Sociability and distinction: An ethnographic study of a French
nursing home
☆
Baptiste Brossard ⁎
Department of Sociology, University of Montréal, Pavillon Lionel Groulx, 3150, rue Jean Brillant, Montréal, QC H3T 1N8, Canada
article info abstract
Article history:
Received 30 September 2015
Received in revised form 11 December 2015
Accepted 13 February 2016
Available online xxxx
How do residents' previous social positions influence the ways in which they deal with social life
in nursing home? Based on observations and interviews in a private nursing home in France, this
article describes daily life in the facility, the disability-based distinctions observed among
residents, the strategies they use to “find their place,” and the references they make about their
former social position in collective encounters. It shows that sociability in nursing homes is
structured by the intertwining of “levels of disability” among residents, the social composition of
the institution and its local surroundings, and the relative value attributed to each type of capital
(in the sense of Bourdieu) in this context. The author proposes some assumptions that aim to
generalize these specific findings.
© 2015 Elsevier Inc. All rights reserved.
Keywords:
Nursing homes
Sociability
Ethnography
Nursing home
Ethnography
Sociability
Nursing home placement implies a biographic disruption
between residents' previous lives, with social positions related to
income, heritage, profession, and civil status, and their current
condition, which is based in great part on diminishing autonomy
and need for sustained care. Even if their previous social
positions may dramatically influence the facility they are placed
in, from the moment they are institutionalized, residents live in a
social microcosm where they are supposed to be treated in the
same way, cared for by the same professionals, and supported by
the same infrastructure. Variations in this treatment depend on
residents' health and specific disabilities. Thus, vestiges of their
former lives are minimal, including clothing, some furnishings,
and some money to purchase additional food, personal items,
and specific services. Social stratification as it occurs in “ordinary”
society tends to be replaced by the internal hierarchies of
inmates and professionals, as has long been established by
ethnographers (Gubrium, 1997).
What social hierarchies take place in an institution's daily
life? How do residents distinguish themselves from each
other? While nursing homes explicitly strive to put residents
into a condition of formal equality, lifetimes of prior socializa-
tion cannot disappear overnight. How do residents' previous
social positions influence the ways in which they deal with this
new space of sociability? Based on fieldwork conducted in a
French nursing home, this article offers an ethnographic
exploration of these questions. It sheds light on the structuring
of inner sociability and on how residents' former “capitals,” in
the Bourdieusian sense, influence this sociability.
First, I will ground my study in research on sociability in
nursing homes and on social inequalities in aging, drawing on
Bourdieu's conceptualization of social positioning and Goffman's
microsociology. Second, I will present my methodology. Third,
the analysis will aim at describing daily life in the studied nursing
home through the disability-based distinctions observed among
Journal of Aging Studies 37 (2016) 20–28
☆ I wish to thank my 2014–2015 writing group in Montreal—Pierre Minn,
Gabriel Girard, Stephanie Alexander, Tarik Benmarhnia, and Sara Torres Ospina.
A short version of this article has also been presented at the 2015 American
Anthropological Association meeting in Denver, which gave rise to fruitful
discussions, especially with William Vega, Elizabeth Lewis, and Devva Kasnitz.
At last, the English proofreading has been completed by Pierre Minn and Emilee
Gilpin, whom I want to thank, as well as the reviewers of the Journal of Aging
Studies.
⁎ Tel.: +1 514 235 8001.
E-mail address: baptiste.brossard@hotmail.fr.
http://dx.doi.org/10.1016/j.jaging.2016.02.001
0890-4065/© 2015 Elsevier Inc. All rights reserved.
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Journal of Aging Studies
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