This book investigates the experiences of older people who remain at home with care. It examines the transition points for the important life changes faced by family members who take on a greater care-giving role. The book draws on demographic analyses and qualitative fieldwork to explore the shift from independence to increasing dependence, and suggests that this transition constitutes movement into a new stage of life, that of an Age of Supported Independence. Applying the anthropological concept of rites of passage in their analysis, the authors focus on the changes in everyday living within the spatial environment of the home, the temporal organization of daily life, and the reshaping of relationships. They suggest that many older people - as well as the family members who become carers - remain in a state of 'liminality': unable to make sense of their new situation and experience and, despite assumptions that ageing-in-place sustains social connectedness, excluded from their communities.

With the longest life expectancy for men and the second longest for women, Hong Kong typifies our planet's aging population. The daily lives of its older adults closely match the advantages and disadvantages experienced by urban elders in other developed countries. For these reasons, Hong Kong's elderly serve as a salient guide to older people's social, psychological, and healthcare needs-concerns of increasing importance as the world grows older. Aging in Hong Kong examines this emblematic population as a case study specifically in comparison with their counterparts in the West, shedding light on diverse, interrelated currents in the aging experience. Referencing numerous international studies, the book contrasts different health service arrangements and social factors and relates them to a variety of health outcomes. Its wide-ranging coverage documents health and illness trends, reviews age-friendly policy initiatives, relates health literacy to patients' active role in their own care, and discusses elders as an underserved group in the division of limited health funding and resources. This multiple focus draws readers' attention to policies that need revisiting or retooling as chapters analyze major life areas including: Living environment. Retirement and post-retirement employment issues. Financial asset management. Health literacy regarding aging issues. Elder-positive service delivery models. Ageism in the prioritization of healthcare. End-of-life issues. By assembling such a wealth of data on its subject, Aging in Hong Kong puts ongoing challenges into clear focus for gerontologists, sociologists, health and cross-cultural psychologists, public health policymakers, and others involved in improving the quality of elders' lives.

This book focuses on older people as makers of meaning and insight, highlighting the evolving values, priorities and ways of communicating that make later life fascinating. It explores what creating 'meaning' in later life really implies, for older people themselves, for how to conceptualise older people and for relationships between generations. The book offers a language for discussing major types of lifecourse meaning, not least those concerning ethical and temporal aspects of the ways people interpret their lifecourses, the ways older people form part of social and symbolic landscapes, and the types of wisdom they can offer. It will appeal to students of gerontology, sociological methodology, humanistic sociology, philosophy, psychology, and health promotion and medicine.

Two things are certain in the contemporary workplace: the aging of employees, and negative attitudes toward them - especially those with disabilities-by younger colleagues and supervisors. Yet related phenomena seem less clear: how do negative stereotypes contribute to discrimination on the job? And how are these stereotypes perceived in legal proceedings? Bringing theoretical organization to an often unfocused literature, Disability and Aging Discrimination offers research in these areas at the same level of rigor as research into racial and gender discrimination. The book applies Social Analytic Jurisprudence, a framework for testing legal assumptions regarding behavior, and identifies controversies and knowledge gaps in age-discrimination and disability law. Chapters provide historical background or present-day context for the prevalence of age and disability prejudices, and shed light on the psychosocial concepts that must be understood, in addition to medical considerations, to make improvements in legal standards and workplace policy. Among the topics covered: * Applying Social Analytic Jurisprudence to age and disability discrimination. * The psychological origins and social pervasiveness of ageism. * Growing older, working more: the boomer generation on the job. * Limitations of the Americans with Disabilities Act. * Disability and procedural fairness in the workplace. * Cross-cultural perspectives on stigma. The first volume of its kind, Disability and Aging Discrimination is essential reading for researchers, forensic and rehabilitation psychologists/psychiatrists, and those involved in the well-being of older and disabled workers.

Handbook of the Psychology of Aging, Ninth Edition tackles both the biological and environmental influences on behavior and the reciprocal interface between changes in the brain and behavior that span the adult lifespan. This information is very important to many features of daily life, from workplace to family, and in public policy matters. It is complex and new questions are continually raised about how behavior changes with age. Providing perspectives on the behavioral science of aging for diverse disciplines, the handbook explains how the role of behavior is organized and how it changes over the course of life. Along with parallel advances in research methodology, it explicates in great detail, patterns and sub-patterns of behavior over the lifespan, and how it affects biological, health and social interactions.

