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Normal aging often leads to cognitive decline, and oldest old people, over 80 years old, have a 15% risk of developing neurodegenerative diseases. Therefore, it is important to have appropriate tools to assess cognitive function in old age. The study aimed to provide new norms for neuropsychological tests used to evaluate the cognitive abilities in people aged 80 years and older in France, focusing on the impact of education and gender differences.
Method:
107 healthy participants with an average age of 85.2 years, with no neurological history or major cognitive deficits were included. A comprehensive neuropsychological assessment was performed, covering several cognitive functions such as memory, visuospatial abilities, executive functions, attention, processing speed, and praxis.
Results:
Individuals with lower levels of education performed poorly on some tests and took longer to complete. Gender differences were observed, with women outperforming men in verbal episodic memory, while men showed better performance in visuoconstructive tasks. The participants showed lower performance in verbal episodic memory compared to norms established in previous French studies. In relation to executive functions, participants were slower to perform complex tasks than participants in previous studies.
Conclusion:
This study provides cognitive norms specifically adapted to the oldest old population, which differ from established norms for younger aging adults. It highlights the importance of including these norms in future clinical and scientific investigations. The findings underscore the importance of education on cognitive abilities and emphasize the need to consider gender differences when assessing cognitive functions in aging populations.
In this study, we investigated the conceptual approaches to disability and ageing in two leading social scientific journals (Ageing & Society [AS] and Disability & Society [DS]) of the research fields that form the bases of policies on disability and ageing. This study aimed to identify the journals’ trajectories of conceptual development and their differences, and through that, find possible pathways for further interaction between the yet largely separate policy frameworks for disability and ageing. Our analysis showed considerable differences between the conceptual approaches of the two journals, with the dominant approach in DS being sociomaterial and individual-functional in AS. We conclude this paper by identifying the conceptual gaps in the respective journals, suggesting a further collaboration between the approaches in research as well as policies. These gaps could be potentially narrowed, leading to a constructive dialogue on older disabled people.
This chapter offers a new reading of Sappho’s Tithonos Poem, and turns to Sedgwick’s “bardo” writings as a framework for exploring the feeling of suspension that characterizes Sappho’s poem. Sappho’s lyrics respond to the absences and silences in epic, as well as to what is more explicitly there. Often, the body in Sappho can be understood as providing cues for the voice, with symptoms arising within the body prompting the singer’s recall of certain mythical parallels. In the Tithonos Poem, for example, the singer’s sense of heaviness in her limbs prompts her recall of the mythical figure Tithonos, the ever-aging yet deathless lover of Dawn. It is argued that the singer’s own groaning lament becomes intertwined with that of Dawn for Tithonos, but it also potentially channels Achilles’ mourning for Patroklos. Sappho ventriloquizes the voices of Homeric characters. This has been acknowledged in the case of Helen but as this chapter argues, Achilles’ mournful lament also provides a surprising and powerful zone of contact between the worlds of epic and lyric.
Medieval and modern accounts of old age are notable for the sheer abundance and diversity of the characteristics they identify. This chapter contemplates how contrasting qualities associated with old age actually connect in Old English poetry, dwelling particularly on the relationship between wisdom and sorrow, and introducing a new theoretical framework in the form of trauma theory. It points out the considerable presence of aged poets in the corpus, focusing particularly on Beowulf and Cynewulf’s epilogues. These texts stress that living into old age inevitably constitutes a kind of survival, one which involves witnessing destruction and terrible losses. The subsequently heightened intellectual, verbal, and creative capacity of the elderly sometimes resembles a kind of post-traumatic growth as understood within trauma theory. The parts of old age that are broadly positive (especially wisdom) and those that are negative (grief and loss) therefore emerge as inseparable.
Advanced age affected the performance of mastery, and some slavers saw the declining fortunes of another as providing them with the opportunity to rise at their expense. Concerns with – and contests over – the authority of aged enslavers did not end at their death. Wealth generated by slaveholding needed to be passed on, and the quest for profit and status that animated southern enslavers saw ferocious disputes erupt over the transferal of property between generations. Contests over wills and inheritance help reveal the complex and contested relations between enslavers, intergenerational tension in the American South, and shifting social hierarchies shaped by the passage of time. Antebellum enslavers prized the presumption of authority and craved respect from family, kin, and community. And yet, in legal challenges to wills, deeds, and bills of sale recorded posthumously, antebellum southerners revealed the disregard they held for aged enslavers’ claims of dominion, and their willingness to trash the reputation of fellow “masters” both before and after death.
