Aging is a biological and sociocultural experience that occurs globally. Although aging is universal, ideas about aging and the life course vary widely and influence how aging and quality of life are perceived. Aging occurs both individually and collectively. Individuals have their own life stories and experiences shaped by cultural values, norms, and life course expectations. Anthropology’s attention to both scientific and humanistic ways of exploring what it means to be human is well suited to investigating how people live and age over time and in various locations. Like other anthropological subjects, one can explore aging in terms of human evolution as well as biological and cultural variation in aging experiences. Combining these topics to take a holistic perspective forms the subfield of the anthropology of aging. Given the breadth and scope of the anthropology of aging’s subject matter and global population aging, it is easy to see why this subfield is so fascinating to explore and work in as a career field. Numerous prior reviews cover the subfield’s origins and development and are highlighted. Homage is paid to the subfield’s history, and how to apply what has been learned to understanding a rapidly aging and socially changing world is discussed. As many have indicated, significant challenges and opportunities lie ahead.
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Applying Anthropological Insight in an Aging World
Sherylyn Briller and Erika Carrillo
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Care As Belonging, Difference, and Inequality
Tatjana Thelen
The topic of care has inspired a vast and complex body of research covering a wide range of practices. As an open-ended process, it is generally directed at fulfilling recognized needs and involves at least one giving and one receiving side. Although care has mostly positive connotations in everyday usage, giving or receiving it can also be a negative experience or express domination.
Care evolves through complex arrangements of different actors, institutions, and technical devices and at the same time transforms them. As human needs are not a given, the process of care involves negotiations about who deserves to receive it and on what grounds, as well as who should provide it. Because care is so deeply implicated in articulating and mediating different moralities, it becomes central to constructions and classifications of difference. In this way, care extends far beyond intimate relations and is engrained in processes that establish belonging as well as various forms of inequality. Researching care in intimate settings as well as in public sectors enables bridging various communities of care and grasping how the distribution of care not only mirrors inequalities but contributes to their (re)production or even intensification.
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Economies of Advice
Deborah James and Insa Koch
Because of academic divisions of labor, anthropologists have come late to the study of the changing landscape of welfare and advice provisions in Euro-America (and beyond). However, this study is crucial to understanding contemporary economies. Attention to the increasing informalization, hybridization, plurality, and complexity of welfare-care-advice provisions in the context of 21st-century austerity in Europe challenges the widely held view of how state bureaucracies operate. The corollaries are the difficulties in accessing what help is available (hence the increasing need for advice) and an increase in grass-roots mutual aid and activism to supplement, and in some cases even supplant, state advice provisions.
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Precarity, Care, and Popular Economy in Latin America
María Inés Fernández Álvarez and Florencia Pacifico
The notions of precarity and care have become increasingly central in academic debate. Although both notions have a history dating back to the 1970s, the debates over them have undoubtedly been renewed since the world economic crisis that emerged in 2008. Both concepts have been subject to various reviews according to different disciplinary views and contexts of knowledge production. However, it is possible to identify some points in common across the different lines of analysis that come into play in both cases. From a social and historically situated perspective, the understanding of precarity as an experience that goes beyond what is strictly labor-related has made it possible to bring visibility to the living conditions of a large sector of the population worldwide. By putting on hold views of work based on a formal/informal dichotomy, attention to non-European realities has opened the way to questions and reflections that have led to a rethinking of the ways in which work and the economy are understood, and to consideration of the ways in which individual and collective strategies are generated for the reproduction of life under unwaged and even non-commodified forms of labor. The concept of care, particularly as developed by feminist economics, has also aimed to problematize economic systems which are centered on a self-sufficient ideal subject who meets their vital needs only through the market, and which evidence hierarchies of gender and class that come into play in the valorization and distribution of work.