The second edition of this engaging text reflects a welcome new paradigm for aging-that of aging as a positive stage of life. Written for undergraduate and masters-level students, it provides an interdisciplinary perspective on the wide variety of subject areas within gerontology, and combines research with engrossing narratives, new trends, and controversial topics. Substantially updated, the second edition features integrated content on the diversity of the aging population. State-of-the-art information includes new science on the biology of aging; chronic conditions; integrated care; changing roles for older adults; new demographics; and critical policy issues. The second edition examines career opportunities in gerontology and includes Practical Applications and Activities for Students, new scenarios, and many more charts and graphs. The book also includes PowerPoint slides, a test bank and an instructor's manual. Key Features: Conceptualizes a positive approach to aging, with an emphasis on the advantages and opportunities presented by the large and growing number of older Americans Delivers comprehensive, interdisciplinary coverage of aging topics Dispels negative myths about aging Engages the reader with vivid narratives and thought-provoking activities Offers a broad range of subject areas in the field, from biological aging processes, to economics and living arrangements Provides Instructor's Manual, PowerPoint slides, and multiple resources for additional learning New to the Second Edition: Presents a new chapter on careers in aging, which explores expanding opportunities Explores new and updated demographics Includes new information on personality, palliative care, age-friendly communities, homelessness, social networks, Medicaid and more Presents a new approach to elder abuse focusing on solutions to social isolation, a major cause of abuse Includes coverage of policies throughout the book, as they apply to their role in an aging society, in the workplace and retirement, in providing opportunities for older people to give and receive support, and in health care Uses Bloom's latest taxonomy for Learning Objectives

This book highlights (1) the significance of reciprocity for the maintenance of self-esteem in old age and (2) the negative implications for the well-being of dependent older people when that significance goes unrecognized and, as a consequence, opportunities to give back to society, as well as take from it, are not facilitated by those in a position to do so. The discussion draws on research undertaken in the UK and Southern India into the extent to which having the self-perception of being valued in the world is important to older people in receipt of care support and whether, in their experience, this is recognized by others. The author presents an analysis of theoretical insights from leading thinkers across a broad range of literature and from several disciplines, including social theory, social work, philosophy, and gerontology. The author also gives voice to the perspectives of those dependent older people not often heard because of marginalizing and disempowering processes that contribute to their having little opportunity to be heard in the first place. The emphasis of this book is on aspiration to a meaningful life and continuing personal growth as offering a challenge to dominant discourses the equate old age with decline.

Key Demographics in Retirement Risk Management argues that the weakening of public and employer-sponsored social safety nets in several countries will permanently increase pre-retirees' risk-anxiety and create pressure towards readjustment of their expectations about the quality of their lives in retirement. The result will be to raise the priority of achieving effective comprehensive retirement related risk management. This achievement requires an emphasis upon the cascading of linked risks, and careful attention to the optimization of scarce resources used to manage those linked risks. Professional financial and retirement planning advisors comprise a key source of help. This book develops new knowledge concerning the factors that help to explain three important aspects of access to these professional advisors. The results of this analysis are used to illustrate the process of identifying distinctive population segments, key demographics, on the basis of multiple population attributes treated simultaneously. The illustration is further extended with an identification of distinctive population segments relative to performance on a composite indicator of the conduct of multiple retirement risk management activities. The book also discusses implications of the pattern of gender differences in preparedness to address retirement's challenges, highlighting subgroups of women in which inadequate preparedness is pronounced.

"Aging, Health, and Longevityin the Mexican-Origin Population"creates a foundation for an interdisciplinary discussion of the trajectory of disability and long-term care for older people of Mexican-origin from a bi-national perspective. Although the literature on Latino elders in the United States is growing, few of these studies or publications offer the breadth and depth contained in this book.

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'A beautiful and moving book that vividly brings home the challenges faced by those with dementia and their carers' Sir Tony Robinson A moving and beautifully illustrated book that captures the real life tales of people living with dementia, as told by their loved ones caring for them. This humorous, heartwarming and often heartbreaking collection will be relatable and supportive for anyone touched by dementia in their lives, and provides insight and information for anyone wanting to know more. The stories reflect on: the impact of receiving a diagnosis, the importance of person-centred care and social inclusion; the power of meaningful engagement, partnerships, peer support and much, much more.

In recent years the field of cognitive aging has flourished and expanded into many different disciplines. It is probably, therefore, inevitable that some of the research has become very narrow, primarily focused on "counting and classifying the wrinkles of aged behavior," rather than addressing more broad, general, and important questions. Timothy Salthouse's main goal in this book is to try to identify some of the major phenomena in the field of cognitive aging, and discuss issues relevant to the investigation and interpretation of them. He does not attempt to provide a comprehensive survey of the research literature on aging and cognition because many excellent reviews are available in edited handbooks. His principal aim is rather to stimulate readers to think about the big questions in cognitive aging research, and how they might best be answered.

