ABSTRACT

Clinicians, managers and researchers - as well as politicians and religious leaders - are worrying about a lack of compassion and humanity in the care of vulnerable people in society. In this book The author explores the dynamics of care. He argues that we know how to do it, but somehow we seem to keep getting it wrong. Poor care in hospitals and care homes is well documented, and yet it continues. Care for people in their own homes is seen as an ideal, but the reality can be cruel and isolating. The author describes research over forty years in thinking why institutional and community care are both subject to processes of denial and fear of dependency. His examples include children in hospital, people with disabilities living in the community, and the care of older people and those with dementia.

part I|59 pages

Individual Survival and Organizational Life

chapter One|11 pages

Thinking about systems of care

chapter Two|15 pages

The gang in the organization

chapter Four|10 pages

The question of dependency

chapter Five|9 pages

The pursuit of common unhappiness

part II|76 pages

The Survival of the Unfittest

chapter Six|11 pages

The management challenge

chapter Seven|13 pages

The isolation of care services

chapter Eight|11 pages

Mediating between systems

chapter Nine|12 pages

The case for integration

chapter Twelve|8 pages

The costs of care

part III|66 pages

The Personal and the Professional

chapter Thirteen|15 pages

An Alzheimer’s case study

chapter Fifteen|10 pages

Learning to live with dementia

chapter Sixteen|13 pages

Two weeks in 2006

chapter Seventeen|8 pages

The realities of care

chapter Eighteen|6 pages

Postscript—learning from experience

part IV|12 pages

Conclusions