Explicitation Interview: A Method for Collecting First Person Perspectives on Living Alone in Old Age

摘要

How can older adults (OAs) live at home alone when they have health problems? Growing numbers of OAs live with chronic health problems and yet are determined to remain in their homes as long as possible. The risks associated with living alone are a source of grave concern not only for OAs but also for those around them. Knowing how OAs cope with the risks they face is a central issue for home care and support services. The present article describes the advantages of coupling an existential anthropology approach with an explicitation interview (EI) methodology as a means of understanding the details of how OAs manage their lives at home alone. Using this introspective methodology, we encouraged 20 participants aged 80 years or older to share very detailed elements of their subjective daily life experiences of coping with the risks inherent to their solitary lifestyles. Different types of risk coexisted with one another; some risks were physical, while others were existential. Physical risks appeared to be subordinate to other major fears: loss of identity, disintegration of one’s internal coherence, lack of autonomy and control over one’s personal situation, and decline in self-esteem and self-image. These fears acted as incentives for developing various practical coping mechanisms for their daily lives, including measures that involved taking risks with regard to their physical safety. Using our existential anthropology approach, supported by the EI methodology, we closely examined the details of interviewees’ realities.