Through a review of the literature, this article explores the debate between the traditional perspective that conceives it as natural that families take care of their elderly members when frail or in need and an emerging critique of this view. The critique exposes the invisible divisions of caring work between men and women and between public and private arenas, and challenges the comfortable imagery of ‘family care.’ The implications of this analysis for the future are considered, both for constructive changes in social policies and for the reformulation of assumptions on which research and practice with the frail elderly and their families are based.

A review of gerontological literature on elder abuse and feminist literature on wife assault points to the conceptual and practice divisions that have separated attention to age and gender and, thus, obscured older women's experiences of abuse by their male partners. The first person account of a woman who left her abusive husband in her 70s and the supporting observations of a group of concerned service providers are introduced to bridge these conceptual divisions and to call attention to the social processes that hide and perpetuate wife assault in old age. With a view to developing methodologies and practices that make visible and challenge the conditions that sustain abuse of older women, directions for future approaches to research and service are considered.

Drawing on a qualitative study of women as givers and receivers of care, this paper explores older women's experiences of needing care. Old women find themselves in a social context in which government services are kept in the background and families are generally regarded as the proper locus of assistance to old people. Respondents described contradictions between needing support and security and wanting to adhere to cultural values of independence and self-sufficiency. Their low expectations of public services and sense of marginality in their families exacerbated these dilemmas. The fallacy of understanding old women's conduct in this constrained context as the exercise of choice is elaborated, and attention is given to ways of fostering the conditions in which elderly women can shape the kinds of supportive environments they would like to see in the future.

Health care cuts and restructuring are shifting the site of acute care from hospitals to homes and prompting provincial governments to introduce varying forms of mixed economies in home care. Typically, such arrangements seek to drive down public costs and to reposition service users as “consumers” of market-modelled care. Drawing on an ongoing study of frail elderly women and women with disabilities receiving home care in Ontario, this paper explores the significance for service users of these economic and political objectives. Rather than feeling like consumers free to exercise choice and demand quality in the mixed economy of home care, they experienced their positioning within it as insecure and subordinate and its supply as unpredictable and meagre. The implications of these findings for fashioning secure and equitable public responses to elderly and disabled citizens who need assistance at home over the long term are discussed.

Fundamental shifts in state intervention in recent years have resulted in steady curtailment in public provision of community and social care. A longitudinal study of elderly women receiving home care in Ontario explored the reverberations of these shifts in the texture of frail elderly people's lives. Three distinct accounts of negotiating unstable and rationed home care were discernible. Taking charge was an active account of women successfully impressing their particular needs and identities on home care provision. Pushed over the edge was a vulnerable account of insufficient and depersonalised care in which participants felt themselves practically and emotionally out of control. In Restraining expectations, women adjusted silently to the shortcomings of home care, stoically making themselves smaller as they found their previous orbits and identities unsupported. Home care's front line emerged as a complex site of struggle for identity and agency – a struggle in which elderly people engage with inventiveness and determination but also with dwindling support, few witnesses and in mounting isolation.

Drawing on a qualitative study of thirty-two women aged between 35 and 85, this paper links women's experiences of giving and receiving care in the informal sphere to their wider social and ideological context. While subjects subscribed to cultural assumptions about families, responsibility, gender and old age, they experienced awkwardness in translating them into their own lives. Younger women and women looking back on their middle years experienced contradiction between the cultural expectation that they be responsive to others and their wishes for self-enhancement. Older women experienced contradiction between the cultural imperative to be unburdensome and independent and their wish for security. Feelings of guilt and shame were associated with not living up to these expectations. They rendered subjects' concerns, individual failings and stifled expression of their needs. To facilitate such expression and work towards social policies that enhance women over the life course, it will be necessary to envision alternative types of supportive services and to challenge the ideological barriers to their use that the subjects of this study had so acutely internalised.