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Les habitats alternatifs aux dispositifs gérontologiques institués : des laboratoires d'expérimentation à l'épreuve de la "fragilité" et de la "dépendance" des personnes âgées

Abstract : This research studies alternative housings for the elderly with frailty and dependence. These new habitats forms have been built in France since the end of the 1970th in order to deal with the shortcomings of the gerontological facilities: the traditional nursing homes, which are highly criticized, and the home-care support. The projects leaders aim to reinvent the place to grow old and to create new welcome and support facilities for the elderly until the end of life. We define these innovated habitats as experimental laboratory which aim to respond, in a different way, the unmet need of the elderly with frailty and dependence.This PhD is based on empirical research conducted in several alternative housings and 49 semi-structured interviews with actors operating in these (projects leaders, coordination and mediation teams, professional families and friend’s caregivers, users). From a comparative and a comprehensive approach, we can address convergence and divergence of the alternative housing, understand the social experiment path, return the logic and the dynamics of reception and support methodologies, evaluate stress points between the modelled field with the initiators and the field with experienced by users, but we can also question the scope and meaning of the gerontological alternative in a broader perspective. Indeed, alterative housings are initiated in a context promoting values like autonomy and self- realization which may be seen as new normative injunctions.
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Cécile Rosenfelder. Les habitats alternatifs aux dispositifs gérontologiques institués : des laboratoires d'expérimentation à l'épreuve de la "fragilité" et de la "dépendance" des personnes âgées. Sociologie. Université de Strasbourg, 2017. Français. ⟨NNT : 2017STRAG029⟩. ⟨tel-01793185⟩

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