Generational conflict, consumption and the ageing welfare state in the United Kingdom

The British welfare state is over 60 years old. Those who were born, grew up and who are now growing old within its ambit are a distinctive generation. They have enjoyed healthier childhoods with better education that previous populations living in Britain. That they have done well under the welfare state is accepted, but some critics have argued that these advantages are at the expense of younger cohorts. The very success of the ‘welfare generation’ is perceived as undermining the future viability of the welfare state. Current levels of income and wealth enjoyed by older cohorts can only be sustained by cutbacks in entitlements for younger cohorts. This will leads to a growing ‘generation fracture’ over welfare policy. This paper challenges this position, arguing that both younger and older groups find themselves working out their circumstances in conditions determined more by the contingencies of the market than by social policy

Concept Forum - The third age: class, cohort or generation?

In this paper we consider some of the ways that the third age can be thought about and studied. Taking the work of Peter Laslett as our key source, we explore his 'aspirational' approach toward redefining post-working life and look at some of its limitations as both definition and explanation. There is a need for a more sociologically informed approach to the third age, and we outline three potentially important structures that might better explain it - class, birth cohort, and generation. Whilst it might seem attractive to see the third age as a class-determined status, based on the material and social advantages accruing to people who have retired from well-paid positions in society, the historical period in which the third age has emerged makes this explanation less than adequate. Equally a cohort-based explanation, locating the third age in the 'ageing' of the birth cohort known as the baby boom generation, fails fully to capture the pervasiveness and irreversibility of the cultural change that has shaped not just one but a sequence of cohorts beginning with those born in the years just before World War II. Instead, we argue for a generational framework in understanding the third age, drawing upon Mannheim rather than Marx as the more promising guide in this area

Older people as users and consumers of health care: A third age rhetoric for a fourth age reality

This paper is concerned with the emergence of consumerism as a dominant theme in the culture surrounding the organisation and provision of welfare in contemporary societies. In it we address the dilemmas produced by a consumerist discourse for older people's healthcare, dilemmas which may be seen as the conflicting representations of third age and fourth age reality. We begin by reviewing the appearance of consumerism in the recent history of the British healthcare system, relating it to the various reforms of healthcare over the last two decades and the more general development of consumerism as a cultural phenomenon of the post World War II era. The emergence of consumer culture, we argue, is both a central theme in post-modernist discourse and a key element in the political economy of the New Right. After examining criticisms of post-modernist representational politics, the limitations of consumerism and the privileged position given to choice and agency within consumerist society, we consider the relevance of such critical perspectives in judging the significance of the user/consumer movement in the lives of retired people

More age, less growth? Secular stagnation and societal ageing

Purpose: The aim of the study is to demonstrate evidence that societal ageing and poor economic growth are linked in the advanced economies. It challenges the claim however that secular stagnation represents a serious problem for future prosperity. Design/methodology/approach: This paper critically reviews recent formulations of the secular stagnation hypothesis concerning stalled economic growth in the advanced economies and the links between demographic ageing and economic slowdown. It outlines both trends (of ageing and stalled growth) and reviews some of the key empirical studies that have sought to determine the role played by demographic change in accounting for the relative lack of growth in the advanced economies. Findings: The advanced economies are ageing and their economic growth is slowing, although a causal link between these two phenomena remains unproven. However, even if no direct causal link can be drawn between these two processes the focus upon the impact of societal ageing serves as a stimulus to re-think the nature of future growth in our increasingly ageing and unequal societies. Research limitations/implications: While the measurement of demographic trends is relatively straightforward, there are more problems in specifying the exact parameters of macroeconomic growth. This makes empirical studies in the area difficult to interpret. However studies in this area have value in widening thinking about the role of ageing and the nature of growth in the future. Practical implications: Rather than fearing the prospect of an age related slowdown in the rate of growth in the advanced economies, these developments offer opportunities to focus upon redistribution more than growth, while supporting a programme of growth with equity in the world's developing economies. Social implications: While a demographically over-determined model of the secular stagnation hypothesis is dubious, the future ageing of the advanced economies is certainly a challenge. It is also an opportunity for rethinking ideas about ageing, growth and development. Adopting such a more nuanced perspective offers a counter-narrative to the demographic catastrophising that is often evident when discussing 'societal ageing'. It also suggests the value of shifting the perspective of seeking ever increasing growth toward a greater focus upon redistribution, between and within the generations. Originality/value: There has been very little engagement with the secular stagnation hypothesis outside economics. Behind its macroeconomic formulation, however, lie assumptions about the ageing of society that can easily become examples of unwarranted demographic catastrophising. By bringing this topic to the attention of the social sciences, the paper can serve as a stimulus for rethinking both ageing and growth

