The origins and influence of social science perspectives have conditioned theoretical and empirical developments in the field of gerontology. Yet little systematic examination has been afforded to the role of social science in the production of gerontological knowledge in providing the underlying rationale for American social policy for the aged. This paper examines the dominant U.S. social science perspectives or paradigms and discusses the reasons for their centrality in American gerontological thought. The paper concludes with a proposal for an alternative line of inquiry — a political economy of ageing — which takes as problematic the effects of social history, the world economy, capitalism and social class on the ageing process and the aged and the policy interventions designed for them.

The problems of introducing change in long-term care settings for elderly people are discussed in relation to social, psychological and organisational factors operating within the institution. It is argued that the poor maintenance and generalisation of many behavioural interventions is in part due to researchers adopting too narrow a framework. Four issues are discussed and illustrated: 1. The role of the researcher in relation to care staff. 2. Relationships with elderly patients. 3. Change as criticism. 4. Conflicting policies within the institution.

Guided by three models of adult development, this paper both describes and predicts change in several dimensions of personal functioning, based on a study of 216 men and women who in 1969 were high school seniors, newlyweds, middle-aged parents, and pre-retirees. They were re-interviewed two, five, seven and eleven years later. From the descriptive phase of analysis a number of changes were found, especially among measures of specific emotional experiences, medical visits, and positive life events. The results also indicated that general statements about stability and change can be misleading.

In the predictive phase, hierarchical set multiple regression statistics demonstrated that two of the more commonly studied dependent variables, symptomatology and happiness, follow different pathways. Stressful life events proved to be strong predictors of both dependent variables for both men and women.

The ordinary housing in which most old people live is a subject of growing concern in many countries. The idea of ‘staying put’ which has emerged recently in the UK from this growing concern is thus timely for it focuses specifically on housing assistance for elderly people who remain in conventional domestic housing. This paper attempts to identify a number of cross-national trends which suggest the relevance of ‘staying put’ to other countries, and presents a detailed study of the factors shaping the development of such policy in the UK. The present legislative framework for ‘staying put’, and the extent to which it is exploited are also discussed.

In France, owing to the current economic crisis, a new old age has emerged consisting of individuals of 50 to 65 years, not yet retired, unemployed and definitively excluded from the world of work, thereby representing a new category of population, whom we will henceforth refer to as the early-terminated. The political, psychological and behavioural responses of the socio-economic sub-groups within this category are analysed from the author's research findings in the iron and steel and textile industries.

The second part of this article attempts to situate this particular group within a changing framework of ideologies on the nature of old age, and on policies for the management of industrial change, for retirement and for the elderly. The author distinguishes three definitions of old age in France, from his own empirical studies in specific regions (Grenoble, Paris) and on state policy since 1945. In the first (post-war) period, old age became ‘retirement’; in the second (19605 and early 19705), ‘the third age’; in the third (present period), old age is being defined by economic forces and factors.

The present paper argues that some apparent deficits found in cognitive ageing may result from models that focus on youth-centered, formal-logical standards of thinking. An alternative model of adult development is proposed which explains these apparent deficits in terms of progressive reorganizations where decline in performance may be a consequence of the growth of more complex and highly differentiated skills. More specifically, the contextualization of formal logic or the reintegration of logic and affect found in older adult thinking is seen to represent a mature level of cognitive differentiation characterized by an autonomous, socially-oriented, and dialectical mode of reasoning. This theoretical perspective is substantiated by a review of the literature evidencing this kind of progression. Future research implications are discussed.

Economic development in Latin America has facilitated the broadening and improvement of governmental services in public health, social security and public administration. These improvements, particularly in public health, have precipitated changes in rates of morbidity and mortality. Many countries have also experienced a fall in birth rates during this period. The result of people living longer and having fewer children is a progressive ageing of Latin American societies. This article explores some critical questions posed by the ageing of populations in these societies. Within the context of varying patterns of national development, special emphasis is placed on the systemic potential for politico-administrative response in the area of social and health services.

To the existing ways of categorizing elderly individuals we here add a reasonably objective approach using recent survey data and statistical methods of multivariate analysis. The groupings obtained have been surprisingly clear-cut, so that simple rules can be devised for discriminating between clusters. We suggest this analysis as a useful way of gleaning information about elderly people, information which may help in the efficient allocation of services.

This report, using the ‘Facts on Ageing Quiz’ developed by Erdman Palmore as a measure, compares responses from US (N=206) and Japan (N=591) samples, thus adding a cross cultural dimension to the literature on age bias measurement. The scale taps for ‘facts’ and indirectly obtains evaluations of stereotypes and attitudes. The data indicate the FAQ is a reliable measure but the validity of the measure's age bias dimension is more complex than previously indicated. Contrary to normative expectations, the Japanese responses indicate a negative age bias that has implications for social norms which affect Japan's elderly.

This paper aims to examine aspects of the nature of multidisciplinary teamwork in geriatric care. First, some of the medical profession's current views of teamwork in geriatrics will be summarized. Second, case studies from a research project on care of geriatric patients in hospital will be used to illustrate some of the strengths and limitations of the adoption of a teamwork approach by health care professionals. Evidence from research suggests that under only a few circumstances does care of the geriatric patient match the images of teamwork as portrayed in the professional literature. This finding in part reflects piecemeal developments in interprofessional responsibilities and relationships in policy and practice of care of the elderly.

Based on a study of the elderly in rural communities, the paper makes comparisons with data from more urban studies in the U.K. The findings indicate that while availability of and contact with family members is comparable, satisfaction with the amount of contact is considerably higher in the rural context. This higher level of satisfaction holds even for retired migrants who have less contact. It is suggested that satisfaction may be higher because needs for contact are met by a greater variety of other forms of association and support. The data demonstrate that the rural elderly do in fact have higher levels of contact with neighbours; are more likely to belong to voluntary associations; are more likely to belong to a religious group and to be visited by the clergy, and are more likely to become involved in sparetime activities which enhance the likelihood for social contact. Dependency on family, therefore, appears to be lower. While rural communities do not appear to preserve family cohesion, opportunities for community integration are enhanced and are reflected in higher levels of satisfaction.

Current literature on the over use of psychoactive drugs by elderly people suggests that alienation, poverty, rolelessness and lack of drug experience in earlier life are principal causes. But these are mainly empirical observations which have not been ordered into any theoretical framework. In proposing the applicability of the concept of ‘internal colonialism’ as a mode of explanation, the paper presents a survey of drug use prevalence as a basis for later conceptual analysis. It is concluded that drug misuse is an institutionalized response which perpetuates dependency.