Social isolation relates to a lack of social contacts and interactions with family members, friends or the wider community, and results in diminished health and well-being. And yet many interventions aimed at enhanced social participation are not effective because they do not match the needs of the socially isolated older adults themselves. Little is known about the experiences of socially isolated older adults and their need for help and support. In this paper, we use concepts from Giddens' structuration theory to understand the strategies they use to deal with social isolation in everyday life. We report on findings from in-depth interviews with 25 community-dwelling socially isolated older adults (aged 63-86). Most of them were interviewed two or three times with in-between periods of one to three years. The study shows that they see few possibilities for changing their situation. They consider their social skills as inadequate and choose a mode of behavior that they habitually follow and which implies a certain degree of safety. At the same time, these strategies further lower their chances of social integration and intensify their isolation. These long-term patterns of socialization make social isolation a persistent problem that in many cases takes on a structural character. This mechanism makes social isolation difficult to break through. Most socially isolated older adults have no desire to tackle their isolation but hope to solve their problems by themselves for as long as possible. Practical help may contribute to their self-reliance.

Being connected with others is fundamental for the experience of a meaningful life. Unfortunately, several older adults have poor networks/social support. The present study focuses on the experience of meaning in life as well as the loss of meaning for socially frail older adults. Results indicate that socially frail older adults experience meaning in life in different dimensions. The article argues that home-care organizations and prevention programs aimed at reducing frailty are encouraged to include evaluations of meaning in life. There is a need for meaningful activities in organizations that ameliorate social connectedness for community-dwelling older adults.

Loneliness is seen as an important problem, contributing to serious health problems. As a baseline measurement for the evaluation of a community project aimed at reducing loneliness in Rotterdam, l...

Firefighters are reluctant to talk about firefighters’ humor with outsiders. This closed attitude has led to a lack of understanding of this important coping strategy in the outside world. It is not clear how firefighters experience humor and its role as part of the fire service culture and why they consider humor to be important when coping with critical incidents. Data has been collected by means of 20 participant observations and 72 interviews with Dutch firefighters from 37 different fire stations. Joking culture and joviality are important elements of the Dutch fire service culture. Firefighter humor usually creates unity, but can also lead to exclusion. Whether a joke is perceived as funny depends on who makes the joke, the moment, the content, and the frequency of the joke. Black humor is used as a means to start a conversation and, indirectly, to make it possible to discuss emotions and it tends to positively influence group dynamics. However, black humor is absent in the case of certain critical incidents because of personal boundaries and unwritten rules. The absence of humor is a sign for the crew commander to pay extra attention to coping.

Purpose: How firefighters cope with critical incidents is partly influenced by the culture of the fire brigade. The purpose of this study is to better understand how informal peer support helps firefighters cope with critical incidents.Design/methodology/approach: An ethnographic field study of explorative nature was conducted. Data were collected by means of 20 participating observations and 72 interviews with Dutch firefighters from 37 different fire brigades. The analysis was an iterative process alternating data collection, analysis and theory formation processes.Findings: Firefighters will turn to informal peer support to cope with critical incidents provided that facilitating circumstances are present and there is adherence to certain implicit rules. The collective sharing of memories, whether immediately post-incident or after the passage of time, helps firefighters process critical incidents and serves to promote unit cohesion. Most firefighters reported these informal debriefings to be preferable to the formal sessions. By comparison, a minority of firefighters reported that they did not benefit at all from the informal interactions.Research limitations/implications: This study only focused on the informal peer support given by colleagues. Future research should focus on: (1) The possible differences between men and women as to what extent informal peer support is experienced after critical incidents, (2) Commanding officers: how do they, given their hierarchical position, experience coming to terms with critical incidents, (3) Premeditated critical incidents and the role of informal peer support, (4) Similarities and differences between career and non-career firefighters in experiencing and coping critical incidents.Practical implications: Firefighters are an under-researched group in academic literature, that would benefit from mental health counsellors having a better understanding of their unique work culture and the complexity of the firefighting profession. More knowledge about the role of informal peer support is necessary to tailor help and aftercare more effectively to their needs.Originality/value: Most studies confirm the importance of informal peer support when coping with critical incidents. This study provides initial, in-depth evidence of the role of informal peer support in helping firefighters cope with critical incidents.