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Not just old and sick – the ‘will to health’ in later life

Published online by Cambridge University Press:  07 April 2009

PAUL HIGGS ,
MIRANDA LEONTOWITSCH ,
FIONA STEVENSON  and
IAN REES JONES
PAUL HIGGS*
Affiliation:
Division of Research Strategy, University CollegeLondon.
MIRANDA LEONTOWITSCH
Affiliation:
Division of Community Health Services, St George's, University of London.
FIONA STEVENSON
Affiliation:
Primary Care and Population Sciences, University CollegeLondon.
IAN REES JONES
Affiliation:
School of Social Science, Bangor University.
*
Address for correspondence: Paul Higgs, Division of Research Strategy, University College London, First Floor, Charles Bell House, 67-73 Riding House Street, LondonW1W 7EY. E-mail: p.higgs@ucl.ac.uk
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Abstract

The end of the ‘Golden Age’ of welfare capitalism in the 1970s was the prelude to a period of greater individualisation within societies and was accompanied by an increase in the importance of consumption as a way of organising social relations. During the same period there was also an expansion in the discourses aimed at enhancing the government of the autonomous self. One such discourse operates around what has been termed the ‘will to health’: it suggests that health has become a required goal for individual behaviour and has become synonymous with health itself. The generational groups whose lifecourses were most exposed to these changes are now approaching later life. We explore the extent to which social transformations related to risk, consumption and individualisation are reflected in the construction of later-life identities around health and ageing. We examine how the growth in health-related ‘technologies of the self’ have fostered a distinction between natural and normal ageing, wherein the former is associated with coming to terms with physical decline and the latter associated with maintaining norms of self-care aimed at delaying such decline. Finally, we consider anti-ageing medicine as a developing arena for the construction of later-life identities and discuss the implications of the social changes for researching later life.

Keywords

ageingindividualisation‘will to health’third age
Type
Research Article
Information
Ageing & Society , Volume 29 , Issue 5 , July 2009 , pp. 687 - 707
Copyright
Copyright © 2009 Cambridge University Press

