The Sociocultural Stress and Coping Model focuses on the role of cultural values in shaping the stress and coping process for family care-givers of frail older adults. The literature suggested ethnic group-specific values as influences. The current study explored care-givers’ perceptions of values influencing caring to identify values not addressed in quantitative studies of cross-cultural care-giving. Seventeen family care-givers from Australian Aboriginal, Romanian-Australian, Pacific Island and white non-immigrant Australian backgrounds participated in semi-structured interviews about their care-giving experience and the role that values played in caring for a frail older adult. Thematic analysis of the interview transcripts led to identification of themes of cultural values of familism and care for frail older adults, religious values of filial piety and religious coping, love, reciprocity and responsibility/obligation. While cultural values influenced family care versus institutional care, religion was a more clearly identified source of values. Care-givers mostly shared values of love, reciprocity and responsibility/obligation rather than endorsing culture-specific values, with potential variations in expression between individualist and collectivist cultures. These findings suggest that the focus on cross-cultural differences may have missed core values shared across cultural groups and underestimated the influence of religion on care-giving values. Future research could focus on these perceptions of care-givers themselves rather than external perceptions of researchers and service providers.

Research concerning the reciprocal influence of relationships and dementia largely focuses on dyadic relationships despite evidence that whole families are affected. Furthermore, such research generally considers more common forms of dementia such as Alzheimer's disease. Behavioural variant fronto-temporal dementia (bvFTD) primarily although not exclusively affects people below the age of 65 and is distinctly different in its impact from more common forms of dementia, affecting social cognition and therefore relational functioning. We aimed to develop a detailed understanding of intergenerational family experiences of bvFTD over time. We adopted a social constructivist and pluralist approach, using Narrative Thematic Analysis and Grounded Theory. We interviewed seven families in their own homes, including the person with bvFTD, at up to three time-points every six to nine months from 2012 to 2014, resulting in 46 interviews with 19 family members. Three super-ordinate themes were identified: Theme 1: We before bvFTD: cohesive and connected – disconnected and distant; Theme 2: Challenges experienced by us; and Theme 3: Relational outcomes: a changing we – an entrenched we. Results emphasise bvFTD brought early and significant disruption to family relationships. The interplay of prior relational functioning, involving the nature of the relationship for family members, the specific impact of bvFTD on these relationships and family member's understanding of bvFTD was critical to how each family fared over the duration of the research, and the relational outcomes they experienced. These findings suggest health-care practice could enhance its support for families living with bvFTD, through the development of tailored, family-oriented approaches to assessment and practice. Such approaches are necessary to understand how families work together and identify interventions that address the family-specific challenges bvFTD brings. The provision of tailored, relational-focused and specialised information concerning the experience of living with bvFTD is needed to flexibly address families' needs and expectations.

Late-life divorce is a growing phenomenon in the Western world, likely to expand due to increasing expectancy and changes in marital and family values. However, existing research on divorce and its consequences for offspring focuses on young and middle-aged adults, analysing individual rather than familial/dyadic perspectives. Accordingly, our study employs a holistic perspective on the family unit following late-life divorce which is especially relevant to societies that value familism as an essential element in individuals' lives. Coincidingly, the term familyhood expresses an atmosphere of closeness and unity among family members and is a commonly used expression in Israel. Using family systems as a framework, our aim was to examine how, if at all, familyhood is experienced after divorce considering how it was experienced prior to divorce from a long-term marriage in Israel. Semi-structured, in-depth qualitative interviews (N = 72) were conducted separately with divorcees aged 60–81 who divorced at age 56–68 (N = 44), and with their adult children aged 19–40 at the time of their parents' divorce (N = 28). Interviews were given thematic analysis and dyadic qualitative analysis. The findings reveal the meaningfulness of familyhood following late-life divorce via a fourfold typology of familyhood continuity/change experienced as present or lacking, before or after divorce. The typology addresses key elements of when, where, by whom and how familyhood is reconstructed, along with strategies to maintain familyhood. Paradoxes inherent in the intersection of divorce and familyhood, discussed within the Israeli sociocultural context, are located between self-determination and familism. Implications are presented.

