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Identity Reconstruction under Institutional Living and its Impact on Life Satisfaction among Older Adults

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Abstract

Life in a community is marked by a social fabric that gives meaning to one’s life. Older adults shifting to institutional living face the problem of an abrupt change in their social environment, often paired with a loss of social identity that had been constructed within the social fabric. In many Asian countries, including India, a considerable number of older adults shift to institutions for reasons other than the need for medical support. Traditional research on older adults living in institutions focuses on the role loss and psychological discomforts of institutional living. The current study is a counter-narrative on how the social fabric of the institutions serve as a platform in which older adults form ties and relationships to construct a new meaningful identity. The research has employed a mixed methodology approach and a sequential exploratory design, sampling 62 older adults from two randomly selected institutions for seniors in Ernakulam, Kerala. The findings suggest that older adults experience a role loss and identity crisis during the initial transfer to institutions, which is gradually compensated to an extent through networking and identifying oneself as a member of the institutional family. In-degree centrality from fellow residents and out-degree centrality towards fellow residents and professionals in the institution significantly impact the ‘Satisfaction with Life’ of the respondents. The findings suggest that institutionalised older adults rely on reciprocal ties and relationships to rediscover their roles and identity, which in turn help them age successfully.

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References

  • Ainlay, S. C., Singleton, R., & Swigert, V. L. (1992). Aging and Religious Participation: Reconsidering the Effects of Health. Journal for the Scientific Study of Religion, 31(2), 175–188. https://doi.org/10.2307/1387007

    Article  Google Scholar 

  • Amati, V., Meggiolaro, S., Rivellini, G., & Zaccarin, S. (2018). Social relations and life satisfaction: The role of friends. Genus, 74(1), 1–18.

    Article  Google Scholar 

  • Bardill, J. (2014). Identity as Socially Constructed: An Objection to Individual Change. AJOB Neuroscience, 5(1), 19–20. https://doi.org/10.1080/21507740.2013.863250

    Article  Google Scholar 

  • Baumeister, R. F., & Leary, M. R. (1995). The need to belong: Desire for interpersonal attachments as a fundamental human motivation. Psychological Bulletin, 117(3), 497–529. https://doi.org/10.1037/0033-2909.117.3.497

    Article  Google Scholar 

  • Bhugra, D., & Becker, M. A. (2005). Migration, cultural bereavement and cultural identity. World Psychiatry, 4(1), 18–24.

    Google Scholar 

  • Borgatti, S. P., Everett, M. G., & Freeman, L. C. (2002). Ucinet 6 for Windows: Software for Social Network Analysis. Harvard, MA: Analytic Technologies.

  • Bukov, A., Maas, I., & Lampert, T. (2002). Social participation in very old age: Cross-sectional and longitudinal findings from BASE. The Journals of Gerontology Series b: Psychological Sciences and Social Sciences, 57(6), 510–517.

    Article  Google Scholar 

  • Burgess, E. W. (1960). Aging in Western culture. In E. W. Burgess (Ed.), Aging in Western Societies (pp. 3–38). University of Chicago Press.

    Google Scholar 

  • Charles, S. T., & Carstensen, L. L. (2010). Social and emotional aging. Annual Review of Psychology, 61, 383–409. https://doi.org/10.1146/annurev.psych.093008.100448

    Article  Google Scholar 

  • Cooley, C. H. (1964). Human nature and the social order. Schocken Books.

    Google Scholar 

  • Creswell, J. W., & Plano, C. V. L. (2018). Designing and conducting mixed methods research. Sage.

    Google Scholar 

  • Curien, K. C., Thomas, M. E., & Rajan, I., (2000). Dynamics of Migration in Kerala: Dimensions, Differentials and Consequences, New Delhi: Orient Longman.

  • Datta, A. (2017). Old age homes in India: Sharing the burden of elderly care with the family. In R. S. Irudaya & G. Balagopal (Eds.), Elderly Care in India (pp. 77–93). Springer.

