Towards A Medical Anthropology Of Ageing

The proportion of people over 65 is substantially increasing and will continue to do so in the coming decades. Societies are concerned about the depletion of pension funds and austere fiscal plans that are unable to subsidize the basic care, protection and needs of their growing elderly populations. Gerontology is rapidly becoming a burgeoning research discipline that studies multiple aspects of human ageing, leading to top-down social policies that ineffectually address the significant needs of aged persons. Geriatric medicine has also expanded, attempting to medicalize the ageing process into a disease-free stage of “healthy ageing.” Ageing itself, this book argues, however, is not a disease per se, and should not be medicalized. In an era of uncertain medical expectations and unfulfilled social care of the ageing, this book presents an anthropological view, that focuses on three essential and transcendental conditions of human life that become vulnerable with advancing age: namely, relating to others, being in the world, and leaving a mark or legacy in the world.

An in-depth and wide-ranging approach to the study of older adults in society Taking a holistic approach to the study of aging, this volume uses biological, archaeological, medical, and cultural perspectives to explore how older adults have functioned in societies around the globe and throughout human history. As the world’s population over 65 years of age continues to increase, this wide-ranging approach fills a growing need for both academics and service professionals in gerontology, geriatrics, and related fields. Case studies from the United States, Tibet, Turkey, China, Nigeria, and Mexico provide examples of the ways age-related changes are influenced by environmental, genetic, sociocultural, and political-economic variables. Taken together, they help explain how the experience of aging varies across time and space. These contributions from noted anthropological scholars examine evolutionary and biological understandings of human aging, the roles of elders in various societies, issues of gender and ageism, and the role of chronic illness and “successful aging” among older adults. This volume highlights how an anthropology of aging can illustrate how older adults adapt to shifting life circumstances and environments, including changes to the ways in which individuals and families care for them. The research in Anthropological Perspectives on Aging can also help researchers, students, and practitioners reach across disciplines to address age discrimination and help improve health outcomes throughout the life course.

This is the first of three volumes on Aging conceived for the International Library of Ethics, Law, and the New Medicine. Leading scholars from a range of disciplines contest some of the predominant paradigms on aging, and critically assess modern trends in social health policy.

This book was conceived as a project of the Association for Anthropology and Gerontology, a multidisciplinary and international organization, formed in 1978, that is dedicated to the exploration and understanding of aging within and across the diversity of human cultures. The perspective of the Association is holistic, comparative and international. Membership is drawn from both academic and applied sectors and includes the social and biological sciences, medicine, urban planning, policy studies, social work and the development, administration and provision of services for the aged. Information about membership may be obtained from Dr. Eunice Boyer, Department of Sociology and Anthropology, Carthage College, Kenosha, Wisconsin WI, 53141 USA. Vll ACKNOWLEDGEMENTS In a collective enterprise such as this, there are many people who have helped us along the way. Many members of the Association for Anthropology and Gerontology and many other colleagues gave us advice, read and commented on drafts of papers and otherwise supported this project. The editors and individual authors would like to acknowledge the following for their support and help; Baine B. Alexander, Steve Albert, C.C. Ballew, Diana Bethel, Jacob Climo, Ann Dill, Jean De Rousseau, Nancy Foner, Doris Francis, Mel Goldstein, Ralph Garruto, Tony Glascock, Charlotte Ikels, Sharon Kaufman, Jeanie Kayser-Jones, S. Loth, Mark Luborsky, Linda Mitteness, Corinne Nydegger, J.D. Pearson, David Plath, J.P. Ritchie, Phil Stafford, Rachael Stark, Maria Vesperi, Marjorie Schweitzer, Jay Sokolovsky, Toni Tripp Reimer, Martin Whyte, and Connie Wolfsen. ix ROBERT L.

Cultural responses to most illnesses differ; dementia is no exception. These responses, together with a society's attitudes toward its elderly population, affect the frequency of dementia-related diagnoses and the nature of treatment. Bringing together essays by nineteen respected scholars, this unique volume approaches the subject from a variety of angles, exploring the historical, psychological, and philosophical implications of dementia. Based on solid ethnographic fieldwork, the essays employ a cross-cultural perspective and focus on questions of age, mind, voice, self, loss, temporality, memory, and affect. Taken together, the essays make four important and interrelated contributions to our understanding of the mental status of the elderly. First, cross-cultural data show the extent to which the aging process, while biologically influenced, is also very much culturally constructed. Second, detailed ethnographic reports raise questions about the behavioral criteria used by health care professionals and laymen for defining the elderly as demented. Third, case studies show how a diagnosis affects a patient's treatment in both clinical and familial settings.; Finally, the collection highlights the gap that separates current biological understandings of aging from its cultural meanings. As Alzheimer's disease and other forms of dementia continue to command an ever-increasing amount of attention in medicine and psychology, this book will be essential reading for anthropologists, social scientists, and health care professionals.

The current (postfeminist) gender order comprises a highly complex coexistence of old and new norms and expectations, freedom and constraints, within a neoliberal social order underpinned by individualism and involving a shift in gender performance by men and women. Health, illness and disease at different points in the life course can be used as a vehicle to illuminate structural and cultural inequalities that persist despite several decades of progressive reform in western countries. This collection brings together a number of key researchers, both established and new to the field, and based across North America, Australia, the UK and Europe, and comprises both empirical and theoretical work. Drawing on a wide range of disciplinary fields, including medical sociology, medical anthropology, nursing, gender studies, sociology of risk and age studies, all authors use heath, well-being, illness and disease as a lens through which to explore the complexities and inequalities associated with late modernity. This book will be of interest to scholars and students of age studies, medical sociology and anthropology, gender studies, healthcare and nursing.

Medical practitioners and the ordinary citizen are becoming more aware that we need to understand cultural variation in medical belief and practice. The more we know how health and disease are managed in different cultures, the more we can recognize what is "culture bound" in our own medical belief and practice. The Encyclopedia of Medical Anthropology is unique because it is the first reference work to describe the cultural practices relevant to health in the world's cultures and to provide an overview of important topics in medical anthropology. No other single reference work comes close to marching the depth and breadth of information on the varying cultural background of health and illness around the world. More than 100 experts - anthropologists and other social scientists - have contributed their firsthand experience of medical cultures from around the world.

Never before in human existence have the aged been so numerous - and for the most part - healthy. In this important new book, two professionals, an anthropologist and a physician, wrestle with the complex subject of aging. Is it inevitable? Is it a burden or gift? What is successful aging? Why are some people better at aging than others? Where is aging located? How does it vary among individuals, within and between groups, cultures, societies, and indeed, over the centuries? Reflecting on these and other questions, the authors comment on the impact age has in their lives and work. Two unique viewpoints are presented. While medicine approaches aging with special attention given to the body, its organs, and its functions over time, anthropology focuses on how the aged live within their cultural settings. As this volume makes clear, the two disciplines have a great deal to teach each other, and in a spirited exchange, the authors show how professional barriers can be surmounted. In a novel approach, each author explores a different aspect of aging in alternating chapters. These chapters are in turn followed by a commentary by the other. Further, the authors interrupt each other within the chapters - to raise questions, contradict, ask for clarification, and explore related ideas - with these interjections emphasizing the dynamic nature of their ideas about age. Finally, a third "voice" - that of a random old man - periodically inserts itself into the text to remind the authors of their necessarily limited understanding of the subject.