The Loss: Conceptualising Biographical Experiences of Disability, Social Isolation and Emotional Loneliness in North-East England
DOI:
https://doi.org/10.1921/swssr.v20i3.1319Abstract
Research into experiences of social isolation and loneliness has predominantly focused on older adults, i.e. post-retirement, as a significant at-risk group. Similarly, research exploring disability and loneliness has been associated with old age and conceptualised as an inevitable outcome of ‘failing’ health. This study seeks to conceptualise experiences of disability from a wider age group to understand if occurrences of social isolation and loneliness are commonplace. Fifteen qualitative biographical narrative interviews were completed by a Community Research Team, including seven males and eight females aged 32–89. A Disability Studies approach was applied to identify significant pathways from isolation into emotional loneliness, experienced by participants; fourteen of whom were affected by disability issues. Key risk factors were identified relating to disabled participants’ experiences of ‘loss’. Loss was associated with ‘loss of ability’, ‘loss due to bereavement’, ‘loss of social connectivity’ and ‘loss of self-confidence’. Participants connected life events concerning loss with spending time alone, leading to feelings of emotional loneliness. The findings illustrate key risk factors in being alone during evenings and weekends, periods where disabled participants were most likely to experience subjective feelings of emotional loneliness. (NOTE: The views expressed in this article are those of the authors not necessarily those of their employing agencies.)
References
Barnes, C. (2012). ‘Social model, past, present and future’. In N. Waston, A. Roulstone and C. Thomas (eds), Routledge Handbook of Disability Studies. London: Routledge.
Bennett, K.M. and Victor, C. (2012). ‘“He wasn’t in that chair”: What loneliness means to widowed older people’. International Journal of Ageing and Later Life, 7(1), 33–52.
Bhaskar, R. (1986). Scientific Realism and Human Emancipation. Thetford: Thetford Press.
Bhaskar, R., Danermark, B. and Price, L. (2018). Interdisciplinarity and Well-being. London: Routledge.
Birks, M. and Mills, J. (2015). Grounded Theory. London: SAGE Publications.
Bryman, A. (2012). Social Research Methods. Oxford: OUP.
Care Act (2014). London: HMSO.
Cattan, M., White, M., Bond, J. and Learmouth, A. (2012). ‘Preventing social isolation and loneliness among older people: A systematic review of health promotion interventions’. Ageing and Society, 25, 41–67.
Chappell, A.L. (1994). ‘A question of friendship: Community care and the relationships of people with learning difficulties’. Disability and Society, 9(4), 319–34.
Charmaz, K. (2006). Constructing Grounded Theory: A Practical Guide through Qualitative Analysis. London: SAGE Publications.
Clayton, J., Donovan, C. and Merchant, J. (2015). ‘Emotions of austerity: Care and commitment in public service delivery in the North East of England’. Emotion, Space & Society, 14(1), 24–32.
Cross, M. (2013). ‘Demonised, impoverished and now forced into isolation: The fate of disabled people under austerity’. Disability & Society, 28(5), 719–23.
Dahlberg, L. and McKee, K.J. (2014). ‘Correlates of social and emotional loneliness in older people: Evidence from an English community study’. Aging and Mental Health, 18(4), 504–14.
Danermark, B. (2017). ‘Interdisciplinary work in a critical realist perspective’. In M. Kjǿrstod and M.B. Solem (eds), Critical Realism for Welfare Professionals. London: Routledge, pp.38–58.
De Vaus, D.A. (2014). Surveys and Social Research, 6th Edn. London: Routledge.
Flynn, C. and McDermott, F. (2016). Doing Research in Social Work and Social Care. London: SAGE Publications.
Forrester-Jones, R. Carpenter, J. Cambridge, P. Tate, A. Hallam, A. Knapp, M. and Beecham, J. (2002). ‘The quality of life of people 12 years after resettlement from long stay hospitals: Users’ views on their living environment, daily activities and future aspirations’. Disability & Society, 17(7), 741–58.
Hesse-Biber, S.N. and Johnson, R.B. (2015). The Oxford Handbook of Multimethod and Mixed Methods Research Inquiry. Oxford: OUP.
Holt-Lunstad, J. and Smith, T.B. (2016). ‘Loneliness and social isolation as risk factors for CVD: Implications for evidence-based patient care and scientific inquiry’. Heart, 112(13), 987–9.
Holt-Lunstad, J., Smith, T.B., Baker, M, Harris, T. and Stephenson, D. (2015). ‘Loneliness and social isolation as risk factors for mortality: A meta-analytic review’. Perspectives on Psychological Science, 10(2), 227–37.
Jacobson, N.C., Lord, K.A. and Newman, M.G. (2017). ‘Research paper: Perceived emotional social support in bereaved spouses mediates the relationship between anxiety and depression’. Journal of Affective Disorders, 2(11), 83–91.
Kearns, A., Whitley, E., Tannahill, C. and Ellaway, A. (2014). ‘Loneliness, social relations and health and well-being in deprived communities’. Psychology, Health & Medicine, 20(3), 332–44.
