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Assembling dementia care: Patient organisations and social research

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Abstract

In this article, we take the concept of evidence-based activism as a point of departure to understand how Alzheimer’s disease (AD) associations have mobilised knowledge to re-articulate their role in the public sphere. We are specifically interested in political initiatives deployed by these organisations to shape the field of dementia care research, policy and practice in the last 5 years in the United Kingdom and Ireland. In both countries, the campaigns have emphasised the importance of developing and funding services and devices that mediate between the formal and the informal sectors of dementia care in order to support people living with dementia to stay at home for longer. Drawing on our analysis of documentary and interview data, our suggestion is that the transformation of dementia care into a ‘matter of concern’ is underpinned by AD organisations’ harnessing, fostering, sponsoring and circulating of social research conventions and methodologies such as the survey or the interview. Our main claim is that social scientific techniques and ways of reasoning have been key in the production and maintenance of boundary relations between informal and formal care in dementia. Our work can thus be seen as integrated in a renewed interest in understanding the epistemic cultures of social research and its relationship with political institutions of contemporary societies.

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Notes

  1. We conducted in-depth interviews with key actors (N=8) within the organisation focusing on the role of knowledge and evidence in the activities and governance of the organisation, guided by the case-study methodology applied in the overall project.

  2. ADS Annual Report 1988, p. 5.

  3. ADS Annual report, 1988–1989, p. 3.

  4. ADS Annual Report 1996–1997, p. 7.

  5. Interview with Eileen Winston, London, 11 October 2009.

  6. Harry Cayton in ADS Annual Report, 1996–1997, p. 1.

References

  • Abrams, P. (1978a) Community care. In: J. Barnes and N. Connelly (eds.) Social Care Research. London: Bedford Square Press, pp. 78–99.

    Google Scholar 

  • Abrams, P. (1978b) Neighborhood Care and Social Policy: A Research Perspective. Occasional Paper Series. Berkhamsted, UK: Volunteers Centre.

    Google Scholar 

  • Alcock, P. (2009) Devolution or Divergence? Third Sector Policy across the UK since 2000. TSRC Working Paper Series. Birmingham, UK: University of Birmingham.

  • Alzheimer’s Disease Society (ADS) (1985–2011) Alzheimer’s Society Annual Reports, London, Alzheimer’s Society.

  • Alzheimer Society of Ireland (ASI) (2006) National consumer summit on dementia. oASIs Quarterly Newsletter of the Alzheimer Society of Ireland 23 (2): 2.

  • Alzheimer Society of Ireland (ASI) (2007) Dementia Manifesto 2007–2009. Making Dementia a National Health Priority. Blackrock, MA: Alzheimer Society of Ireland.

  • Alzheimer Society of Ireland (ASI) (2012) Reclaiming Dementia: Transforming the Lives of People with Dementia. Submission to the National Dementia Strategy. Blackrock, MA: Alzheimer Society of Ireland.

  • Arensberg, C. and Kimball, S. (1940) Family and Community in Ireland. Harvard, MA: President and Fellows of Harvard College.

    Google Scholar 

  • Beard, R.L. (2004) Advocating voice: Organisational, historical, and social milieu of the Alzheimer’s disease movement. Sociology of Health & Illness 26 (6): 797–819.

    Article  Google Scholar 

  • Bell, C. and Newby, H. (1972) Community Studies: An Introduction to the Sociology of the Local Community. London: G. Allen & Unwin.

    Google Scholar 

  • Bond, J. (1992a) The politics of caregiving: The professionalisation of informal care. Ageing and Society 12 (1): 5–21.

    Article  Google Scholar 

  • Bond, J. (1992b) The medicalization of dementia. Journal of Aging Studies 6 (4): 397–403.

    Article  Google Scholar 

  • Brody, H. (1973) Irishkillane. London: Allen Lane.

    Google Scholar 

  • Broom, A. and Adams, J. (eds.) (2012) A critical social science of evidence based healthcare. In: Evidence-based Healthcare in Context. Farnham, UK: Ashgate, pp. 1–22.

    Google Scholar 

  • Bulmer, M. (1996) Edward Shils as a sociologist. Minerva 34 (1): 7–21.

