The effect of age medicalization on the perception of individual health and aging in the older
https://doi.org/10.24290/1029-3736-2024-30-2-209-227
Abstract
The article examines the peculiarities of the effect of medicalization on the individual perceptions of older people about their own health. The empirical base of the study consisted of 60 interviews with elderly residents of St. Petersburg of different generations 65+ and 75+, 30 interviews with representatives of each generation. The main method of analysis is thematic. In the course of the study, it was determined that in Russia, old age is inextricably linked with the medicalization of this condition and older people form a special group that is constantly exposed to the problem of medicalization of age. In the course of the study, we found out that discrimination against older people based on poor health in old age is present both in the framework of private communication with relatives and loved ones and is widespread in various discourses in the media and is actively supported by doctors and other medical professionals. The narratives of the interview identified an important problem, namely the connection between old age and poor health, which causes older people themselves to define their old age as a time of problems and difficulties with health. The problem of medicalization itself is extremely significant and difficult to solve at this stage. The problem of medicalization of the elderly leads to the fact that barriers for the elderly begin to develop in society and old age is perceived from the position of minimizing possible health problems. In this case, it is important to conduct further sociological research focused on analyzing the features of medicalization and the possibility of minimizing this problem in Russian society and throughout the world.
About the Author
K. A. Galkin
Sociological Institute of RAS – Branch of the FCTAS RAS
Russian Federation
Russian Federation
Galkin Konstantin A., Candidate of Sociology, Senior researcher
st. 7th Krasnoarmeyskaya, 25/14, St. Petersburg, Russian Federation, 190005
References
1. Basov A. V. Novye podhody k ponimaniyu medikalizacii v zarubezhnoj sociologii mediciny [New approaches to understanding medicalization in the foreign sociology of medicine ] // Sociologiya mediciny. 2017. N 2. P. 72–74. DOI 10.18821/1728-2810-2017-16-2-72-74 (in Russian).
2. Binney E. A. Medicalization, public policy and the elderly: Social services in jeopardy? // Social Science & Medicine. 1990. Vol. 30. N 7. P. 761-771.
3. Busfield J. The concept of medicalisation reassessed // Sociology of Health & Illness. 2017. Vol. 39. N 5. P. 759-774.
4. Conrad P. Parallel play in medical anthropology and medical sociology. The American Sociolo-gist, 1997, 28(4): 90–100. DOI: 10.1007/s12108-997-1021-4
5. Davis J. E. Medicalization, social control, and the relief of suffering // The new Blackwell com-panion to medical sociology. 2010. P. 211-241.
6. Finkel'shtejn I. E. Model' prinyatiya terapevticheskih reshenij v kognitivnoj medicinskoj an-tropologii Lindy Garro [The therapeutic decision-making Model in Cognitive Medical Anthro-pology by Linda Garro] //Vestnik Sankt-Peterburgskogo universiteta. Sociologiya. 2018. T. 11. №. 1. S. 79-93 DOI: 10.21638/11701/spbu12.2018.107
7. Foucault M., Davidson A. I., Burchell G. The birth of biopolitics: lectures at the Collège de France, 1978-1979. Springer, 2008.
8. Galkin K.A. Kul'tura zdorov'ya: konceptualizaciya ponyatiya i perspektivy osmysleniya v medicinskoj sociologii i antropologii [Health culture: Conceptualization of the concept and per-spectives of understanding in medical sociology and anthropology] // Vestnik Kemerovskogo gosudarstvennogo universiteta. Seriya: Politicheskie, sociologicheskie i ekonomicheskie nauki. Uchrediteli: Kemerovskij gosudarstvennyj universitet. 2023. Vol. 8. N 3. P. 277-283. (in Rus-sian).
9. Grigor'eva I.A., Uhanova YU. V., Smoleva E. O. Transformaciya social'noj politiki v Rossii v kontekste stareniya naseleniya [Transformation of social policy in Russia in the context of popu-lation aging] // Ekonomicheskie i social'nye peremeny: fakty, tendencii, prognoz. 2019. N. 5. P. 124-140. (in Russian).
10. Kleinman A. et al. Pain as human experience: An introduction //Pain as human experience: An anthropological perspective. 1992. P. 1-28.
11. Kleinman A., Kleinman J., Good B. Somatization: The interconnections in Chinese society among culture, depressive experiences, and the meanings of pain //Beyond the body proper: Reading the anthropology of material life. 2007. P. 468-74.
12. Kleinman A. The deligitimation and religitimation of local worlds // Pain as human experience. An anthropological perspective. 1994. P. 169-197.
13. Kuzin S. I. Starenie naseleniya: social'no-ekonomicheskij aspekt [Population ageing: socio-economic aspect] // Vestnik universiteta. 2018. N. 3. P. 137-143. (in Russian).