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References

Ahmad, R. 2003. Benefit segmentation: a potentially useful technique of segmenting and targeting older consumers. International Journal of Market Research, 45, 3, 373–88.CrossRefGoogle Scholar
Andersen, R., Blair, S., Chaskin, L. and Bartlett, S. 1997. Encouraging patients to be more physically active: the physicians' role. Annals of Internal Medicine, 127, 395–400.CrossRefGoogle Scholar
Armstrong, D. 1995. The rise of surveillance medicine. Sociology of Health and Illness, 17, 3, 393–404.CrossRefGoogle Scholar
Bauman, Z. 2001. The Individualised Society. Polity, Cambridge.Google Scholar
Beck, U. 1992. Risk Society: Towards a New Modernity. Sage, London.Google Scholar
Beck, U. and Beck-Gernsheim, E. 2001. Individualisation. Sage, London.Google Scholar
Beck, U., Bonss, W. and Lau, C. 2003. The theory of reflexive modernisation: problematic, hypotheses and research programme. Theory, Culture and Society, 20, 2, 1–33.CrossRefGoogle Scholar
Binstock, R. 2004. Anti-aging medicine and research: a realm of conflict and profound societal implications. Journal of Gerontology: Biological Sciences, 59A, 6, 523–33.Google Scholar
Breward, C. 2004. Fashioning London: Clothing and the Modern Metropolis. Berg, London.CrossRefGoogle Scholar
Burgess, E. 1960. Aging in Western Societies. Chicago University Press, Chicago.Google Scholar
Carrigan, M. and Szmigin, I. 2000. Advertising in an ageing society. Ageing & Society, 20, 2, 217–33.CrossRefGoogle Scholar
Clarins, . 2005. Advertisement in Vogue magazine, November 2005. Available online at http://www.clarins.co.uk/ [Accessed 30 November 2007].Google Scholar
Cole, T. 1992. The Journey of Life: A Cultural History of Aging in America. Cambridge University Press, Cambridge.Google Scholar
Conrad, P. and Potter, D. 2000. From hyperactive children to adult ADHD: observations on the expansion of medical diagnoses. Social Problems, 47, 559–82.CrossRefGoogle Scholar
Conrad, P. and Potter, D. 2004. Human growth hormone and the temptations of biomedical enhancement. Sociology of Health and Illness, 26, 2, 184–215.CrossRefGoogle ScholarPubMed
Dean, M. 1999. Governmentality: Power and Rule in Modern Society. Sage, London.Google Scholar
Featherstone, M. and Hepworth, M. 1998. Ageing, the lifecourse and the sociology of embodiment. In Scambler, G. and Higgs, P. (eds), Modernity, Medicine and Health. Routledge, London, 147–75.Google Scholar
Fries, J. F. 1980. Aging, natural death and the compression of morbidity. New England Journal of Medicine, 303, 130–5.CrossRefGoogle ScholarPubMed
Fries, J. F. 1989. The compression of morbidity: near or far? Millbank Quarterly, 67, 208–32.CrossRefGoogle ScholarPubMed
Fries, J. F. 2003. Measuring and monitoring success in compressing morbidity. Annals of Internal Medicine, 139, 455–9.CrossRefGoogle ScholarPubMed
Foucault, M. 1977. Discipline and Punish: The Birth of the Prison. Penguin, Harmondsworth, Middlesex, UK.Google Scholar
Foucault, M. 1991. Governmentality. In Burchell, G., Gordon, C. and Miller, P. (eds), The Foucault Effect: Studies in Governmentality. Harvester Wheatsheaf, Brighton, Sussex, UK, 87–104.Google Scholar
Galloway, M. and Jokl, P. 2000. Aging successfully: the importance of physical activity in maintaining health and function. Journal of the American Academy of Orthopaedic Surgeons, 8, 1, 37–44.CrossRefGoogle ScholarPubMed
Giddens, A. 1991. Modernity and Self-Identity. Polity, Cambridge.Google Scholar
Gilleard, C. and Higgs, P. 1998. Older people as users and consumers of healthcare: a third age rhetoric for a fourth age reality? Ageing & Society, 18, 2, 233–48.CrossRefGoogle Scholar
Gilleard, C. and Higgs, P. 2000. Cultures of Ageing: Self, Citisen and the Body. Prentice Hall, Harlow, Essex, UK.Google Scholar
Gilleard, C. and Higgs, P. 2005. Contexts of Ageing: Class, Cohort and Community. Polity Press, Cambridge.Google Scholar
