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Individualising care. The transformation of personal support in old age

Published online by Cambridge University Press:  27 February 2012

MICHAEL D. FINE
MICHAEL D. FINE*
Affiliation:
Department of Sociology, Centre for Research on Social Inclusion, Macquarie University, Sydney, Australia.
*
Address for correspondence:Michael D. Fine, Department of Sociology, Centre for Research on Social Inclusion, Macquarie University, Sydney, 2109, Australia. E-mail: michael.fine@mq.edu.au
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Abstract

This paper considers developments in long-term care that are increasingly focused around the individual. Recent decades have seen massive changes in the way that care is understood and provided. Yet in Australia, as in Europe, North America and Asia, we are still a long way from a stable state of agreed services and provisions. Emphasising the social theory behind the shift, it is argued that understanding the individualisation of care cannot be reduced to a simple dichotomy of good or bad. Individualised care promises much, but the concept is applied to a wide range of phenomena, often in ways that conceal rather than reveal the character of the transactions involved. For individualisation to become meaningful it must be developed as a condition of recognition that is equally applicable to those who provide and those who depend on care. It is also important to distinguish individualised care finance arrangements from real attainments in the practice of providing care. These distinctions are necessary if we are to distinguish its use as an ideological justification for welfare cutbacks and the restructuring of care provisions as markets from the liberating potential that the approach can present when care practices are more truly based around the recognition of the individuals concerned: those who receive and depend on assistance as well as those who provide it.

Keywords

aged carecarecarerscare-giverscare paymentsindividualised careindividualisation
Type
Articles
Information
Ageing & Society , Volume 33 , Issue 3 , April 2013 , pp. 421 - 436
Copyright
Copyright © Cambridge University Press 2012