    Chapter  Google Scholar 

  • Diener, E., Emmons, R., Larsen, J., & Griffin, S. (1985). The satisfaction with life scale. Journal of Personality Assessment, 49, 71–75.

    Article  Google Scholar 

  • Dobner, S., Musterd, S., & Fortuijn, J. D. (2016). ‘Ageing in place’: Experiences of older adults in Amsterdam and Portland. GeoJournal, 81(2), 197–209.

    Article  Google Scholar 

  • Elwell, F., & Maltbie-Crannell, A. D. (1981). The Impact of Role Loss Upon Coping Resources and Life Satisfaction of the Elderly. Journal of Gerontology, 36(2), 223–232. https://doi.org/10.1093/geronj/36.2.223

    Article  Google Scholar 

  • Gardiner, C., Laud, P., Heaton, T., & Gott, M. (2020). What is the prevalence of loneliness amongst older people living in residential and nursing care homes? A systematic review and meta-analysis. Age and Ageing, 49(5), 748–757.

    Article  Google Scholar 

  • Gardner, P. J. (2011). Natural neighborhood networks—Important social networks in the lives of older adults aging in place. Journal of Aging Studies, 25(3), 263–271.

    Article  Google Scholar 

  • Gartshore, E., Waring, J., & Timmons, S. (2017). Patient safety culture in care homes for older people: A scoping review. BMC Health Services Research, 17(1), 1–11.

    Article  Google Scholar 

  • Goffman, I. (1961). Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. Garden City: Doubleday & Co. Greenblatt, Milton.

  • Hossain, Z., Eisberg, G., & Shwalb, D. W. (2018). Grandparents’ social identities in cultural context. Contemporary Social Science, 13(2), 275–287. https://doi.org/10.1080/21582041.2018.1433315

  • Howden-Chapman, P., Signal, L., & Crane, J. (1999). Housing and health in older people: ageing in place. Social Policy Journal of New Zealand, 14–30.

  • Karmel, M. (1969). Total Institution and Self Mortification. Journal of Health and Social Behavior, 10(2), 134–141.

    Article  Google Scholar 

  • Li, Y., & Ferraro, K. F. (2006). Volunteering in middle and later life: Is health a benefit, barrier or both? Social Forces, 85(1), 497–519.

    Article  Google Scholar 

  • Menezes, S., & Thomas, T. M. (2018). Status of the elderly and emergence of old age homes in India. International Journal of Social Sciences and Management, 5(1), 1–4.

    Article  Google Scholar 

  • Moen, P., Erickson, M. A., & Dempster-McClain, D. (2000). Social Role Identities among Older Adults in a Continuing Care Retirement Community. Research on Aging, 22(5), 559–579. https://doi.org/10.1177/0164027500225005

    Article  Google Scholar 

  • Oberg, K. (1960). Cultural Shock: Adjustment to New Cultural Environments. Practical Anthropology, os-7(4), 177–182. doi:https://doi.org/10.1177/009182966000700405

  • Phillips, B. S. (1957). A Role Theory Approach to Adjustment in Old Age. American Sociological Review, 22(2), 212. https://doi.org/10.2307/2088860

    Article  Google Scholar 

  • Rao, A. N., Trivedi, Y., & Yadav, V. (2015). Assessing the Life Satisfaction of Elderly Living in Old Age Homes in the City of Ahmedabad. Indian Journal of Gerontology, 29(2), 154–169.

    Google Scholar 

  • Sarah, L. (2000). White Saris and Sweet Mangoes: Aging, Gender, and Body in North India. University of California Press.

    Google Scholar 

  • Seitz, D., Purandare, N., & Conn, D. (2010). Prevalence of psychiatric disorders among older adults in long-term care homes: A systematic review. International Psychogeriatrics, 22(7), 1025–1039.

