The Woman with the Dog: Relationships between Pet Robots and Humans in a Danish Nursing Home for People with Dementia

Authors

  • Simone Anna Felding Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) Witten; University of Witten/Herdecke, Faculty of Health, Department of Nursing Science https://orcid.org/0000-0002-0074-5841
  • Prof. Lena Rosenberg Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet; Department of Rehabilitation, School of Health and Welfare, Jönköping University https://orcid.org/0000-0003-1727-369X
  • Dr. Karin Johansson Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet
  • Dr. Sonja Teupen Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) Witten; University of Witten/Herdecke, Faculty of Health, Department of Nursing Science https://orcid.org/0000-0003-3272-7426
  • Prof. Dr. Martina Roes Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE) Witten; University of Witten/Herdecke, Faculty of Health, Department of Nursing Science https://orcid.org/0000-0003-4531-8584

DOI:

https://doi.org/10.5195/aa.2024.485

Keywords:

Dementia, Social Robots, Care, Nursing Homes, Denmark

Abstract

In this article, we explore how pet robots come into being in a Danish nursing home for people with dementia, based on five months of ethnographic fieldwork. We argue that the researcher and the robot become an assembled temporary figure in the nursing home: the woman with the dog. We show how pet robots are characterized by their fluidity and can go from being mechanical robots to living animals in a matter of seconds during interactions with nursing home residents. The social robots are fragile technologies that disappear and cease to be used if people in the nursing home stop caring for them. Through relationships, the pet robots come into being together with other actors in the nursing home – a process that requires tinkering (Mol, Moser, and Pols 2010) and flexibility from those working with the robots. We argue that the woman with the dog can develop caring relations with the residents, but although there are hopes that pet robots are one of the technologies that can save a welfare state and care system under pressure, this is not something that can be done by the pet robots alone. Rather, the robots need care and tinkering to become embedded in the nursing home.

References

Aaen, Jon. 2022. "Managing Competing Concerns in Digital Innovation: Examining Welfare Technology in Denmark." PhD, Det Humanistiske og Samfundsvidenskabelige fakultet, Aalborg University.

Ældre Sagen. 2019. "Flere får Demens" [More People Get Dementia]. Accessed January 4, 2020. https://www.aeldresagen.dk/presse/maerkesager/demens/fakta/flere-faar-demens

Ageless Innovation. 2018. "Joy for All." Accessed April 12, 2023. https://joyforall.com/

Blond, Lasse. 2018. "Dances with Robots: Understanding Social Robots in Practice." PhD, SUN-TRYK, Aarhus Universitet.

---. 2019. "Studying Robots Outside the Lab: HRI as Ethnography." Paladyn, Journal of Behavioral Robotics 10 (1): 117-127. https://doi.org/10.1515/pjbr-2019-0007

Budak, Kübra Beliz, Franziska Laporte Uribe, Franka Meiland, Simone Anna Felding, Sonja Teupen, Johannes Michael Bergmann, Rene Mueller-Widmer, and Martina Roes. 2023. "Implementing Active Assisted Living Technology in the Long-term Care of People Living With Dementia to Address Loneliness: European Survey." JMIR Aging 6: e45231. https://doi.org/10.2196/45231

Chevallier, Martin. 2023. "Staging Paro: The Care of Making Robot(s) Care." Social Studies of Science 53 (5): 635-659. https://doi.org/10.1177/03063127221126148

Denis, Jérôme, and David Pontille. 2019. "Why do Maintenance and Repair Matter?" In The Routledge Companion to Actor-Network Theory, edited by Anders Blok, Ignacio Farías and Cecilia Roberts, 283-293. Abingdon: Routledge.

Driessen, Annelieke. 2019. "A Good Life with Dementia - Ethnographic Articulations of Everyday Life and Care in Dutch Nursing Homes." PhD, Amsterdam Institute for Social Science Research (AISSR), Faculty of Social and Behavioural Sciences (FMG), University of Amsterdam.

Dyring, Rasmus, and Lone Grøn. 2022. "Ellen and the Little One: A Critical Phenomenology of Potentiality in Life with Dementia." Anthropological Theory 22 (1): 3-25. https://doi.org/10.1177/14634996211010512

Felding, Simone Anna, Wei Qi Koh, Sonja Teupen, Kübra Beliz Budak, Franziska Laporte Uribe, and Martina Roes. 2023. "A Scoping Review Using the Almere Model to Understand Factors Facilitating and Hindering Acceptance of Social Robots in Nursing Homes." International Journal of Social Robotics 15: 1115-1153. https://doi.org/10.1007/s12369-023-01012-1

Frennert, Susanne, and Britt Östlund. 2014. "Review: Seven Matters of Concern of Social Robots and Older People." International Journal of Social Robotics 6 (2): 299-310. https://doi.org/10.1007/s12369-013-0225-8

Frennert, Susanne, and Katarina Baudin. 2019. "The Concept of Welfare Technology in Swedish Municipal Eldercare." Disability and Rehabilitation: 1-8. https://doi.org/10.1080/09638288.2019.1661035

Gjødsbøl, Iben Mundbjerg. 2017. "Curators of (Re)Cognition: Caring for Dementia in the 21st Century Danish Welfare State." PhD, University of Copenhagen.

