Privacy and Elderly Care in the Home – Past and Present
DOI:
https://doi.org/10.7146/psj.v5.160322Keywords:
privacy, home care, past-present, comparative case study, family carers, home, care work, boundary-drawingAbstract
Home-based elderly care has grown markedly across Western Europe. This has happened in response to a normative emphasis on preserving the dignity, autonomy, and privacy of older individuals. While prior research has focused on care recipients, this article examines the privacy implications of homecare for cohabiting family carers who actively care for their sick relatives. Drawing on an interdisciplinary framework – combining history, sociology, and architecture – we study two contemporary Danish cases and one seventeenth-century British case. Approaching the cases through qualitative interviews, home touring, mapping, and microhistorical analysis of archival documents, we find that family carers face constraints on their privacy. A persistent sense of responsibility and vigilance towards their relatives, coupled with the routine presence of homecare professionals, requires them to continually establish boundaries in order to withdraw, create intimacy, and regulate access to the home. In contrast to early modern domestic care, which was a shared and embedded practice within larger households, today’s family carers often bear the burden alone as the closest – and often sole – cohabiting relative.
References
Aarhus Kommune. “Elektroniske låse”. Accessed September 26, 2025. https://velfaerdsteknologi.aarhus.dk/projekter-og-indsatser/taet-paa-borgerne/velfaerdsteknologier-i-hjemmeplejen/elektroniske-laase.
Altman, Irwin. “Privacy Regulation: Culturally Universal or Culturally Specific?” Journal of Social Issues 33, no. 3 (1977): 66–84. https://doi.org/10.1111/j.1540-4560.1977.tb01883.x.
Barclay, Katie. “Gossip, Intimacy, and the Early Modern Scottish Household”. In Fama and Her Sisters: Gossip and Rumour in Early Modern Europe, edited by Heather Kerr and Claire Walker, 187-207. Brepols, 2015.
Bartlett, Lesley, and Frances Vavrus. “Comparative Case Studies: An Innovative Approach”. Nordic Journal of Comparative and International Education 1, no. 1 (2017). https://doi.org/10.7577/njcie.1929.
Beard, Geoffrey. The National Trust Book of the English House Interior. Viking/Penguin, 1990.
Beck, Catherine. “Breaching the Cabin Walls: Madness, Privacy, and Care at Sea in the Eighteenth-Century British Navy”. In Privacy at Sea: Practices, Spaces, and Communication in Maritime History, edited by Natacha Klein Käfer, 101-129. Palgrave Macmillan, 2023. https://doi.org/10.1007/978-3-031-35847-0_14.
Berry, Helen, and Elizabeth Foyster. “Ageing and Loneliness in England, 1500-1800”. In The Routledge History of Loneliness, edited by Katie Barclay, Elaine Chalus, and Deborah Simonton, 207-224. Routledge, 2023.
Birkedal Bruun, Mette. “Towards an Approach to Early Modern Privacy: The Retirement of the Great Condé”. In Early Modern Privacy: Sources and Approaches”, ed. Michaël Green, Lars Cyril Nørgaard, and Mette Birkedal Bruun. Special issue, Intersections: Interdisciplinary Studies in Early Modern Culture 78 (2022): 12–60.
Birkedal Bruun, Mette, and Natacha Klein Käfer, “Pockets of Privacy in the Maritime World: An Epilogue”. In Privacy at Sea: Practices, Spaces, and Communication in Maritime History, edited by Natacha Klein Käfer, 375-389. Palgrave Macmillan, 2023. https://doi.org/10.1007/978-3-031-35847-0_14.
British Library, M6346/49, Verney Papers microfilms.
Cavallo, Sandra, and Tessa Storey. Healthy Living in Late Renaissance Italy. Oxford University Press, 2013.
Danmarks Statistik. “Sociale ydelser til ældre”. Accessed October 8, 2025. https://www.dst.dk/da/Statistik/emner/sociale-forhold/social-stoette/sociale-ydelser-til-aeldre.
Eibach, Joachim. “From Open House to Privacy? Domestic Life from the Perspective of Diaries”. In The Routledge History of the Domestic Sphere in Europe, 16th to 19th Century, edited by Joachim Eibach and Margareth Lanzinger, 347–63. Routledge, 2020.
