Chapter 15 Just Around the Corner

Women’s Self-Organized Care for the Elderly before and after 1989 in East Germany, Poland, and the Czech Republic

In: Through the Prism of Gender and Work
Author:
Maren Hachmeister
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Abstract

There is a long-term absence of attention to care work in the history of women’s labour activism. This chapter places women caregivers center stage, highlighting their participation in the field of care. Using examples of elderly care in East Germany, Poland, and Czechoslovakia, it provides a comparison of care arrangements from the state-socialist period to the postsocialist transformation after 1989/1990. Findings from qualitative interviews provide more detailed insight into the East German case. Because women’s care work was not accompanied by mainstream forms of protest—in contrast to women’s labour in general—care activism has so far remained under-researched and under-conceptualized in gender and labour history. This chapter introduces the term “care activism,” tracing different forms of small-scale or even the silent activism of women care workers, and thereby contributes to a more nuanced understanding of activism in general, and women’s labour activism in particular.

This chapter, as an experiment, discusses the work and commitment of women elder caregivers in three (post)socialist societies—or certain elements of this work and commitment—as activism. It is an experiment in so far as care for older people can take various forms, thus offering women different opportunities to “be an activist” or take action for some reason. First of all, paid nursing and institutional care comes to mind. Like other people who engage in paid work, employed caregivers, i.e., people engaged in paid nursing and institutional care, may participate in trade unions, become members of workplace-related groups, or submit complaints to their superiors. If necessary, they have several instruments at hand to express their dissatisfaction or to address problems before taking to the streets. More informal forms of care, such as care provided by families or voluntary helpers, however, lack such formalized frameworks to assert interests or engage in activism. In this chapter, I argue that care provided by voluntary helpers may also involve an activist dimension by exploring the ways in which women’s labour activism appeared in the field of care work beyond paid employment.

Self-organized neighborhood and home-based care services were an extremely common way of providing care for older people in the state-socialist societies of East Central Europe.1 Those who committed to such self-organized forms of caregiving have not yet received much attention in a history of women’s labour, much less women’s labour activism. Research on women’s labour activism so far (and by no means less importantly) has devoted much attention to formal work and workplace relations, making visible, for instance, the tireless efforts of women trade unionists fighting for the needs of pregnant workers, mothers, and retirees within the structures of their workplaces.2 In an attempt to capture cases and concerns of self-organized caregivers, I will more broadly address “care activism” in this chapter. By care activism, I mean patterns of thought and behavior closely related to care work.

In the transformation of socialist societies into postsocialist ones, care work involved mostly unpaid services performed by women, often on a part-time basis or during their “free” time. This included care for older people, which was provided informally by family members or, for example, in the form of home-based care services.3 A number of studies in the fields of social anthropology and sociology have already addressed this topic.4 An important finding has been that one can certainly speak of care work even if such work was not performed professionally and/or for money.5 In a European history of work, as historian Marsha Siefert phrased it, diverse forms of work “have been shown to coexist with wage labour in different regional and temporal contexts, bringing their own underlying costs and demands.”6 Formal and informal arrangements of care work, I think, can be added to that list.

But those who took care of older people were (and still are) rarely visible as a distinctive group of “activists,” not least because of their mixed forms of work and often atomized working conditions. Yet, instead of concluding that persons engaged in such work were not relevant to labour-related activism, I suggest that if we look at these actors and their activities from a different perspective, specific forms of activism become visible. The communist parties in East Central Europe and East Germany propagated social care as a task for society as a whole. Against this distinctive ideological background, I assume that the majority of people did indeed perform some form of unpaid care work either at their own home or at someone else’s. State-socialist ideology declared social welfare a public issue, at least rhetorically; but care work took place in the private sphere. Furthermore, care for older people in particular manifested as a private, even non-political issue that, for a variety of reasons, mainly involved the family and took place within home.7 This fact is often obscured in the archival sources of the time. In this chapter, I am interested in showing how we can trace the history of care activism, its forms, aims, and agents, primarily using the example of unpaid care workers and the structures in which they assembled. After all, caregivers were most actively involved in various forms of informal care that developed during the 1960s and 1970s which, to some extent, presaged the significantly more visible shift toward self-care brought about by the political changes in 1989.

During the post-1989 transformation, when political and social change occurred simultaneously in East Central Europe and East Germany, many caregivers continued working. In the sense of a “supportive tissue,”8 they ensured that care was provided to older people in need. A comparison of East Germany, Poland, and the Czech Republic is particularly revealing because similar conditions in all three countries shaped the transformation processes. While thousands of people took to the streets to advocate for sociopolitical change during the peaceful revolutions, care workers in all three countries remained remarkably invisible in these events. In the course of the 1990s, all three countries then experienced a radical transformation of their welfare systems, shifting from overarching caring states to care economies that placed a greater emphasis on self-care.9 Both paid and unpaid care was drastically reorganized in multiple—institutional, legal, practical, and financial—ways. A comparison of these three (post)socialist societies allows us to examine this shared transformation experience in more detail and to assess its long-lasting consequences. An additional focus on care activism can help us evaluate women caregivers’ diverse responses to this transformation.

I assume that women caregivers were faced with a highly gendered division of care work during this period. Spending more time on caregiving, i.e., on activities securing the well-being and ultimately the survival of other human beings, meant having less time to engage in classical forms of activism.10 Susan Zimmermann has pointed out that unpaid care work was, in fact, as much a part of the state-socialist “catching-up development” as was the inclusion of women in paid work.11 I would add that this unpaid care work, of course, continued to be needed throughout the postsocialist transformations. How, then, could women caregivers shape their working conditions when they formed such a heterogeneous group in which only very few received labour contracts and, thus, labour protections? Did they seek material remuneration or symbolic recognition from the public or the state?

To address these issues, I think it may be helpful to pay closer attention to (what I call) care activism. The character of this activism was connected to two important features of (post)socialist societies. First, as stated above, classical forms of labour activism were not available to caregivers (even if only from their own perspective) who engaged in less formalized forms of care. As I will demonstrate, this prompted the invention of alternative means of activism such as, for example, self-organization. Second, women who cared for elderly persons aspired to create a world with care at its center. This mindset led them to identify strongly with their individual contributions to everyday care practices (and how to improve them) rather than to question political or state authorities. This approach seems to have helped women develop self-esteem, coping strategies, resilience, and agency. Care activism in this sense was an attitude; it was not comparable to mainstream labour activism, but it was still an important motivation for women caregivers. While the use of the term activism here may be debatable, I will use it (for the time being, i.e., experimentally) to describe the actions of women caregivers that were intended to establish, uphold, and deepen the shared values of good care and, in this sense, to implement an ethics of care under the difficult political conditions of the period.