Gjødsbøl, Iben Mundbjerg, and Mette Navne Svendsen. 2018. "Recognizing Dementia: Constructing Deconstruction in a Danish Memory Clinic." Medical Anthropology Quarterly 32 (1): 103-119. https://doi.org/https://doi.org/10.1111/maq.12365

Glavind, Ida Marie Lind, and Hanne Overgaard Mogensen. 2022. "Fragile Storytelling: Methodological Considerations when Conducting Ethnographic Fieldwork Among People with Alzheimer's Disease." SSM - Qualitative Research in Health 2: 100103. https://doi.org/10.1016/j.ssmqr.2022.100103

Gloria Mundi Care. 2023. "Robotdyr" [Robotic Animals]. Accessed May 12, 2023. https://dk.gloriamundicare.com/webshop/robotdyr.html

Haraway, Donna J. 2016. Staying with the Trouble. Durham and London: Duke University Press.

Hasse, Cathrine. 2013. "Artefacts that Talk: Mediating Technologies as Multistable Signs and Tools." Subjectivity 6 (1): 79-100. https://doi.org/10.1057/sub.2012.29

Higgs, Paul, and Chris Gilleard. 2021. "Techno-Fixes for an Ageing Society." Aging & Mental Health: 1-3. https://doi.org/10.1080/13607863.2021.2008308

Hung, Lillian, Cindy Liu, Evan Woldum, Andy Au-Yeung, Annette Berndt, Christine Wallsworth, Neil Horne, Mario Gregorio, Jim Mann, and Habib Chaudhury. 2019. "The Benefits of and Barriers to Using a Social Robot PARO in Care Settings: a Scoping Review." BMC Geriatrics 19 (1): 232. https://doi.org/10.1186/s12877-019-1244-6

Ihde, Don. 2012. Experimental Phenomenology: Multistabilities. Second Edition ed. Albany, New York: SUNY Press.

Janerka, Sofie. 2018. "Robotsæler Glemt på Plejecentre" [Robotic Seals Forgotten in Nursing Homes]. Accessed February 6, 2022. https://www.fagbladetfoa.dk/Artikler/2018/09/05/Robotsaeler-glemt-paa-plejecentre

Jöhncke, Steffen. 2011. "Integrating Denmark: The Welfare State as a National (ist) Accomplishment." In The Question of Integration, edited by Karen Fog Olwig and Karsten Paerregaard, 30-53. Newcastle upon Tyne: Cambridge Scholars Publishing.

Kirkebæk-Johansson, Laura. 2021. "Massiv Mangel på Medarbejdere får Flere Kommuner til at Skære ned på Bade og Rengøring i Ældreplejen" [Massive Shortage of Staff makes Municipalities Cut Down on Showers and Cleaning in Eldercare]. Accessed January 16, 2023. https://www.dr.dk/nyheder/indland/massiv-mangel-paa-medarbejdere-faar-flere-kommuner-til-skaere-ned-paa-bade-og

Koh, Wei Qi, Simone Anna Felding, Kübra Beliz Budak, Elaine Toomey, and Dympna Casey. 2021. "Barriers and Facilitators to the Implementation of Social Robots for Older Adults and People with Dementia: a Scoping Review." BMC Geriatrics 21 (1): 351. https://doi.org/10.1186/s12877-021-02277-9

Koh, Wei Qi, Faith Xin Hui Ang, and Dympna Casey. 2021. "Impacts of Low-cost Robotic Pets for Older Adults and People With Dementia: Scoping Review." JMIR Rehabilitation and Assistive Technologies 8 (1): e25340. https://doi.org/10.2196/25340

Leeson, Christina. 2017. "Anthropomorphic Robots on the Move: A Transformative Trajectory from Japan to Danish Healthcare." PhD Diss., University of Copenhagen.

Mannion, Arlene, Sarah Summerville, Eva Barrett, Megan Burke, Adam Santorelli, Cheryl Kruschke, Heike Felzmann, Tanja Kovacic, Kathy Murphy, and Dympna Casey. 2019. "Introducing the Social Robot MARIO to People Living with Dementia in Long Term Residential Care: Reflections." International Journal of Social Robotics 12: 535-547. https://doi.org/10.1007/s12369-019-00568-1

Mol, Annemarie, Ingunn Moser, and Jeannette Pols. 2010. Care in Practice: On Tinkering in Clinics, Homes and Farms. Bielefeld: transcript Verlag.