Gilleard, C. and Higgs, P. 2007. The third age and the baby boomers: two approaches to the social structuring of later life. International Journal of Aging and the Lifecourse, 2, 1, 13–30.Google Scholar
Grey de, A. 2003. The foreseeability of real anti-aging medicine: focusing the debate. Experimental Gerontology, 38, 927–37.CrossRefGoogle Scholar
Hayflick, L. 2005. Author's response to commentary: Anti-aging medicine: fallacies, realities, imperatives. Journal of Gerontology: Biological Sciences, 60A, 10, 1228–32.Google Scholar
Higgs, P. 1998. Risk, governmentality and the reconceptualisation of citizenship. In Scambler, G. and Higgs, P. (eds), Modernity, Medicine and Health. Routledge, London, 176–97.Google Scholar
Higgs, P. and Jones, I. R. 2009. Medical Sociology and Old Age: Towards a Sociology of Health in Later Life. Routledge, Abingdon, Oxfordshire, UK.CrossRefGoogle Scholar
Hills, J. 2004. Inequality and the State. Oxford University Press, Oxford.CrossRefGoogle Scholar
Hinterlong, J., Morrow-Howell, N. and Sherraden, M. 2001. Productive aging: principles and perspectives. In Morrow-Howell, N., Hinterlong, J. and Sherraden, M. (eds), Productive Aging: Concepts and Challenges, Johns Hopkins University Press, Baltimore, Maryland, 3–18.Google Scholar
Jones, I. R., Hyde, M., Higgs, P., Victor, C., Wiggins, R. and Gilleard, C. 2008. Ageing in a Consumer Society: From Passive to Active Consumption in Britain. Policy Press, Bristol, UK.CrossRefGoogle Scholar
Kass, L. 1985. Towards a More Natural Science: Biology and Human Affairs. Free Press, New York.Google Scholar
Katz, S. 2000. Busy bodies: activity, aging and the management of everyday life. Journal of Aging Studies, 14, 135–52.CrossRefGoogle Scholar
Katz, S. 2005. Cultural Aging: Life Course, Lifestyle, and Senior Worlds. Broadview, Peterborough, Ontario, Canada.CrossRefGoogle Scholar
Katz, S. and Marshall, B. 2003. New sex for old: lifestyle, consumerism, and the ethics of aging well. Journal of Aging Studies, 17, 1, 3–16.CrossRefGoogle Scholar
Katz, S. and Marshall, B. 2004. Is the functional ‘normal’? Aging, sexuality and the bio-marking of successful living. History of the Human Sciences, 17, 1, 53–75.CrossRefGoogle Scholar
Kirkwood, T. 1999. Time of Our Lives: The Science of Human Ageing, Weidenfeld and Nicolson, London.Google Scholar
Klerman, G. 1982. Psychotropic hedonism vs. pharmacological Calvinism. Hastings Centre Report, 2, 4, 1–3.CrossRefGoogle Scholar
Laslett, P. 1989. A Fresh Map of Life: The Emergence of the Third Age. Weidenfield and Nicholson, London.Google Scholar
Lemke, T. 2001. ‘The birth of bio-politics’: Michel Foucault's lectures at the College de France on neo-liberal governmentality. Economy and Society, 30, 2, 190–207.CrossRefGoogle Scholar
Lucke, J., Ryan, B. and Hall, W. 2006. What does the community think about lifespan extension technologies? The need for an empirical base for ethical and policy debates. Australasian Journal on Ageing, 25, 4, 180–4.CrossRefGoogle Scholar
Lupton, D. 1995. The Imperative of Health: Public Health and the Regulated Body. Sage, London.CrossRefGoogle Scholar
McMullin, J. and Shuey, K. 2006. Ageing, disability and workplace accommodations. Ageing & Society, 26, 6, 831–47.CrossRefGoogle Scholar
Marwick, A. 1998. The Sixties. Oxford University Press, Oxford.Google Scholar
Miller, P. and Rose, N. 1997. Mobilising the consumer: assembling the subject of consumption. Theory, Culture and Society, 14, 1, 1–36.CrossRefGoogle Scholar
Moody, H. R. 1995. Ageing, meaning and the allocation of resources, Ageing and Society, 15, 2, 163–84.CrossRefGoogle Scholar
Moody, H. 2002. Who is afraid of life extension? Generations, 25, 4, 33–7.Google Scholar
Moody, H. R. 2007. Getting over the denial of aging, Hastings Center Reports, 27, 5, 44–5.CrossRefGoogle Scholar
Moschis, G. and Mathur, A. 2007. Baby Boomers and their Parents: Surprising Findings about their Lifestyles, Mindsets, and Well-being. Paramount Books, Ithaca, New York.Google Scholar