It will not go unmentioned that these women’s activities coincided with academic and feminist debates on the ethics of care, which were introduced in the work of scholars like Carol Gilligan, Joan Tronto, and Nel Noddings. These debates later resulted in the idea that care practices hold a great deal of potential in terms of provoking societal transformation.12 Recognizing what forms of care were needed and being able to take the necessary steps to provide it gave the women I interviewed a strong sense of agency, which in turn increased their cohesion around the common values motivating their work. The fact that their work constantly identified deficiencies in the existing social welfare systems further strengthened their drive to self-organize.

Speaking more broadly, the question who takes care of the elderly also provides insight into the broader social organization of a society.13 Thus, I regard care as a topic relevant for understanding contemporary history, the history of everyday life, and gender studies. In the past decade or so, care has been intensely researched in terms of cultural and gender history and anthropology.14 Proceeding from this research, I will address the roles of women in (post)socialist societies, and care work as the domain of women in particular, as topics embedded within the research on postsocialist transformations and as innovative ways of conceptualizing women’s labour activism.

Based on materials from German, Czech, and Polish archives, I will first introduce three organizations in which women engaged in elderly care were involved before and after 1989: the Polish Committee for Social Help (Polski Komitet Pomocy Społecznej), the Pensioners’ Clubs (Kluby důchodců) of the Czechoslovak municipal national committees (Městské národní výbory), and the East German People’s Solidarity (Volkssolidarität). I will then discuss the East German case in more detail, presenting findings from oral history interviews with women members of People’s Solidarity that shed light on the experiences of women working at the intersections of paid and unpaid care since the 1980s. I will conclude with some reflections on the long-term absence of care activism that continues to reverberate in the current nursing crisis exacerbated by the global covid-19 pandemic. In this way, I demonstrate how significant self-organized activities outside of more formal labour relations were in the transformation process and how arrangements for care located “just around the corner” (i.e., community-based care) can be integrated into a contemporary history of women’s labour activism.

1 Three Models of Elderly Care before 1989

In every society there are expectations related to the process of aging. They are shaped by collective memory, state propaganda, and individual experiences. Social anthropologists Tatjana Thelen and Cati Coe demonstrate that aging is indeed a highly political concern, explaining that “many states emphasize the welfare of older persons in their policies and planning, because of a perceived care crisis due to societal aging.”15

In the People’s Republic of Poland, Czechoslovakia, and the German Democratic Republic (gdr), the ideal conception of old age encouraged older people to participate in society, to actively engage with other generations, and to keep themselves “mentally and physically fit […] so as not to burden the progress of socialism.”16 In brief: old age was a topic important enough that it shaped the state-socialist welfare agenda. In everyday life, though, voluntary—not state directed—care practices appear to have been critical for providing for the elderly. Because state institutions were often overburdened, voluntary helpers took over numerous tasks, supposedly in the spirit of the socialist common good, for which the state honored them.17 However, sociologist Radka Dudová observed that at the time, elderly care was also deeply gendered both in terms of who received care and who provided it.18 Women in the household continued to be the main providers of care despite the fact that their participation in the work force was heavily promoted. My hypothesis is that this gender regime was extended to the activities of socialist mass organizations, through which women voluntarily—and without pay—cared for elderly persons far beyond their own families.

In Poland, the Polish Committee for Social Help (Polski Komitet Pomocy Społecznej, PKPS), which was established in 1958, was the organization that stands out for its provision of care for the elderly. Although the pkps was one of the largest social organizations nationwide, it has remained rather unknown to this day. In 1968, alongside voluntary fire fighters and the Polish Red Cross, it was recognized as an organization of so-called higher utility (stowarzyszenie wyższej użyteczności19) in a decree of the Council of Ministers (Rada Ministrów).20 The government awarded this label only mass organizations that performed exceptional charitable work in Polish society. By 1980, the pkps assembled nearly two million voluntary helpers under its umbrella; these helpers were then confronted with the needs of well over two million people over the age of seventy, representing more than 6.5 percent of the total population.21

At the time the pkps was founded, mainly regional and unpaid social guardians (terenowi opiekuni społeczni) were caring for the elderly in their local communities. They were part of a network that had been created after the “Khrushchev Thaw” in the mid-1950s and had been charged with coordinating social care in cooperation with the state administration. These social guardians were nominated by local social organizations or the National Councils (Rady Narodowe) and performed their duties without financial remuneration.22 It was not until the mid-1960s that the profession of social worker (pracownik socjalny) emerged in Poland.23 pkps home helpers were, thus, a common phenomenon of the era. In contrast to the earlier social guardians, pkps home helpers operated within an organizational structure but they remained volunteers, unlike the social workers employed later. Local groups of pkps home helpers provided home care which included various household chores performed by home helpers who do the house cleaning and shopping, prepare meals, feed disabled persons, do the laundry, provide the dependent with heating coal and water and take care of the various day-to-day matters.”24 It is precisely such housekeeping tasks, not only medical duties, that count as care for the elderly. As defined by political scientist Joan Tronto, care is “everything that we do to maintain, continue, and repair our ‘world’ so that we can live in it as well as possible.”25 The “world” in which pkps home helpers were active usually encompassed the proximate neighborhood “just around the corner.” Like the social guardians, the idea behind this arrangement was that help could be provided instantly and on the spot.