Molina, Lucía, and Amparo Hurtado Albir. 2002. "Translation Techniques Revisited: A Dynamic and Functionalist Approach." Meta 47 (4): 498-512. https://doi.org/https://doi.org/10.7202/008033ar

Morton, Timothy. 2016. "Weird Embodiment." In Sentient Performativities of Embodiment: Thinking Alongside the Human, edited by Lynette Hunter, Elisabeth Krimmer and Peter Lichtenfels, 19-33. Lanham: Lexington Books.

Novek, Sheila, and Heather Wilkinson. 2019. "Safe and Inclusive Research Practices for Qualitative Research Involving People with Dementia: A Review of Key Issues and Strategies." Dementia 18 (3): 1042-1059. https://doi.org/10.1177/1471301217701274

Øvlisen, Therese Bach, Sarah Golczyk, and Mette Aaby Andersen. 2022. "Der er 150.000 Flere Ældre på Vej, men der Mangler Både Plejehjem og Hænder" [150.000 additional Older Adults are Coming but both Nursing Homes and Hands are Missing]. Accessed December 6, 2023. https://www.dr.dk/nyheder/indland/der-er-150000-flere-aeldre-paa-vej-men-der-mangler-baade-plejehjem-og-haender

Palm, R., D. Trutschel, C. G. G. Sorg, M. N. Dichter, B. Haastert, and B. Holle. 2019. "Quality of Life in People With Severe Dementia and Its Association With the Environment in Nursing Homes: An Observational Study." Gerontologist 59 (4): 665-674. https://doi.org/10.1093/geront/gny017

Pink, Sarah. 2015. Doing Sensory Ethnography. 2nd ed. London: Sage.

Ploug, Niels, Ingrid Henriksen, and Niels Kærgård. 2004. "Den Danske Velfærdsstat - Udvikling og Indhold [The Danish Welfare State - Development and Content]." In Den danske velfærdsstats historie, edited by Niels Ploug, Ingrid Henriksen and Niels Kærgård, 10-21. København: Socialforskningsinstituttet 04:18. https://www.vive.dk/media/pure/yz2j03v1/268598

Scerri, Anthony, Roberta Sammut, and Charles Scerri. 2021. "Formal Caregivers’ Perceptions and Experiences of Using Pet Robots for Persons Living with Dementia in Long-Term Care: A Meta-Ethnography." Journal of Advanced Nursing 77 (1): 83-97. https://doi.org/10.1111/jan.14581

Schwennesen, Nete. 2019. "Algorithmic Assemblages of Care: Imaginaries, Epistemologies and Repair Work." Sociology of Health & Illness 41: 176-192. https://doi.org/10.1111/1467-9566.12900

Starostin, E. L., and G. H. M. van der Heijden. 2007. "The Shape of a Möbius Strip." Nature Materials 6 (8): 563-567. https://doi.org/10.1038/nmat1929

Strandbech, Jens Dinesen. 2018. "Humanoid Robots for Health and Welfare." PhD, Aalborg Universitetsforlag.

Suárez-González, Aida, Alice Cassani, Ragaviveka Gopalan, Joshua Stott, and Sharon Savage. 2021. "When it is Not Primary Progressive Aphasia: A Scoping Review of Spoken Language Impairment in Other Neurodegenerative Dementias." Alzheimer's & Dementia: Translational Research & Clinical Interventions 7 (1): e12205. https://doi.org/10.1002/trc2.12205

Teknologisk Institut. 2023. "PARO - en Robotsæl til Pleje og Omsorg" [PARO - a Robotic Seal for Care]. Accessed December 5, 2023. https://www.teknologisk.dk/projekter/paro/24936

Toubøl, Annemarie, Lene Moestrup, Jesper Ryg, Katja Thomsen, and Dorthe Susanne Nielsen. 2020. ""Even Though I Have Dementia, I Prefer That They Are Personable": A Qualitative Focused Ethnography Study in a Danish General Hospital Setting." Global Qualitative Nursing Research 7. https://doi.org/10.1177/2333393619899388

World Health Organization. 2022. Ageing and Health. Accessed June 2, 2024. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health

Wright, James. 2023. Robots Won't Save Japan: An Ethnography of Eldercare Automation. Cornell University Press.

Zoanni, Tyler. 2018. "The Possibilities of Failure: Personhood and Cognitive Disability in Urban Uganda." The Cambridge Journal of Anthropology 36 (1): 61-79. https://doi.org/10.3167/cja.2018.360105

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2024-03-26

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