Loneliness among older people appears to be something different from each of these perspectives: as a matter of health and illness, of spirituality, and of incentives and commodities, respectively.

Type
Articles
Copyright
Copyright © Cambridge University Press 2015 

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References

Alessio, J. 2011. Social Problems and Inequality. Ashgate, Burlington, Vermont.Google Scholar
Alma, M., Van der Mei, S., Feitsma, W. N., Groothoff, J., Van Tilburg, T. and Suurmeijer, T. 2011. Loneliness and self-management abilities in the visually impaired elderly. Journal of Aging and Health, 23, 5, 843–61.CrossRefGoogle ScholarPubMed
Best, J. (ed.) 1995. Images of Issues: Typifying Contemporary Social Problems. Aldine de Gruyter, New Brunswick, New Jersey.Google Scholar
Best, J. and Harris, S. (eds) 2012. Making Sense of Social Problems: New Images, New Issues. Lynne Rienner, Boulder, Colorado.CrossRefGoogle Scholar
Beyer, P. 1998. Globalizing systems, global cultural models and religion(s). International Sociology, 13, 1, 7994.CrossRefGoogle Scholar
Cacioppo, J., Hawkley, L. and Berntson, G. 2003. The anatomy of loneliness. Current Directions in Psychological Science, 12, 3, 71–4.CrossRefGoogle Scholar
Campbell, K. 2012. Loneliness and the Elderly: Dying of a Broken Heart. Available online at http://www.whvheart.com/loneliness-and-the-elderly-dying-of-a-broken-heart/ [Accessed 17 April 2015].Google Scholar
Dahlberg, K. 2007. The enigmatic phenomenon of loneliness. International Journal of Qualitative Studies on Health and Well-being, 2, 4, 195207.CrossRefGoogle Scholar
Dahlberg, L. and McKee, K. J. 2014. Correlates of social and emotional loneliness in older people: evidence from an English community study. Aging & Mental Health, 18, 4, 504–14.CrossRefGoogle ScholarPubMed
Dello Buono, R. 2013. Time to change the subject: a new sociology of praxis. Critical Sociology, 39, 6, 795–9.CrossRefGoogle Scholar
Durkheim, E. 2012 [1893]. The Division of Labor in Society. Martino Fine Books, Eastford, Connecticut.Google Scholar
Dykstra, P. 2009. Older adult loneliness: myths and realities. European Journal of Ageing, 6, 2, 91100.CrossRefGoogle ScholarPubMed
Echelbarger, C. 2007. Battling the siege of loneliness. The Pillar, 8, 1.Google Scholar
Eriksson, M. and Svedlund, M. 2007. Elderly spouses’ experiences in connection with their partners’ death: a literature review. Vård i Norden, 27, 1, 43–6.Google Scholar
Erstes Partnerforum für Senioren [First Partner Forum for Seniors] 2015. Available online at https://www.partnerforum-fuer-senioren.de/vorteile.aspx [Accessed 17 April 2015].Google Scholar
Feagin, J. R. (ed.) 1986. Social Problems: A Critical Power–Conflict Perspective. Prentice-Hall, Englewood Cliffs, New Jersey.Google Scholar
Fuller, R. and Myers, R. 1941. Some aspects of a theory of social problems. American Sociological Review, 6, 2, 2432.CrossRefGoogle Scholar
Glynn, J., Hohm, C. and Stewart, E. 1996. Global Social Problems. HarperCollins College Publishers, New York.Google Scholar
Golden, J., Conroy, R., Bruce, I., Denihan, A., Greene, E., Kirby, M. and Lawlor, B. 2009. Loneliness, social support networks, mood and wellbeing in community-dwelling elderly. International Journal of Geriatric Psychiatry, 24, 7, 694700.CrossRefGoogle ScholarPubMed
Graneheim, U. and Lundman, B. 2010. Experiences of loneliness among the very old: the Umeå 85+ Project. Aging & Mental Health, 14, 4, 433–8.CrossRefGoogle ScholarPubMed
Hawkley, L. and Cacioppo, J. 2007. Aging and loneliness. Downhill quickly? Current Directions in Psychological Science, 16, 4, 187–91.CrossRefGoogle Scholar