In contrast to this type of care work, which took place in individual homes, the Pensioners’ Clubs of the Czechoslovak municipal national committees aimed to provide care for the elderly outside the home. The aim of this initiative was to include pensioners as “fellow citizens”26 (spoluobčany) in society, i.e., to encourage them to get out of the home and into the public sphere. Numerous local clubs were founded for this purpose starting in the early 1960s. In contrast to the home care of the pkps in Poland, which remained rather hidden and may even have been stigmatized as a sign of poverty in the public’s perception, the activities of the Pensioners’ Clubs in Czechoslovakia were often publicly promoted and celebrated. The establishment of new clubs was also advertised locally as social events.27 In these clubs, older people could pursue a variety of interests: they could participate in group afternoons, watch tv, listen to the radio, play board games, or just enjoy sitting in a heated room.28 The organizers were especially concerned with the social needs of the elderly. As some organizers of the club in Benešov u Semil (a village in the Liberec region) put it in a 1969 letter: “We believe that our pensioners will like it there, and that they will be happy to go there.”29

Sociologist Pavla Kodymová explained that in the 1960s and 1970s, the national district and municipal committees (Okresní a městské národní výbory) started to systematically target certain groups for social work, one of which was senior citizens.30 Sociologist of gender Hana Maříková also stresses that after the “failed transformation” of 1968, the Czechoslovak communist party was under immense pressure to develop solutions to the problem of elderly care. One of the main problems was the lack of capacity in residential care facilities. This is why, especially during the Normalization period, care for the elderly often (re)turned to the family and informal care services.31 The Pensioners’ Clubs were an attempt to counteract this problem with an institutional approach.

The establishment of the clubs, therefore, coincided with a time when it was politically desirable to invest in efforts to provide good care to the elderly. In the case of Most, a city in the Ústí nad Labem region in Northern Bohemia, even as late as 1982, it was acknowledged that “in this way, the national committees realize the humanitarian objectives of our social policy.”32 These so-called humanitarian objectives (humánní cíle) indicated that the issue was not simply about providing care but also about the social integration of the elderly. According to Kodymová, however, there was a significant shortage of trained social workers.33 Therefore, it is not surprising that the Pensioners’ Clubs were ultimately run by volunteers. In some places, the clubs were also linked closely to the Senior Citizens’ Association (Svaz důchodců)34 or local voluntary nurses (dobrovolné pečovatelky).35 All the caregivers involved here were unpaid. In Semily (a town in the Liberec region), the national committee of the district actively supported such arrangements; at the same time, it ruled out the professional development of voluntary nurses. In 1970, the responsible head of department wrote the following flimsy excuse for this position: “The lack of nursing home capacity has been addressed by building an extensive network of volunteer caregivers who cannot be replaced by professional caregivers in the mountainous terrain of our district.”36

The third example is the People’s Solidarity (Volkssolidarität, vs) in the gdr. Founded in 1945, this organization specialized in care for the elderly in the gdr, with the explicit aim “to leave no one alone and to give everyone the opportunity to participate in social life until old age.”37 Again, this is a large organization that until the 1980s had over two million registered members.38 Its women home helpers (Hauswirtschaftspflegerinnen) offered household assistance very similar to the pkps, focusing on housekeeping tasks, meal provision, and the daily needs of the older people. However, as with the voluntary nurses in Czechoslovakia, vs home help was not intended to provide an entry point for women into the nursing profession. Home helpers were to be recruited, if possible, from “non-working circles”39 and were, therefore, either housewives or women who performed duties for the vs in addition to their regular full-time employment. Regarding their qualifications, it was merely stated that “they must be versed in household maintenance and have a good knowledge of first aid, if possible, or declare a willingness to acquire it.”40 There was no further vocational training provided for them. Ultimately, this meant that they were considered to be in an employment relationship with the vs, had a modest working income, but were not actually perceived as working women.41

Home helpers were indeed subsidized by the state, and similar to other countries in East Central Europe, “the work of women outside the home was supported by a heavily subsidized network of services offering alternatives to home chores.”42 Yet, as one former vs coordinator told me, many home helpers were transferred to the vs from their original workplaces as a punishment after applying for an exit permit to West Germany. He said they were “pushed aside [and shunted] to the vs to work in places where they could do no harm.”43

In addition to home help, the vs operated so-called veterans’ clubs (Veteranenklubs), where the elderly—then called veterans of work (Veteranen der Arbeit)—could get a hot meal or participate in a daily recreational program. In a brochure from 1960, the vs promoted its club in Berlin with the following quote from a woman visitor: “I was so alone and felt weak and sick. I’m sure I’d be dead already if you hadn’t created this beautiful club.”44 Similar to the Czechoslovak Pensioners’ Clubs, the focus here was on the social needs of the elderly.

As the three examples show, there were alternative, resourceful forms of care for the elderly that complemented institutional care arrangements and might, for that reason alone, be considered forms of care activism. All three examples merged into their countries’ respective social care policies, which all relied on a combination of public authorities, nursing homes, mass organizations, neighborhood help, and informal care provided by relatives. In one way or another, their structures, but rarely their activists, were co-financed by the socialist state. In all three countries, national Red Cross societies were also involved, managing the medical care of elderly people in their homes. If further help was needed, it was usually relatives who were responsible for arranging it. Places in nursing homes were available only for the most dependent elderly persons, if at all. Sociologist Brunon Synak found out in 1989 that the majority in Polish society strongly disapproved of nursing homes. Since the family had been defined as the most natural resource for care, “according to the conviction of the majority of the older generation, receiving formal care (especially institutional care) reflects a lack of loyalty to traditional family patterns and values.”45 This gendered division of care and domestic work within the family apparently continued to shape women’s paid and unpaid labour throughout the post-socialist transformation.46 For this reason, organizations and the women caregivers who helped the elderly during this period deserve special attention.

I would like to emphasize that it was mainly women who engaged in “eye to eye”47 care for the elderly, even though the process of enabling care involved both women and men. Organizations such as the pkps or the vs, which had hundreds of thousands of members, could by no means recruit caregivers from only one gender. But the women among them often did the shopping, cooking, washing, and feeding. These tasks bring me back to the core of care work and the main purpose of care activism: meeting the needs an individual cannot achieve alone or, in the case of the elderly, may no longer be able to achieve on his or her own. In this respect, voluntary care and activism as discussed in the introduction are remarkably similar: both point to deficits of the existing system or even to state failures, especially in the field of social welfare. Paradoxically, communist parties did not interpret voluntary involvement in elder care as criticism of the regime. Instead of intervening to make their own claims concerning care provision more explicit, they welcomed unpaid care work and reframed it as a contribution to the socialist common good.

