An Appetizer INTERDISCIPLINARY RESEARCH CENTRE FOR AGEING AND THE LIFE COURSE Outlines for a humanistic and social scientific basis and sketches for research projects Karen Pallesgaard Munk, Keld Thorgård, Karin Christiansen, Marie Konge Nielsen & Morten Raffnsøe-Møller Centre for Health, Humanity and Culture Department of Culture and Society Faculty of Arts 1 INTERDISCIPLINARY RESEARCH CENTRE FOR AGEING AND THE LIFE COURSE Outlines for a humanistic and social scientific basis and sketches for research projects An Appetizer Karen Pallesgaard Munk, Keld Thorgård, Karin Christiansen, Marie Konge Nielsen & Morten Raffnsøe-Møller Abstract/Summary Ageing as a national research-agenda in DK has primarily been set from the biological and medical sciences. This proposal for an Interdisciplinary research centre for ageing and the life course argues that ‘The ageing society’ is a pervasive social, cultural, political, economical and biological phenomenon, and, hence, that it should be the object of a much broader research agenda than has hitherto been the case. Furthermore, such a centre, understanding ageing in its historical, social and cultural context and complexity, would be setting a whole new national research agenda for the field of ageing and life course analysis. With a centre of gravity in the human and social science it would be able and called to initiate cross-disciplinary research with the life sciences, the technical and natural sciences with the aim of understanding the implications, challenges and possibilities of the ageing society in the full. 2 With this paper we (more or less experienced ageing researchers) want to invite researcher with interest in the ageing society from the faculties of Arts and School of Business and Social Sciences to join us in a network for the humanities and social sciences. Experience with ageing research is not at all needed. Introduction We want to argue that an interdisciplinary research centre on ageing and the life course at Aarhus University should have the humanities and the social sciences as its primary scientific basis. Since the Institute of Gerontology in Copenhagen, run and owned by The Danish Gerontological Society, was closed some years ago, Denmark no longer has pervasive ageing research in the humanities and the social sciences. Currently the dominant research centres at Copenhagen University and The University of Southern Denmark are both situated at the faculties of health with research focusing on and related to healthy ageing and functional and clinical concerns regarding old age, by the American philosopher Harry Moody called ‘instrumental’ ageing research (1988). However important that is, it will not capture the depth, the richness and the challenging societal consequences of the historic demographic transition Denmark will be going through in the years to come. This does not mean that we want to exclude other kinds of disciplines. Actually we find that a centre should be a meeting place for everybody doing ageing research at Aarhus University, but the primary scientific basis should be the humanities and the social sciences, because it fills a gap in the national research on ageing. Background: towards a double ageing society Ageing societies is a historically new phenomenon, and it is global (Jeune & Kirk, 2006). An ageing society is - generally spoken - a combination of increasing longevity and a decreasing number of births. Even though there are some disagreements about how to define an ageing society, and what the consequences will be, there is a worldwide agreement that during this century the composition of the world population will end up in still more old adults and still fewer children and adolescents (ibid.). The compositional patterns, however, are different throughout the world. They are contingent upon – not only the differences in the numbers of deaths - but also upon the frequency of births. A Danish report to the Ministry of Science, Technology and Development from 2006 (ed. Petersen) estimates that the distribution of persons beyond 20 years and above 65 years 3 in 2040 will be about a 100.000 fewer 20– year olds and about 420.000 more 65+ year olds than today. Out of a population of about 5 million people this is a considerable demographic imbalance. Furthermore it is estimated that the number of old-olds will increase. This means that the 80+ year olds in 2030 will comprise one third of the older adults population compared to one fourth today, because the death rate of older adults has been continually decreasing with 2-3 % a year since 1950. It is expected that half of the female population born today in rich societies will live until they are over a 100 years (Vaupel, 2010). This is called the double ageing phenomenon (Jeune & Kirk, 2006): Not only will we see much more young older adults, but also more old-olds. According to Jeune and Kirk (2006) the attitudes towards this development have mostly been pessimistic and negative seeing only older adults as a burden to society because of still more people being situated outside the labour market, and at the same time seeing an increasing number being in need of personal care and medical treatment. It is, however, a complex issue to theoretizise and anticipate the course of future developments. On the one hand we see a growth of strong, healthy older adults with many resources, and most evidence also