This chapter shows how enslavers were adept at assessing the temporal rhythms of the life cycle and adapting to the demands of embodied time in shaping their workforce. It shows how this flexibility stemmed from economic self-interest and a desire for dominance, and the severe cost of this for enslaved elders and the wider Black community. It first shows the types of jobs expected of elderly workers, and perceptions of managing a transition away from more active labors, before emphasizing how proslavery claims of a leisurely “retirement” for elders were rejected by the enslaved themselves. Enslaved elders could neither refuse nor deny the power of their enslavers to force them to continue their labors. Work, even if reduced, still had to be done upon pain of punishment, and enslaved people understood that the desire for profit that drove antebellum enslavers was enormously harmful to Black elders. As Lewis Clarke acidly recorded, “they hunt and drive them as long as there is any life in them.”
Old Age and American Slavery reveals how antebellum southerners adapted to, resisted, and failed to overcome changes associated with age, both real and imagined, and the extent to which these struggles intersected with wider concerns over control, exploitation, resistance, and survival in a slave society. In doing so, it asks future scholars to rethink static hierarchies among Black and white southerners, to incorporate age into their work as a category of analysis and as a relation of power, and to address the contingent and contested networks of solidarity and support among enslavers and enslaved in the American South. Age shaped slavery, both as a system of economic exploitation and a contested site of personal domination, in crucial ways. Albeit never on equal terms, both Black and white southerners had to grapple with the realization that “old age [was] creeping up on me so fast,” and their efforts to do so were entwined in the wider struggles within and against slavery. The ravages of time came for all, and the conclusion reiterates how recognition of this fact shaped the dynamics of American slavery, and the lives of enslaved people and enslavers alike.
This chapter provides a challenge to enduring arguments about the unifying nature of resistance by enslaved people in the US South by emphasizing intergenerational conflict in the context of fight or flight. Scholars have commonly argued that, while not as likely to flee themselves, elders were elevated and praised for their roles as guides in offering advice and support – both moral and practical – or by simply upholding the solidarity of the slave community. This chapter reveals instead how elders were held up as negative influences by those who chose to fight or take flight. Whether in counselling against direct resistance, appearing resigned to bondage, or actively conspiring against rebels and runaways, enslaved elders could be portrayed by their younger peers as people who had been unwilling to make the ultimate sacrifice for freedom. These were men and women who had survived slavery, but they had not resisted, and this distinction had personal and political implications for contemporaries.
This chapter moves from physical contests to consider those who took alternative routes toward enforcing the respect they believed was owed to them in old age. Rather than rely on physical force, some elders wielded the cultural and spiritual force associated with conjuration, hoodoo, and root-work to solicit respect, even fear, from others in the community. This was a route available to enslaved women and men, and this chapter moves beyond the gendered dimensions of physical competition and age to address wider generational power dynamics in community life. Conflict presented in the context of conjure offers another window into – and reveals the significance of – intergenerational strife among the enslaved, and shows how age operated as a contested relation of power that ran alongside, but sometimes superseded, gendered beliefs relating to power and authority. The chapter shows the existence of multiple, sometimes conflicting belief systems that were understood as marked by generational differences, as well as the impact of this for notions of solidarity among the enslaved.
Historians have long stressed the significance enslavers accorded to public demonstrations of authority, dominance, and independence, as well as the wider significance of these ideals to the dynamics of slavery. Recent work on the violence and exploitation of slavery has reiterated the terrifying power enslavers wielded, and the harm this caused to enslaved people. In presenting enslavers as such dominant figures, however, there is a danger that we confirm their own self-image as masterful even while rejecting their claims of benevolence. A more nuanced narrative becomes possible when we consider how the performance of mastery came under pressure – both internal and external – as enslavers aged. Enslavers could not stop time from marching on and the pressures associated with aging – both real and imagined – wreaked havoc on their public and private claims of dominance. Enslaved people understood that mastery was never ordained, but instead embodied. Bodies, Black and white, enslaver and enslaved, were all subject to the “ravages of time.” Knowledge of this fact was applied when enslaved people crafted individual and collective strategies for survival and forms of resistance.