Horton, P., Leslie, G., Lawson, R. and Horton, R. 1997. The Sociology of Social Problems. Prentice Hall, Englewood Cliffs, New Jersey.Google Scholar
Jylhä, M. 2004. Old age and loneliness: cross-sectional and longitudinal analyses in the Tampere Longitudinal Study on Aging. Canadian Journal of Aging, 23, 2, 157–68.CrossRefGoogle ScholarPubMed
Karnick, P. 2005. Feeling lonely: theoretical perspectives. Nursing Science Quarterly, 18, 1, 712.CrossRefGoogle ScholarPubMed
Korporaal, M., Broese van Groenou, M. and van Tilburg, T. 2008. Effects of own and spousal disability on loneliness among older adults. Journal of Aging and Health, 20, 3, 306–25.CrossRefGoogle ScholarPubMed
Laermans, R. and Verschraegen, G. 2001. ‘The Late Niklas Luhmann’ on religion: an overview. Social Compass, 48, 1, 720.CrossRefGoogle Scholar
Lee, D. B. 2000. The society of society: the grand finale of Niklas Luhmann. Sociological Theory, 18, 2, 320–30.CrossRefGoogle Scholar
Liu, B. and Rook, K. 2013. Emotional and social loneliness in later life: associations with positive versus negative social exchanges. Journal of Social and Personal Relationships, 30, 6, 813–32.CrossRefGoogle Scholar
Long, C., Seburn, M., Averill, J. and More, T. 2003. Solitude experiences: varieties, settings, and individual differences. Personality and Social Psychology Bulletin, 29, 5, 578–83.CrossRefGoogle ScholarPubMed
Loseke, D. 2003. Thinking About Social Problems. Aldine Transaction, Hawthorne, New York.Google Scholar
Luhmann, N. 1977. Die Funktion der Religion [The Function of Religion] . Suhrkamp, Frankfurt/Main, Germany.Google Scholar
Luhmann, N. 1988. Die Wirtschaft der Gesellschaft [The Economy of Society] . Suhrkamp, Frankfurt/Main, Germany.Google Scholar
Luhmann, N. 1995. Social Systems. Stanford University Press, Palo Alto, California.Google Scholar
Luhmann, N. 2000 a. Die Religion der Gesellschaft [The Religion of Society] . Suhrkamp, Frankfurt/Main, Germany.Google Scholar
Luhmann, N. 2000 b. The Reality of the Mass Media. Stanford University Press, Stanford, California.CrossRefGoogle Scholar
Luhmann, N. 2005. Der medizinische Code [The medical code]. In Luhmann, N. (ed.), Soziologische Aufklärung 5. VS Verlag, Wiesbaden, Germany, 176–88.CrossRefGoogle Scholar
Luhmann, N. 2012. Theory of Society. Volume 1, Stanford University Press, Palo Alto, California.Google Scholar
Luhmann, N. 2013. Theory of Society. Volume 2, Stanford University Press, Palo Alto, California.Google Scholar
Merton, R. K. and Nisbet, R. (eds) 1971. Contemporary Social Problems. Harcourt Brace Jovanovich, New York.Google Scholar
Michailakis, D. and Schirmer, W. 2014. Social work and social problems: a contribution from systems theory and constructionism. International Journal of Social Welfare, 23, 4, 431–42.CrossRefGoogle Scholar
Mills, C. W. 1959. The Sociological Imagination. Oxford University Press, New York.Google Scholar
Nyqvist, F., Cattan, M., Andersson, L., Forsman, A. K. and Gustafson, Y. 2013. Social capital and loneliness among the very old living at home and in institutional settings: a comparative study. Journal of Aging and Health, 25, 6, 1013–35.CrossRefGoogle ScholarPubMed
O'Luanaigh, C. and Lawlor, B. 2008. Loneliness and the health of older people. International Journal of Geriatric Psychiatry, 23, 12, 1213–21.CrossRefGoogle Scholar
Peplau, L. A. and Perlman, D. (eds) 1982. Loneliness: A Sourcebook of Current Theory, Research, and Therapy. Wiley, New York.Google Scholar
Pettigrew, S. and Roberts, M. 2008. Addressing loneliness in later life. Aging & Mental Health, 12, 3, 302–9.CrossRefGoogle ScholarPubMed