There is a growing body of interdisciplinary literature on the representation and construction of ageing masculinities; however, there is a lack of specific analysis of older men's responses to cultural images of ageing. It is important to examine how cultural meanings around ageing may inform older men's lived experiences, an underexplored aspect of gender and social relations. This article does so and contributes to social gerontology and masculinity studies. It draws on focus group discussions and follow-up interviews or reflective diaries with seven men aged 65–73 years, varying in terms of relationship status and sexual orientation. The research forms part of an international study. It discusses the initial thematic findings, interpreted with reference to literature on ageing in culture and society, and hegemonic masculinities. The analysis identifies five primary themes: underrepresentation and stereotyping in media; diminishment of family role; transition from work to retirement; agency as opposed to confinement; and ageing as engaged and autonomous, illustrating some of the issues involved in the fluidity of masculinity over a lifetime. It highlights how representation can inform perceptions and experiences of growing older, and shows shifting masculine identities that negotiate hegemonic expectations as well as discourses about ageing. This study demonstrates how the participants’ modifications of hegemonic masculine and ageing identity interrogate and broaden these discourses, and opens avenues for future investigation.

The social needs of frail or isolated older people are sometimes aided by referrals to day centres in the United Kingdom. Since the late 1940s, day centres have had a role to play promoting socialisation in later life. Additionally, attendance at day centres is often open ended, with participants only leaving due to moving to a nursing home or dying. In this study, the views of those attending time-limited day centre programmes in seven day centres in Northern Ireland have been sought in relation to their thoughts about the service as well as how they feel when it ends. Seventeen participants completed diaries for the programme duration and/or engaged in an interview process. Participants reflected on the social and educational benefits of attending but also recognised impositions in the centres that impinged upon individual choices and also the length of time they could remain. This study reveals that, in order to maintain socialisation, time-limited programmes must have clear follow-on strategies for participants. Additionally, respondents’ experiences reflect that a paternalistic model of care delivery remains in place that, whilst restrictive, reveals that access to the service is more specialised and not universal. Nevertheless, should day centres wish to remain relevant, it is important that service users are fully consulted about their desires and choices within the setting.

Through a descriptive and analytical account of recent trends in the care of elderly people in Sweden, a number of lessons are indicated for America and countries with similar health and social welfare arrangements. Clarity of objectives within a ‘normalising’ framework; sound organisational arrangements based on small local areas; effective knowledge of services by consumers and cost-effective provision are factors identified as significant.

Social care to assist with the activities of daily living is a necessity for many older people; while informal care provided by family members can be a first step to meeting care needs, formal care provided by professionals is often needed or preferred by older people and their families. In England, the number of older people paying for formal care is set to rise, driven by an ageing population and the limited resources of local authorities. Little is known about how older people and their families experience the potentially disruptive processes of deciding upon, searching for and implementing such care, including the financial implications. This paper explores accounts of seeking self-funded social care in England, told by older people and their families in 39 qualitative interviews. These accounts, which we call ‘care chronicles’, include stories about the emergence of care needs and informal care-giving, the search for formal care, including interacting with new systems and agencies, and getting formal (paid) care, either as the recipient or an involved family member. Stories are analysed through the lens of biographical disruption, and analysis demonstrates that such disruptions can occur for older people and their families across the entirety of the care chronicle. Needing, seeking and getting care all have the potential to cause practical and symbolic disruptions; moreover, these disruptions can be cumulative and cyclical, as attempts to resolve or minimise one disruption can lead to new ones. While the concept of biographical disruption is a mainstay in medical sociology, it is less frequently applied to issues relating to social care, and most often takes embodiment as a key focus. This study is novel in its application of the concept to experiences of seeking self-funded care, and in its introduction of the concept of ‘care chronicles’, which invite a longer and broader view of biographical disruptions in the lives of older people with care needs and their families.

While research on men's mental health is increasing, it has not typically focused on the intersections between ageing, masculinity and mental health in a rural context. Given the significant increase not only in our global ageing population, but also our growing awareness of mental health problems in the general population, understanding men as they grow older in relation to mental health is a notable gap in research. In this paper, the authors explore the ageing experiences of male participants over 50 with self-identified mental health problems in rural Manitoba. We draw on semi-structured qualitative interviews from a larger project which focused on the diversity of rural men's perceptions, experiences and expressions of mental health and wellness. Specifically, we explore how these men reflect on their mental health and wellness. Participants in the study described their experiences as a cumulative process of making meaning, developing strategies, resources and a more positive sense of self – but sometimes also simply for survival. Men's sense of time over time – looking back and reflecting on the present and the future – appears to be a critical resource and a positive coping strategy for these men associated with ageing. The main themes include sustaining relationships; work, retirement and volunteering; and reflections on physical and emotional health. Our paper concludes with a discussion of the implications for new research on ageing men's mental health in a rural context.

Parker's review in the last issue has provided us with a number of questions concerning the relationship between case management services and the needs ofcarers (Parker, 1990a). Essentially, she makes three main points; the first is to question whether there is evidence that some case management services can improve outcomes for carers, the second is about experimental studies, and the third is to raise the question of the financial costs experienced by carers.