Enabling Dwelling: Caregiving and Familiar Object Interactions amidst Cognitive Decline in Rural South Africa

As people experience cognitive decline, they make and remake their identities in practice, including through interactions with everyday objects. Facilitating object interactions thus becomes an act of care. We present ethnographic data detailing how two women with cognitive decline, who were receiv...

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Bibliographic Details
Main Authors: Michelle Brear, Themby Nkovana, Lenore Manderson
Format: Article
Language:English
Published: University Library System, University of Pittsburgh 2025-07-01
Series:Anthropology & Aging
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Online Access:http://anthro-age.pitt.edu/ojs/anthro-age/article/view/544
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Summary:As people experience cognitive decline, they make and remake their identities in practice, including through interactions with everyday objects. Facilitating object interactions thus becomes an act of care. We present ethnographic data detailing how two women with cognitive decline, who were receiving informal home-based care in a rural area of South Africa, shaped and expressed their identities by dwelling — using objects to enact practices through which they formed binding relationships— and how dwelling built on and shaped their identities and relationships. Both women interacted with objects related to domestic and agricultural work — homegrown fruit, water, firewood, brooms — in ways that reflected their cultural, class and gender identities as homemakers and through which they made their homes homely. The women navigated domestic spaces with a familiarity that revealed their sense of belonging. Yet caregivers sometimes restricted their access to objects that facilitated mental health promoting practices, due to scarcity. We suggest a need to understand the social benefits of “aging in place” (at home) in relation to the opportunities that places — potentially extending to institutional care facilities — afford for dwelling. Narratives advocating aging in place must acknowledge the cultural and personal continuity, as well as the material deprivations and related restrictions, that aging at home in precarious circumstances entails, for people with cognitive decline and for their caregivers.
ISSN:2374-2267