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References

Barnes, M. 1997. Care, Communities and Citizens. Addison Wesley Longman, Harlow, UK.Google Scholar
Beck, U. 1992. Risk Society. Towards a New Modernity. Sage, London.Google Scholar
Beck, U. and Beck-Gernsheim, E. 2002. Individualization. Sage, London.Google Scholar
Beck-Gernsheim, E. 2002. From ‘living for others’ to ‘a life of one's own’. Individualization and women. In Beck, U. and Beck-Gernsheim, E. (eds), Individualization. Sage, London, 54–84.Google Scholar
Bubeck, D. G. 2002. Justice and the labor of care. In Kittay, E. F. and Feder, E. K. (eds), The Subject of Care. Feminist Perspectives on Dependency. Rowman and Littlefield Publishers, Lanham, Maryland, 160–85.Google Scholar
Castells, M. 2000. The Rise of Network Society. Blackwell, Oxford.Google Scholar
Challis, D. 2004. Care management in long-term care of older people. In Knapp, M., Challis, D., Fernandez, J.-L. and Netten, A. (eds), Long-term Care: Matching Resources and Needs. Ashgate, Aldershot, UK, 231–49.Google Scholar
Clarke, J. 2006. Consumers, clients or citizens? Politics, policy and practice in the reform of social care. European Societies, 8, 3, 423–42.Google Scholar
Dalley, G. 1988. Ideologies of Caring: Rethinking Community and Collectivism. Macmillan, Basingstoke, UK.Google Scholar
Dumenil, G. and Levy, D. 2004. Capital Resurgent: Roots of the Neo-liberal Revolution. Harvard University Press, Cambridge, Massachusetts.Google Scholar
Durkheim, E. 1984. The Division of Labor in Society. Translator W. D. Halls. Free Press, New York.Google Scholar
Elias, N. 1991. The Society of Individuals. Basil Blackwell, Oxford.Google Scholar
Elias, N. 1994. The Civilizing Process. Blackwell, Oxford.Google Scholar
Esping-Andersen, G. 2002. A child-centred investment strategy. In Esping-Andersen, G., with Gallie, D., Hemerijk, A. and Myles, J. (eds), Why We Need a New Welfare State. Oxford University Press, Oxford, 26–67.Google Scholar
Feinberg, L. F. and Ellano, C. 2000. Promoting consumer direction for family caregiver support: an agency-driven model. Generations, 24, 3, 47–53.Google Scholar
Finch, J. and Groves, D. 1980. Community care and the family: a case for equal opportunities. Journal of Social Policy, 9, 4, 487–511.CrossRefGoogle Scholar
Fine, M. 2005. Individualisation, risk and the body. Sociology and care. Journal of Sociology, 41, 3, 249–68.Google Scholar
Fine, M. D. 2007. A Caring Society? Care and the Dilemmas of Human Service in the 21st Century. Palgrave, Basingstoke, UK.Google Scholar
Fine, M. D. and Yeatman, A. 2009. Care for the self: community aged care packages. In Yeatman, A., Dowsett, G., Fine, M. and Guransky, D. (eds), Individualization and the Delivery of Welfare Services. Contestation and Complexity. Palgrave Macmillan, Basingstoke, UK, 165–86.Google Scholar
Folbre, N. 2001. The Invisible Heart: Economics and Family Values. The New Press, New York.Google Scholar
Giddens, A. 1996. Affluence, poverty and the idea of a post-scarcity society. Development and Change, 27, 2, 365–77.Google Scholar
Gilligan, C. 1982. In a Different Voice. Harvard University Press, Cambridge, Massachusetts.Google Scholar
Glendinning, C., Halliwell, S., Jacobs, S., Rummery, K. and Tyrer, J. 2000. New kinds of care, new kinds of relationships: how purchasing services affects relationships in giving and receiving personal assistance. Health & Social Care in the Community, 8, 3, 201–11.Google Scholar
Goffman, E. 1968. Asylums. Pelican, Harmondsworth, UK.Google Scholar
Grit, K. and de-Bont, A. 2010. Tailor-made finance versus tailor-made care. Can the state strengthen consumer choice in healthcare by reforming the financial structure of long-term care? Journal of Medical Ethics, 36, 2, 79–83.CrossRefGoogle ScholarPubMed
Henderson, J. and Forbat, L. 2002. Relationship-based social policy: personal and policy constructions of ‘care’. Critical Social Policy, 22, 4, 669–87.Google Scholar
Hirst, M. 2001. Trends in informal care in Britain. Health and Social Care in the Community, 9, 6, 348–57.Google Scholar
Howe, A. L., Ozanne, E. and Selby-Smith, C. (eds) 1990. Community Care Policy and Practice. New Directions in Australia. Public Sector Management Institute, Monash University, Clayton, Australia.Google Scholar
Iversen, T. and Wren, A. 1998. Equality, employment, and budgetary restraint: the trilemma of the service economy. World Politics, 50, 4, 507–46.CrossRefGoogle Scholar
Jones, K. and Fowles, A. J. 1984. Ideas on Institutions. Analysing the Literature on Long-term Care and Custody. Routledge and Kegan Paul, London.Google Scholar
Keefe, J. M. and Fancey, P. J. 1998. Financial Compensation Versus Community Supports: An Analysis of the Effects on Caregivers and Care Receivers. Department of Gerontology, Mount Saint Vincent University, Halifax, Canada.Google Scholar
Keith, L. 1992. Who cares wins? Women, caring and disability. Disability and Society, 7, 2, 167–75.Google Scholar
