Looking “out of place”: analysing the spatial and symbolic meanings of dementia care settings through dress
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The article explores how clothing exposes – and troubles – the ambiguous location of care homes on the boundaries of public/private, home/institutional space. It deploys a material analysis of the symbolic uses and meanings of dress, extending the remit of the new cultural gerontology to encompass the “fourth age,” and the lives of older people with dementia. The article draws on an ESRC-funded study “Dementia and Dress,” conducted in the United Kingdom (UK), which explored everyday experiences of clothing for people with dementia, carers and careworkers, using ethnographic and qualitative methods. Careworkers and managers were keen to emphasise the “homely” nature of care homes, yet this was sometimes at odds with the desire to maintain presentable and orderly bodies, and with institutional routines of bodywork. Residents’ use of clothing could disrupt boundaries of public/private space, materialising a sense of not being “at home,” and a desire to return there.
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References
Age UK. (2014). Factsheet 29: Finding Care Home Accommodation. London: Age UK.
Alzheimer’s Society. (2014). Dementia UK (Second Edition): Overview. London: Alzheimer’s Society.
Allan, G. & Crow, G. (1989). Introduction. In G. Allan & G. Crow (eds.), Home and Family: Creating the Domestic Space (pp. 1–13). London: Macmillan.
Appleford, K. (2013). Fashion and class evaluation. In S. Black, A. Haye, J. Entwistle, R. Root, H. Thomas & A. Rocamora (eds.), The Handbook of Fashion Studies (pp. 102–120). London: Bloomsbury.
Appleford, K. (2015). Being seen in your pyjamas: The relationship between fashion, class, gender & space. Gender, Place and Culture. doi: 10.1080/0966369X.2015.1013439.
Auge, M. (1995). Non-Places: Introduction to an Anthropology of Supermodernity. London: Verso.
Baldelli, M. V., Boiardi, R., Ferrari, P., Bianchi, S. & Hunscott Bianchi, M. (2007). Dementia and occupational therapy. Archives of Gerontology and Geriatrics 44(Supplement 1): 45–48. DOI: 10.1016/j.archger.2007.01.006
Banim, M., Green, E. & Guy, A. (2001). Introduction. In A. Guy, E. Green& M. Banim (eds.), Through the Wardrobe: Women’s Relationships with their Clothes (pp. 1–18). Oxford: Berg.
Banim, M. & Guy, A. (2001). Discontinued selves: Why do women keep clothes they no longer wear? In A. Guy, E. Green & M. Banim (eds.), Through the Wardrobe: Women’s Relationships with their Clothes (pp. 203–219). Oxford: Berg.
Barnes, S. (2006). Space, choice and control, and quality of life in care settings for older people. Environment and Behaviour 38(5): 589–604. DOI: 10.1177/0013916505281578
Bartlett, R. & O’Connor, D. (2010). Broadening the Dementia Debate: Towards Social Citizenship. Bristol: Policy Press.
Beck, C., Heacock, P., Mercer, S.,Walton, C. G. & Shook, J. (1991). Dressing for success: Promoting independence among cognitively impaired elderly. Journal of Psychosocial Nursing and Mental Health Services 29(7): 30–35.
Bingham, J. (2013). Rock ’n’ roll care homes for baby boomers. The Telegraph, 21 July. Available on http://www.telegraph.co.uk/health/elderhealth/10192549/Rock-n-roll-care-homes-for-baby-boomers.html (Accessed: February 7, 2014).
Bland, R. (1999). Independence, privacy and risk: Two contrasting approaches to residential care for older people. Ageing and Society 19(5): 539–560. DOI: 10.1017/S0144686X99007497
Blunt, A. & Dowling, R. (2006). Home. Oxon: Routledge.