14. Mihel' D. V. Medikalizaciya kak social'nyj fenomen [Medicalization as a social phenomenon]. // Vestnik Saratovskogo gosudarstvennogo tekhnicheskogo universiteta. 2011. N. 2(60). P. 256–263.
15. Miklyaeva A. V. Infantilizaciya pozhilyh lyudej v povsednevnom vzaimodejstvii: k postanovke problemy [Infantilization of the elderly in everyday interaction: towards a problem statement] // ZHurnal issledovanij social'noj politiki. 2018. N. 1. P. 109–124. DOI 10.17323/727-0634-2018-16-1-109-124(in Russian).
16. Mihaleva A.V. Vliyanie medikalizacii na zdorov'e pozhilyh lyudej [The effect of medicalization on the health of the older] //Vestnik Sankt-Peterburgskogo universiteta. Sociologiya. 2009. N 2-1. P.130-140. (in Russian).
17. Parsons T. The social system. Routledge, 2013.
18. Parfenova O. A., Galkin K. A. Konstruirovanie [ne] doveriya v kovidnyh diskursah [Constructing [not] trust in covid discourses] //Ekologiya cheloveka. 2023. N 4. P. 301-311. (in Russian).
19. Patton P. Power and biopower in Foucault //Biopower: Foucault and beyond. 2016. P. 102-117.
20. Powell J. Rethinking Community, Medicalization, Social and Health Care: A Foucauldian Anal-ysis’ //Archives of Community and Family Medicine. 2019. Vol. 2. N 2. P. 27-35.
21. Petrov A. M., Antonova O. V., Mustafaeva S. R. Problemy stareniya naseleniya i ih prioritetnaya poziciya v perechne problem nastoyashchego vremeni razvitiya obshchestva [The problems of population aging and their priority position in the list of problems of the present development of society]. // Ekonomicheskie nauki. 2020. N. 191. P. 252-255. DOI: 10.14451/1.191.252. (in Rus-sian).
22. Pugh J. F. The semantics of pain in Indian culture and medicine //Culture, medicine and psychia-try. 1991. Vol. 15. N 1. P. 19-43. DOI: 10.1007/bf00050826
23. Saponov D. I., Smol'kin A. A. Social'naya eksklyuziya pozhilyh: k razrabotke modeli izmereniya [Social exclusion of the older: towards the development of a measurement model] //Monitoring obshchestvennogo mneniya: ekonomicheskie i social'nye peremeny. 2012. N. 5 (111). P. 083-094. (in Russian).
24. Sidorenko A., Walker A. The Madrid International Plan of Action on Ageing: from conception to implementation //Ageing & Society. 2004. Vol. 24. N. 2. P. 147-165. DOI: 10.1017/S0144686X03001661
25. Sinyavskaya O. V., CHervyakova A. A. Aktivnoe dolgoletie v Rossii v usloviyah ekonomicheskoj stagnacii: chto pokazyvaet dinamika indeksa aktivnogo dolgoletiya? [Active longevity in Russia under conditions of economic stagnation: what does the dynamics of the active longevity index show?]. // Monitoring obshchestvennogo mneniya: ekonomicheskie i social'nye peremeny. 2022. N. 5 (171). P. 94-121.DOI: 10.14515/monitoring.2022.5.2043 (in Russian).
26. Smirnov N. K. Aktual'nye problemy zdorov'esberegayushchego obrazovaniya [Current problems of health-saving education] // Sibirskij pedagogicheskij zhurnal. 2012. N 9. P. 59–64. (in Rus-sian).
27. Smol'kin A. A. Medicinskij diskurs v konstruirovanii obraza starosti [Medical discourse in the con-struction of the image of old age]. ZHurnal sociologii i social'noj antropologii. 2007. Vol. 10. N 2. P. 135. (in Russian).
28. Stam H. J. Theorizing health and illness: Functionalism, subjectivity and reflexivity //Journal of Health psychology. 2000. Vol. 5. N 3. P. 273-283. DOI: 10.1177/135910530000500309
29. Stessman J. et al. Physical activity, function, and longevity among the very old //Archives of in-ternal medicine. 2009. N. 16. P. 1476-1483.
30. Vertinsky P. Old age, gender and physical activity: The biomedicalization of aging // Journal of Sport History. 1991. Vol. 18. N. 1. P. 64-80.
31. Yi Z. et al. The healthy longevity survey and the active life expectancy of the oldest old in China // Population: an English selection. 2001. P. 95-116.
32. Zola I. K. Bringing our bodies and ourselves back in: Reflections on a past, present, and future" medical sociology" //Journal of Health and Social behavior. 1991. P. 1-16.
Review
For citations:
Galkin K.A. The effect of age medicalization on the perception of individual health and aging in the older. Moscow State University Bulletin. Series 18. Sociology and Political Science. 2024;30(2):209-227. (In Russ.) https://doi.org/10.24290/1029-3736-2024-30-2-209-227
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