Hostname: page-component-848d4c4894-75dct Total loading time: 0 Render date: 2024-06-02T05:40:43.625Z Has data issue: false hasContentIssue false

Cisan and Malahang: Indigenous Older Adults’ Voices on Active Aging – Findings from a Qualitative Study in Taiwan

Published online by Cambridge University Press:  28 July 2023

Wasiq Silan*
Affiliation:
The Centre for Research on Ethnic Relations and Nationalism (CEREN), Swedish School of Social Science, University of Helsinki, Helsinki, Finland Helsinki Collegium for Advanced Studies, University of Helsinki, Helsinki, Finland
Mai Camilla Munkejord
Affiliation:
Centre for Care Research West, Western Norway University of Applied Sciences, Bergen, Norway
*
Corresponding author: La correspondance et les demandes de tirés-à-part doivent être adressées à : / Correspondence and requests for offprints should be sent to: Wasiq Silan, Swedish School of Social Science, University of Helsinki, Snellmaninkatu 12, 00170 Helsinki, Finland (An.gao@helsinki.fi).

Abstract

The Taiwan Government follows the policy of active aging to prevent frailty. However, the current services lack cultural safety toward the Indigenous peoples and would benefit from a broader perspective on what active aging may entail. In this research, we study local perceptions of active aging among older Indigenous Tayal taking part in a local day club. The study identifies two formal activities that foster active aging: (a) information meetings about health and illness and (b) physical activities. In addition, two informal activities highlighted by the participants themselves were identified as necessary for promoting healthy and active aging: Cisan and Malahang. While Cisan means “social care,” Malahang means “interrelational care practices.” In conclusion, we argue for the relevance of listening to Indigenous older adults’ voices to develop long-term care services adapted to their cultural values, linguistic competence, and cosmology.

Résumé

Résumé

Le gouvernement de Taïwan suit la politique du “vieillissement actif” pour prévenir la fragilité. Pourtant les services actuels manquent de sensibilité culturelle envers les populations autochtones. Dans cet article, nous étudions le vieillissement actif du point de vue de Tayal âgés, Tayal étant une de 16 populations autochtones officiellement reconnues au Taïwan. Sur la base d’observations participatives et d’entretiens (interviews) avec des Tayal qui participaient à un “Club de jour pour les âgés”, nous avons identifié deux activités formelles censées favoriser le vieillissement actif, notamment a) réunions d’information sur la santé et les maladies, et b) activités physiques, ainsi que deux activités informelles, mais plus importantes pour les participants eux-mêmes, Cisan et Malahang, qui signifient des pratiques de soins sociales et interrelationnelles. Nous devrions écouter les voix des Aînés autochtones pour développer des services adaptés à leurs valeurs culturelles, leurs compétences linguistiques et leur cosmologie.