Bromley, E. (2012). Building patient-centeredness: Hospital design as an interpretive act. Social Science & Medicine 75(6): 1057–1066. DOI: 10.1016/j.socscimed.2012.04.037
Buse, C. & Twigg, J. (2014). Women with dementia and their handbags: Negotiating identity, privacy and ‘home’ through material culture. Journal of Aging Studies 30(1): 14–22. DOI: 10.1016/j.jaging.2014.03.002
Chapman, S. A. (2006). A ‘new materialist’ lens on aging well: Special things in later life. Journal of Aging Studies 20(3): 207–216. DOI: 10.1016/j.jaging.2005.09.001
Chapman, T. & Hockey, J. (1999). Ideal Homes? Social Change and Domestic Life. London: Routledge.
Chatterji, R. (2006). Normality and difference: Institutional classification and the constitution of subjectivity in a Dutch nursing home. In A. Leibing & L. Cohen (eds.), Thinking about Dementia: Culture, Loss and the Anthropology of Senility (pp. 218–239). New Brunswick: Rutgers University Press.
Entwistle, J. (2000). The Fashioned Body: Fashion, Dress and Modern Social Theory. Cambridge: Polity.
Entwistle, J. (2001). The dressed body. In J. Entwistle & E. Wilson (eds.), Body Dressing (pp. 33–58). Oxford: Berg. DOI: 10.2752/9780857854032/BODRESS0006
Fairhurst, E. (1999). Fitting a quart into a pint pot: Making space for older people. In T. Chapman & J. Hockey (eds.), Ideal Homes? Social Change and Domestic Life (pp. 96–107). London: Routledge.
Gilleard, C. & Higgs, P. (2010). Frailty, disability and old age: A reappraisal. Health 15(5): 475–490.
Gilleard, C. & Higgs, P. (2014). Studying dementia: The relevance of the fourth age. Quality in Ageing and Older Adults 15(4): 241–243. DOI: 10.1108/QAOA-10-2014-0027
Gubrium, J. (1993). Speaking of Life: The Horizons of Meaning for Nursing-Home Residents. New York: Aldine de Gruyter.
Gubrium, J. F. (1995). Perspective and story in nursing home ethnography. In N. J. Henderson & M. D. Vesperi (eds.), The Culture of Long Term Care: Nursing Home Ethnography (pp. 23–36).Westport, CT: Bergin and Garvey.
Gubrium, J. F. (1997). Living and Dying at Murray Manor [Expanded paperback edition]. Charlotteville, VA: University Press of Virginia.
Goffman, E. (1961). Asylums. London: Penguin.
Goffman, E. (1969). The Presentation of Self in Everyday Life. London: Lane.
Grealy, J., McMullen, H. & Grealy, J. (2005). Dementia Care: A Practical Photographic Guide. Oxford: Blackwell. DOI: 10.1002/9780470775103
Harris, H. & Lipman, A. (1980). Social symbolism and the space usage in daily life. Sociological Review 28(2): 415–429. DOI: 10.1111/j.1467-954X.1980.tb00371.x
Henderson, M. (1975). Acquiring privacy in public. Urban Life and Culture 3(4): 446–455.
Hockey, J. (1989). Residential care and the maintenance of social identity: Negotiating the transition to institutional life. In M. Jefferys (ed.), Growing Old in the Twentieth Century (pp. 201–217). London: Routledge.
Hockey, J. (1999). The ideal of home: Domesticating the institutional space of old age and death. In T. Chapman & J. Hockey (eds.), Ideal Homes? Social Change and Domestic Life (pp. 108–118). London: Routledge.
Hockey, J., Dilley, R., Robinson, V. & Sherlock, A. (2012). If I could turn back time? footwear, identity and the life course. Paper presented at the MICRA/The Hair and Care Project Academic Conference: Appearance, Ageing and the Life Course, University of Manchester. Available on http://www.ihs.manchester.ac.uk/events/pastworkshops/2013/MICRA_Hair_and_Care_Project (Accessed: May 29, 2014).