suggests that despite an increase in chronic diseases and conditions for people aged younger than 85 years, there is a tendency to postponement of limitations and disabilities (Christensen, Jeune, Andersen-Ranberg & Vaupel, 2013). On the other hand we also see a decreasing death rate among the minority of older adults with chronic diseases and reduced ability to function thus demanding more care (i.e. the increasing number of older adults suffering from dementia) (Jeune & Kirk, 2006). A hypothetical future scenario could be that the healthy older adults will become still less demanding of health expenses. Or perhaps medical demands will come to relate to different ways to socio-economic stratification in society thanks to the accessibility and use of new technology. According to Watts (1996 [2006]) a threat to health costs in the future comes from the rich and strong, because still new medical technology supports a wish to live longer and healthier – on the costs of the poor and disabled. Never in our history have the prospects for a long and healthy life been better. In spite of this fact we now face a paradox: According to the late professor of the Social History of Medicine, Roy Porter (2006), we are witnessing greater demands from the population to the health system than ever (p. 9). This underscores the potential of exploding health’s costs. 4 In our opinion, however, it is important to realise that the development towards the ageing society has been going on for 200-300 years - long before the kind of medical service known today was established (Petersen, 2006). During the many years of this development medicine has not played any role. It is only in the second half of the 20. Century, modern medicine begins to influence longevity, especially among the old-olds and their falling death rate of 2-3 % a year. This fact demonstrates that the extension of the life length and the improvement of health has been and is still primarily established and maintained outside the health institutions and above all primarily contingent upon the living conditions of a population. This shows how important it is to study ageing and the life course in its interplay with societal contingencies and changes. It is, of course, also of relevance to study how the urge for better health and longevity influences the politics of health and its priorities. The question of the ageing of society is not only a question of the ageing of individuals, ageing processes and living conditions of older adults as well as challenges for the health sector. It is also a question of how the demographic transition changes the society in terms of cultural and social facets and how a traditional, rather one-sided and negative view of ageing is – or should be – changed. Dominant research questions would be where and how the changed demography or the ‘new seniors’ will be visible in society apart from nursing homes and hospitals: i.e. on the labour market, in politics, in cultural institutions, in the media, in the family, in all kinds of arts. Furthermore it is a question of how society ensures intergenerational solidarity as well as lifelong learning and participation for all age groups. Ageing as a culturally and socially embedded process As shown by this minor overview of the demographic development there are many unknown factors involved in the evolving ‘Ageing Society’. Obviously there seems to be no universal way of ageing. Ageing is of course a biological fact and as such universal, but at the same time human beings are also participants in the shaping of their own reality and future on various levels: collective and personal (Katz, 2009; Munk, 2013). This means that the ageing processes cannot and should not be studied without understanding the cultural and historical context, which produces still new and unexpected versions of what is constitutive of older adults’ lives and ageing processes. It is the individual life course embedded in social, cultural and historical conditions which 5 produces the profile of an ageing population and the ageing person (Baltes, Reese & Lippsitt, 1980). One of the lessons learnt from the multiple international longitudinal population studies during the 20. century is that ‘behavioural change can only be understood (and predicted for that matter) by examining behavioural change in the context of societal change.’ (Schae, 2000, p. 257). According to the founding father of an advanced methodology of longitudinal population studies, ‘the longitudinal, cross-cohort methodology’, the American professor of Human Development and Psychology, K. Warner Schae, the age-variable has been through a conceptual shift in ‘treating age as the dependent rather than the independent variable.’