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The power(s) of observation: theoretical perspectives on surveillance technologies and older people


There is a long history of surveillance of older adults in institutional settings and it is becoming an increasingly common feature of modern society. New surveillance technologies that include activity monitoring, and ubiquitous computing, which are described as ambient assisted living (AAL), are being developed to provide unobtrusive monitoring and support of activities of daily living and to extend the quality and length of time older people can live in their homes. However, concerns have been raised with how these kinds of technologies may affect user's privacy and autonomy. The objectives of this paper are (a) to describe the development of home-based surveillance technologies; (b) to examine how surveillance is being restructured with the use of this technology; and (c) to explore the potential outcomes associated with the adoption of AAL as a means of surveillance by drawing upon the theoretical work of Foucault and Goffman. The discussion suggests that future research needs to consider two key areas beyond the current discourse on technology and ageing, specifically: (a) how the new technology will encroach upon the private lived space of the individual, and (b) how it will affect formal and informal caring relationships. This is critical to ensure that the introduction of AAL does not contribute to the disempowerment of residents who receive this technology.

Corresponding author
Address for correspondence: Ben Mortenson Department of Occupational Science and Occupational Therapy, University of British ColumbiaT325-2211 Wesbrook Mall Vancouver, British Columbia V6T 2B5, Canada. E-mail:
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D. L. Altheide and R. S. Michalowski 1999. Fear in the news: a discourse of control. The Sociological Quarterly, 40, 3, 475503.

I. Altman and S. Low 1992. Place Attachment. Plenum Press, New York.

A. J. Bharucha , A. J. London , D. Barnard , H. Wactlar , M. A. Drew and C. F. Reynolds 2006. Ethical considerations in the conduct of electronic surveillance research. The Journal of Law, Medicine and Ethics, 34, 3, 611–9.

M. Cvach 2012. Monitor alarm fatigue: an integrative review. Biomedical Instrumentation and Technology, 46, 4, 268–77.

G. Demiris , D. P. Oliver and K. L. Courtney 2006. Ethical considerations for the utilization of tele-health technologies in home and hospice care by the nursing profession. Nursing Administration Quarterly, 30, 1, 5666.

K. Doughty , K. Cameron and P. Garner 1996. Three generations of telecare for the elderly. Journal of Telemedicine and Telecare, 2, 2, 7180.

A. Essen 2008. The two facets of electronic care surveillance: an exploration of the views of older people who live with monitoring devices. Social Science and Medicine, 67, 1, 128–36.

D. Friedman 2008. Future Imperfect: Technology and Freedom in an Uncertain World. Cambridge University Press, Cambridge.

J. Illes , A. C. Rosen , L. Huang , R. A. Goldstein , T. A. Raffin , G. Swan and S. W. Atlas 2004. Ethical consideration of incidental findings on adult brain MRI in research. Neurology, 62, 6, 888–90.

J. Kayser-Jones , E. Schell , W. Lyons , A. E. Kris , J. Chan and R. L. Beard 2003. Factors that influence end-of-life care in nursing homes: the physical environment, inadequate staffing, and lack of supervision. The Gerontologist, 43, supplement 2, 7684.

R. Lippert 2009. Signs of the surveillant assemblage: privacy regulation, urban CCTV and governmentality. Social and Legal Studies, 18, 4, 505–22.

G. Marx 1998. Ethics for the new surveillance. The Information Society, 14, 3, 171–85.

T. J. Mattimore , N. S. Wenger , N. A. Desbiens , J. M. Teno , M. B. Hamel , H. Liu , R. Califf , A. F. Connors , J. Lynn and R. K. Oye 1997. Surrogate and physician understanding of patients' preferences for living permanently in a nursing home. Journal of the American Geriatrics Society, 45, 7, 818–24.

P. Moffatt 2008. Should we tag people with dementia? International Journal of Palliative Nursing, 14, 2, 56.

W. B. Mortenson , J. L. Oliffe , W. C. Miller and C. L. Backman 2012. Grey spaces: the wheeled fields of residential care. Sociology of Health and Illness, 34, 3, 315–29.

J. Percival and J. Hanson 2006. Big brother or brave new world? Telecare and its implications for older people's independence and social inclusion. Critical Social Policy, 26, 4, 888909.

S. Reder , G. Ambler , M. Philipose and S. Hedrick 2010. Technology and Long-term Care (TLC): a pilot evaluation of remote monitoring of elders. Gerontechnology, 9, 1, 1831.

M. Riikonen , K. Mäkelä and S. Perälä 2010. Safety and monitoring technologies for the homes of people with dementia. Gerontechnology, 9, 1, 3245.

J. P. Rothiot 1998. Comités de surveillance et terreur dans le département des vosges de 1793 à l'an III. Annales Historiques de la Révolution Française, 314, 1, 621–68.

M. Salzmann-Erikson and H. Eriksson 2012. Panoptic power and mental health nursing. Issues in Mental Health Nursing, 33, 8, 500–4.

R. Shorr , M. Chandler , L. Mion , T. Waters , M. Liu , M. Daniels , L. P. Kessler and S. Miller 2012. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. Annals of Internal Medicine, 157, 10, 281–98.

J. Sixsmith 1986. The meaning of home. Journal of Environmental Psychology, 6, 4, 281–98.

A. Sixsmith 2013. Technology and the challenge of ageing. In A. Sixsmith and G. Gutman (eds), Technologies for Active Ageing. Springer, New York, 725.

A. Sixsmith and J. Sixsmith 2000. Smart home technologies: meeting whose needs? Journal of Telemedicine and Telecare, 6, 1, Supplement, 190–2.

A. Sixsmith and J. Sixsmith 2008. Ageing in place in the United Kingdom. Ageing International, 32, 3, 219–35.

R. Steele , A. Lo , C. Secombe and Y. K. Wong 2009. Elderly persons’ perception and acceptance of using wireless sensor networks to assist healthcare. International Journal of Medical Informatics, 78, 12, 788801.

P. Verbeek 2009. Ambient intelligence and persuasive technology: the blurring boundaries between human and technology. Nanoethics, 3, 3, 231–42.

R. Vuokko 2008. Surveillance at workplace and at home: social issues in transforming care work with mobile technology. Journal of Information, Communication and Ethics in Society, 6, 1, 6075.

J. B. Walther 1996. Computer-mediated communication: impersonal, interpersonal, and hyperpersonal interaction. Communication Research, 23, 1, 343.

K. Wild , L. Boise , J. Lundell and A. Foucek 2008. Unobtrusive in-home monitoring of cognitive and physical health: reactions and perceptions of older adults. Journal of Applied Gerontology, 27, 2, 181200.

R. Woolrych and A. Sixsmith 2012. Challenges of user-centred research in the development of ambient assisted living systems. In M. Donnelly , C. Paggetti , C. Nugent and M. Mokhtari (eds), Impact Analysis of Solutions for Chronic Disease Prevention and Management. Springer, Berlin, 18.

S. A. Zwijsen , A. R. Niemeijer and C. M. Hertogh 2011. Ethics of using assistive technology in the care for community-dwelling elderly people. Aging and Mental Health, 15, 4, 419–27.

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Ageing & Society
  • ISSN: 0144-686X
  • EISSN: 1469-1779
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