Longman, J., Passey, M., Singer, J. and Morgan, G. (2013). ‘The role of social isolation in frequent and/or avoidable hospitalisation: Rural community-based service providers’ perspectives’. Journal of the Australian Healthcare & Hospitals Association, 37(2), 223–31.
Macdonald, S.J. and Deacon, L. (2019). ‘Disability theory and social work practice’. In M. Payne and M.R. Hall (eds), The Routledge Handbook of Social Work Theory. London: Routledge.
Macdonald, S.J., Charnock, A. and Scutt, J. (2018). ‘Marketing “madness”: Conceptualising service user/survivors biographies in a period of deinstitutionalisation’. Disability & Society, 33(6), 849–865.
Macdonald, S.J., Deacon, L. and Nixon, J. (2018). ‘“The invisible Enemy”: Disability, loneliness and isolation’. Disability & Society, 33(7), DOI: 10.1080/09687599.2018.1476224.
Oliver, C. (2012). ‘Critical realist grounded theory: A new approach for social work research’. British Journal of Social Work, 42(2), 371–387.
Oliver, M. (1996). Understanding Disability from Theory to Practice. Basingstoke: Palgrave.
Oliver, M. (2009). Understanding Disability from Theory to Practice, 2nd Edn. Basingstoke: Palgrave.
Patton, M.Q. (2002). Qualitative Research and Evaluation Methods. Thousand Oaks, CA: SAGE Publications.
Paul, C., Avis, S. and Ebrahim, S. (2006). ‘Psychological distress, loneliness and disability in old age’. Psychological Health and Medicine, 11(2), 221–32.
Petersen, H. and Sanders, S. (2015). ‘Caregiving and traumatic brain injury: Coping with grief and loss’. Health & Social Work, 40(4), 325–28.
Prime Minister’s Office (2018). ‘Prime Minister commits to Government-wide drive to tackle loneliness’. Press Release, 17 January. London: PMO.
Public Health (2015). Local Action on Health Inequalities: Reducing Social Isolation Across the Lifecourse. London: Public Health England.
Rokach, A., Lechcier-Kimel, R. and Safarov, A. (2006). ‘Loneliness of people with physical disabilities’. Social Behaviour and Personality: An International Journal, 34, 681–700.
Ryckebosch-Dayez, A.-S., Zech, E., Cord, J.M. and Taverne, C. (2016). ‘Daily life and coping strategies during widowhood: A diary study after one year of bereavement’. Death Studies, 40(8), 461–78.
Shakespeare, T. (2015). Disability Research Today. Routledge: London.
Sheldon, J.H. (1948). The Social Medicine of Old Age. Oxford: OUP.
Shvedko, A., Whittaker, A.C., Thompson, J.L. and Greig, C.A. (2018). ‘Physical activity interventions for treatment of social isolation, loneliness or low social support in older adults: A systematic review and meta-analysis of randomised controlled trials’. Psychology of Sport & Exercise, 34, 128–37.
Smith, J.A., Flowers, P. and Larkin, M. (2009). Interpretative Phenomenological Analysis: Theory, Method and Research. London: SAGE Publications.
Steptoe, A., Shankar, A., Demakakos, P. and Wardle, J. (2013). ‘Social isolation, loneliness and all-cause mortality in older men and women’. Proceedings of the National Academy of Sciences, 110(15), 5797–801.
Strauss, A. and Corbin, J.M. (1990). Basics of Qualitative Research: Grounded Theory Procedures and Techniques. Thousand Oaks, CA: SAGE Publications.
Stuller, K.A., Jarrett, B. and DeVries, A.C. (2012). ‘Stress and social isolation increase vulnerability to stroke’. Experimental Neurology, 233, 33–9.
Tanskanen, J. and Antilla, T. (2016). ‘A prospective study of social isolation, loneliness and mortality in Finland’. AJPH Research, 106(11), 2042–8.
Taylor, G. (1999). ‘Empowerment, identity and participatory research: Using social action research to challenge isolation for deaf and hard of hearing people from minority ethnic communities’. Disability & Society, 14(3), 369–84.
Townsend, P. (1959). ‘Social surveys of old age in Great Britain 1945–59’. Bulletin of the World Health Organisation, 21, 583–91.
Valtora, N.K., Kanaan, M., Gilbody, S., Ronzi, S. and Hanratty, B. (2016). ‘Loneliness and social isolation as risk factors for coronary heart disease and stroke: Systematic review and meta-analysis of longitudinal observational studies’. Heart, 0, 1–8.
Victor, C.R. and Bowling, A. (2012). ‘A longitudinal analysis of loneliness among older people in Great Britain’. The Journal of Psychology, 146(3), 313–31.
Walker, P. and Shaffer, M. (2007). ‘Reducing depression among adolescents dealing with grief and loss: A program evaluation report’. Health & Social Work, 32(1), 67–8.
Wengraf, T. (2001). Qualitative Research Interviewing. London: SAGE Publications.
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Published 2019-12-18