(2000, p. 258). Put in another way: Biological ageing is highly dependent on the cultural and social conditions of life, and this means that a changing society will always ‘produce’ new kinds of older adults. There is a huge difference, for example, between the generations born before the First World War and the establishment of the welfare state and the generations born just after the Second World War enjoying in general all the privileges of the growing welfare and wealth through their upbringing and adult years (Munk, 1999). In late modern societies there is a tendency among the new ageing ‘after-war’ middle class generations to try to ‘end temporality’ so to speak. The attempts to ‘arrest time’ are numerous, from changed life styles, plastic surgery, hair dyeing, and so on. An ideal in certain groups seem to be to stay young ‘for ever’ being relatively detached from the obligations of work and dependant family members (i. e. children) and enjoying the benefits from economic freedom (Katz, 2009). The activities performed by modern older adults will affect our society in a broad sense: Consumption patterns, labour market, cultural life, leisure activities and NGOassociations as well as families, which today often consist of three or four generations, and this is historically quite a new situation. In general older adults are quite active in our society. According to Center for Frivilligt Socialt Arbejde 33% of people 56-75 years of age and 27% of people 66-75 years of age thus perform voluntary work, and the number is increasing (Boje et al., 2006). Besides, older adults also perform informal care and hence they are an important resource for families and society (Mandag Morgen og Ældresagen, 2011). 6 The scientific basis of the centre The study of ageing is fundamentally the study of change. Change is related to time. Time and change are twin concepts in this field. The forces behind changes are complex: biologic, social, political/systemic and individual thus implying an interdisciplinary approach to the field. The consequence also is that the ‘senior’ group is highly heterogeneous in opposition to the stereotypical picture of old age (Kirk, 1994; Christensen, 1999; Mehlsen, 2011). At a societal level one could also describe a society as a changing social system with changing generational cohorts passing through. This means that you can never leave out history and the historical context when studying ageing and old age. We underscore this fact – not because it has to imply certain methodologies in studying ageing - but because it must be considered fundamental for all kinds of studies of the ageing process and ageing persons (Munk, 2013). Logically this means that the study of ageing also should be a study of the life course, because the end-of-life-stage rests heavily on how the trajectory of life has previously been envisioned and enlived. An increasing part of gerontological research is occupied with the whole life course and its consequences for ageing (Schae, 2000). Core themes of a humanistic/societal research frame The following sketches for research projects are primarily examples of the numerous possibilities for interesting, relevant and necessary ageing research on the late modern ageing society. There are also possibilities for action research projects in collaboration with the public administrations outside the university. Currently we find the following themes to address important issues for the individual and the society: Lifelong learning: Lifelong learning as a question of learning throughout life as well a question of learning when one becomes very old (later life learning). How can the university develop new studies and new ways of studying for seniors? A holistic understanding of motivation and learning in later life: social, existential, psychological, cultural and biological aspects of extrinsic and intrinsic motivation and learning in late adulthood. 7 Wisdom as a phenomenon connected to mature, post-formal thinking in later life. Cultural dynamics and ageing The late modern ageing cultures: The new seniors trying to end temporality and live like ‘snowbirds’ following the seasons being at the most favourable places in order to improve their quality of life: The resourceful elderly nowadays meet the period after work life with a new concept of liberty. The typical obstacles in life such as health problems, shortage of money, work and family obligations with small children seem to be absent to large groups of lower and middle middle class seniors and offer new opportunities of a life style earlier reserved to the higher middle class: travelling to interesting places, playing golf, buying expensive clothes, cruising etc. It seems without any doubt that the late modern middle class elderly are very important to the new experiential economy of the current society. Being old and belonging to an ethnic minority in the late modern society: coping with conflicts between different ideas of ageing. The cultural images of ageing in the media and the popular culture: Which pictures of ageing are produced and circulated in popular culture like movies, magazines and TV-commercials? Do we see stereotypification, pluralisation and development in the media? Ageing and literature: how is the experience of late modern ageing mirrored in current literature? Producers and consumers of the ageing experience economy: The ageing society produces profound changes in our economy, being the fastest growing consumer group. Which changes does this provoke in the experience economy? What changes in consumption and production patterns does this provoke? And does it also establish a new group of producers? Medical enhancement and the taming of time. 8 Living spaces and old age: how can architecture and city planners meet the challenges of more frail people wanting autonomy and participation to the very end? Social and existential challenges and possibilities in late adulthood: Biographic perspective on active citizenship, self-determination and autonomy in late adulthood. Being (also very) old in the