Hostname: page-component-cd9895bd7-gvvz8 Total loading time: 0 Render date: 2024-12-28T18:59:46.160Z Has data issue: false hasContentIssue false

Keeping disease at arm's length – how older Danish people distance disease through active ageing

Published online by Cambridge University Press:  27 March 2014

ASKE JUUL LASSEN*
Affiliation:
Department of Ethnology and Centre for Healthy Ageing, University of Copenhagen, Denmark.
*
Address for correspondence: Aske Juul Lassen, Department of Ethnology and Centre for Healthy Ageing, University of Copenhagen, Karen Blixensvej 4, 2300 Copenhagen S, Denmark E-mail: [email protected]

Abstract

Many older people live with a range of chronic diseases. However, these diseases do not necessarily impede an active lifestyle. In this article the author analyses the relation between the active ageing discourse and the way older people at two Danish activity centres handle disease. How does active ageing change everyday life with chronic disease, and how do older people combine an active life with a range of chronic diseases? The participants in the study use activities to keep their diseases at arm's length, and this distancing of disease at the same time enables them to engage in social and physical activities at the activity centre. In this way, keeping disease at arm's length is analysed as an ambiguous health strategy. The article shows the importance of looking into how active ageing is practised, as active ageing seems to work well in the everyday life of the older people by not giving emphasis to disease. The article is based on ethnographic fieldwork and uses vignettes of four participants to show how they each keep diseases at arm's length.