Kittay, E. F. 1999. Love's Labor. Essays on Women, Equality, and Dependency. Routledge, New York.Google Scholar
Kremer, M. 2006. Consumers in charge of care: the Dutch personal budget and its impact on the market, professionals and the family. European Societies, 8, 3, 385–401.Google Scholar
Land, H. 1978. Who cares for the family? Journal of Social Policy, 3, 7, 357–84.Google Scholar
Lloyd, L. 2000. Caring about carers: only half the picture? Critical Social Policy, 20, 1, 136–150.Google Scholar
Lloyd, L. 2004. Mortality and morality: ageing and the ethics of care. Ageing & Society, 24, 2, 235–56.Google Scholar
Lukes, S. 1973. Individualism. Basil Blackwell, Oxford.Google Scholar
Mol, A. 2009. The Logic of Care. Health and the Problem of Patient Choice. Routledge, London.Google Scholar
Moore, M. 1999. The ethics of care and justice. Women & Politics, 20, 2, 1–16.Google Scholar
Morris, J. 1993. Independent Lives? Community Care and Disabled People. Macmillan Press, London.Google Scholar
Morris, J. 2001. Impairment and disability: constructing an ethics of care that promotes human rights. Hypatia, 16, 4, 1–16.CrossRefGoogle Scholar
Needham, C. 2011. Personalising Public Services. Understanding the Personalisation Narrative. Policy Press, Bristol, UK.Google Scholar
Noddings, N. 1984. Caring. A Feminist Approach to Ethics and Moral Education. University of California Press, Berkeley, California.Google Scholar
Parker, R. A. 1987. The Elderly and Residential Care. Gower, Aldershot, UK.Google Scholar
Pijl, M. and Ramakers, C. 2006. Contracting one's family members: the Dutch care allowance. In Ungerson, C. and Yeandle, S. (eds), Cash for Care in Developed Welfare States. Palgrave Macmillan, Basingstoke, UK, 81–103.Google Scholar
Ritzer, G. 1993. The McDonaldization of Society. Pine Forge Press, Thousand Oaks, California.Google Scholar
Ritzer, G. and Walczak, D. 1988. Rationalization and the deprofessionalization of physicians. Social Forces, 67, 1, 1–22.Google Scholar
Ronalds, C. 1989. ‘I'm Still an Individual’. A Blueprint for the Rights of Residents in Nursing Homes and Hostels. Issues Paper, Department of Community Services and Health, Canberra.Google Scholar
Sax, S. 1985. A Strife of Interests. Politics and Policies in Australian Health Services. George Allen and Unwin, Sydney.Google Scholar
Schofield, H., Bloch, S., Herman, H., Murphy, B., Nankervis, J. and Singh, B. 1998. Family Caregivers: Disability, Illness and Ageing. Allen and Unwin, Sydney.Google Scholar
Scourfield, P. 2007. Social care and the modern citizen: client, consumer, service user, manager and entrepreneur. British Journal of Social Work, 37, 1, 107–22.Google Scholar
Sevenhuijsen, S. 1998. Citizenship and the Ethics of Care: Feminist Considerations on Justice, Morality and Politics. Routledge, London and New York.Google Scholar
Shakespeare, T. 2000. Help. Venture Press/British Association of Social Workers, London.Google Scholar
Stevens, M., Glendinning, C., Jacobs, S., Moran, N., Challis, D., Manthorpe, J., Fernandez, J. L., Jones, K., Knapp, M., Netten, A. and Wilberforce, M. 2011. Assessing the role of increasing choice in english social care services. Journal of Social Policy, 40, 2, 257–74.Google Scholar
Thomas, C. 1993. De-constructing concepts of care. Sociology, 27, 4, 649–70.Google Scholar
Thomson, D. 1983. Workhouse to nursing home: residential care of elderly people in England since 1840. Ageing & Society, 3, 1, 43–69.CrossRefGoogle Scholar
Townsend, P. 1962. The Last Refuge: A Survey of Residential Institutions and Homes for Old People in England and Wales. Routledge & Kegan Paul, London.Google Scholar
Tronto, J. 1993. Moral Boundaries: A Political Argument for an Ethic of Care. Routledge, New York.Google Scholar
Ungerson, C. 1990. Gender and Caring: Work and Welfare in Britain and Scandinavia. Harvester Wheatsheaf, Hemel Hempstead, UK.Google Scholar
Ungerson, C. and Yeandle, S. (eds) 2006. Cash for Care in Developed Welfare States. Palgrave Macmillan, Basingstoke, UK.Google Scholar
Vabo, M. 2006. Caring for people or caring for proxy consumers? European Societies, 8, 3, 403–22.Google Scholar
Waerness, K. 1984. Caring as women's work in the welfare state. In Holter, H. (ed.), Patriarchy in a Welfare Society. Universitetsforlaget, Oslo, 67–87.Google Scholar
Waerness, K. 1987. On the rationality of caring. In Sassoon, A. S. (ed.), Women and the State. Hutchinson, London, 207–34.Google Scholar
Waerness, K. 2005. Social research, political theory and the ethics of care in a global perspective. In Dahl, H. M. and Eriksen, T. R. (eds), Dilemmas of Care in the Nordic Welfare State. Continuity and Change. Ashgate, Aldershot, UK, 15–32.Google Scholar
Williams, F. 2001. In and beyond New Labour: towards a new political ethics of care. Critical Social Policy, 21, 4, 467–93.Google Scholar
Yeatman, A., Dowsett, G., Fine, M. and Guransky, D. 2009. Individualization and the Delivery of Welfare Services. Contestation and Complexity. Palgrave Macmillan, Basingstoke, UK.Google Scholar