Eriksson, Elisabet, Maria Wejåker, Anna Danhard, Annika Nilsson, and Marja-Leena Kristofferzon. “Living with a Spouse with Chronic Illness: The Challenge of Balancing Demands and Resources”. BMC Public Health 19, no. 422 (2019). https://doi.org/10.1186/s12889-019-6800-7.
Exley, Catherine, and Davina Allen. “A Critical Examination of Home Care: End of Life Care as an Illustrative Case”. Social Science & Medicine 65 (2007): 2317–27. https://doi.org/10.1016/j.socscimed.2007.07.006.
Froide, Amy M. Never Married: Singlewomen in Early Modern England. Oxford University Press, 2005.
Fissell, Mary E. “Introduction: Women, Health and Healing in Early Modern Europe”. In “Women, Health, and Healing in Early Modern Europe”. Special issue, Bulletin of the History of Medicine 82, no. 1 (2008): 1–17. https://doi.org/10.1353/bhm.2008.0024.
Galletta, Anne. Mastering the Semi-Structured Interview and Beyond: From Research Design to Analysis and Publication. New York University Press, 2013.
Girouard, Mark. Life in the English Country House: A Social and Architectural History. Yale University Press, 1978
Glasdam, Stinne, Hongxuan Xu, Ruth-Ellen Slåtsveen, Christie Stilwell, Gitte Wind, Ragnhild J. A. Gulestø, and Pier-Luc Turcotte. “Older Caregivers’ Responsibilities and Strategies for Their Cohabiting Partners Living at Home: A Qualitative Systematic Literature Review”. Frontiers in Public Health 13 (2025):1658095. https://doi.org/10.3389/fpubh.2025.1658095.
Gulestø, Ragnhild J. A., Gudmund Ågotnes, and Stinne Glasdam. “‘Ageing in place’ in Norway: A Fairclough-Inspired Discourse Analysis of a White Paper”. Health & place 94, (2025): 103497. https://doi.org/10.1016/j.healthplace.2025.103497.
Hämäläinen, Kati, and Susanna Rautio. “Participants’ Home as an Interview Context When Studying Sensitive Family Issues”. Journal of Comparative Social Work 8, no. 1 (2013): 41–70. https://doi.org/10.31265/jcsw.v8i1.93.
Kilian, Ted. “Public and Private, Power and Space”. In The Production of Public Space, edited by Andrew Light and Jonathan M. Smith, 115–34. Rowman & Littlefield, 1998.
Klakk, Emma, Janine Marie Traulsen, Mette Birkedal Bruun, et al. “Hospital in the Home: Rethinking Home, Care, and Professionalism from a Transdisciplinary Perspective”. Journal of Interdisciplinary Sciences 10, no. 1 (2026): 1–18.
Körner, Natalie Patricia. “The Kitchen”. In Building Early Modern Privacy: A Combined Spatial and Social Perspective, edited by Natalie Patricia Körner, Johannes Ljunberg, Peter Thule Kristensen, and Mette Birkedal Bruun. UCL Press, forthcoming.
Korsnes Kristensen, Guro, and Malin Noem Ravn. “The Voices Heard and the Voices Silenced: Recruitment Processes in Qualitative Interview Studies”. Qualitative Research 15, no. 6 (2015): 722–37. https://doi.org/10.1177/1468794114567496.
Leong, Elaine. Recipes and Everyday Knowledge: Medicine, Science and the Household in Early Modern England. University of Chicago Press, 2018.
Ljungberg, Johannes, and Natacha Klein Käfer. “Introduction: Languages, Settings, and Networks for Early Modern Private Conversations”. In Tracing Private Conversations in Everyday Life: Talking in Everyday Life, 3–30. Palgrave Macmillan, 2024.
Mansell, Charmian. “Reconstructing the Labour of Care in Early Modern England”. Historical Journal 67 (2024): 21–41.
Marshall, Emma. “The Sickbed”. In Building Early Modern Privacy: A Combined Spatial and Social Perspective, edited by Natalie Patricia Körner, Johannes Ljunberg, Peter Thule Kristensen, and Mette Birkedal Bruun. UCL Press, forthcoming.
Mayan, Maria J. “Data Collection”. In Essentials of Qualitative Inquiry, 153–83. Routledge, 2023.
