The nursing home has become a paramount site for the care and custody of old people, but it also affects how we think and talk about the ageing body. In this article, narrative and ethnographic material drawn from a variety of care-related settings is used to illustrate how and where the nursing home serves as a discursive anchor for embodiment. Circumstantial, local cultural, and organisational mediations are considered, featuring institutionalisation to be as much a descriptive phenomenon, as it is a residential relocation.

One of the main reasons older people give for their reluctance to consider residential care as a way of meeting their support needs is the fear of losing their independence. Research has confirmed that such anxiety is well-founded. This paper explores how far two different approaches to residential care enable older people who become residents to maintain their autonomy and independence. It traces the historical development of residential care and of hotels, using a case study of a private residential home run by former hoteliers to compare its approach to ‘the residential task’ with that adopted in local authority homes. Attention is focused on the translation of the core values of independence, privacy, dignity, choice and rights into a daily reality for residents. It is suggested that there are both structural and individual factors which account for the differences observed.

The paper draws tentative conclusions as to why a ‘service’ rather than a ‘social care’ approach may be more successful in enabling older people to preserve their autonomy and privacy after moving into a care home.

With the development of possible therapeutic interventions for people with dementia there is an increasing realisation among clinical and health service researchers of the paucity of appropriate outcome measures for people with dementia and their informal caregivers. The different perspectives on dementia within the biomedical, psychological and social models of disability lead to radically different meanings of the concept ‘quality of life’ and approaches to its assessment. This paper examines these different approaches and proposes a broad research agenda which is underpinned by two key principles. First, people with dementia and their informal caregivers should be involved in the development of usable outcome measures relevant to their needs and circumstances. Second, the scientific community in partnership with those directly affected should develop a pluralistic approach to the assessment of outcome taking account of both the meaning of the condition to people with dementia and their informal caregivers and cost utility from a societal perspective.

The purpose of the paper is to describe and contrast public policies regarding the participation of older people in volunteer work in three countries: the United States, Australia and the Netherlands. Data were collected in 1997–1998 through analysis of policy documents and through 50 interviews with researchers, policy makers and volunteer co-ordinators. The study found considerable differences between the three countries in the provision of government policies and programmes for senior volunteering. It was concluded that such differences could be explained in the context of the definition of seniors' social participation employed by policy-makers in each country.

This article is based on an analysis of national data on morbidity and disability in Britain, covering a 15 year period.

The exterior territories, or surfaces, of the body have become symbols of the self in late modernity. People are increasingly overwhelmed with messages of youthful ideals: how to stay young or how to get old without signs of ageing. However, studies of the effects of these images on people's own experiences as they grow older seem to be lacking. The present paper reports an empirical study which focuses on body image for men and women of different ages. Four hypotheses, derived from social gerontological theories, are developed and tested against data: the female beauty hypothesis, the double marginality hypothesis, the ageing mask hypothesis and the ageless self hypothesis. The survey, undertaken by 2,002 Swedes, reveals a response pattern with basically positive body images that, for women, is increasingly positive with age. The results are, thus, in sharp contrast to the gerontophobic messages from consumer culture as well as contrary to some gerontological theories.