Rosedale, M. 2007. Loneliness: an exploration of meaning. Journal of the American Psychiatric Nurses Association, 13, 4, 201–9.CrossRefGoogle Scholar
Saake, I. 2003. Die Performanz des Medizinischen. Zur Asymmetrie der Arzt-Patienten-Interaktion [The performance of medicine. On the asymmetry of the doctor–patient interaction]. Soziale Welt, 54, 4, 429–59.Google Scholar
Schirmer, W. 2008. Bedrohungskommunikation. Eine gesellschaftstheoretische Studie zu Sicherheit und Unsicherheit [Threat Communication. A Sociological Study of Security and Insecurity]. VS-Verlag, Wiesbaden, Germany.Google Scholar
Schirmer, W. and Michailakis, D. 2011. The responsibility principle. Contradictions of priority-setting in Swedish healthcare. Acta Sociologica, 54, 3, 267–82.CrossRefGoogle Scholar
Schnittker, J. 2007. Look (closely) at all the lonely people: age and the social psychology of social support. Journal of Aging and Health, 19, 4, 659–82.CrossRefGoogle ScholarPubMed
Shaw, A. 2013. Could inheritance tax reform help combat loneliness among older people? Saga, 12 December. Available online at https://www.saga.co.uk/money/experts/could-inheritance-tax-reform-help-combat-loneliness.aspx?pid=mn [Accessed 17 April 2015].Google Scholar
Spector, M. and Kitsuse, J. 1987 [1977]. Constructing Social Problems. De Gruyter, Hawthorne, New York.Google Scholar
Stanley, M., Moyle, W., Ballantyne, A., Jaworski, K., Corlis, M., Oxlade, D., Stoll, A. and Young, B. 2010. ‘Nowadays you don't even see your neighbours’: loneliness in the everyday lives of older Australians. Health and Social Care in the Community, 18, 4, 407–14.Google ScholarPubMed
Tiikkainen, P. and Heikkinen, R.-L. 2005. Associations between loneliness, depressive symptoms and perceived togetherness in older people. Aging & Mental Health, 9, 6, 526–34.CrossRefGoogle ScholarPubMed
Uotila, H., Lumme-Sandt, K. and Saarenheimo, M. 2010. Lonely older people as a problem in society – construction in Finnish media. International Journal of Ageing and Later Life, 5, 2, 103–30.CrossRefGoogle Scholar
van Baarsen, B., Snijders, T., Smit, J. and van Duijn, M. 2001. Lonely but not alone: emotional isolation and social isolation as two distinct dimensions of loneliness in older people. Educational and Psychological Measurement, 61, 1, 119–35.CrossRefGoogle Scholar
Victor, C. R., Burholt, C. R. and Martin, W. 2012. Loneliness and ethnic minority elders in Great Britain: an exploratory study. Journal of Cross-cultural Gerontology, 27, 6578.CrossRefGoogle ScholarPubMed
Victor, C., Grenade, L. and Boldy, D. 2005. Measuring loneliness in later life: a comparison of differing measures. Reviews in Clinical Gerontology, 15, 1, 6370.CrossRefGoogle Scholar
Victor, C., Scambler, S. and Bond, J. 2009. The Social World of Older People. Understanding Loneliness and Social Isolation in Later Life. Open University Press, New York.Google Scholar
Victor, C., Scambler, S., Bowling, A. and Bond, J. 2005. The prevalence of, and risk factors for, loneliness in later life: a survey of older people in Great Britain. Ageing & Society, 25, 6, 1, 357–75.CrossRefGoogle Scholar
Weber, M. 2009 [1904]. The Protestant Ethic and the Spirit of Capitalism. Norton, New York.Google Scholar
Weiss, R. 1973. Loneliness: The Experience of Emotional and Social Isolation. MIT Press, Cambridge, Massachusetts.Google Scholar
Wenger, G. C. and Burholt, V. 2004. Changes in levels of social isolation and loneliness among older people in a rural area: a twenty-year longitudinal study. Canadian Journal on Aging, 23, 2, 115–27.CrossRefGoogle Scholar