Viewing the body as an (almost) ageing thing

This paper examines the role of the body in the social and psychological study of ageing. Drawing upon the phenomenological tradition, it argues that the body occupies a halfway house between materiality and subjectivity, unsettling those social psychological and biological frameworks by which age and ageing are traditionally understood. While offering no simple resolution of this ambiguity, the paper highlights the intrinsic nature of this dilemma. After reviewing recent research and writing concerning body awareness, body ownership and body affordance, the thesis is proposed that much of what constitutes bodily ageing can be seen as a series of ‘normal abnormalities’. These result in our experience of bodily ageing pivoting uneasily between an object and a subject position. This dialectic is incapable of synthetic resolution but still, to varying degrees it preoccupies many in later life. It is rarely confronted in its full complexity, however, in ageing studies. The phenomenological tradition provides an under-utilised framework for future investigations in this field

Bearable and unbearable suffering in later life

This paper is concerned with the nature of suffering and its judged intractability and unbearability, with relevance to debates about assisted dying and the place of age in this wider debate. Framed by the idea that thoughts about death, and the experience of suffering become more common in later life, the paper addresses the assessment of suffering, the sources of suffering and the distinction between suffering experienced and suffering witnessed in the context of those older people seeking medically assisted death. While suffering can be seen to challenge human dignity, the capacity to bear suffering is widely held both by people of faith and those of none to reflect some admirable aspect of the human spirit. The distinction between what is and what is not bearable suffering is complex and contingent. It is not reducible to a split between secular and religious views, nor is it likely to be resolved through better psychometric delineation of degrees of suffering. Acknowledgement of the possibility of unbearable suffering, whatever its source, is needed however before any consensus can be achieved in how best to address it

Interrogating personhood and dementia

Objectives: To interrogate the concept of personhood and its application to care practices for people with dementia. Method: We outline the work of Tom Kitwood on personhood and relate this to conceptualisations of personhood in metaphysics and in moral philosophy. Results: The philosophical concept of personhood has a long history. The metaphysical tradition examines the necessary and sufficient qualities that make up personhood such as agency, consciousness, identity, rationality and second-order reflexivity. Alternative viewpoints treat personhood as a matter of degree rather than as a superordinate category. Within moral philosophy personhood is treated as a moral status applicable to some or to all human beings. Conclusion: In the light of the multiple meanings attached to the term in both metaphysics and moral philosophy, personhood is a relatively unhelpful concept to act as the foundation for developing models and standards of care for people with dementia. Care, we suggest, should concentrate less on ambiguous and somewhat abstract terms such as personhood and focus instead on supporting people's existing capabilities, while minimising the harmful consequences of their incapacities

The cultural turn in gerontology

Old age is changing under the impact of demographic, social, and cultural shifts

Social death and the moral identity of the fourth age

The bleaker aspects of old age have been encapsulated in the concept of a fourth age which has been likened to a metaphorical ‘black hole’ where human agency is no longer visible. This paper explores what such a formulation might mean for the moral standing of mentally and physically infirm persons. Does the idea of a fourth age reinforce representations of dementia as a form of social death or does the status of those defined by the moral imperative of care benefit from the narratives and practices of their carers who keep socially alive such persons whatever their degree of dementia? This paper argues that those persons at risk of being enveloped by the fourth age are not inherently deprived of a social life even if it is a social life that their previous self would not have chosen. The moral imperative of care forms a key part element of the fourth age – for both good and ill. Recognising the role of carers in realising or rejecting the fourth age imaginary means also valuing their agency

Ageing without senescence: A critical absence in social gerontology?

This paper addresses the absence of the term ‘senescence’ in recent social science literature on ageing. The significance of this omission is considered in light of the emerging standpoint of gero-science, which argues that the central processes defining ageing are concerned with the rising probability of functional decline, development of degenerative disease and death. From this perspective, the separation of ageing and senescence sustains the myth that there exist forms of ageing that are exempt from senescence. The persistence of this myth underlies ageing studies, the sociology of later life and most social gerontology. While there have been undoubted benefits arising from this bracketing out of senescence, the argument of this paper is that the continuing advances associated with this standpoint are outweighed by the need to seriously engage with the consequences of contemporary societal ageing and the centrality of the processes of senescence in establishing an adequate understanding of ageing, its correlates and contingencies and its personal and social consequences