This chapter shows how the push for profit and dominance, and the dynamics of slavery, affected white southerners’ dealings with elderly “masters.” As enslavers aged, they could be forced to fight against the rising generation who looked at them and saw dependency and submissiveness, instead of autonomy and mastery. These traits – and general binaries of power/powerlessness – were understood as bound up with the racializing discourse of slavery and the gendered dynamics of patriarchy. Elderly enslavers – both men and women – sometimes came to believe that advanced age was a relation of powerlessness that marked them as closer to enslaved than enslaver and which served to unsettle existing power relations in the community. Those who fought against such depictions confronted communal perceptions of their inability to enact mastery, and these battles had particular emotional effects. Cross-cultural scholarship argues that communal assumptions of incapacity can be humiliating, and this chapter emphasizes how aged enslavers grappled with these perceptions. These old slavers are not objects of pity, but their experiences reveal the culture of exploitation that drove antebellum slavery.
Having addressed exploitation and violence towards elders, the book moves to consider how some enslavers chose the less physical – but no less cruel – route of abandoning, selling, or simply neglecting enslaved people once they had become “old and broken.” Chapter 2 covers manumission laws and the efforts of enslavers to work around these; the significance of age to the dynamics of, and experiences in, the internal slave trade; and the tragic consequences of neglect for elders deemed unproductive by those whom enslaved them. Proslavery claims of “retirement” or of care from cradle-to-grave were no match for the economic self-interest of enslavers, small and large, and the driving force of slavery revolved around taking the “best years and the best strength” from enslaved people. This chapter shows how enslaved people understood this exploitative dynamic, and the horrifying consequences of it for Black elders, all too well
Enslaved people commonly claimed they sought to protect the aged from the excesses of their abusers, and were raised to respect their elders. Most scholarship on the topic reinforces this position, with an emphasis on support based on shared oppression and as a form of collective cultural resistance. This chapter, however, considers the consequences when enslaved people appropriated, internalized, or simply shared a belief that old age equated with diminished value and declining powers in work. Respect predicated on agedness was not always meant seriously nor received positively, and the transition to elder could be taken instead as an enforced relegation from the people one had once imagined as peers. The aged party sometimes resented and even resisted the imposition of such a label and its associated narrative, with such tension reflecting broader complexities surrounding age as a chronological, functional, and relational category and identity. People seen as elderly, but who struggled with this categorization of themselves, were forced to make choices – to accept, adapt, or to resist – and this could come at no little cost.
Leisure time and social affairs were of paramount importance for enslaved people; in these spaces they developed positive personal identities and meaningful relationships with others. The significance of competition in leisure activities, however, with its attendant emphasis on contest, and even conflict, meant the identities forged in these spaces were neither static nor fixed in time. Competition involves putting your reputation on the line and, regardless of any sense of shared honor through participation, to lose is to be publicly revealed as having been mastered by another. Enslaved people who had valued their physical prowess or mental aptitude as allowing them to demonstrate themselves as the best in the community might struggle in the face of challenges from younger rivals or simply from time itself. Younger members of the community might see in their elders a rival to supplant, and, in doing so, a hierarchy they might stand atop. Such conflicts demonstrate the necessity of intersectional analysis when exploring enslaved social dynamics and identities, wherein age must be incorporated as much as the well-studied categories of gender, class, and race.
Intergenerational disputes shaped by white southerners’ hopes to profit from slavery did not end with the death of an enslaver. These contests became particularly virulent when the matter revolved around posthumous manumissions, and this chapter shows how elderly enslavers who sought to emancipate enslaved people in wills had their actions challenged by rivals who utilized the discourse that conflated old age with weakness, both of body and mind, to diminish their reputation and deny their mastery. The aging process had public and political ramifications in a slave society built on dominance and mastery, and a focus on emancipation and age serves as a fitting end to this study which underlines the wider importance of age as a vector of power in the antebellum south. Contests over emancipations underscore how far understandings of aging as a period of declining force led to conflict between white southerners looking to rise at another’s expense. White enslavers looked to their aged peers who sought to free their slaves as reduced in authority and status, and as figures whose claims to mastery must be usurped for the good of both private and public interests associated with slavery.
