This volume provides a broader picture of how elder care is defined at a time when ageing is becoming increasingly defined as a social problem. It is a valuable source for researchers in health and welfare, social policy and gerontology.

List of figures

viii

List of tables

ix

List of contributors

x

Acknowledgments

xv

List of abbreviations

xvii

Introduction

1

(16)

Susan Orpett Long

PART I Assuring care: government policies and programs

17

(102)

Cultural meanings of ``security'' in aging policies

19

(9)

Akiko Hashimoto

The socioeconomic context of Japanese social policy for aging

28

(24)

Daisaku Maeda

From the New Deal to the new millennium: bridging the gap in US aging and health policy

52

(30)

Brett R. South

Douglas D. Bradham

Changing meanings of frail old people and the Japanese welfare state

82

(16)

John Creighton Campbell

Critical issues in health care for the US elderly: beyond the millennium

98

(21)

Douglas D. Bradham

PART II Providing care: professional caregivers

119

(70)

We live too short, and die too long: on Japanese and US physicians' caregiving practices and approaches to withholding life-sustaining treatments

121

(25)

Michael D. Fetters

Marion Danis

Difficult choices: policy and meaning in Japanese hospice practice

146

(26)

Susan Orpett Long

Satoshi Chihara

Policies and practices near the end of life in the US: the ambivalent pursuit of a good death

172

(17)

David Barnard

PART III Assisting in care: non-profit organizations and volunteers

189

(40)

The development of social welfare services in Japan

191

(15)

Kiyoshi Adachi

The accountability dilemma: providing voluntary care for the elderly in the US and Japan

206

(23)

Yuko Suda

PART IV Coordinating and caring: family caregivers

229

(44)

Variations in family caregiving in Japan and the US

231

(17)

Ruth Campbell

Berit Ingersoll-Dayton

Recognizing the need for gender-responsive family caregiving policy: lessons from male caregivers

248

(25)

Phyllis Braudy Harris

Susan Orpett Long

PART V Facilitating care of self

273

(71)

The creativity of the demented elderly: the use of phychological approaches in a Japanese outpatient clinic

275

(14)

Yukiko Kurokawa

Visible lives: life stories and ritual in American nursing homes

289

(14)

Thu Tram T. Nguyen

Joal M. Hill

Thomas R. Cole

Disclosure, decisions, and dementia in Japan: maximizing the continuity of self

303

(15)

Masahiko Saito

Concepts of personhood in Alzheimer's disease: considering Japanese notions of a relational self

318

(16)

William E. Deal

Peter J. Whitehouse

Epilogue: downsizing the material self: late life and long involvements with things

334

(10)

David W. Plath

Glossary

344

(5)

Index

349

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