In Latin America, the recent development of a series of unionization and mobilization processes led by workers from the popular economy has meant a revisiting of the debates about the various forms of reproduction of life in populations structurally excluded from wage labor. In recent years, in Argentina in particular, a series of collective organization processes led by unwaged workers has taken place with the aim of claiming rights and improving living conditions for sectors of the population defined as part of the popular economy. The ethnographic analysis of these experiences sheds light on the intersection between precarity and care, contributing to broader questions about ways of making a living and producing well-being in contexts of structural inequality and exclusion from the formal labor market. The dynamics of organization produced by the popular economy entail the implementation of collective forms of care and reproduction of life that stretch the limits of the Fordist model of welfare provision anchored in the labor market and in the nuclear family, thus renewing debates around the ways in which processes of class struggle are configured.
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Mental Illness
Bianca Brijnath, Samantha Croy, and Josefine Antoniades
The anthropology of mental illness involves the study of human distress in context, which in turn shapes the way in which distress is understood and treated. Anthropology provides theoretical foundations and an ethnographic approach that attends to the lived experience of mental illness as well as capturing the intersections of the cultural, social, political, economic, historical, and ecological in the everyday. Much work in the field has contributed to an appreciation of similarities and differences across societies and cultures, with increasing recognition of the dynamic and fluid nature of understandings and practices associated with mental health in an interconnected world. Analyses of how the dominance of Western psychiatry and pharmaceutical interventions shape understandings and approaches to treatment show that these can be at once lifesaving and limiting; other work highlights the vast resources across human cultures for coping with mental distress. Studies that emphasize the sociostructural as well as the cultural raise questions of whether mental distress should always be pathologized and whether solutions may lie in improvement of the conditions in which people live. Anthropologists’ acquaintance through their fieldwork with the lives of people with mental illness and their families and communities allows them to provide critical insights into the enduring problems in the field as well as possibilities for hope and recovery. The discipline’s theoretical resources provide tools for understanding the sociality of what might otherwise be considered as deeply personal. Necessarily interdisciplinary, the anthropology of mental illness reveals the complexity of mental illness as human experience and underscores how a singular monocultural approach to addressing the challenge of mental illness is insufficient.
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Language and Health
Steven P. Black
Defined broadly, the anthropological study of language and health is as old as the field itself. In early writings, medicine and language were often treated as core aspects of cultural traditions. Since these early influences, four anthropological approaches to this topic have developed. The first approach, rooted in cognitive and psychological anthropology, examines cultural models of illness, explanations of illness, and narratives about illness. While this research provides significant insights into the relationship between language and understandings of experiences with illness, much of this work assumes monolingualism or, in some cases, includes multilingual speakers but does not explicitly address multilingualism as a facet of analysis. However, some scholarship examines the linguistic and experiential dynamics that occur when an explanatory model is shifted wholesale from one linguistic and cultural context to another. The second approach, based in medical anthropology, theorizes how medical discourses (in the sense of the limits of what persons might say or could say in specific medical contexts) shape the development of culturally specific subjectivities. In this research, many scholars expand on the idea that medical systems are cultural systems, especially in their analysis of the disjuncture between the authoritative stance of scientific medicine—with claims to be outside of or beyond culture—and the reality that scientific medicine is itself cultural and is embedded in distinct cultural contexts. Here, the bio– prefix (as in biopolitics, biopower, and biosociality) points toward the profound power of scientific medicine to reshape human bodies and thus human relationships, which become mediated by scientific medical discourses. The third approach, connected to linguistic anthropology, sociolinguistics, and conversation analysis, analyzes how health discourses (in the sense of documented linguistic and conversational patterns spoken in recorded health encounters) construct inequities and constitute cultural understandings of health and illness. Anthropological scholarship builds on the examination of the conversational construction of medical encounters in numerous ways, among them a discussion of what happens when individuals from marginalized cultural and linguistic backgrounds enter health care spaces. Finally, a novel framework links elements of the previous three approaches in interdisciplinary configurations to argue that language and health are co-constituted. This includes work on the pragmatics and ideologies of recovery and care, the discursive constitution of public and global health, medical translation, and health/communicative inequities.