Christina Buse

When you retire, does everything become leisure? Information and communication technology use and the work/leisure boundary in retirement

This article explores how computer technologies relate to experiences of work and leisure in retirement. It is argued that the literature on information and communication technology (ICT) use and leisure has neglected older age groups, while research on older adults and internet use fails to explore the subjective meanings of activities as work or leisure. This article examines these issues, drawing on qualitative data from interviews with eight retired couples in the UK. The findings show varied levels of engagement with computer and internet technologies as leisure and illustrate how the boundaries of work/leisure/retirement are challenged and reconstructed in relation to technology use. The use of computers and internet for leisure was not differentiated according to gender, although there were gender differences in negotiation of work/leisure/ retirement boundaries. The hesitance among many retirees to define computer technologies as leisure, and their restriction of other leisure technologies, suggests generational and possibly class issues.

Dress, dementia and the embodiment of identity.

The article explores the significance of dress in the embodied experience of dementia, exploring questions of identity, memory and relationship. It suggests that clothing and dress are important in the analysis of the day-to-day experiences of people with dementia, giving access to dimensions of selfhood often ignored in over-cognitive accounts of being. As a result clothing and dress can be significant to the provision of person-centred dementia care. These arguments are explored through ideas of embodied identity, the materialisation of memories, and the maintenance, or otherwise, of appearance in care. The article forms part of the background to an ESRC-funded empirical study exploring the role of clothing and dress in the everyday lives of people with dementia, living at home or in care homes, and of their relatives.

Architecture and health care: a place for sociology

Sociologists of health and illness have tended to overlook the architecture and buildings used in health care. This contrasts with medical geographers who have yielded a body of work on the significance of places and spaces in the experience of health and illness. A review of sociological studies of the role of the built environment in the performance of medical practice uncovers an important vein of work, worthy of further study. Through the historically situated example of hospital architecture, this article seeks to tease out substantive and methodological issues that can inform a distinctive sociology of healthcare architecture. Contemporary healthcare buildings manifest design models developed for hotels, shopping malls and homes. These design features are congruent with neoliberal forms of subjectivity in which patients are constituted as consumers and responsibilised citizens. We conclude that an adequate sociology of healthcare architecture necessitates an appreciation of both the construction and experience of buildings, exploring the briefs and plans of their designers, and observing their everyday uses. Combining approaches and methods from the sociology of health and illness and science and technology studies offers potential for a novel research agenda that takes healthcare buildings as its substantive focus.

E-scaping the ageing body? Computer technologies and embodiment in later life

ABSTRACT This paper explores the embodied dimensions of computer and internet use in later life, and examines how technology use relates to constructions and experiences of the ageing body. It is argued that previous research on technology use and embodiment has neglected older bodies, in contrast to research on gender and disability. Furthermore, while earlier theorisations presented internet use as disembodied, it is argued that the experience of using such technologies is grounded in our embodiment. In the light of these limitations and arguments for more complete theories of the body, this paper explores how technology use relates to various aspects of embodiment. These issues are examined in the light of data from qualitative interviews and time-use diaries completed by retirees in 17 households in the United Kingdom. By examining the ‘technobiographies’ of these older computer users, it is shown that changes in body techniques are prompted and in some cases required by broader cultural and technological change. The findings evince the process of acquiring computing skills as an embodied competency, and as a form of ‘practical knowledge’ that can only be ‘learned by doing’. These experiences of technology use were embedded within constructions and experiences of ageing bodies. Although the participants drew on discourses of ageing in complex ways, their coding of computer technologies in terms of the competences of youth often reproduced hierarchies between young and old bodies.

Materialising memories: exploring the stories of people with dementia through dress

ABSTRACT In this article, we use clothes as a tool for exploring the life stories and narratives of people with dementia, eliciting memories through the sensory and material dimensions of dress. The article draws on an Economic and Social Research Council-funded study, ‘Dementia and Dress’, which explored everyday experiences of clothing for carers, care workers and people with dementia, using qualitative and ethnographic methods including: ‘wardrobe interviews’, observations, and visual and sensory approaches. In our analysis, we use three dimensions of dress as a device for exploring the experiences of people with dementia: kept clothes, as a way of retaining connections to memories and identity; discarded clothes, and their implications for understanding change and loss in relation to the ‘dementia journey’; and absent clothes, invoked through the sensory imagination, recalling images of former selves, and carrying identity forward into the context of care. The article contributes to understandings of narrative, identity and dementia, drawing attention to the potential of material objects for evoking narratives, and maintaining biographical continuity for both men and women. The paper has larger implications for understandings of ageing and care practice; as well as contributing to the wider Material Turn in gerontology, showing how cultural analyses can be applied even to frail older groups who are often excluded from such approaches.