This position makes sense since caregivers oftentimes did not turn to state authorities for assistance but rather turned to their neighbors and friends for help when it came to doing something for the elderly. This kind of purposeful joint initiative is what I would call self-organization. Sociologist Jeff Shantz and lawyer Dean Spade would probably speak of “mutual aid.” They have used this related analytical term to describe everyday relationships of reciprocal aid, which they, interestingly, define as explicitly “anti-authoritarian.”48 Likewise, sociologist Shana Cohen concludes that local social activism “often explicitly opposes the state’s policies.”49 In the field of care work, however, such intentions are difficult to prove. For this reason, I argue that the cases of the pkps, the Pensioners’ Clubs, and the vs contain elements of self-organization which, in particular, ensured local care for the elderly. It is true that these organizations were embedded in state-socialist structures, but instead of demanding solutions from the state, “activists” in all three tried to solve problems themselves through collaborative action. While today we call this unpaid work,50 so-called “socially necessary work” was taken for granted at the time. This is likely a systemic explanation for the absence of care activism that would otherwise have been directed against the communist governments. Under these circumstances, women were already coping with the double or even triple burden of unpaid housework, paid work, and political engagement; thus, there was little space left for care activism.51

But what changed for caregivers after the socialist ideology undergirding the existing system of elder care in the region disappeared? Why did they continue to perform such work instead of, for example, protesting in the streets for paid care work, or doing something else entirely? Moreover, did their involvement in paid and unpaid care work have anything to do with gender? I will explore these questions using the example of the vs in the following section. Interviews with representatives of the vs illustrate the motivations and perceptions of women care workers in the (post)socialist societies of East Germany and East Central Europe in an exemplary manner. The interviews were conducted between 2020 and 2022, during the high point of the covid-19 pandemic restrictions. Travel restrictions and contact restraints complicated my interactions with this group of elderly women. My initial plan to conduct similar interviews in Poland and the Czech Republic, therefore, unfortunately had to be abandoned. Nevertheless, the experiences of vs representatives in East Germany characterize the experiences of those involved in elderly care across the entire region from the postwar period to the postsocialist transformation. They reveal different forms of women’s care work; allow us to question whether such activities can be regarded as care activism; and help us better understand what this activism actually looked like at the time.

2 Care and the “Great Change” after 1989

With the regime changes in 1989, multiple transformation processes were set in motion, and within a few years, “citizens dared to set out toward democratic societies and capitalist private economies based on the Western model.”52 Did women’s self-organized care for the elderly also experience such a “great change,”53 a rupture or a new beginning? According to historians Ana Kladnik and Thomas Lindenberger, some of the structures and practices formerly “maintained from below, partly demanded and promoted from above […] survived the far-reaching transformation and even helped shape it.”54 This also applies to the field of care. However, the reasons no mainstream care activism existed before the regime changes in 1989 did not change after the transformation.

Care work performed on behalf of the elderly was always systemically relevant: people in need of care continued to need care regardless of the political upheaval. Likewise, of course, those who cared for the elderly continued to be needed. Moving from one system to another while maintaining standards of care presented an enormous challenge for both those providing and those receiving it. In the Czech case, this happened in a particularly dramatic way as “the availability of residential care facilities decreased. […] And as the economy was liberalized in the course of the 1990s and 2000s, the state gave priority to family-based elder care.”55 In addition to care provided by families, services sold on the market of the newly emerging care economies became increasingly important. No matter what form it took, economist Mascha Madörin points out, care work comprises “life-sustaining and vital activities, without which societies would not be able to exist and economic growth would be impossible.”56 To sum up: care work was disrupted by the processes of privatization and marketization after 1989, but at the same time, continuity in care was required. It is therefore useful to understand transformation also as “a social change stretched in time and space.”57 With these considerations in mind, I spoke with women in East Germany who volunteered to care for the elderly starting in 1980 until 2000.

A now 87-year-old former electrical engineer, wife, and mother of two children, who had been a vs member for many years, decided to take an active role in the organization in 1991. Regarding her motivations, she told me the following: “You had to do something yourself so that something would happen. It has always been like that. If you didn’t take care of it, you got run over.”58 My interlocutor made it very clear here that, in her opinion, there were always problems that needed to be solved. In her narrative, the boundaries between the past and the present almost faded, as she spoke in general terms about how things have “always been.” Her experience as a caregiver apparently taught her that no problems would ever be solved unless she addressed them herself; what is more, if she did nothing herself, she too would “get run over.” This attitude resulted in an immediate readiness to act—perhaps even a need to act—which motivated her to perform voluntary care work for years. For this woman, caring went beyond defining herself simply as a provider of care for a recipient of care. She explained her strong commitment to care work by expressing her desire to change something in her own life and not only in the lives of those for whom she cared. After all, she wanted to ensure that “something would happen.” So, why should she have to rely on others, for example, the state?

We must keep in mind that this is a retrospective narrative in which the interviewee may be ascribing agency to herself in hindsight. Still, her statement reflects typical transformation experiences (i.e., the long-lasting remaking of life-worlds) and the fundamental changes that affected peoples’ lives and life chances.59 Certainly, this quote could be attributed to an activist who promoted better care for the elderly with the intention of achieving political and social change. In another setting, this attitude would probably have led her to overt forms of activism. Yet, in the midst of a period already defined by change, she concluded that she must continue her work as before.

A similar narrative is apparent in the following quote from a now 94-year-old woman, then a single mother and teacher, who had volunteered for the vs since the postwar period:

I took care of elderly people when they needed help […] I did everything that came up; we built local groups, took care of elderly people, went to the doctor with them. Then you would call them every now and then, the people are happy […] It was a bad time when the “Wende” [transition/turn] came. People were afraid, you had to comfort them. We were an organization that worked through [the changes]. That was when people needed us most! You just had to push through.60

This woman emphasized that her responsibilities could vary a lot. Unlike a professional nurse, she was literally there for “everything that came up.” She was a domestic helper, a cook, a companion, and also a representative for the elderly, all wrapped into one person. She was around when “people needed us most.” As she describes her ongoing and determined action, she explains her activities as reactions: She fulfilled her care work, whatever the situation, because whatever happened, she was flexible enough to react to it. I interpret this attitude as a form of activism (albeit a silent form).