Miles, Nicola Jane. “Sir Ralph Verney in Exile: Material Consumption and the Seventeenth-Century Gentry”. PhD diss., University of Southampton, 2021.
Mønsted, Asta and Körner, Natalie Patricia. “Privacy in the Kalaallit Inuit House”. In Oxford Handbook of Historical Privacy Studies, edited by Mette Birkedal Bruun, Natacha Klein Käfer and Sari Nauman. Oxford University Press, forthcoming.
Morgan, Tessa, Aamena Bharmal, Robbie Duschinsky, and Stephen Barclay. “Experiences of Oldest-Old Caregivers Whose Partner is Approaching End-of-Life: A Mixed-Method Systematic Review and Narrative Synthesis”. PLoS ONE 15, no. 6 (2020): e0232401. https://doi.org/10.1371/journal.pone.0232401.
Newton, Hannah. The Sick Child in Early Modern England, 1580–1720. Oxford University Press, 2012.
O’Day, Rosemary. “Tudor and Stuart Women: Their Lives Through Their Letters”. In Early Modern Women’s Letter Writing, 1450–1700, edited by James Daybell, 127–142. Palgrave, 2001.
Pink, Sarah, Kerstin Leder Mackley, Roxana Morosanu, Val Mitchell, and Tracy Bhamra. Making Homes: Ethnography and Design. Bloomsbury Academic, 2017.
Redford, Bruce. The Converse of the Pen: Acts of Intimacy in the Eighteenth-Century Familiar Letter. University of Chicago Press, 1986.
Retsinformation. “Ældrelov”. Accessed June 4, 2026. https://www.retsinformation.dk/eli/lta/2024/1651#P47.
Reynolds, Kathleen Marie. “Sickness in Correspondence: Gentry Letter Writing and the Subject of Health in Eighteenth-Century Yorkshire, County Durham, and Northumberland”. PhD diss., Durham University, 2018.
Szijártó, István M. “Introduction: Against Simple Truths’. In What Is Microhistory? Theory and Practice, edited by Sigurður Gylfi Magnússon and István M. Szijártó, 1-11. Routledge, 2013.
Sundhed.dk. “Plejeorlov til pasning af nærtstående i hjemmet”. Accessed September 26, 2025. https://www.sundhed.dk/borger/patienthaandbogen/sociale-ydelser/tilskuds-og-stoettemuligheder-efter-serviceloven-mv/plejeorlov-til-pasning-af-naertstaaende-i-hjemmet.
Tadmor, Naomi. “The Concept of Household-Family in Eighteenth-Century England”. Past and Present 151 (1996): 112–58. http://www.jstor.org/stable/651207.
Teglgaard Christensen, Loa Kristine. “When the Institution Steps in over the Threshold”. In Forming Welfare, edited by Jannie Rosenberg Bendsen, Mette Jerl Jensen, Katrine Lotz, Kirsten Marie Raahauge, Deane Simpson, and Kjeld Vindum, 206–17. Arkitektens Forlag, 2017.
Timmermans Stefan, and Iddo Tavory. “Theory Construction in Qualitative Research: From Grounded Theory to Abductive Analysis”. Sociological Theory 30, no. 3 (2012): 167–86. https://doi.org/10.1177/0735275112457914
Vickery, Amanda. The Gentleman’s Daughter: Women’s Lives in Georgian England. Yale University Press, 1998.
West, Susie. “Social Space and the English Country House”. In The Familiar Past? Archaeologies of Later Historical Britain, edited by Sarah Tarlow and Susie West, 103-122. Routledge, 1999.
Withey, Alun. Physick and the Family: Health, Medicine and Care in Wales, 1600–1750. Manchester University Press, 2011.
Ældre Sagen. “Hjemmehjælp/helhedspleje: Bliv boende hjemme med hjælp og støtte”. Last modified on May 30, 2026. https://www.aeldresagen.dk/viden-og-raadgivning/hjaelp-og-stoette/hjemmehjaelp
Ældre Sagen. “Beboere på plejehjem”. Accessed October 8, 2025. https://www.aeldresagen.dk/maerkesager-og-resultater/maerkesager/plejehjem/fakta/beboere-paa-plejehjem.
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