Type
Article
Copyright
© Canadian Association on Gerontology 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adam, B. A. (2018). Regret, respect and reconciliation: The struggle of Taiwan’s Indigenous peoples. Retrieved November 10, 2021, from Saskatoon StarPhoenix. https://thestarphoenix.com/news/local-news/regret-respect-and-reconciliation-the-struggle-of-taiwans-indigenous-peoples.Google Scholar
Atkinson, J. (2002). Trauma trails, recreating song lines: The transgenerational effects of trauma in Indigenous Australia. North Melbourne: Spinifex Press.Google Scholar
Baskin, C., Hare, C., Peltier, C., Lougheed, S., Chabbert, P., Boudreau, C., et al. (2020). Biigiiweyan (“coming home”): Social work and health care with indigenous peoples from competency to safety. Social Work & Policy Studies: Social Justice, Practice and Theory, 3(1), 120. Available at: https://openjournals.library.sydney.edu.au/index.php/SWPS/article/view/14384 (accessed: 19 May 2022).Google Scholar
Berdai Chaouni, S., Claeys, A., van den Broeke, J., & De Donder, L. (2021). Doing research on the intersection of ethnicity and old age: Key insights from decolonial frameworks. Journal of Aging Studies, 56, 100909. https://doi.org/10.1016/j.jaging.2020.100909CrossRefGoogle Scholar
Blundell, D. (2009). Austronesian Taiwan: Linguistics, history, ethnology, prehistory (1st ed.). Taipei, Taiwan: SMC Publishing.Google Scholar
Braun, K. L., Browne, C. V., Ka’opua, L. S., Kim, B. J., & Mokuau, N. (2014). Research on indigenous elders: From positivistic to decolonizing methodologies. Gerontologist, 54(1), 117126. https://doi.org/10.1093/geront/gnt067CrossRefGoogle ScholarPubMed
Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77101. https://doi.org/10.1191/1478088706qp063oaCrossRefGoogle Scholar
Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport, Exercise and Health, 11(4), 589597. https://doi.org/10.1080/2159676X.2019.1628806CrossRefGoogle Scholar
Brave Heart, M. Y. H., Chase, J., Elkins, J., & Altschul, D. B. (2011). Historical trauma among indigenous peoples of the Americas: Concepts, research, and clinical considerations. Journal of Psychoactive Drugs, 43(4), 282290. https://doi.org/10.1080/02791072.2011.628913CrossRefGoogle Scholar
Brooks-Cleator, L. A., & Lewis, J. P. (2020). Alaska native elders’ perspectives on physical activity and successful aging. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 39(2), 294304.CrossRefGoogle ScholarPubMed
Browne, C. V., Ka’opua, L. S., Jervis, L. L., Alboroto, R., & Trockman, M. L. (2017). United States indigenous populations and dementia: Is there a case for culture-based psychosocial interventions? Gerontologist, 57(6), 10111019. https://doi.org/10.1093/geront/gnw059Google Scholar
Chang, C.-K., & Bihau, D. (2019). The indigenous path of adult foster care by Dumun Bihau. Soochow Journal of Social Work, 37, 125135.Google Scholar
Charmaz, K. (2006). Constructing grounded theory: A practical guide through qualitative analysis. Retrieved November 10, 2021, from SAGE Publications Inc. https://us.sagepub.com/en-us/nam/constructing-grounded-theory/book235960.Google Scholar
Chen, Y. Y. (2020). Decolonizing methodologies, situated resilience, and Country: Insights from Tayal Country, Taiwan. Sustainability, 12(22), 9751. https://doi.org/10.3390/su12229751CrossRefGoogle Scholar
Chou, Y.-C., Kröger, T., & Pu, C.-Y. (2015). Models of long-term care use among older people with disabilities in Taiwan: Institutional care, community care, live-in migrant care and family care. European Journal of Ageing, 12(2), 95104. https://doi.org/10.1007/s10433-014-0322-zCrossRefGoogle ScholarPubMed
Council of Indigenous Peoples. (2016). 2016 Population and health data of Indigenous peoples. Council of Indigenous Peoples. Retrieved May 17, 2022, from https://cip.nhri.edu.tw/annual_report/report/apc_105.pdf.Google Scholar
Council of Indigenous Peoples (2017). Tuīzhǎn yuán zhù mínzú chángqí zhàogù wénhuà jiànkāng zhàn shíshī jì huà [Promote the long-term care of indigenous Peoples, the implementation plan of the Culturally Healthy Day Club]. Council of Indigenous Peoples.Google Scholar
Czyzewski, K. (2011). Colonialism as a broader social determinant of health. International Indigenous Policy Journal, 2(1), 5. https://doi.org/10.18584/iipj.2011.2.1.5CrossRefGoogle Scholar
Denzin, N., Lincoln, Y., & Smith, T. L. (2008). Handbook of Critical and Indigenous Methodologies. Thousand Oaks, CA: SAGE. https://doi.org/10.4135/9781483385686CrossRefGoogle Scholar