    Article  Google Scholar 

  • Singh, V., & Kumari, P. (2017). Factors responsible for shifting of elderly women to old age homes in Varanasi district – A cross sectional study. International Journal of Applied Home Science, 4(7), 525–528.

    Google Scholar 

  • Social Justice Department. (n.d.) Old Age Home. Retrieved from http://swd.kerala.gov.in/institutions.php?inst_id=MTg=

  • Social Justice Department. (2018). Old Age Homes. Retrieved from http://sjd.kerala.gov.in/DOCUMENTS/Downloadables/OTHERS/25590.pdf

  • Sreemol, T. C. (2018, February 19) Number of seekers for old-age homes increases in Kerala. The Times of India. Retrieved from https://timesofindia.indiatimes.com/city/kochi/number-of-seekers-for-old-age-homes-increases-in-kerala/articleshow/62977544.cms

  • Stones, D., & Gullifer, J. (2016). ‘At home it’s just so much easier to be yourself’: Older adults’ perceptions of ageing in place. Ageing & Society, 36(3), 449–481.

    Article  Google Scholar 

  • Strauss, A., & Corbin, J. (1994). Grounded theory methodology: An overview. In N. K. Denzin & Y. S. Lincoln (Eds.), Handbook of qualitative research (pp. 1–18). Sage Publications.

    Google Scholar 

  • Subasi, F., & Hayran, O. (2005). Evaluation of life satisfaction index of the elderly people living in nursing homes. Archives of Gerontology and Geriatrics, 41(1), 23–29.

    Article  Google Scholar 

  • Thoits, P. A., & Hewitt, L. N. (2001). Volunteer Work and Well-Being. Journal of Health and Social Behavior, 42(2), 115–131. https://doi.org/10.2307/3090173

    Article  Google Scholar 

  • Trivers, R. L. (1971). The evolution of reciprocal altruism. Quarterly Review of Biology, 46, 35–57.

    Article  Google Scholar 

  • United Nations, Department of Economic and Social Affairs Population Division. (2017). Living Arrangements of Older Persons: A Report on an Expanded International Dataset. New York. Retrieved from https://www.un.org/en/development/desa/population/publications/pdf/ageing/LivingArrangements.pdf

  • Vahid, Z., Vahid, P., Azad, R., & Lynnette, L. C. (2016). Older people ’s experiences involving the decision to transition to an aged care home. International Journal of Medical Research & Health Sciences, 5(8), 346–355.

    Google Scholar 

  • Van Dijk, H. M., Cramm, J. M., Van Exel, J. O. B., & Nieboer, A. P. (2015). The ideal neighbourhood for ageing in place as perceived by frail and non-frail community-dwelling older people. Ageing & Society, 35(8), 1771–1795.

    Article  Google Scholar 

  • Vijayakumar, G., Devi, E. S., & Jawahar, P. (2016). Life satisfaction of elderly in families and old age homes: A comparative study. International Journal of Nursing Education, 8(1), 94–99.

    Article  Google Scholar 

  • Wiles, J. L., Leibing, A., Guberman, N., Reeve, J., & Allen, R. E. (2012). The meaning of “aging in place” to older people. The Gerontologist, 52(3), 357–366.

    Article  Google Scholar 

  • World Health Organization. (2002). Active ageing: A Policy Framework. Retrieved from https://apps.who.int/iris/handle/10665/67215

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Acknowledgements

We acknowledge the proof reading and review services by Ms. Priya S Dev, Department of Social Work, Bharathidasan University, Trichy.

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Correspondence to Anoop C. Choolayil.

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Participation in this study was voluntary. Consent was obtained, both from the institutions and individuals who participated in this study.

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Choolayil, A.C., Putran, L., Kunder, M. et al. Identity Reconstruction under Institutional Living and its Impact on Life Satisfaction among Older Adults. Ageing Int 48, 482–500 (2023). https://doi.org/10.1007/s12126-021-09478-y

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