Although this interviewee described herself as a care volunteer rather than a care worker, as someone who assists rather than an activist, I chose this specific quote to illustrate care activism because I believe that this term represents my interviewees’ convictions. In their opinion, there was always something they could do, and there were a lot of things they could change. For them, change referred no to the great political transformations of the time but to the changes—improvements—their daily actions brought to the lives of “their” elderly care recipients. In their neighborhoods, these women were the ones who made things happen, who improvised and invented—on a low budget or with no budget at all—both before and after 1989. The 94-year-old recalled her involvement as a caregiver with “action-rich verbs” to emphasize that in desperate situations, she was the one who retained agency.61 As she herself put it: “You just had to push through.”

In my view, such “bottom-up-voices”62 make it very clear that care for the elderly pre- and post-1989 took place at the margins of the existing system: in situations for which there was no institutional solution, in moments when care provided by relatives was not possible. They were filling gaps. Furthermore, both women acted on their own initiative. After 1989 at the latest, there was no longer a regime that would have demanded this kind of commitment from them nor one that would reward it ideologically. The vs was the organization that served as the backdrop of their work, as a coordination point and a contact that undergirded their commitment and made it a little more effective. Among members of this organization, a common narrative is that everyone carried on and that this was how they survived the fall of communism. If we understand self-organization as an activity that is not directed by the state or any other authority, an activity that takes place on one’s own initiative, then these women’s involvement in the vs was self-organized. Moreover, I suggest that we think of this work as a kind of women’s care activism that remained rather unseen and silent, but it nevertheless contributed to the development of new local structures of caring and, in the process, led to the formation of close interpersonal relationships. After all, pointing out existing deficiencies, initiating solutions, and working together with others to solve problems are central dimensions of activism.

But is it possible to interpret these two quotes as perpetuating previously established practices? Or did carrying on (or caring on) “just around the corner” contribute to social change? Political scientist Elisabeth Conradi argues, yes, as “care practice does not only alter social interaction; it contributes to the transformation of society. […] by trying to improve listening, support, assistance or help, the structural, political and organizational barriers to good care […] become visible, and as such can be addressed in public discourse or by way of careful counteraction.”63 I agree with her, but I would add that women’s care activism did not reach a large public sphere in the postsocialist transformation period.

The nature of women’s care activism is particularly well illustrated in the following quote from my interview with a 92-year-old woman who took over a local vs group from her husband in 1983 and has organized activities for older people in her town ever since:

Everything that had to be done walking, I did. […] So, I was always on the move […] when I did something, I enjoyed doing it, and I did it well. I really didn’t let things slide; I made an effort to do something nice so people were happy to come. […] The best thing was the excursions; those attracted the most people. What kind of excursions did you have in gdr times? There was nothing. The bus was always full, we saw many, many beautiful things. All the things you couldn’t do in the gdr.64

There are two examples of her very individual activism in this quote. First, she performed tasks on foot. As I learned through this interview, this could involve her delivering letters personally instead of asking for funds or donations for stamps. Additionally, since many elderly people had limited mobility, she took many walks to visit people in their homes. However, she organized bus trips to restore some mobility to elderly people and to take them to places they had not been permitted to visit prior to the fall of the Berlin Wall. What at first glance appears to be a simple recreational activity required a great deal of time and personal commitment on the part of the interviewee. Her underlying ambition was not to improve her own situation but to give people the good care and attention she felt they deserved in their old age. As sociologist Till Hilmar has already shown through a comparison of East German and Czech transformation experiences after 1989, there is indeed a moral tension between what is perceived as deserved or undeserved as there is “some connection between who one is or what one does and what one can legitimately expect in return.”65 From this point of view, we can rethink individual activism. My interviewees’ individual activism actually was aimed at societal change much more than I had previously assumed—maybe more than they realized themselves.

This quote also clearly demonstrates that for this woman and the other interviewees, the meaning of care work was not limited to nursing activities or provisioning. From my discussion with this interviewee, it was obvious that caring for the elderly also meant taking care of their social and cultural needs, bringing joy to the elderly, including them in activities, and treating them as valued members of society. Here again, we see that self-organized care of the elderly filled gaps. It went beyond predictable necessities and addressed aspects of human togetherness, community, and, in general, sought to ensure the dignity of people in their old age.

Before 1989, this conception of care corresponded to official rhetoric, but the reality on the ground was much different than this ideal, which is why this vs interviewee was practically working on the margins of the socialist care system. After 1989, such care arrangements were dismissed as socialist and supposedly outdated. For this interviewee, performing her care activities in both systems meant challenging prevailing narratives and, at the same time, maintaining the bonds between a group of like-minded caregivers and care recipients. It is hardly surprising, then, that in terms of language, this 92-year-old woman describes herself as a “mover” who “did” something. Moreover, this interviewee revealed a clearly moral understanding of her care work, as for her it was unimaginable to “let things slide.”

In the course of my research, I met a number of women who were “moving” something forward through their personal commitment to care work. When in the mid-1980s the vs compensated for some of the severe economic difficulties in the gdr, the above-mentioned care activism abandoned the level of silent protest for more public advocacy. A now 73-year-old woman who coordinated home helpers for the vs in a major city in Saxony confirmed this:

In my first winter [in that position in the vs], it was a really tough winter. The food supply was delivered by hand, by bike, and old baby carriages and so on; there was nothing motorized. And we got there through the heavy snow. […] And there were some old mothers [grannies] sitting in their houses without any coal in the cellar. We took care of that. […] We really went from pillar to post, we went to the city district administration and said we wouldn’t leave unless they somehow produced a ration card for coal. […] I was proud that no one in my district froze to death that winter.66

In contrast to other situations where the caregiver’s responsibilities prevented mainstream forms of labour activism, this quote shows how the very responsibility for human lives could provoke care activism. Members of the vs were responsible for distributing food and coal to households, and they also got involved when there was no food or coal available at all. In the case of my interviewee, this went so far as to put pressure on political decision-makers. Care activism manifested itself here in the joint advocacy for freezing “old mothers,” with the aim of improving their situation and meeting their existential needs. To clarify, in this specific case, there was only a rather small number of people in danger of freezing. Yet, the determination with which they were supported by the interviewee and her vs colleagues is astonishing. In my opinion, this case illustrates very well the shared values of caregivers in the vs and the local dedication of my interviewee. Even though she was as concerned about elderly men as she was about “old mothers” in her neighborhood, I think it is significant that she told me so explicitly about how women were able to help each other during the harsh winter. Care activism, in her case, apparently also included a profound solidarity among women.