Evans-Campbell, T. (2008). Historical Trauma in American Indian/Native Alaska Communities: A Multilevel Framework for Exploring Impacts on Individuals, Families, and Communities. Journal of Interpersonal Violence, 23(3), 316338. https://doi.org/10.1177/0886260507312290CrossRefGoogle ScholarPubMed
Frigault, J. S., & Giles, A. R. (2020). Culturally safe falls prevention program for inuvialuit elders in Inuvik, Northwest Territories, Canada: Considerations for development and implementation—ERRATUM. Canadian Journal on Aging/La Revue Canadienne Du Vieillissement, 39(2), 329329. https://doi.org/10.1017/S0714980819000722CrossRefGoogle Scholar
Gao, I.-A. (2021). Social Policies and Indigenous Peoples in Taiwan: Elderly Care Among the Tayal. Helsinki: University of Helsinki.Google Scholar
Health Promotion Administration at the Ministry of Health and Welfare. (2016, December 31). Health Promotion Administration at the Ministry of Health and Welfare. Retrieved November 10, 2021, from Health Promotion Administration at the Ministry of Health and Welfare. https://www.hpa.gov.tw/Pages/Detail.aspx?nodeid=571&pid=14166.Google Scholar
Jacobsen, F. F. (2015). Understanding public elderly care policy in Norway: A narrative analysis of governmental White papers. Journal of Aging Studies, 34, 199205. https://doi.org/10.1016/j.jaging.2015.04.006CrossRefGoogle ScholarPubMed
Kovach, M. (2010). Indigenous methodologies: Characteristics, conversations, and contexts. Toronto, ON: University of Toronto Press.Google Scholar
Kuan, D. D. D.-W. (2016). Multiculturalism and indigenous peoples: A critical review of the experience in Taiwan. In Iwabuchi, K., Kim, H. M., & Hsia, H.-C. (Eds.), Multiculturalism in East Asia: A transnational exploration of Japan, South Korea and Taiwan (Vols. 1–Book, Section, pp. 203220). London; New York: Rowman & Littlefield International. Retrieved from https://www.academia.edu/43853021/Multiculturalism_and_Indigenous_Peoples_A_Critical_Review_of_the_Experience_in_Taiwan.Google Scholar
Li, M.-C. (2003). Wénhuà fúlì quán [Cultural Welfare Rights]. Taipei, Taiwan: Song-Hui Publishing Company.Google Scholar
Liang, J., & Luo, B. (2012). Toward a discourse shift in social gerontology: From successful aging to harmonious aging. Journal of Aging Studies, 26(3), 327334. https://doi.org/10.1016/j.jaging.2012.03.001CrossRefGoogle Scholar
Mignolo, W. D. (2009). Epistemic disobedience, independent thought and decolonial freedom. Theory, Culture & Society, 26(7–8), 123. https://doi.org/10.1177/0263276409349275CrossRefGoogle Scholar
Munkejord, M. C., Ness, T. M., & Gao, I.-A. W. S. (2021). This life is normal for me: A study of everyday life experiences and coping strategies of live-in carers in Taiwan. Journal of Gerontological Social Work, 64(5), 533546. https://doi.org/10.1080/01634372.2021.1917032CrossRefGoogle Scholar
Munkejord, M. C., Ness, T. M., & Silan, W. (2021). ‘We are all interdependent’. A study of relationships between migrant live-in carers and employers in Taiwan. Global Qualitative Nursing Research, 8, 23333936211043504. https://doi.org/10.1177/23333936211043504CrossRefGoogle ScholarPubMed
National Development Council. (2020). Zhōnghuá mínguó rénkǒu tuī gū 2020–2070 [Estimated population of the Republic of China 2020–2070]. Available at: https://www.ndc.gov.tw/Content_List.aspx?n=695E69E28C6AC7F3.Google Scholar
Papps, E., & Ramsden, I. (1996). Cultural safety in nursing: The New Zealand experience. International Journal for Quality in Health Care, 8(5), 491497.CrossRefGoogle ScholarPubMed
Pon, G. (2009). Cultural competency as new racism: An ontology of forgetting. Journal of Progressive Human Services, 20(1), 5971. https://doi.org/10.1080/10428230902871173CrossRefGoogle Scholar
Ramsden, I. M. (2002). Cultural safety and nursing education in Aotearoa and Te Waipounamu. Wellington: Victoria University of Wellington.Google Scholar
Ranzijn, R. (2010). Active ageing—Another way to oppress marginalized and disadvantaged elders? Aboriginal Elders as a case study. Journal of Health Psychology, 15(5), 716723. https://doi.org/10.1177/1359105310368181CrossRefGoogle ScholarPubMed
Rowe, S., Baldry, E., & Earles, W. (2015). Decolonising social work research: Learning from critical indigenous approaches. Australian Social Work, 68(3), 296308. https://doi.org/10.1080/0312407X.2015.1024264CrossRefGoogle Scholar
