Empowering the Elderly?

How ›Help to Self-Help‹ Health Interventions Shape Ageing and Eldercare in Denmark

Health programmes that offer ›help to self-help‹ are meant to empower ageing adults to remain independent and self-sufficient at home for as long as possible. But what happens when the private home becomes a political realm in which state intervention and individual agency happen simultaneously? Based on 15 months of ethnographic fieldwork in a Danish municipality, Amy Clotworthy describes how both health professionals and elderly citizens negotiate the political discourses about health and ageing that frame their relational encounter. By elucidating some of the conflicts, paradoxes, and negotiations that occur, she provides important insights into the contemporary organisation of eldercare.

Overview Chapters

  1. Frontmatter

    Seiten 1 - 4
  2. Contents

    Seiten 5 - 8
  3. Abstract

    Seiten 9 - 10
  4. Acknowledgements

    Seiten 11 - 12
  5. Preface

    Seiten 13 - 16
  6. Introduction

    Seiten 17 - 40
  7. 1 From help to self-help: the transformation of eldercare in Denmark

    Seiten 41 - 62
  8. 2 'Following the rhetoric' in a Danish municipality

    Seiten 63 - 94
  9. PART I: LABOUR – activity related to the biological process of the human body

    Introduction

    Seiten 97 - 98
  10. 3 Evaluating the body's need for help

    Seiten 99 - 114
  11. 4 Embodying potential

    Seiten 115 - 128
  12. Summary

    Seiten 129 - 130
  13. PART II: WORK – activity related to the artificial world of structures and objects

    Introduction

    Seiten 133 - 134
  14. 5 Navigating public/private divisions

    Seiten 135 - 146
  15. 6 Stabilising the home to promote 'ageing in place'

    Seiten 147 - 164
  16. Summary

    Seiten 165 - 166
  17. PART III: ACTION – activity related to the human condition of plurality

    Introduction

    Seiten 169 - 172
  18. 7 Offering free choice and empowerment

    Seiten 173 - 186
  19. 8 Producing a 'shared responsibility' for care

    Seiten 187 - 200
  20. Summary

    Seiten 201 - 202
  21. 9 CONCLUSION: Transforming eldercare in Denmark

    Seiten 203 - 218
  22. Afterword

    Seiten 219 - 224
  23. Bibliography

    Seiten 225 - 240
  24. APPENDIX A

    Overview of key informants

    Seiten 243 - 244
  25. APPENDIX B

    Declaration of confidentiality for the municipality (Tavshedserklæring til kommunen)

    Seiten 247 - 248
  26. Criminal record (straffeattest)

    Seiten 249 - 250
  27. APPENDIX C

    Informeret samtykke – kommunale personale

    Seiten 253 - 254
  28. Informed consent – municipal personnel

    Seiten 255 - 256
  29. Informeret samtykke – borgere

    Seiten 257 - 258
  30. Informed consent – citizens

    Seiten 259 - 262
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€40.00 * $50.00 *

15 July 2020, 262 pages
ISBN: 978-3-8376-5211-6

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Amy Clotworthy

Amy Clotworthy, University of Copenhagen, Dänemark

1. Why did you choose this topic?

Many contemporary social-welfare programmes and public-health initiatives contain a neoliberal emphasis on citizens taking responsibility for their own health and remaining independent and productive for as long as possible. I wanted to examine the effects of such ambitions with regards to eldercare: What are the implications for people who have long been positioned as ›in need‹ of health and welfare services, and what actually happens when health professionals offer them ›help to self-help‹?

2. What new perspectives does your book offer?

My analytical insights contribute new knowledge about how the complex, ›limited‹ aspects of ageing cannot be dealt with by simply promoting a ›limitless‹ Third Age. Rather, societies should accept certain limitations and work to build stronger, more inclusive communities of care. Although my work focuses on eldercare in Denmark, I also point to how certain sociopolitical discourses and policies could affect any of us when we experience a health crisis or a significant, destabilising life event.

3. What makes your topic relevant for current research debates?

In many Western countries, there is a growing emphasis on individualised personal responsibility for health. Politicians and health professionals are also interested in how to enhance patient engagement, person-centred care, shared decision-making, and particularly how to empower elderly citizens. My analysis illuminates how health professionals' moral imperative to care may subvert the discourses of personal responsibility and `active ageing' that are prioritised by many government officials.

4. Choose one person you would like to discuss your book with!

I would like to speak with philosopher and political theorist Hannah Arendt. What does she think about the contemporary neoliberal discourses regarding individual responsibility, rationality, and independence, and does she believe that such discourses affect an individual's agency and intrinsic power to act? I would also like to learn what Arendt thinks of my analysis of the phenomenological, relational negotiations of power, space, and agency that occur in the context of home-health encounters.

5. Your book summary in one sentence:

This book examines how municipal health professionals attempt to empower older people in order to fulfil certain political objectives.

Author(s)
Amy Clotworthy
Book title
Empowering the Elderly? How ›Help to Self-Help‹ Health Interventions Shape Ageing and Eldercare in Denmark
Publisher
transcript Verlag
Pages
262
Features
kart., Dispersionsbindung, 6 SW-Abbildungen
ISBN
978-3-8376-5211-6
DOI
10.14361/9783839452110
Commodity Group
1728
BIC-Code
JFSP31 MQC JHB
BISAC-Code
SOC013000 MED058200 SOC022000
THEMA-Code
JBSP4 MQC JHB
Release date
15 July 2020
Edition
1
Topics
Medizin, Körper, Alter
Readership
Ageing Studies, Cultural Gerontology, Anthropology, Sociology
Keywords/Tags
Ageing, Health Initiatives, Eldercare, Reablement, Denmark, Aging Studies, Body, Medicine, Care, Qualitative Social Research, Cultural Studies

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