Lowe Thomas A, Meijering Louise, de Haas Billie
Demography, Population Research Centre, Faculty of Spatial Sciences, Urban and Regional Studies Institute, University of Groningen, Groningen, The Netherlands.
Demography, Population Research Centre, Faculty of Spatial Sciences, Urban and Regional Studies Institute, University of Groningen, Groningen, The Netherlands.
Soc Sci Med. 2023 Jul;329:116030. doi: 10.1016/j.socscimed.2023.116030. Epub 2023 Jun 14.
Informal carers are and will remain a vital part of dementia care. Given the nature of their caring tasks, which focus on enabling the care recipient to engage in meaningful activities, informal dementia carers are affected in their everyday mobility. Expectations manifested by society, loved ones and the carers themselves play a critical role in how carers perform their caring role and how they perceive their opportunity, or capability, to be mobile. This article uses Butler's concept of performativity to understand informal dementia carers' capability to be mobile. In the spring and summer of 2021, we combined remote graphic elicitation with telephone interviews to gather the views of 17 informal dementia carers (aged 50+) living in England. Three key themes emerged from our analysis of the data. Firstly, participants perceived that becoming a carer changed their capability to be mobile. Secondly, the caring role in relation to the capability to be mobile resulted in an emotional toll and perceived loss of autonomy. Thirdly, the performativity of the caring role created feelings of guilt, selfishness and resentment due to the impact caring had on participants' capability to be mobile. Our study enriches the literature on informal dementia carers' mobility, as we suggest that performativity is a key factor in how this population experiences their everyday mobility. The findings suggest that existing ageing-in-place policies should take a more holistic approach by better including those ageing adults who provide the most support: informal dementia carers.
非正式照护者过去是、将来也仍将是痴呆症护理的重要组成部分。鉴于他们的照护任务性质,重点是使受照护者能够参与有意义的活动,非正式痴呆症照护者的日常行动能力受到影响。社会、亲人以及照护者自身所表现出的期望,在照护者履行照护职责的方式以及他们如何看待自己的出行机会或能力方面起着关键作用。本文运用巴特勒的能动性概念来理解非正式痴呆症照护者的出行能力。在2021年春夏,我们将远程图像启发法与电话访谈相结合,以收集17名居住在英格兰的50岁以上非正式痴呆症照护者的看法。我们对数据的分析得出了三个关键主题。首先,参与者认为成为照护者改变了他们的出行能力。其次,与出行能力相关的照护角色导致了情感负担和自主感的丧失。第三,由于照护对参与者出行能力的影响,照护角色的能动性产生了内疚、自私和怨恨的情绪。我们的研究丰富了关于非正式痴呆症照护者出行的文献,因为我们认为能动性是这一人群体验日常出行方式的关键因素。研究结果表明,现有的就地养老政策应采取更全面的方法,更好地纳入那些提供最多支持的老年人:非正式痴呆症照护者。