Type
Articles
Copyright
Copyright © Cambridge University Press 2014 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ådahl, S. 2012. ‘I was a model student’: illness knowledge seeking and self-care among Finnish kidney recipients. Culture Unbound, 4, 443–62.Google Scholar
Alftberg, Å. and Lundin, S. 2012. Successful ageing in practice: reflections on health, activity and normality in old age in Sweden. Culture Unbound, 4, 481–97.Google Scholar
American Anthropological Association 2012. Statement on Ethics: Principles of Professional Responsibilities. American Anthropological Association, Arlington, Virginia.Google Scholar
Antonovsky, A. 1980. Health, Stress and Coping. Wiley, Jossey Bass, San Francisco, US.Google Scholar
Armstrong, D. 1995. The rise of surveillance medicine. Sociology of Health & Illness, 17, 3, 393404.Google Scholar
Beck, U. [1986] 1999. Risikosamfundet. Hans Reitzels Forlag, Copenhagen.Google Scholar
Boudiny, K. and Mortelmans, D. 2011. A critical perspective: towards a broader understanding of ‘active ageing’. Electronic Journal of Applied Psychology, 7, 1, 814.Google Scholar
Brooke, E., Taylor, P., Mcloughlin, C. and Di Biase, T. 2013. Managing the working body: active ageing and limits to the flexible firm. Ageing & Society, 33, 8, 1295–314.Google Scholar
Callon, M. and Rabeharisoa, V. 2004. Gino's lesson on humanity: genetics, mutual entanglements and the sociologist's role. Economy & Society, 33, 1, 127.CrossRefGoogle Scholar
Ciairano, S., Rabaglietti, E., De Martini, R. and Giletta, M. 2008. Older people's sense of coherence: relationships with education, former occupation and living arrangements. Ageing & Society, 28, 8, 1075–91.Google Scholar
Clarke, A. and Warren, L. 2007. Hopes, fears and expectations about the future: what do older people's stories tell us about active ageing? Ageing & Society, 27, 4, 465–88.Google Scholar
Clarke, L. H. and Bennett, E. 2013. ‘You learn to live with all the things that are wrong with you’: gender and the experience of multiple chronic conditions in later life. Ageing & Society, 33, 2, 342–60.Google Scholar
Czarniawska, B. 2007. Shadowing, and Other Techniques for Doing Fieldwork in Modern Societies. Liber, Malmö, Sweden.Google Scholar
Danholt, P. and Langstrup, H. 2012. Medication as infrastructure: decentring self-care. Culture Unbound, 4, 513–32.Google Scholar
Ekerdt, D. J. 1986. The busy ethic: moral continuity between work and retirement. The Gerontologist, 26, 3, 239–44.Google Scholar
Estes, C. L. and Binney, E. 1989. The biomedicalization of ageing: dangers and dilemmas. The Gerontologist, 29, 5, 587–96.Google Scholar
European Commission 1999. Towards a Europe for All Ages – Promoting Prosperity and Intergenerational Solidarity. European Commission, Brussels.Google Scholar
European Commission 2012. Pension Adequacy in the European Union 2010–2050. European Union, Luxembourg.Google Scholar
Featherstone, M. 1995. Post-bodies, ageing and virtual reality. In Featherstone, M. and Wernick, A. (eds), Images of Aging. Routledge, London, 227–44.Google Scholar
Foucault, M. [1963] 1973. The Birth of the Clinic – An Archeology of Medical Perception. Vintage Books, New York.Google Scholar
Foucault, M. 1994. Technologies of the Self. In Ethics – Essential Works of Foucault 1954–1984. Volume 1, Penguin Books, London, 223–51.Google Scholar
Frankenberg, R. 1993. Risk. Anthropological and epidemiological narratives of prevention. In Lindenbaum, S. and Lock, M. (eds), Knowledge, Power & Practice. The anthropology of medicine and everyday life. University of California Press, Berkeley, US.Google Scholar
Fry, T. and Adams, P. 1993. RUA/TV?: Heidegger and the Televisual. Power Publications, Sydney.Google Scholar
Giddens, A. [1990] 2000. Modernitetens Konsekvenser. Hans Reitzels Forlag, Copenhagen.Google Scholar
Katz, S. 2000. Busy bodies: activity, ageing and the management of everyday life. Journal of Aging Studies, 14, 2, 135–52.Google Scholar
Katz, S. and Marshall, B. 2004. Is the functional ‘normal’? Ageing, sexuality and the bio-marking of successful living. History of the Human Sciences, 17, 1, 5375.Google Scholar
Kaufman, S. 1986. The Ageless Self. University of Wisconsin Press, Madison, Wisconsin.Google Scholar
Kontos, P. C. 1999. Local biology: bodies of difference in ageing studies. Ageing & Society, 19, 6, 677–89.Google Scholar
Larsson, A. and Grassman, E. J. 2012. Bodily changes among people living with physical impairments and chronic illnesses: biographical disruption or normal illness? Sociology of Health & Illness, 31, 4, 540–53.Google Scholar
Laz, C. 2003. Age embodied. Journal of Aging Studies, 17, 4, 503–19.Google Scholar
MandagMorgen. 2010. Ældrestyrken – Tillæg om Sund Aldring. MandagMorgen, Copenhagen.Google Scholar
Maynard, R. 2006. Controlling death – compromising life: chronic disease, prognostication and the new biotechnologies. Medical Anthropology Quarterly, 20, 2, 212–34.Google Scholar
Mellemgaard, S. 1998. Kroppens natur – Sundhedsoplysning og Naturidealer i 250 År. Musuem Tusculanum, Copenhagen.Google Scholar
Nielsen, A. J. and Grøn, L. 2012. Standardising the lay: logics of change in programs of disease self-management. Culture Unbound, 4, 425–42.Google Scholar
Olesen, F. 2010. Den forstærkede patient – Om patientbegreberog empowerment. In Thorgaard, K., Jensen, U. J. and Nissen, M. (eds), Viden, Virkning og Virke – Forslag til Forståelser i Sundhedspraksis. Roskilde Universitetsforlag, Frederiksberg, Denmark, 307–32.Google Scholar
Otto, L. 2009. Sundhed i praksis. In Axelsen, I. and Glasdam, S. (eds), Folkesundhed: I et Kritisk Perspektiv. Nyt Nordisk Forlag, Copenhagen, 3153.Google Scholar
Pickard, S. 2013. A new political anatomy of the older body? An examination of approaches to illness in old age in primary care. Ageing & Society, 33, 6, 964–87.CrossRefGoogle Scholar
Ranzijn, R. 2010. Active ageing – another way to oppress marginalized and disadvantaged elders? Aboriginal elders as a case study. Journal of Health Psychology, 15, 5, 716–23.Google Scholar
Richardson, J. C., Grime, J. C. and Ong, B. N. 2013. ‘Keeping going’: chronic joint pain in older people who describe their health as good. Ageing & Society. Published online 11 04 2013, doi:10.1017/SO144686X13000226.Google Scholar
Rose, N. 2007. The Politics of Life Itself. Princeton University Press, Princeton, New Jersey.CrossRefGoogle Scholar
Rose, N. and Novas, C. 2000. Genetic risk and the birth of the somatic individual. Economy & Society, 29, 4, 485513.Google Scholar
Rudman, D. L. 2006. Shaping the active, autonomous and responsible modern retiree: an analysis of discursive technologies and their links with neo-liberal political rationality. Ageing & Society, 26, 2, 181201.Google Scholar
Sundhedsstyrelsen 2008. Fysisk Aktivitet og Ældre. Sundhedsstyrelsen, Copenhagen.Google Scholar
Townsend, A., Wyke, S. and Hunt, K. 2006. Self-managing and managing self: practical and moral dilemmas in accounts of living with chronic illness. Chronic Illness, 2, 3, 185–94.Google Scholar
Tulle, E. 2008. Ageing, the Body and Social Change: Running in Later Life. Palgrave Macmillan, Basingstoke, UK.Google Scholar
Tulle, E. and Dorrer, N. 2011. Back from the brink: ageing, exercise and health in a small gym. Ageing & Society, 32, 7, 1106–27.Google Scholar
Venn, S. and Arber, S. 2010. Day-time sleep and active ageing in later life. Ageing & Society, 31, 2, 197216.Google Scholar
Walker, A. 2002. A strategy for active ageing. International Social Security Review, 55, 1, 121–39.Google Scholar
Wheatley, E. E. 2005. Disciplining bodies at risk: cardiac rehabilitation and the medicalization of fitness. Journal of Sport & Social Issues, 29, 2, 198221.Google Scholar
Williams, S. 2000. Chronic illness as biographical disruption or biographical disruption as chronic illness? Reflections on a core concept. Sociology of Health & Illness, 22, 1, 4067.Google Scholar
Williams, S., Higgs, P. and Katz, S. 2012. Neuroculture, active ageing and the ‘older brain’: problems, promises and prospects. Sociology of Health & Illness, 34, 1, 6478.Google Scholar
World Health Organization (WHO) 1998. Ageing: Exploding the Myths. WHO, Geneva.Google Scholar
World Health Organization (WHO) 2002. Active Ageing: A Policy Framework. WHO, Geneva.Google Scholar
Zola, I. 1972. Medicine as an institution of social control. American Sociological Review, 20, 4, 487504.Google Scholar