Elder Mistreatment Abuse, Neglect, and Exploitation in an Aging America (2003) / Chapter Skim
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3. A Theoretical Model of Elder Mistreatment
3. A Theoretical Model of Elder Mistreatment
Pages 60-70
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From page 60... ...
Concerned citizens, clinicians of various sorts, including emergency room physicians, social workers, nurses, the police, and even the victims themselves report incidents of apparent mistreatment to the authorities (such as state adult protective services)
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From page 61... ...
He proposed a biopsychosocial mode! explicitly encompassing psychological and social factors in explaining biophysiological conditions, such as disease or aging processes.
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From page 62... ...
In addition, this mode! should be understood as being embedded in an environing sociocultural context, such as the region of the country, the institutional or organizational locus (such as a nursing home, assisted living quarters, private household)
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From page 63... ...
1. Master social statuses _ Status Inequality (e.g., wealth, race, _ Differences in gender, age ethnic~ty, religion, kinship race, education 2.
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From page 64... ...
, type of social relationship in which the interaction between the elder person and the trusted other happens, with corresponding differences in the normative expectations held by different stakeholders and the power dynamics in negotiating the operative care-giving scripts (see Simon and Gagnon, 1987; Mahay et al., 2001~. Note that we have also included "social embeddedness," which refers to the sets of people in the social networks of the elder person and the trusted other, respectively, constituting the social capital available in the dyadic transaction (see Sandefur and Laumann 1998~.
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From page 65... ...
neglectful or abusive care by employees of adult day programs, nursing homes, and hospitals; and (e) crimes of opportunity, in which dependent persons are exploited by caregivers who take advantage of access to financial resources.
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From page 66... ...
are serving as the responsible care providers. We first note that there is a larger institutional context in which the organization is found e.g., a particular region or state that has a stricter or more lax regulatory environment than other areas or a remote rural location (in comparison to an urban location)
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From page 68... ...
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From page 69... ...
The objective of this discussion has been to provide a comprehensive, flexible theoretical framework within which to organize research efforts employing qualitative as well as quantitative methodologies. Appropriately deployed in systematic empirical research, these methodologies can illuminate the fundamental processes generating the differential risks of elder mistreatment for both the elder population at large and for those who perform caregiving roles.
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From page 70... ...
The panel recommends systematic, theory-driven longitudinal research, both qualitative and quantitative, exploring the changing dynamics of elder people's relationships and the risk of mistreatment, as they are affected by changing health status, social embeddedness, and caregiving and living arrangements, in both domestic and institutional contexts.
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