It could be argued that only those persons directly involved learned about the courageous intervention of the interviewee. Again, activism remained more or less invisible. However, this quotation contains some features of women’s care activism that were already hinted at in the other interviews analyzed: Those involved in care literally had to move, and often moved on behalf of others, be it on foot or by other means. This actually collates well with historians Barbara Molony and Jennifer Nelson’s suggestion that women’s activism be defined in a broader sense as “women in movement” rather than just “women’s movements.”67 Moreover, there were always human lives, or at least quality of life, at stake, and this is what care workers aimed to sustain. The last interviewee stated explicitly how proud she was “that no one in [her] district froze to death that winter.” On the one hand, this statement refers to values and obligations she faced when caring for the elderly. On the other hand, she (retrospectively) identified pride as a reward for her efforts. In the following quote, she spoke in more detail about the kinds of personalities she observed among those helping the elderly at the time:

No one ever gave up their work [in the residential groups]. That actually continued beyond the “Wende” [transition/turn] as far as the work in the residential communities is concerned. Until I left, there were still group leaders there who had been there during the socialist times. […] They somehow stubbornly continued doing it.68

As with the first interviewee discussed in this chapter, the notion of continuity is very pronounced here. During the postsocialist transformation, i.e., a time of rapid and dramatic change, caregivers apparently concluded that they must continue their work as before. The attribution of “stubbornness” conceals numerous individual steps and decisions that I suspect could be captured in my definition of care activism. Here, the interviewee referred to stubbornness as the quality of not surrendering to the difficult circumstances, of wanting to achieve something more or different, to preserve functioning care arrangements, and to stick together. Her choice of words suggests a high level of emotional and moral identification with care work, which she observed in herself and in other “group leaders.” Accordingly, “no one ever gave up their work.” At this point, it becomes very clear once again that caregivers understood their predominantly unpaid care as work. This fixation on work as the defining characteristic of their actions is a rather typical postsocialist legacy that can also be observed in other groups of people and in other countries in the region. According to the interviewee, there were basically two ways in which this work could turn into activism: either it could be interrupted in order to bring precarious conditions to the attention of decision-makers, or it could be “stubbornly” continued without making such difficulties known. Both approaches required experienced and determined people, as the following quote highlights:

You had to cope with the economy of scarcity. You had to come up with something, that’s what we used to say. […] You had to make something out of nothing. And the old people were much more shaped by this than I was. […] There were many who did this who had never been in the sed [Socialist Unity Party of Germany]. That was another factor. There were many who were not party members […] and in any case, had never been in the sed. […] And I think that it always also depends on the people involved.69

In this quote, members of the vs, the care activists so to speak, are portrayed as resourceful, accustomed to scarcity, and, above all, independent from the then ruling communist party. Did these features render care activism obsolete? Would these people always “come up with something,” even (or especially) when the “great change” occurred in 1989? In the interviewee’s opinion, that “depends on the people involved.” For three of the interviewees mentioned in this chapter, indeed a very personal “great change” happened after 1989, when they themselves entered retirement. On the one hand, this meant that they had more time for their voluntary activities in the vs. On the other hand, workplaces where they had previously been “active” were now inaccessible to them. They leaned more on typical women’s strategies, or, as historian Susan Zimmermann put it, “a culture of mutual self-help among women in neighborhoods, firms, and the family”70 that had been developed and refined during the socialist period.

Feminist debates in recent decades have been concerned with making care, i.e., an activity traditionally performed by women, “a public issue of equity and demanding the recognition of ‘care’ as a necessary social task.”71 However, an analysis of the interviews I conducted with former vs care workers suggests that we need to completely rethink our notions of care activism in order to understand it as a form of resilience and lived solidarity that manifests in silent practices of (women’s) care-giving. During the postsocialist transformation period, my East German interviewees had first-hand experience of this model of care work and activism.

3 Concluding Thoughts

By comparing select cases of elder care, this chapter reveals how care work took similar forms in three socialist societies, all of which involved both women’s paid and unpaid labour. Forms of self-organized elder care presented in this chapter occurred “just around the corner,” where local groups, mostly organized by women, offered help to older people in need. Such arrangements of care developed in East Central Europe as well as in East Germany, typically in the 1960s and 1970s, alongside reassessments of national social welfare policies. Many local caregivers remained involved in care work during the transformation period after 1989, during which they faced simultaneously the dissipation of socialist care ideals and the creation of new care economies. The example of the gdr’s People’s Solidarity helps illuminate the individual motivations of women who provided care, such as the ability to act, solidarity, or conceptualizations of good care.

The idea that where there is women’s labour, there is also women’s labour activism obviously does not apply without some caveats. Activism in the field of elder care looked quite different from mainstream labour activism, which is why I have suggested capturing it under the term “care activism” instead. Following on the work of historians Barbara Molony and Jennifer Nelson, who argue that “women’s activism existed in practice, and thus historians can create a narrative of activism; […] but activism is not itself an analytic category,”72 I am fully aware of the contested nature of this term and the need for further conceptual elaboration.

In this chapter I have argued that women caregivers appropriated certain patterns of understanding of and action directed toward (post)socialist care provisions that led not to mainstream activism but rather to attitudes that enabled individuals to retain their agency in times of crisis and, most importantly, to implement their shared values of good care. i, thus, present unpaid caregivers as agents of care activism who have notably changed their social environments: They were the persons who knew what the elderly needed, who were in contact with their families, the local authorities, and other caregivers. Consequently, they were the ones who changed the lives of many people. It was they who, from first-hand experience, knew how elder care could still be improved and where the qualifications—or maybe the professional profiles—of caregivers could be enhanced. The crucial difference from more classical forms of women’s labour activism was that caregivers did not draw attention to these shortcomings by advocating for better working conditions. On the contrary, they achieved change by advocating and acting for others, i.e., care recipients and their needs. Interviews with four women members of the vs have confirmed that such supposedly silent forms of care activism differed significantly from silence.

