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Mental illness and the aged stranger.

J J Dowd

    International Journal of Health Services : Planning, Administration, Evaluation
    |January 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    This study argues that aging in capitalist societies increases mental illness risk due to labor market exclusion and social alienation, not just stress or selection. It critiques the focus on morale, advocating for a political economy approach to understand severe mental health issues in older adults.

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    Area of Science:

    • Social Gerontology
    • Sociology of Mental Health

    Background:

    • Dominant paradigms in social gerontology equate mental health in older adults with "good morale" and life satisfaction.
    • This focus overlooks severe mental health conditions like schizophrenia, personality disorders, and depression in the elderly.
    • Existing research has not adequately addressed the socio-economic determinants of mental illness in aging populations.

    Purpose of the Study:

    • To critically evaluate prevailing mental health paradigms in social gerontology.
    • To synthesize a political economy/social control perspective on mental illness in older adults.
    • To propose that exclusion from labor markets and societal alienation contribute to increased mental illness risk in aging individuals within capitalist societies.

    Main Methods:

    • The study employs a critical review and synthesis of existing literature.

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  • It analyzes sociological and gerontological theories.
  • It adopts a political economy and social control framework to interpret findings.

    • Main Results:

    • The paper challenges the "morale" and "life satisfaction" indicators as primary measures of mental health in older populations.
    • It posits that exclusion from the workforce and the social "strangeness" of the aged are key risk factors for mental illness.
    • The findings suggest that societal structures, rather than individual factors like "drift" or "selection," are more influential.

    Conclusions:

    • Capitalist societies inherently increase the risk of mental illness for the elderly through economic marginalization and social exclusion.
    • A shift in focus from morale to structural factors is necessary for understanding and addressing severe mental health issues in aging populations.
    • Further research should explore the political economy of aging and mental health to inform policy and practice.