Mykytyn, C. 2006. Anti-aging medicine: a patient/practitioner movement to redefine aging. Social Science and Medicine, 62, 643–53.CrossRefGoogle ScholarPubMed
Olshansky, S., Hayflick, L. and Carnes, B. 2002. No truth to the fountain of youth. Scientific American, 286, 6, 92–5.CrossRefGoogle Scholar
Parker, M. G. and Thorslund, M. 2007. Health trends in the elderly population: getting better and getting worse. The Gerontologist, 47, 2, 150–8.CrossRefGoogle ScholarPubMed
Paulson, S. 2005. How various ‘cultures of fitness’ shape subjective experiences of growing older. Ageing & Society, 25, 2, 229–44.CrossRefGoogle Scholar
Petersen, A. and Lupton, D. 1996. The New Public Health: Health and Self in the New Age of Risk. Sage, London.Google Scholar
Poole, C., Jones, D. and Veitch, B. 1999. Relationships between prescription and non-prescription drug use in the elderly population. Archives of Gerontology and Geriatrics, 28, 3, 259–71.CrossRefGoogle Scholar
Potts, A., Grace, V., Vares, T. and Gavey, N. 2006. ‘Sex for life’? Men's counter-stories on ‘erectile dysfunction’, male sexuality and ageing. Sociology of Health and Illness, 28, 3, 306–29.CrossRefGoogle ScholarPubMed
Potts, A., Gavey, N., Grace, V. and Vares, T. 2003. The downside of Viagra: women's experiences and concerns. Sociology of Health and Illness, 25, 7, 697–719.CrossRefGoogle ScholarPubMed
Rae, M. 2005. Anti-aging medicine: fallacies, realities, imperatives. Journal of Gerontology: Biological Sciences, 60A, 10, 1223–7.Google Scholar
Rose, N. 2001. The politics of life itself. Theory, Culture and Society, 18, 6, 1–30.CrossRefGoogle Scholar
Rosen, A. 2003. The Transformation of British Life: 1950–2000. Manchester University Press, Manchester, UK.Google Scholar
Sanders, C., Donovan, J. and Dieppe, P. 2002. The significance and consequences of having painful and disabled joints in older age: co-existing accounts of normal and disrupted biographies. Sociology of Health and Illness, 24, 2, 227–53.CrossRefGoogle Scholar
Sawchuk, K. 1995. From gloom to boom – age, identity and target marketing. In Featherstone, M. and Wenick, A. (eds), Images of Aging: Cultural Representations of Later Life. Routledge, London, 173–87.Google Scholar
Singh, C. and Kelly, M. 2003. Botox: an ‘elixir of youth’? European Journal of Plastic Surgery, 26, 5, 273–4.CrossRefGoogle Scholar
Stock, G. and Callahan, D. 2004. Point-counterpoint: would doubling the human life span be a net positive or negative for us either as individuals or as a society? Journal of Gerontology: Biological Sciences, 59A, 6, 554–9.Google Scholar
Stock, C. 2003. From regenerative medicine to human design: what are we really afraid of? DNA and Cell Biology, 22, 679–84.CrossRefGoogle Scholar
Streeck, W. and Thelen, K. 2005. Beyond Continuity: Institutional Change in Advance Political Economies. Oxford University Press, London.Google Scholar
Vainionpää, K. J. and Topo, P. 2005. The making of an ageing disease: the representation of the male menopause in Finnish medical literature. Ageing & Society, 25, 6, 841–61.CrossRefGoogle Scholar
Vincent, J. 2003 a. Old Age. Routledge, London.CrossRefGoogle Scholar
Vincent, J. 2003 b. What is at stake in the ‘war on anti-ageing medicine’? Ageing & Society, 23, 5, 675–84.CrossRefGoogle Scholar
Vincent, J. 2006 a. Anti-ageing science and the future of old age. In Vincent, C., Phillipson, C. and Downs, M. (eds), The Future of Old Age. Sage, London.CrossRefGoogle Scholar
Vincent, J. 2006 b. Ageing contested: anti-ageing science and the cultural construction of old age. Sociology, 40, 4, 681–98.CrossRefGoogle Scholar
Webster, A. 2002. Innovative health technologies and the social: redefining health, medicine and the body. Current Sociology, 50, 3, 443–57.CrossRefGoogle Scholar
World Health Organisation 2001. International Classification of Functioning, Disability and Health. WHO, Geneva.Google Scholar
Ziguras, C. 2004. Self-Care: Embodiment, Personal Autonomy and the Shaping of Health Consciousness. Routledge, London.CrossRefGoogle Scholar