Hockey, J., Dilley, R., Robinson, V. & Sherlock, A. (2013). Worn shoes: Identity, memory and footwear. Sociological Research Online 18(1): 20. DOI: 10.5153/sro.2897
Higgs, P. F. D., Macdonald, L. D., Macdonald, J. S. & Ward, M. C. (1998). Home from home: Residents’ opinions of nursing homes and long-stay wards. Age and Ageing 27: 199–205. DOI: 10.1093/ageing/27.2.199
Higgins, J. (1989). Homes and institutions. In G. Allan & G. Crow (eds.), Home and Family: Creating the Domestic Space (pp. 158–185). London: Macmillan.
Hubbard, G., Downs, M. & Tester, S. (2003). Including older people with dementia in research: Challenges and strategies. Aging & Mental Health 7(5): 351–362. DOI: 10.1080/1360786031000150685
Hurd Clarke, L. (2011). Facing Age: Women Growing Older in Anti-Ageing Culture. Lanham, MD: Rowman & Littlefield.
Jackson, M. (1995). At Home in the World. Durham, NC: Duke University Press.
Jamie, K. (2012). Sightlines. London: Sort Of Books.
Kaiser, S. B. (2012). Fashion and Cultural Studies. London: Bloomsbury.
Keady, J. & Keady, J. (2005). The wrong shoes: Living with memory loss. Nursing Older People 17(9): 36–37.
Kontos, P. (2004). Ethnographic reflections on selfhood, embodiment and Alzheimer’s disease. Ageing & Society 24(6): 829–849. DOI: 10.1017/S0144686X04002375
Laws, G. (1997). Spatiality and age relations. In A. Jamieson, S. Harper& C. Victor (eds.), Critical Approaches to Ageing and Later Life (pp. 90–100). Buckingham: Open University Press.
Lawton, J. (1998). Contemporary hospice care: The sequestration of the unbounded body and ‘dirty dying’. Sociology of Health and Illness 20(2): 121–143. DOI: 10.1111/1467-9566.00094
Lee-Treweek, G. (1997). Women, resistance and care: An ethnographic study of nursing auxiliary work. Work, Employment and Society 11(1): 47–63. DOI: 10.1177/0950017097111003
Lomas, C. (2000). I know nothing about fashion. There’s no point in interviewing me. In S. Bruzzi & P. Church-Gibson (eds.), Fashion Cultures: Theories, Explorations and Analysis (pp. 363–370). Oxon: Routledge.
Mallet, S. (2004). Understanding home: A critical review of the literature. Sociological Review 52(1): 62–89. DOI: 10.1111/j.1467-954X.2004.00442.x
McColgan, G. (2005). A place to sit: Resistance strategies used to create privacy and home by people with dementia. Journal of Contemporary Ethnography 34(4): 410–433. DOI: 10.1177/0891241605275574
Mountain, G. & Bowie, P. (1992). The possessions owned by long stay psychogeriatric patients. International Journal of Geriatric Psychiatry 7(4): 285–290. DOI: 10.1002/gps.930070410
Nippert-Eng, C. (1996). Home and Work. Chicago, IL: University of Chicago Press. DOI: 10.7208/chicago/9780226581477.001.0001
Nord, C. (2011). Architectural space as a moulding factor of care practices and resident privacy in assisted living. Ageing and Society 31(6): 934–952. DOI: 10.1017/S0144686X10001248
ONS. (2014). Changes in the Older Resident Care Home Population between 2001 and 2011. Newport: Office for National Statistics.
Peace, S. M., Kellaher, L. A. & Willcocks, D. M. (1997). Re-evaluating Residential Care. Buckingham: Open University Press.
Potvin, J. (2009). The Places and Spaces of Fashion, 1800–2007. Oxon: Routledge.
Reed-Danahey, D. (2001). ‘This is your home now!’: Conceptualizing location and dislocation in a dementia unit. Qualitative Research 1(1): 47–63. DOI: 10.1177/146879410100100103
Rocamora, A. (2013). Introduction: Spaces of fashion. In S. Black, A. Haye, J. Entwistle, R. Root, H. Thomas & A. Rocamora (eds.), The Handbook of Fashion Studies (pp. 159–163). London: Bloomsbury.
