Aging and Ethnicity: Issues for Clinical Practice

Due to dramatic improvements in life expectancy among Americans from diverse ethnic groups, the graying of America is resulting in a particularly marked increase in ethnic diversity in late life. Clinicians must be prepared to address the problems of older ethnic minority patients, who present with distinct problems during late life and may present these problems in culturally prescribed ways. Cultural variations in views about the nature of mental disorders, issues in assessing and treating depression and dementia, and attention to issues of family caregivers are deserving of special attention.     

Another Side to Caregiving: Negative Reactions to Being Helped

Until recently, caregiving research focused almost exclusively on caregivers of older adults with health problems, and there was little focus on care recipients' perceptions of the care they receive. The present article reviews relevant research on reactions to caregiving assistance. Several recent studies indicate that help in these contexts can be viewed negatively by care recipients. As many as two thirds of physically impaired older adults who receive assistance with daily activities, such as preparing meals, climbing stairs, or dressing, experience negative reactions to some of the help they receive. Negative reactions seem to have important consequences for the care recipient, because they are associated with higher depression concurrently and 1 year later. Because some of the findings are inconsistent with theoretical models of negative responses to help, an alternative framework, based on social-support and social-conflict research, is briefly proposed.     

Reminiscence as Continuity: Comparison of Young and Older Adults

This study empirically investigates key propositions of a continuity theory approach to reminiscence. According to continuity theory, individuals seek familiarity in the face of uncertainty or impending change, which can accompany the aging process. The reminiscence behavior of young (n = 43) and older (n = 47) adults was compared to ascertain whether significant differences would emerge between the two populations concerning how often they reminisce and their use of reminiscence during transitional periods. Also of interest were differences in potential links between the content of reminiscence episodes and postreminiscence affect. Young adults in this sample reminisced significantly more frequently than older adults and were more likely to reminisce during times of change than were older adults. In addition, there was a direct relationship between the content of reminiscence episodes and postreminiscence affect, with older adults reporting greater emotional satisfaction after recalling the past than did younger adults. Findings lend support to continuity theory: Reminiscence occurs throughout the life span and should not be conceptualized as occurring most frequently in old age.     

Coping with a Paraphrenic World in Late Life

This study deals with late paraphrenia from a psychological coping perspective. Analyses of coping behavior in relation to paraphrenic delusions and hallucinations revealed rational choices of coping efforts and generally consistent emotional reactions to the subjectively perceived problem. The majority of the patients did not display evidence of premorbid abnormal personalities or life courses. The creation and sustainment of psychotic thoughts are discussed in relation to lack of correcting social feedback due to social isolation and weakened cognitive source monitoring. The implications of a psychological coping perspective for intervention are indicated.     

A Text of Identity: Frances Brooke and the Rhetoric of the Aging Spinster

Frances Brooke, writing in 1755 in London, England, selected the figure of the aging spinster as her alter ego when she wrote and edited a thirty-seven issue periodical, The Old Maid. Analysis of the periodical and the cultural environment in which Brooke wrote explains her choice of persona in terms of the issues she faced as a woman producing writing to be read largely by male contemporaries. This analysis reveals some of the underlying stereotypes of aging and identity in the period as well as the way these stereotypes could be used by a clever writer.     

The “Blurring” of the Lifecourse: Narrative, Memory and the Question of Authenticity

The view that aging provokes its own form of masquerade raises the question of what lies behind the mask and whether it is possible to outline what an authentic existence in later life might be like. Contemporary trends toward a narrative explanation of identity, exemplified by the growth of narrative therapies, may pose particular difficulties for theorising about aging. These therapies are associated with a submersion of the personal and social past under demands in the here and now and the de-contextualisation of old age from the lifecourse as it has been lived. Memory and lifecourse context are examined as possible foundations for authenticity and a model is suggested that contains postmodern preoccupations with multiple identity choices, the personal past and the possibilities for expression made available by particular social spaces or contexts.     

“A Tiger Behind, and Coming up Fast”: Governmentality and the Politics of Population Control in China

China has a growing superaging population, known colloquially as a tiger behind. This phenomenon has been traditionally analyzed by conventional social science methodology as a question of resource allocation to a burgeoning elderly population. However, population policies in China have emerged as key vehicles used to legitimize and position the identities that older people adopt. They contain specific yet continually changing technologies that function to mediate relations between older people and the Chinese state. They also represent an increase in state control that can be exerted on lifestyles in family form and older age and thus, the wider social meanings associated with that part of society and lifecourse. This article briefly summarizes the empirical detail and context of superaging in China, presenting an original theoretical analysis based on a reading of the work of Michel Foucault. The interrelationship between the Chinese government and older people is identified in terms of Foucault's (1978) and Rose and Miller's (1992) concept of governmentality. The article highlights how and why older people are the subjects of the Chinese state's gaze.     

The Sexuality of Elderly People on Film—Visual Limitations

During the last decade there has been a growing interest in images of aging in gerontology, but representations of elderly people's sexual lives still remain largely unexplored. This article attempts to elucidate the image of elderly people's sexuality in popular culture by analyzing representations of elderly people in mainstream feature films. Between 1990 and 1995, only 9 films out of a sample of 2000 in Swedish theatres cast elderly people as leading characters. In this article, these 9 films have been deconstructed in order to identify the rules of representation that guide and limit the depiction of elderly people's sexuality on film. One specific film is then analyzed in more detail to show how the rules were used to create a credible image of an elderly couple's sexuality, and a frame analysis is used to identify how elderly people's sexuality can be packaged on film to produce a slightly bolder representation of their sexuality.     

Issues in group work with older lesbians

This article outlines considerations in group interventions with older lesbians. It is intended for mental health professionals who work—as leaders, supervisors, and consultants—with various kinds of groups in their professional practice, including therapy, psychoeducational, support, growth, recreational, and self-help groups. First, unique issues in the life circumstances of older lesbians are addressed. Next, five case examples are presented that illustrate the usefulness of group interventions with this population. The article concludes with recommendations for effective practice.