    Article  Google Scholar 

  • Cahill, S., O’Shea, E. and Pierce, M. (2012) Creating Excellence in Dementia Care. A Research Review for Ireland’s National Dementia Strategy. Dublin, Ireland: DSIDC’s Living with Dementia Research Programme, School of Social Work and Social Policy, Trinity College Dublin and Irish Centre for Social Gerontology, National University of Ireland, Galway.

    Google Scholar 

  • Camic, C., Gross, N. and Lamont, M. (2011) Social Knowledge in the Making. Chicago, IL: University of Chicago Press.

    Book  Google Scholar 

  • Cohen, L. (2006) Introduction. In: A. Leibing and L. Cohen (eds.) Thinking about Dementia: Culture, Loss, and the Anthropology of Senility. New York: Rutgers University Press.

    Google Scholar 

  • Conway, B. (2006) Foreigners, faith and fatherland: The historical origins, development and present status of Irish sociology. Sociological Origins 5 (1): 1–36.

    Google Scholar 

  • Curtin, C. (1988) Social order, interpersonal relations and disputes in a west of Ireland community. In: M. Tomlinson (ed.) Whose Law and Order? Aspects of Crime and Control in Ireland. Dublin: Sociological Association of Ireland.

    Google Scholar 

  • Davies, B. and Knapp, M. (1981) Old People’s Homes and the Production of Welfare. London: Routledge & Kegan Paul.

    Google Scholar 

  • Delaney, S. (2010) Telecare and Dementia: The ASI Experience. Presentation at Technology and Dementia Seminar, The Living with Dementia Programme, School of Social Work and Social Policy, Trinity College Dublin and the Dementia Services Information and Development Centre (DSIDC), St James’ Hospital, Dublin, 28 October.

  • Doyle, M. and Timonen, V. (2008) Breaking the mould: New trajectories in the domiciliary care of older people in Ireland. International Journal of Social Welfare 17 (4): 324–332.

    Article  Google Scholar 

  • Epstein, S. (2008) Patient groups and health movements. In: E. Hackett, O. Amsterdamska, M. Lynch and J. Wajcman (eds.) The Handbook of Science and Technology Studies. Cambridge, MA: MIT Press.

    Google Scholar 

  • Finch, J. and Groves, D. (eds.) (1983) A Labour of Love: Women, Work and Caring. London: Routledge.

    Google Scholar 

  • Fox, P. (1989) From senility to Alzheimers-disease – The rise of the Alzheimers-disease movement. Milbank Quarterly 67 (1): 58–102.

    Article  Google Scholar 

  • Government of Ireland (1988) The Years Ahead – A Policy for the Elderly. Dublin, Ireland: Stationery Office.

  • Graham, H. (1991a) The informal sector of welfare: A crisis in caring? Social Science & Medicine 32 (4): 507–515.

    Article  Google Scholar 

  • Graham, H. (1991b) The concept of caring in feminist research: The case of domestic service. Sociology 25 (1): 61–78.

    Article  Google Scholar 

  • Hadley, R. and Hatch, S. (1981) Social Welfare and the Failure of the State: Centralised Social Services and Participatory Alternatives. London: Allen & Unwin.

    Google Scholar 

  • Hannan, D. and Katsiaouni, L. (1977) Traditional Families? From Culturally Prescribed to Negotiated Roles in Farm Families. Dublin, Ireland: The Economic and Social Research Institute.

    Google Scholar 

  • Kendall, J. and Knapp, M.R.J. (1996) The Voluntary Sector in the United Kingdom. Manchester. UK: Manchester University Press.

    Google Scholar 

  • Kendall, J. and Taylor, M. (2009) On the interdependence between politics and policy in the shaping of English third sector. In: B. Gidron and B. Bar (eds.) Policy Initiatives towards the Third Sector in International Perspective. New York: Springer.

    Google Scholar 

  • Kitwood, T. (1993) Towards a theory of dementia care – The interpersonal process. Ageing and Society 17 (1): 51–67.

    Article  Google Scholar 

  • Knapp, M. (1981) Cost information and residential care of the elderly. Ageing and Society 1 (2): 199–228.

    Article  Google Scholar 

  • Knapp, M. et al (2007) Dementia UK: A Report into the Prevalence and Cost of Dementia. London: Alzheimer’s Society.

    Google Scholar 

  • Lakey, L. (2009) Counting the Cost: Caring for People with Dementia on Hospital Wards. London: Alzheimer’s Society.