late modern society. Establishing identity, new relations and social network in late adulthood including potentials using new technology as e.g. Skype and other platforms. Existential meaning in late adulthood, handling changes in positions, power, sexual and marital status. “The good life” in late adulthood: do the agendas of the individual change with high age? Is it still important to stay young ‘for ever’ or does one just want to be old and disengaged? How can society support ‘the good life’ in late adulthood even if it contrasts middle class ideas of the importance of agency and autonomy? Intergenerational justice. Solidarity between generations is an important element in modern welfare states. Will this solidarity be challenged in an ageing society? Old, frail and poor in a competitive society; a philosophical analysis of the values of current Danish society related to treatment and care of the frail and especially the poor elderly. Poverty among old and frail people will be an increasing phenomenon in the late modern society especially among immigrants because they will only have access to a retirement pension related to the relative length of time they have lived in Denmark. In general most older adults are not afraid of dying, but they have a pronounced fear of the period before: how much suffering in being helpless, without autonomy, and being a burden to everybody are they going to experience before passing away (Munk, 1999)? During the flowering period of the welfare state Denmark had been able to take care of the frail and poor elderly at an 9 ethically acceptable level. From a historical point of view this is an exception as to the poor elderly. The question is, whether the society will maintain the values from the times of the welfare state in caretaking, or if it will only be the elderly with good pensions and fortunes who will be able to look forward to proper (paid for) care in their last days (Pedersen, 2012)? ‘The past in the present’: it is widely accepted by historians and theories of history use that current political discourses are to a large degree drawing wrong or quite generalising arguments from history in order to sustain an actual political end. The question is how the political discourses will turn out with the still more sparse public resources available to take care of the frail elderly? Who had the moral duty to take care - and who did so in the Danish past? A comparative analysis of the history of the caretaking of the elderly and the present political discourses. Ethics, age and health care rationing. The increasing costs in the health care area lead to difficult questions about the allocation of scarce resources based on age. Intergenerational activities: Older adults’ impulses of ‘generativity’ manifested e.g. in a ‘teaching passion’ (Erikson 1972) or other activities directed towards younger generations. Intergenerational learning and mentorship: Because of the historically new longevity families and society comprise more generations than ever seen before. The oldolds are ‘surviving’ witnesses from past times such as important historical periods like the Second World War and the Great Depression of the 1930’ies. The differences among the generations as to material living conditions, different levels of education and probably different ideologies will probably have consequences for intergenerational learning and understanding. The question is how this is used and not used in society and in the families? Older adults as volunteers: Societal and individual, subjective importance of informal care and voluntary work performed by older people. 10 Talent development: It is our general experience that it is difficult to mobilize interest in gerontology in spite of its importance to society. If a research centre should continually produce high quality, relevant and interesting knowledge about ageing and the life course, it is vital to develop strong identities as gerontologists among the researchers at the centre. This is constituted by several factors: gifted researchers from the outset, interesting and engaging projects, general teaching in gerontology, integration in the Danish and international, especially European, gerontological research society, a stimulating and recognising environment and lastly enough resources. It is important that a centre is building up continuity in its research and identity as a research centre. Knowledge exchange It is expected that the centre will continually produce knowledge highly relevant to Danish society. It is an obligation to the centre to establish fundamental knowledge related to late modern ageing and to participate with counselling and knowledge dissemination related to challenges in the ageing society. The centre will establish a formal and systematic knowledge exchange with other gerontological research groups outside the university, at a national and international level, and additionally with Danish society in general. Education It should be a core activity of the centre to offer courses in gerontology at different educational levels and to different disciplines at AU and outside AU, to relevant professional groups, and also to the elderly themselves. It is our experience that we find the most attentive and interested audience to be in the elderly population when it comes to questions about old age. 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