Precarity in late life : Rethinking dementia as a ‘frailed’ old age

Liz Lloyd, Amanda Grenier, Christopher Phillipson

Research output: Contribution to journalArticle (Academic Journal)peer-review

50 Citations (Scopus)
427 Downloads (Pure)


Approaches to ageing that are organised around productivity, success, and active
late life have contributed to views of dementia as an unsuccessful, failed or
‘frailed’ old age. Operating through dominant frameworks, socio-cultural
constructs and organisational practices, the ‘frailties’ of the body and mind are
often used to mark the boundaries of health and illness in late life, and shape
responses accordingly. Our concern is that both the taken for granted and the
‘imagined’ can further marginalise persons who occupy the locations of dementia and disablement. This article analyses the extent to which frailty and dementia are better understood in the context of new forms of insecurity affecting the life course. Drawing on the concept of ‘precarity’, this article shifts debates on the ‘fourth age’ away from age or stage-based thinking, into a recognition of the shared vulnerability and responsibilities for care. The argument of this article is that ‘precarity’ represents a ‘new form of ageing’, notably as regards its impact on the upper extremes of the life course. The article concludes with a call for a response that is grounded in an acknowledgement of the fragility and limitations which affect human lives, this requiring grounding in inclusive forms of citizenship.
Original languageEnglish
Pages (from-to)318-330
Number of pages13
JournalSociology of Health and Illness
Issue number2
Early online date8 Feb 2017
Publication statusPublished - 8 Feb 2017


  • ageing, dementia/Alzheimer’s, social care, inequalities/social inequalities in health status, life course, risk

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