Old Age and American Slavery explores how antebellum southerners, Black and white, adapted to, resisted, or failed to overcome changes associated with old age, both real and imagined. Slavery was a system of economic exploitation and a contested site of personal domination, both of which were affected by concerns with age. In examining how individuals, families, and communities felt about the aging process and dealt with elders, David Stefan Doddington emphasizes the complex social relations that developed in a slave society. In connecting old age to the arguments of Black activists, abolitionists, enslavers, and their propagandists, the book reveals how representations of old age, and experiences of aging, spoke to wider struggles relating to mastery, paternalism, resistance, and survival in slavery. The book asks us to rethink long-standing narratives relating to networks of solidarity in the American South and it illuminates the violent and exploitative nature of American slavery.
This last chapter discusses two of Wordsworth’s last poems, written when he was seventy-five – poems about old, poor men in their last days, approaching death. Written in 1846, these poems echo the sea poems of the mid-1830s in that they depict people who have been left lonely and isolated, in this case by the death of loved ones. Wordsworth shows extreme old age as a time of alienation, even when the aged person lives where he has always lived. His family having died, he has no one with whom to practise the daily rituals and routines that renew love and secure identity. Memory and recollection do not suffice to restore the missing presence; the self cannot sustain itself by enshrining the spirit of the past. Expressing this bleak view about the limitations of memorialisation, the poems are in dialogue with Wordsworth’s past work: they depict the aged like the sailor of ‘Composed by the Sea Shore’ and the heroine of ‘The Somnambulist’, but unlike the Wordsworth of The Prelude. They are also in dialogue with a large and noisy public campaign, in which the life, and the death, of the elderly poor was a controversial topic.
Joan Costa-Font, London School of Economics and Political Science,Tony Hockley, London School of Economics and Political Science,Caroline Rudisill, University of South Carolina
This chapter discusses how time preferences influence the importance of and actions regarding old age health as well as factors behind taking up protective measures against the financial risks of care at old age. We discuss the complexity of planning for old age including the challenges related to our imperfect ability to predict the future or what our preferences for the future will be when making decisions today. We include the role of social norms and family experience in decision-making as well as the cognitive demands required of old age planning. We also incorporate the roles of biases such as optimism and present bias as well as risk denial and procrastination into decision-making about ageing. The chapter finishes with a consideration of nudges appropriate to this context.
The formulas not only tell us about how people in the formulas’ world understood family relationships, but also sometimes reveal hints of how they felt about them. The formulas focus above all on the nuclear family. A good number of them deal with inheritance, in a variety of permutations that reveal tension as well as concord within families. Others deal with different kinds of property arrangements among members of families, including people who had been adopted into families. Still others highlight the needs and emotions that could drive family behavior. A number of formulas deal with those who had lost their families, namely orphans. The formulas dealing with family matters have a great deal to say about the lives of lay women in this world. Women appear not simply as passive objects in the arrangements reached by their male relatives and husbands, but as active agents who participated fully in the documentary culture around them. Some of the formulas that involve them also reveal that while the dominant norms disadvantaged women in the inheritance of property, those norms could be and frequently were breached in practice, even when they were framed in terms of law.
This article examines UK newspaper coverage during the first wave of the COVID-19 pandemic March-August 2020. A qualitative framing analysis of public messaging on age in five high circulation newspapers provides a detailed account of who is deemed to be at risk of dying from COVID-19. Newspapers represent older people as most at risk, with disability as a secondary factor. Reports on who is responsible, who is at risk, and who is to blame for deaths from COVID-19 are framed as issues of public health and generational fairness, with individual responsibility occupying a prominent role. We also find two counter-frames. First, in letters to the editor, older people’s pleas for freedom are framed as a fight for their civil liberties. Second, newspapers praise 99-year-old Captain Tom Moore and frame his behaviour as a source of national pride. We identify this as positive ageism. We conclude that reporting across progressive and conservative newspapers reflects age-based stereotypes and paternalism towards older people. Public figures are represented as scapegoats or heroes, offering distraction from the less newsworthy fact that long-term under-investment in social care increased the risk of dying amongst the old and disabled during the pandemic.