For older people, living with their children may appear to be the ideal solution to the problem of care. But the divide between the generations brings problems of its own, writes Peter White.
When my wife and I invited my mother to come and live with us, my intentions were simple, and almost certainly hopelessly na‹ve. I wanted her to enjoy the rest of her life, and for some reason I believed the best way to achieve that was for her to be with us.
It hasn't worked, and for that I feel a mixture of guilt, puzzlement, and irritation that I foresaw and have been able to change so little of what is wrong. Let's just accept that generalisations are dangerous, but it seems to me that the issue of choice for older people is not so much about where they live, and their pattern of care - if they need it - but about who has time, and patience, to share your time and concerns with you.
Whether people continue to live in their own home, or go into sheltered accommodation, or into residential care, or go to live with children, what they really need to achieve happiness, as opposed to mere existence, are people with whom to share memories, and current concerns alike. And that's what it seems so difficult for professionals and relatives to provide.
It seems to me that something fundamental has happened in the relationship between the generations.
The most fundamental has to do with longevity; partly because it means people are old for longer and are dealing with the irritations of loss of faculties that are now not life-threatening, just annoying and debilitating; but longevity also means that all the generational stages go on longer: middle age, young adulthood, childhood.
What this means is that those most likely to have the caring role, the middle-aged, are sandwiched between people who all need their time, energy, and forbearance; older relatives, grown-up children trying to make their way and needing various kinds of support, and children themselves, who now seem intent on prolonging childhood beyond all previously known limits.
If it were just that, it might be manageable, but manners and fashions of interaction have also changed radically. By and large, middle-aged people, trying to retain their youth, have leaned toward the new fashion: brevity, cynicism, irony, being slightly flip. When you combine all that with the pace of life, the demands of work, and the barrage of information that pours in on us, and it means that many middle-aged people and their elderly parents are living on a different planet from each other. The need we all have, to talk to people about things we have in common is not fulfilled; we now care about different things. Even families, something that could in the past be relied upon to provide a common bond, are difficult, because mores are so different. Often, we don't know what to say that won't cause offence, shock, or just indifference.
If I seem to be suggesting by this that older people are out of touch, dull, stupid, then forgive me, that's not what I mean. What I mean is that the frames of reference of our lives are often so different, that there is little common ground.
And if all this sounds like a prolonged excuse for my own failure, then to some extent I would plead guilty. But it is not easy to cope with the mutual misunderstanding that can occur when my mother wants to talk about the length of the queue in the chemist to get a prescription, and the precise date on which the old Crystal Palace caught fire, and you have been grappling all day with complex budgets, difficult customers, or your own management. Knowing that you should take longer, go slower, interact more, is not the same as being able to do it.
I think this difficulty is not culturally exclusive to the west, either, as we tend to think. In South Africa a couple of years ago I spent some time with a middle-class Indian couple. The wife's mother lived with them. It very quickly became clear talking to the daughter, that we shared exactly the same mixture of guilt, irritation, and inability to work out how to make things better.
Perhaps if we all stopped thinking about natural stages of life as a problem, and stopped beating ourselves up quite so much, things would improve on their own. And that goes for you too, mum!
Peter White is the BBC's disability affairs correspondent.
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