In many countries in Central and East Central Europe today there continues to be a lack of more mainstream activism by care workers—i.e., activism aimed first at the improvement of their own working conditions, with the wider implication that on this basis, they would be able to supply better care. Caregivers, whether in formal or informal settings, only recently returned to the top of countries’ political agendas when the global covid-19 pandemic made us aware of how much we all depend on the help of others. To a certain extent, the covid-19 crisis mirrored the transformation experiences of care workers in the gdr, Czechoslovakia (Czechia), and Poland after 1989, demonstrating that those in need of care as well as their caregivers are particularly vulnerable in times of crisis and require widespread societal support. In the words of a journalist writing for the German newspaper Süddeutsche Zeitung (Southern German Newspaper) in May 2020: “Alongside all the expressions of respect, a genuine and lasting solidarity is needed with those who, out of solidarity with the sick and those in need of care, the elderly, and children, continue to work […], for better or for worse.”73

But what exactly are the working conditions that caregivers should endure under these circumstances? Talking to women from the vs helped me understand that they did not lack an awareness of their precarious working conditions. They also shared many concerns, a fact that might have led to a more open form of activism on their part. Following on the conclusions of care and gender researcher Hanne Marlene Dahl, one would expect conflict to arise when “[n]early everywhere the ‘elder burden’ and the ‘demographic challenges’ are at the top of the national political agenda. […] Hence, we observe struggles within states […], and between the elderly in need of care, their family members and the care worker.”74 Instead of looking for such visible struggles, in this chapter I have suggested that it is more important to focus on self-empowering and coping strategies and the resilience and agency of caregivers. This approach worked well for interpreting the narratives of the four women I interviewed, who identified individual commitment and a certain “stubbornness” as key features of local care arrangements.

Historian Małgorzata Karpińska reminds us that frameworks for (care) activism were socially and culturally narrow during the postsocialist transformation since society assigns women and men different tasks and roles, which likewise define cultural, economic, and social boundaries. She found a “discrepancy between the declared and actual attitudes of societies towards the elderly. […] [T]he cultural image of the old person and the official standard of treating the elderly very frequently fail to match social reality.”75 Additionally, moral values and “prevalent ideas of social needs” often define which care is provided by the individual, and which kind is offered by the state.76 The four women interviewed for this chapter considered it a moral duty to undertake care work as their individual responsibility.

By comparing elderly care arrangements in three (post)socialist societies, I have shown that there were quite similar coping strategies for filling deficits or gaps. These included organized approaches through groups and associations in the immediate neighborhood of the elderly, providing meeting places, and offering age-specific activities. Care activism in the above cases consisted of “caring on” and “pushing through” while social welfare was being politically renegotiated. Learning about these forms of care work means becoming aware of the boundaries and the shortcomings of the existing system. With such a view, perhaps we can contribute to overcoming the conceptual and empirical deficits when it comes to studying care work and its position within the history of women’s labour activism.

4

See Robbins 2021; Kaźmierska and Waniek 2020; Kramer 2020; Janiak-Jasińska 2016.

19

See Apel [Call] (20 September 1976), sg. 3215, inv. no. 397, Afisze, plakaty i druki ulotne z terenu Przemyśla w zasobie Archiwum Państwowege w Przemyślu. Archiwum Państwowe [State Archive], Przemyśl, Poland.

20

Rozporządzenie Rady Ministrów w sprawie uznania Polskiego Komitetu Pomocy Społecznej za stowarzyszenie wyższej użyteczności [Decree of the Council of Ministers on the recognition of the Polish Committee for Social Help as a higher utility association]. https://isap.sejm.gov.pl/isap.nsf/DocDetails.xsp?id=WDU19680430310.

24

Synak 1989, 111–112.

26

“Péče o starší spoluobčany” [Care for the elderly fellow citizens] (2 August 1984), Průboj, Ústí nad Labem, iv/b 24, kart. 1. Státní Okresní Archiv Most [State District Archive]. Most, Czech Republic.

27

Letter (10 September 1969), inv. č. 102/17, Místní národní výbor Benešov u Semil. Státní Okresní Archiv Semily [State District Archive]. Semily, Czech Republic.

28

Letter (23 July 1969), inv. č. 102/17, Okresní národní výbor Semily. Státní Okresní Archiv Semily [State District Archive]. Semily, Czech Republic.

29

Letter (10 September 1969), inv. č. 102/17, Místní národní výbor Benešov u Semil. Státní Okresní Archiv Semily [State District Archive]. Semily, Czech Republic.

32

“Nikdo nezůstane osamocen aneb zabezpečení ve stáří” [No one is left alone or insecure in old age] (3 June 1982), Průboj, Ústí nad Labem, iv/b 24, kart. 1. Státní Okresní Archiv Most [State District Archive]. Most, Czech Republic.

34

“Aby člověk nikdy nebyl sám” [So that one is never alone] (2 November 1994), Severočeský regionální deník sd, Ústí nad Labem iv/b 24, kart. 1. Státní Okresní Archiv Most [State District Archive]. Most, Czech Republic.

35

“Nikdo nezůstane osamocen aneb zabezpečení ve stáří” [No one is left alone or insecure in old age] (3 June 1982), Průboj, Ústí nad Labem, iv/b 24, kart. 1. Státní Okresní Archiv Most [State District Archive]. Most, Czech Republic.

36

Komentář [Comment] (2 February 1977), kart. 1977, Okresní národní výbor Semily. Státní Okresní Archiv Semily [State District Archive]. Semily, Czech Republic.

37

Sekretariat des Zentralausschusses der Volkssolidarität 1981, 6.

40

Reichert 1967, 264.

41

Reichert 1967, 264.

43

Male member of the Volkssolidarität in Saxony, interviewed 2 August 2021.

44

Zentralsekretariat der Volkssolidarität 1960, 1.

48

See Shantz 2020, 48; Spade 2020, 138.

58

Woman member of the Volkssolidarität in Saxony, interviewed 16 February 2021.

60

Woman member of the Volkssolidarität in Saxony, interviewed 12 February 2021.

64

Woman member of the Volkssolidarität in Saxony, interviewed 19 October 2020.

66

Woman member of the Volkssolidarität in Saxony, interviewed 24 January 2022.

68

Woman member of the Volkssolidarität in Saxony, interviewed 24 January 2022.

69

Woman member of the Volkssolidarität in Saxony, interviewed 24 January 2022.

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  • Siefert, Marsha. 2020. Labor in State-Socialist Europe, 1945–1989. Contributions to a History of Work .Budapest: Central European University Press, 2020.

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  • Synak, Brunon. 1989. “Formal Care for Elderly People in Poland.” Journal of Cross-Cultural Gerontology 4: 107127.