Ru, H.-Y. (2018). Táiwān yuán zhù mínzú chángqí zhàogù zhèngcè zhōng de wénhuà ānquán yìtí [The Issue of Indigenous Cultural Safety in the Long Term Care Policy of Taiwan]. Taiwan: A Radical Quarterly in Social Studies, 109, 199214.Google Scholar
Ryan, C., Jackson, R., Gabel, C., King, A., Masching, R., & Thomas, E. C. (2020). Successful aging: Indigenous men aging in a Good Way with HIV/AIDS. Canadian Journal on Aging / La Revue Canadienne Du Vieillissement, 39(2), 305317. https://doi.org/10.1017/S0714980819000497CrossRefGoogle Scholar
Silan, W., & Munkejord, M. C. (2022). Hmali’, rgrgyax and Gaga: A study of Tayal elders reclaiming their Indigenous identities in Taiwan. AlterNative: An International Journal of Indigenous Peoples, 18(3), 354374. https://doi.org/10.1177/11771801221119214.CrossRefGoogle Scholar
Simon, S. (2021). Making God’s country: A phenomenological approach to Christianity among the Sediq–Truku of Taiwan. In Huang, C., Davies, D., & Fell, D. (Eds.), Taiwan’s Contemporary Indigenous Peoples. Oxfordshire: Routledge.Google Scholar
Smith, L. T. (2012). Decolonizing methodologies: Research and indigenous peoples (2nd ed.). London: Zed Books Ltd.Google Scholar
Walker, A. (2008). Commentary: The emergence and application of active aging in Europe. Journal of Aging & Social Policy, 21(1), 7593. https://doi.org/10.1080/08959420802529986CrossRefGoogle Scholar
Walters, K. L., Mohammed, S. A., Evans-Campbell, T., Beltrán, R. E., Chae, D. H., & Duran, B. (2011). Bodies don’t just tell stories, they tell histories. Du Bois Review : Social Science Research on Race, 8(1), 179189. https://doi.org/10.1017/S1742058X1100018XCrossRefGoogle ScholarPubMed
Wang, F. T.-Y. (2011). Indigenous social work. In Lu, P.-C. (Ed.), Social Work and Taiwanese Society (pp. 229258). Kaohsiung: Chuliu.Google Scholar
Wang, F. T.-Y. (2018). Searching for a way back to the indigenous home via long term care; Editorial introduction: Reproduction of welfare colonialism or decolonization for indigenous people? Taiwan: A Radical Quarterly in Social Studies, 109, 173177.Google Scholar
Wang, F. T.-Y., Teyra, C., & Ru, H.-Y. (2018). Yuán xiāng zhǎng zhào de píngjǐng yǔ túpò zhī dào [In Search of Future for Long Term Care in Indigenous Communities]. Taiwan: A Radical Quarterly in Social Studies, 109, 243254.Google Scholar
Wang, F. T. Y., & Yang, P.-J. (2017). Collisions between state policies and indigenous cultures: Home care in indigenous communities. Formosa Journal of Mental Health, 30(1), 735. https://doi.org/10.30074/FJMH.201703_30(1).0002Google Scholar
Wang, T. Y. F. (2013). Chángqí zhàogù zàiyuán xiāng shíshī de jiǎntǎo [A Review of Long-term Care Implementation in the Indigenous areas]. Community Development Journal Quarterly, 141, 284294.Google Scholar
Wang, T. Y. F. and Tsai, S.-P. (2019). Collisions between the state and the evil spirit: Home care in indigenous communities. In Baines, D., Bennett, B., Goodwin, S., & Rawsthorne, M. (Eds.), Working across difference: Social work, social policy and social justice (1st ed.) (pp. 218230). London: Palgrave Macmillan. Available at: https://www.macmillanihe.com/page/detail/Working-Across-Difference/?K=9781352006407.Google Scholar
Williams, R. (1999). Cultural safety—What does it mean for our work practice? Australian and New Zealand Journal of Public Health, 23(2), 213214. https://doi.org/10.1111/j.1467-842X.1999.tb01240.xCrossRefGoogle ScholarPubMed
World Health Organization. (2002). Active Ageing: A Policy Framework. World Health Organization. Retrieved May 17, 2022, from https://apps.who.int/iris/bitstream/handle/10665/67215/WH0?sequence=1.Google Scholar
Wu, H.-J. (2019). `Yěmán’de fùquán: Táiwān yuán zhù mínzú de zhuǎnxíng zhèngyì yǔ xiàndài fǎ zhìxù de zìwǒ jiùshú [Recovering Power of the “Savages:” Transitional Justice of Taiwan Indigenous Peoples and the Redemption of the Order set out by Modern Laws] (1st ed.). Taipei, Taiwan: Spring Hill Publishing. https://www.books.com.tw/products/0010819830.Google Scholar
Wu, Y.-W. (2015). Sīkǎo wénhuà zhàogù de zhòngyào xìng: Yī wèi Truku(tài lǔ gé zú) jūjiā zhàogù yuán Sula Pisaw de zhàogù jīngyàn fēnxiǎng [The Importance of Thinking Cultural Care Sula Pisaw’s Experiences as a Truku Homecare Worker]. Taiwan: A Radical Quarterly in Social Studies, 101, 259274.Google Scholar
Yaisikana, M. (2021). Goat in the Sample Box: Analyzing Governmentality and de-colonizing experience of long-term care in Indigenous village- Case Study of Adult Foster Care from Nantou. Taipei, Taiwan: National Cheng-Chi University.Google Scholar