Scher, R. (2013). Exploring green house core values: Real home. The Green House Project Blog. Available on: http://changingaging.org/blog/exploring-green-house-core-values-real-home/ (Accessed: February 07, 2014).
Schiermer, B. (2011). Quasi-objects, cult objects and fashion object: On two kinds of fetishism on display in modern culture. Theory, Culture& Society 28(1): 81–102. DOI: 10.1177/0263276410374632
Simmel, G. (1904/1971). Fashion. In D. C. Levine (ed.), On Individuality and Social Forms: Selected Writings (pp. 294–323). Chicago, IL: University of Chicago Press.
Skeggs, B. (1997). Formations of Class and Gender: Becoming Respectable. London: Sage.
Stirling, J. (1995). Dementia, discourse, difference and denial: ‘Who did I become?’ Law, Text, and Culture 2(1): 147–159.
Stov, L. (2011). Entering the space of the wardrobe. Creative Encounters Working Papers 58: 2–25.
Tallack, D. (2002). ‘Waiting, waiting’: The hotel lobby, in the modern city. In N. Leach (ed.), The Hieroglyphics of Space: Reading and Experiencing the Modern Metropolis (pp. 139–151). London: Routledge.
Tönnies, F. (1887/2004). Custom: An essay on social codes. In D. L. Purdy (ed.), The Rise of Fashion: A Reader (pp. 333–340). Minnesota: University of Minnesota Press.
Tseëlon, E. (1995). The Masque of Femininity. London: Sage.
Twigg, J. (2000). Bathing – The Body and Community Care. London: Routledge. DOI: 10.4324/9780203190876
Twigg, J. (2010). Clothing and dementia: A neglected dimension? Journal of Aging Studies 24(4): 223–230. DOI: 10.1016/j.jaging.2010.05.002
Twigg, J. (2013). Fashion and Age: Dress, the Body and Later Life. Oxford: Berg.
Twigg, J. & Martin, W. (eds.). (2015). The Routledge Handbook of Cultural Gerontology. London: Routledge.
Veblen, T. (1899/1994). Theory of the Leisure Class. London: Dove. Verbeek, H., Rossum, E., Zwakhalen, S. M. G., Kempen, G. I. J. M.& Hamers, J. P. H. (2009). Small, homelike care environments for older people with dementia: A literature review. International Psychogeriatrics 21(2): 252–264.
Ward, R., Vass, A. A., Aggarwal, N., Garfield, C. & Cybyk, B. (2008). A different story: Exploring patterns of communication in residential dementia care. Ageing & Society 28: 629–651. DOI: 10.1017/S0144686X07006927
Weber, S. & Mitchell, C. (2004). Not Just Any Dress: Narratives of Memory, Body and Identity. New York: Peter Lang.
Woodward, K. M. (1999). Introduction. In K. M. Woodward (ed.), Figuring Age: Women, Bodies and Generations (pp. ix–xxix). Bloomington: ndiana University Press.
Woodward, K. M. (2006). Performing age, performing gender. National Women’s Studies Association (NWSA) Journal 18(1): 162–189.
Woodward, S. (2007). Why Women Wear What They Wear. Oxford: Berg. Wiersma, E. & Dupuis, S. L. (2010). Becoming institutional bodies: Socialization into a long-term care home. Journal of Aging Studies 24(4): 278–291.
Yarnal, C., Son, J. & Liechty, T. (2011). She was buried in her purple dress and her red hat and all of our members wore full ‘Red Hat Regalia’ to celebrate her life’’: Dress, embodiment and older women’s leisure: Reconfiguring the ageing process. Journal of Aging Studies 25(1): 52–61. DOI: 10.1016/j.jaging.2010.08.006