Imagined Bodies: architects and their constructions of later life

ABSTRACT This article comprises a sociological analysis of how architects imagine the ageing body when designing residential care homes for later life and the extent to which they engage empathetically with users. Drawing on interviews with architectural professionals based in the United Kingdom, we offer insight into the ways in which architects envisage the bodies of those who they anticipate will populate their buildings. Deploying the notions of ‘body work’ and ‘the body multiple’, our analysis reveals how architects imagined a variety of bodies in nuanced ways. These imagined bodies emerge as they talked through the practicalities of the design process. Moreover, their conceptions of bodies were also permeated by prevailing ideologies of caring: although we found that they sought to resist dominant discourses of ageing, they nevertheless reproduced these discourses. Architects’ constructions of bodies are complicated by the collaborative nature of the design process, where we find an incessant juggling between the competing demands of multiple stakeholders, each of whom anticipate other imagined bodies and seek to shape the design of buildings to meet their requirements. Our findings extend a nascent sociological literature on architecture and social care by revealing how architects participate in the shaping of care for later life as ‘body workers’, but also how their empathic aspirations can be muted by other imperatives driving the marketisation of care.

Broadening the debate on creativity and dementia : A critical approach

In recent years there has been a growing interest in person-centred, ‘living well’ approaches to dementia, often taking the form of important efforts to engage people with dementia in a range of creative, arts-based interventions such as dance, drama, music, art and poetry. Such practices have been advanced as socially inclusive activities that help to affirm personhood and redress the biomedical focus on loss and deficit. However, in emphasizing more traditional forms of creativity associated with the arts, more mundane forms of creativity that emerge in everyday life have been overlooked, specifically with regard to how such creativity is used by people living with dementia and by their carers and family members as a way of negotiating changes in their everyday lives. In this paper, we propose a critical approach to understanding such forms of creativity in this context, comprised of six dimensions: everyday creativity; power relations; ways to operationalise creativity; sensory and affective experience; difference; and reciprocity. We point towards the potential of these dimensions to contribute to a reframing of debates around creativity and dementia.

Dressing disrupted: negotiating care through the materiality of dress in the context of dementia

Abstract This paper explores how the materiality of dress mediates and shapes practices of care in the context of dementia. Earlier research called for an approach to conceptualising care that recognised the role played by everyday artefacts. We extend this to a consideration of dress and dressing the body in relation to people with dementia that involves the direct manipulation of material objects, as well as the materiality of bodies. The paper draws on an ESRC funded study Dementia and Dress, which examined experiences of dress for people with dementia, families and care‐workers using ethnographic and qualitative methods. Our analysis explores the process of dressing the body, the physicality of guiding and manipulating bodies into clothing, dealing with fabrics and bodies which ‘act back’ and are resistant to the process of dressing. We consider how the materiality of clothing can constrain or enable practices of care, exploring tensions between garments that support ease of dressing and those that sustain identity. Examining negotiations around dress also reveals tensions between competing ‘logics’ of care (Mol 2008).

‘Essentially it's just a lot of bedrooms’: architectural design, prescribed personalisation and the construction of care homes for later life

Abstract This article draws on ethnographic data from a UK Economic and Social Research Council (ESRC) funded study called ‘Buildings in the Making’. The project aims to open up the black box of architectural work to explore what happens between the commissioning of architectural projects through to the construction of buildings, and seeks to understand how ideas about care for later life are operationalised into designs. Drawing on recent scholarship on ‘materialities of care’ and ‘practising architectures’, which emphasise the salience of material objects for understanding the politics and practices of care, we focus here on ‘beds’. References to ‘beds’ were ubiquitous throughout our data, and we analyse their varied uses and imaginaries as a ‘way in’ to understanding the embedded nature of architectural work. Four themes emerged: ‘commissioning architectures and the commodification of beds’; ‘adjusting architectures and socio‐spatial inequalities of beds’; ‘prescribing architectures and person‐centred care beds’; and ‘phenomenological architectures and inhabiting beds’. We offer the concept prescribed personalisation to capture how practising architectures come to reconcile the multiple tensions of commodification and the codification of person centred care, in ways that might mitigate phenomenological and serendipitous qualities of life and living in care settings during later life.

Dirty linen, liminal spaces and later life: Meanings of laundry in care home design and practice

This article explores the design and practice of laundries and laundry work in care home settings. This is an often-overlooked aspect of the care environment, yet one that shapes lived experiences and meanings of care. It draws on ethnographic and qualitative data from two UK-based Economic and Social Research Council–funded studies: Buildings in the Making, a study of architects designing care homes for later life, and Dementia and Dress, a project exploring the role of clothing in dementia care. Drawing together these studies, the article explores the temporality and spatiality of laundry work, contrasting designers’ conceptions of laundry in terms of flows, movement, and efficiency with the lived bodily reality of laundry work, governed by the messiness of care and ‘body time’. The article examines how laundry is embedded within the meanings and imaginaries of the care home as a ‘home’ or ‘hotel’, and exposes the limitations of these imaginaries. We explore the significance of laundry work for supporting identity, as part of wider assemblages of care. The article concludes by drawing out implications for architectural design and sociological conceptions of care.