    Google Scholar 

  • Lascoumes, P. and Le Gales, P. (2007) Introduction: Understanding public policy through its instruments – From the nature of instruments to the sociology of public policy instrumentation. Governance 20 (1): 1–21.

    Article  Google Scholar 

  • Latour, B. (2004) Why has critique run out of steam? From matters of fact to matters of concern. Critical Inquiry 30 (2): 225–248.

    Article  Google Scholar 

  • Latour, B. (2005) Reassembling the Social: An Introduction to Actor Network Theory. Oxford: Oxford University Press.

    Google Scholar 

  • Law, J. (2004) After Method: Mess in Social Science Research. Oxon, MD: Routledge.

    Google Scholar 

  • Leahey, E. (2008) Methodological Memes and Mores: Toward a Sociology of Social Research. Annual Review of Sociology 34: 33–53.

    Article  Google Scholar 

  • Lewis, J. (2005) New labour’s approach to the voluntary sector: Independence and the meaning of partnership. Social Policy and Society 4 (2): 121–131.

    Article  Google Scholar 

  • McDonnell, O. and O’Donovan, Ó. (2009) Private health insurance as a technology of solidarity? The myth of ‘community’ in Irish healthcare policy. Irish Journal of Sociology 17 (2): 6–23.

    Article  Google Scholar 

  • Miller, P. and Rose, N. (2008) Governing the Present: Administering Economic, Social and Personal Life. Cambridge, UK: Polity.

    Google Scholar 

  • Moreira, T. (2009) Hope and truth in drug development and evaluation in Alzheimer’s disease. In: J. Ballenger, P. Whitehouse, C. Lyketsos, P. Rabins and J. Karlawish (eds.) Treating Dementia: Do we have a Pill for it? Baltimore, MD: Johns Hopkins University Press, pp. 210–230.

    Google Scholar 

  • Moreira, T. (2010) When are trial not enough?: Clinical effectiveness vs. cost-effectiveness in the dementia drugs controversy (2005–08). In: C. Will and T. Moreira (eds.) Medical Proofs, Social Experiments: Clinical Trials in Context. London: Ashgate.

    Google Scholar 

  • Moreira, T. (2012) Health care standards and the politics of singularity. Science, Technology and Human Values, doi:10.1177/0162243911414921.

  • Moreira, T., May, C. and Bond, J. (2009) Regulatory objectivity in action: Mild cognitive impairment and the collective production of uncertainty. Social Studies of Science 39 (5): 665–690.

    Article  Google Scholar 

  • Mykhalovkiy, E. and Weir, L. (2004) The problem of evidence-based medicine: Directions for social science. Social Science & Medicine 59 (5): 1059–1069.

    Article  Google Scholar 

  • Ó Cinnéide, S. (2010) ‘From Poverty to Social Inclusion: The EU and Ireland’ in Ireland and the European Social Inclusion Strategy: Lessons Learnt and the Road Ahead. Dublin, Ireland: European Anti Poverty Network Ireland.

    Google Scholar 

  • O’Connell, M. (2012) Presentation at Developing a National Dementia Strategy, Conference held in Trinity College, Dublin, Ireland, 18 January.

  • O’Connor, J., Ruddle, H., O’Gallagher, M. and Murphy, E. (1988) Caring for the Elderly. Part 2: A Study of Carers in the Home. Dublin, Ireland: National Council for the Aged.

    Google Scholar 

  • O’Donovan, O. (1997) Contesting concepts of care: The case of the home help service in Ireland. In: A. Cleary and M. Treacy (eds.) The Sociology of Health and Illness in Ireland. Dublin, Ireland: University College Dublin Press.

    Google Scholar 

  • O’Donovan, O., Moreira, T. and Howlett, E. (forthcoming) Tracking transformations in health movement organisations: Alzheimer’s disease organisations and their changing ‘cause regimes’. Social Movement Studies, in press, doi:10.1080/14742837.2013.777330.

  • O’Leary, D. (2000) Vocationalism and Social Catholicism in Twentieth-Century Ireland: The Search for a Christian Social Order. Dublin, Ireland: Irish Academic Press.

    Google Scholar 

  • O’Shea, E. and O’Reilly, S. (1999) An Action Plan for Dementia. Dublin, Ireland: National Council on Aging and Older People.

