Abstract
This study examines the social environments, staff behavior, and social interaction of elderly clients in two adult day care centers. Goffman's (1961) description of the psycho-social effects of the “total institution” is used as a framework for conceptualizing the effects of “partial institutions” on older persons. Using qualitative research techniques, we observed the environments, activities, and interactions of approximately seventy-two clients in two adult day care settings. When the staff and environment were more infantilizing, provided less autonomy, and fewer opportunities for privacy regulation, the clients had lower social interaction with peers. In contrast, when the center had a more adult setting, with age appropriate activities, there was greater privacy regulation, autonomy, social contact, and friendships among clients.
References
| Altman, I. (1973). Some perspectives on the study of man-environment phenomenon. Representative Research in Social Psychology, 4(1),109–126. Google Scholar | |
| Altman, I. (1975). The environment and social behavior: Privacy, personal space, territory and crowding. Monterey, CA: Brooks/Cole. Google Scholar | |
| Arluke, A. , & Levin, J. (1984, August). Another stereotype: Old age as a second childhood. Aging, (pp. 7–11), U.S. Department of Health, Education and Welfare. Google Scholar | |
| Cooley, C. H. (1961). The social self. In Parsons, T., Shils, E., Naegele, K. D., & Pitts, J. R. (Eds.), Theories of society: Foundations of modern sociological theory vol. II, (pp. 822–828). New York: The Free Press of Glencoe, Inc. Google Scholar | |
| Goffman, E. (1961). Asylums: Essays on the social situation of mental patients and other inmates. Chicago: Aldine Publishing Co. Google Scholar | |
| Gresham, M. (1976) The infantilization of the elderly. Nursing Forum, 15, 196–209. Google Scholar | Crossref | |
| Hasselkus, B. R. (1997). Everyday ethics in dementia day care: Narratives of crossing the line. The Gerontologist, 37(5), 640–649. Google Scholar | Crossref | Medline | ISI | |
| Hockey, J. , & James, A. (1993). Infantilization as social discourse. In Growing up and growing old: Ageing and dependency in life course. Newbury Park, CA: Sage Publications. Google Scholar | |
| Kahana, E. (1982). Congruence model of person-environment interaction, In Lawton, M. D., Windley, P.G., & Byerts, T.O. , (Eds.), Aging & the environment: Theoretical approaches. New York: Springer Publishing Co. Google Scholar | |
| Lyman, K. A. (1988). Infantilization of elders: Day care for Alzheimer's Disease victims. Research in the Sociology of Health Care, 7, 71–103. Google Scholar | |
| Ryan, E. B., Bourhis, R. Y., & Knops, U. (1991). Evaluative perceptions of patronizing speech addressed to elders. Psychology and Aging, 6, (3), 442–450. Google Scholar | Crossref | Medline | ISI | |
| Vinsel, A., Brown, B., Altman, I., & Foss, C. (1980). Privacy regulation, territorial displays, and effectiveness of individual functioning. Journal of Personality and Social Psychology, 39(6), 1104–1115. Google Scholar | Crossref | ISI | |
| Weissert, W. G., Elston, J. M., Bolda, E. J., Cready, C. M., Zelman, W. M., Sloane, P. D., Kalsbeek, W. D., Mutran, E., Rice, T. H., & Koch, G. G. (1989). Models of adult day care: Findings from a national survey. The Gerontologist, 29(5), 640–649. Google Scholar | Crossref | Medline | ISI | |
| Whitbourne, S. K., Culgin, S., & Cassidy, E. (1995). Evaluation of infantilizing intonation and content of speech directed at the age. International Journal of Aging and Human development, 41(2), 109–116. Google Scholar | SAGE Journals | ISI | |
| Williams, B. , & Roberts, P. (1995). Friends in passing: Social interaction at an adult day care center. International Journal of Aging and Human Development, 41(1), 63–78. Google Scholar | SAGE Journals | ISI |