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  • Thelen, Tatjana. 2015. “Care as Social Organization: Creating, Maintaining and Dissolving Significant Relations.” Anthropological Theory 15, no. 4: 497515.

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Through the Prism of Gender and Work

Women’s Labour Struggles in Central and Eastern Europe and Beyond, 19th and 20th Centuries

Series:  Studies in Global Social History, Volume: 51
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  • Kaźmierska, Kaja and Katarzyna Waniek. 2020. Telling the Great Change: The Process of the Systemic Transformation in Poland in Biographical Perspective .Łódż: Wydawnictwo Uniwersytetu Łódzkiego.

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  • Kladnik, Ana, and Thomas Lindenberger. 2019. “Traditionen der Freiwilligkeit im Transformationsregime. Das Beispiel der Freiwilligen Feuerwehr” [Traditions of volunteering in the transformation regime: The example of the Voluntary Fire Brigade]. Historische Zeitschrift Beiheft [Historical magazine supplement] 76: 249273.

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  • Kohlen, Helen. 2016. “Sorge als Arbeit ohne ethische Reflexion? Entwicklungslinien der deutschen Debatte um Sorge als Arbeit und der internationale Care-Ethik” [Care as work without ethical reflection? Lines of development of the German debate on care as work and international care ethics]. In Dimensionen der Sorge: Soziologische, philosophische und theologische Perspektiven [Dimensions of concern: Sociological, philosophical, and theological perspectives], edited by Anna Henkel, 189208. Baden-Baden: Nomos Verlagsgesellschaft mbH & Co. kg.

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  • Kramer, Nicole. 2020. “Prekäre Geschäfte. Privatisierung und Vermarktlichung der Altenpflege im deutsch-englischen Vergleich” [Precarious business. Privatization and marketization of care for the elderly in German-English comparison]. zzf—Centre for Contemporary History: Zeithistorische Forschungen [zzf—Center for Contemporary History: Contemporary historical research] 17/2, no. 2: 234260.

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  • Madörin, Mascha. 2010. “Care Ökonomie – eine Herausforderung für die Wirtschaftswissenschaften“ [Care economy - A challenge for the economic sciences]. In Gender and Economics: Feministische Kritik der politischen Ökonomie [Gender and economics: Feminist critique of political economy], edited by Christine Bauhardt and Gülay Çağlar, 81104.

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  • Madörin, Mascha. 2006. “Plädoyer für eine eigenständige Theorie der Care-Ökonomie” [A plea for an independent theory of the care economy]. In Geschlechterverhältnisse in der Ökonomie [Gender relations in the economy], edited by Torsten Niechoj and Marco Tullney, 277297. Magdeburg: Metropolis-Verlag.

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  • Maříková, Hana, and Blanka Plasová. 2012. “Kontinuita anebo změna v systému zajištění péče o seniory v České republice od roku 1948 vzhledem k genderovanosti politik péče” [Continuity or change in the system of care provisions for the elderly in the Czech Republic since 1948 in relation to gendered care policies]. Fórum sociální politiky [Social work forum] 3: 26.

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  • Seiderer-Nack, Julia. 2020. “Die Pflege-Berufe brauchen mehr als Respekt” [The nursing professions need more than respect]. Süddeutsche Zeitung, 3 May 2020. https://www.sueddeutsche.de/politik/gastbeitrag-corona-pflegeberufe-reform-1.4894211.

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  • Shantz, Jeff. 2020. Commonist Tendencies: Mutual Aid beyond Communism. Brooklyn, New York: Punctum Books.

  • Siefert, Marsha. 2020. Labor in State-Socialist Europe, 1945–1989. Contributions to a History of Work .Budapest: Central European University Press, 2020.

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  • Spade, Dean. 2020. “Solidarity not Charity.” Social Text 38, no. 1/142: 131 151.

  • Šustrová, Radka. 2020. “The Struggle for Respect: the State, World War One Veterans, and Social Welfare Policy in Interwar Czechoslovakia.” Zeitgeschichte [Contemporary history] 47, no. 1: 107135.

    • Search Google Scholar
    • Export Citation
  • Šustrová, Radka, and Jakub Rákosník. 2016. Rodina v zájmu státu. Populační růst a instituce manželství v českých zemích 1918–1989 [Family in the interest of the state: Population growth and the institution of marriage in the Czech Lands 1918–1989]. Prague: Nakladatelství Lidové noviny.

    • Search Google Scholar
    • Export Citation
  • Synak, Brunon. 1989. “Formal Care for Elderly People in Poland.” Journal of Cross-Cultural Gerontology 4: 107127.

  • Thelen, Tatjana, Cati Coe. 2019. “Political Belonging through Elderly Care: Temporalities, Representations and Mutuality.” Anthropological Theory 19, no. 2: 279299.

    • Search Google Scholar
    • Export Citation
  • Thelen, Tatjana. 2015. “Care as Social Organization: Creating, Maintaining and Dissolving Significant Relations.” Anthropological Theory 15, no. 4: 497515.

    • Search Google Scholar
    • Export Citation
  • Thelen, Tatjana. 2014. Care/Sorge, Konstruktion, Reproduktion und Auflösung bedeutsamer Bindungen [Care, construction, reproduction and dissolution of significant relations]. Bielefeld: Transcript Verlag.

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    • Export Citation
  • Tronto, Joan. 1993. Moral Boundaries. A Political Argument for an Ethic of Care. New York: Routledge.

  • Volkssolidarität. 1981. Volkshelfer—Vertrauter der Veteranen [People’s helper—Veterans’ confidante]. Berlin: Sekretariat des Zentralausschusses der Volkssolidarität.

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    • Export Citation
  • Volkssolidarität. 1960. Einsam? Die Veteranenklubs der Volkssolidarität bieten Geselligkeit, Wissen, Freude und Frohsinn! [Lonely? The veterans’ clubs of People’s Solidarity offers conviviality, knowledge, joy, and cheerfulness!]. Berlin: Zentralsekretariat der Volkssolidarität.

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  • Wagnerová, Alena. 2017. Žena za socialismu: Československo 1945–1974 a reflexe vývoje před rokem 1989 a po něm [Woman under socialism: Czechoslovakia 1945–1974 and reflections on developments before and after 1989]. Prague: Sociologické nakladatelství (slon).

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