    Google Scholar 

  • O’Shea, E. (2007) Implementing Policy for Dementia Care in Ireland: The Time for Action is Now. Blackrock, Dublin, Ireland: Alzheimer Society of Ireland.

    Google Scholar 

  • Offer, J. (1999a) Idealist thought, social policy and the rediscovery of informal care. British Journal of Sociology 50 (3): 467–188.

    Article  Google Scholar 

  • Osborne, T., Rose, N. and Savage, M. (2008) Reinscribing British sociology: Some critical reflections. The Sociological Review 56 (4): 519–534.

    Article  Google Scholar 

  • Page, R. (2010) The changing face of social administration. Social Policy & Administration 44 (3): 326–342.

    Article  Google Scholar 

  • Parsons, T. (1949) Essays in Sociological Theory, Pure and Applied. Glencoe, IL: Free Press.

    Google Scholar 

  • Plummer, J. (1996) How are Charities Accountable?: A Study of the Approaches to Governance and Accountability Developed by Twelve Major Charities in Britain. London: Demos.

    Google Scholar 

  • Pope, C. (2003) Resisting evidence: The study of evidence-based medicine as a contemporary social movement. Health 7 (3): 267–282.

    Google Scholar 

  • Quince, C. (2011) Support. Stay. Save.:Care and Support of People with Dementia in their Own Homes. London: London Alzheimer’s Society.

    Google Scholar 

  • Rose, N. (1985) The Psychological Complex: Psychology, Politics and Society in England 1869–1939. London: Routledge & Kegan Paul.

    Google Scholar 

  • Ruddle, H. and O’Connor, J. (1993) Caring Without Limits? Sufferers of Dementia/Alzheimer’s Disease. A Study of their Carers. Dublin: ASI/Policy Research Centre.

  • Savage, M. (2008) Elizabeth Bott and the formation of modern British sociology. Sociological Review 56 (4): 579–605.

    Article  Google Scholar 

  • Sharp, S. (2007) Home from Home: A Report Highlighting Opportunities for Improving Standards of Dementia Care in Care Homes. London: Alzheimer’s Society.

    Google Scholar 

  • Shils, E. (1957) Primordial, personal, sacred and civil ties: Some particular observations on the relationships of sociological research and theory. The British Journal of Sociology 8 (2): 130–145.

    Article  Google Scholar 

  • Taylor-Gooby, P. (1981) The empiricist tradition in social administration. Critical Social Policy 1 (2): 6–21.

    Article  Google Scholar 

  • Thomas, C. (1993) De-constructing concepts of care. Sociology 27 (4): 649–669.

    Article  Google Scholar 

  • Townsend, P. (1957) The Family Life of Old People: An Inquiry in East London. London: Routledge & K. Paul.

    Google Scholar 

  • Townsend, P. (1962) The Last Refuge: A Survey of Residential Institutions and Homes for the Aged in England and Wales. London: Routledge & Paul.

    Google Scholar 

  • Victor, C., Scambler, S. and Bond, J. (2009) The Social World of Older People. Maidenhead, UK: Open University Press.

    Google Scholar 

  • Warner, J., Milne, A. and Peet, P. (2010) My Name is Not Dementia: Literature Review. London: Alzheimer’s Society.

    Google Scholar 

  • Wilding, P. (1983) The evolution of social administration. In: P. Bean and S. MacPherson (eds.) Approaches to Welfare. London: Routledge and Kegan Paul.

    Google Scholar 

  • Wiliamson, T. (2008) Dementia: Out of the Shadows. London: Mental Health Foundation/Alzheimer’s Society.

    Google Scholar 

  • Williamson, T. (2010) My Name is Not Dementia: People with Dementia Discuss Quality of Life Indicators. London: Mental Health Foundation/Alzheimer’s Society.

    Google Scholar 

  • Wolfenden, J. (1978) The Future of Voluntary Organisations: Report of the Wolfenden Committee. London: Croom Helm.

    Google Scholar 

  • Young, M.D. and Willmott, P. (1957) Family and Kinship in East London. London, UK: Routledge and Kegan Paul.

    Google Scholar 

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Moreira, T., O'Donovan, O. & Howlett, E. Assembling dementia care: Patient organisations and social research. BioSocieties 9, 173–193 (2014). https://doi.org/10.1057/biosoc.2014.6

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