Aging without agency: Theorizing the fourth age
Abstract
This article looks at the "fourth age" as a manifestation of the fragmentation of "old age". We argue that the fourth age emerges from the institutionalization of the infirmities of old age set against the appearance of a third-age culture that negates past representations of old age. We outline the historical marginalization of old age from early modern society to the contemporary concentration of infirmity within long-term care which makes of old age an undesirable "social imaginary". As "old age" fades from the social world, we liken this to the impact of a "black hole" distorting the gravitational field surrounding it, unobservable except for its traces. Within this perspective, the fourth age can be understood by examining not the experience itself but its impact on the discourses that surround and orientate themselves to it.
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The distinction between the active and agency-filled third age and the dependent fourth age is a qualitative and embodied distinction, based on an expanding array of functions, capabilities, and appearances, and requiring considerable boundary work to sustain.
“The distinction between the active and agency-filled -tde ad adc a d, a a ad p tude is a qualitative and embodied distinction, based on an expanding array of functions, capabilities, and appearances, and requiring considerable boundary work to sustain (Gilleard & Higgs, 2010; Katz, 2010).”
From Medicalization and the Refashioning of Age-Related Limits on Sexuality (2012) · cites this paper as Gilleard & Higgs, 2010
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- Authors
- Gilleard, C., & Higgs, P.
- Affiliations
- University College London (GB)
- Corresponding author
- Gilleard, Chris
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2010-03
- Volume
- 14
- Issue
- 2
- Pages
- 121-128
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2075980260
- Cited by
- 430
- References
- 0
- Citations by year
- 2026: 35 · 2025: 27 · 2024: 41 · 2023: 31 · 2022: 22 · 2021: 37 · 2020: 38 · 2019: 35 · 2018: 27 · 2017: 32 · 2016: 31 · 2015: 17 · 2014: 14 · 2013: 15 · 2012: 15
- FWCI
- 24.42
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Aging, Elder Care, and Social Issues
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Aging and Gerontology Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
- Keywords
- fourth age, old age, long-term care, social imaginary, early modern society
- MeSH terms
- Aged, Aged, 80 and over, Aging, Culture, Health Status, Humans, Long-Term Care, Nursing Homes, Quality of Life, Social Change, History, 19th Century, History, 20th Century
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