不让任何人掉队：在年龄歧视和能力歧视的交叉点实现成功老龄化。
Leaving no one behind: successful ageing at the intersection of ageism and ableism.
机构信息
Institute of Ethics and History of Medicine, University of Tübingen, Gartenstraße 47, Tübingen, 72074, Germany.
City of Hannover, Hannover, Germany.
出版信息
Philos Ethics Humanit Med. 2023 Nov 24;18(1):22. doi: 10.1186/s13010-023-00150-8.
BACKGROUND
The concept of 'successful ageing' has been a prominent focus within the field of gerontology for several decades. However, despite the widespread attention paid to this concept, its intersectional implications have not been fully explored yet. This paper aims to address this gap by analyzing the potential ageist and ableist biases in the discourse of successful ageing through an intersectional lens.
METHOD
A critical feminist perspective is taken to examine the sensitivity of the discourse of successful ageing to diversity in societies. The paper analyzes how ageist and ableist biases can manifest in the ways we conceptualize ageing, drawing on examples in the context of mental health.
RESULTS
We argue that the conventional approach to successful ageing is limited in its ability to account for the experiences of people who have faced intersectional discrimination throughout their lives. Drawing on examples in the context of mental health, we explore among others the link between depression and disabilities. Furthermore, we shed light on the negative impact of ageist and ableist attitudes concerning the diagnosis and treatment of dementia.
DISCUSSION
We demonstrate how diversity is often overlooked in discussions of ageing well, and how ageist and ableist biases can manifest in the ways we conceptualize ageing. We argue that focusing solely on the health status as a means of achieving success fails to adequately counter ageism for all people. We further emphasize the role of structural factors, such as ageist attitudes, in shaping the experience of ageing and exacerbating health inequalities.
CONCLUSION
Overall, our findings emphasize the need for a more nuanced and inclusive understanding of ageing and therefore an intersectional approach to conceptions of ageing well that recognizes and addresses the biases and limitations of current discourses. Thereby, this paper offers valuable insights into the complex intersections between age and disabilities from a bioethical perspective, highlighting the need for a more inclusive and intersectional approach to ageing.
背景
“成功老龄化”的概念在老年学领域已经存在了几十年，是一个突出的焦点。然而，尽管人们广泛关注这一概念，但它的交叉影响尚未得到充分探讨。本文旨在通过交叉视角分析成功老龄化话语中的潜在年龄歧视和能力歧视偏见，以弥补这一空白。
方法
采用批判女性主义视角，考察成功老龄化话语对社会多样性的敏感性。本文分析了年龄歧视和能力歧视偏见如何在我们对老龄化的概念化方式中表现出来，并借鉴了心理健康背景下的例子。
结果
我们认为，传统的成功老龄化方法在解释那些一生中经历过交叉歧视的人的经验方面存在局限性。本文借鉴了心理健康背景下的例子，探讨了抑郁症和残疾之间的联系等问题。此外，本文还揭示了年龄歧视和能力歧视态度对痴呆症的诊断和治疗的负面影响。
讨论
我们展示了多样性在关于健康老龄化的讨论中是如何经常被忽视的，以及年龄歧视和能力歧视偏见是如何在我们对老龄化的概念化方式中表现出来的。我们认为，仅仅关注健康状况作为实现成功的手段并不能充分反对所有人的年龄歧视。我们进一步强调了结构因素，如年龄歧视态度，在塑造老龄化体验和加剧健康不平等方面的作用。
结论
总的来说，我们的研究结果强调了需要更细致入微和包容的老龄化理解，因此需要采用交叉方法来理解成功老龄化的概念，承认和解决当前话语中的偏见和局限性。从生物伦理的角度来看，本文提供了对年龄和残疾之间复杂交叉的有价值的见解，强调了需要采取更具包容性和交叉性的方法来应对老龄化。
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