ABSTRACT

In an era of changing demographics and values, this volume provides a cross-national and interdisciplinary perspective on the question of who cares for and about the elderly. The contributors reflect on research studies, experimental programmes and personal experience in Japan and the United States to explicitly compare how policies, practices and interpretations of elder care are evolving at the turn of the century.

chapter |15 pages

Introduction

part I|102 pages

Assuring Care

part II|69 pages

Providing Care

chapter 6|25 pages

We live too short, and die too long

On Japanese and US physicians' caregiving practices and appraoches to withholding life-sustaining treatments

chapter 7|26 pages

Difficult choices

Policy and meaning in Japanese hospice practice

chapter 8|16 pages

Policies and practices near the end of life in the US

The ambivalent pursuit of a good death

part III|40 pages

Assisting in Care

chapter 10|23 pages

The accountability dilemma

Providing voluntary care for the elderly in the US and Japan

part IV|43 pages

Coordinating and caring

part V|71 pages

Facilitating care of self

chapter 13|14 pages

The creativity of the demented elderly

The use of psychological approaches in a Japanese outpatient clinic

chapter 14|14 pages

Visible lives

Life stories and ritual in American nursing homes 1

chapter 15|15 pages

Disclosure, decisions, and dementia in Japan

Maximizing the continuity of self

chapter 16|16 pages

Concepts of personhood in Alzheimer's disease

Considering Japanese notions of a relational self

chapter 17|10 pages

Epilogue: downsizing the material self

Late life and long involvements with things