China, which is fast on its way to becoming the most powerful economic force in the world, has four unique characteristics that distinguish it from other countries in Asia: (1) The proportion of aging population is growing faster than that of Japan (the country previously recognized as having the fastest rate) and much faster than nations in western Europe. (2) An early arrival of an aging population before modernization has fully taken place, with social policy implications. It is certain that China will face a severely aged population before it has sufficient time and resources to establish an adequate social security and service system for older people. (3) There will be fluctuations in the total dependency ratio. The Chinese government estimates are that the country will reach a higher dependent burden earlier in the twenty-first century than was previously forecast. (4) The government s fertility policy (single child per family) and its implementation has a strong influence on the aging process. Fewer children are being born, but with more elderly people a conflict arises between the objectives to limit population increase and yet maintain a balanced age structure (Peng and Guo 2001). The intersection of these fourfold factors means that the increased aging population is giving rise to serious concerns among Chinese social policy makers. There is a chronic lack of good resource materials that attempt to make sense of social policy in its relationship to examining the problems and possibilities of human aging grounded in an analysis of economic of social policy in China and impact on rural and urban spaces. Such analysis of China will be covered by conceptual, theoretical, and empirical approaches. The book will also discuss substantive topics of housing, community care, family care, pensions, and mental health. The book brings together a truly world class array of researchers to provide discussions of critical implications of aging social policy and the economic impact in China."

Over the last two decades, many changes have happened to the social welfare policies of various industrial countries. Citizens have seen their pensions, unemployment benefits, and general healthcare policies shrink as "belt tightening" measures are enforced. But in contrast, long-term care has seen a general growth in public financing, an expansion of beneficiaries, and, more generally, an attempt to define larger social responsibilities and related social rights. The aim of this book is to describe and interpret the changes introduced in long-term care policies in Western Europe. The volume argues that recent reforms have brought about an increasing convergence in LTC policies. Most of the new programs have developed a new general approach to long-term care, based on a better integration of social care and health care. The book explores increasing public support given to family care work (in the past, the family would take care of the elderly or infirm) and increasing growth and recognition of a extended social care market (by which care has shifted from a moral obligation based on family reciprocity to a paid, professional activity). A new social care arrangement has therefore been developing in Western countries, based on a new mix of family obligations, market provision, and public support. In order to understand such changes, this analysis will take into account the social and economical impact of these reforms.

This book examines the key aging processes in seven countries (United States, United Kingdom, Sweden, Japan, China, Nepal, and South Africa) and the main policies that have been, and are being, developed to deal with this rapid change in the demographic profile. It addresses the problems that are identified as well as the positive aspects of aging within each of these contrasting societies. Thus it makes a significant contribution to the major debates about growing old across the globe.

Ageing, meaning and social structure is a unique book advancing critical discourse in gerontology and makes a major contribution to understanding key social and ethical dilemmas facing ageing societies. It confronts and integrates approaches that have been relatively isolated from each other, and interrelates two major streams of thought within critical gerontology: analyses of structural issues in the context of political economy and humanistic perspectives on issues of existential meaning. The chapters, from a wide range of contributors, focus on major issues in ageing such as autonomy, agency, frailty, lifestyle, social isolation, dementia and professional challenges in social work and participatory research. This volume should be valuable reading for scholars and graduate students in gerontology and humanistic studies, as well as for policy makers and practitioners working in the field of ageing.

Ageing population poses a set of complex policy and dilemmas for social security systems, intensifying the concerns about rising expenditures in health care and long-term care for elderly. In this context, ageing societies has many valuable lessons to learn by studying Japan's experience dealing with its hyper-aged society and particularly from its strategies to ensure the financial sustainability of the Long-Term Care Insurance (LTCI) system.

Based on an exhaustive literature review, and the results from six original researches on long-term care expenditures in Japan (LTCE) conducted during a doctoral program, the book provides a comprehensive view in analyzing trends and factors associated with increasing expenditures in the Long-Term Care Insurance system in Japan.

The book address relevant topics such as; the main socio-demographic changes experienced by the Japanese society during the last three decades, predictors of the LTCE, measuring efficiency in nursing homes, the impact of the LTCI 2005-reform to contain expenditures, cost-effectiveness of the in-home and community based services and institutional LTCE in the last year of life. The book end with a discussion on futures challenges and strategies oriented to contribute with the sustainability of LTCI system in Japan."

In the 1990s providing mental health services to the elderly and particularly to elderly Native Americans had been an issue of some concern for the last several decades. Despite this, many public decisions made at the time were based on inadequate data. Due to this lack of data, there had been little research devoted to determining the factors associated with mental health among elderly Native Americans. Instead, the growing body of mental health research had "been based on limited samples, primarily of middle-majority Anglos." Originally published in 1994, the purpose of this research was to utilize existing data to close the gap in our understanding of mental health among elderly Native Americans.

This unique book represents the first multi-disciplinary examination of ageing, covering everything from basic cell biology, to social participation in later life, to the representations of old age in the arts and literature. A comprehensive introductory text about the latest scientific evidence on ageing, the book draws on the pioneering New Dynamics of Ageing Programme, the UK's largest research programme in ageing. This programme brought together leading academics from across the arts and humanities, social and biological sciences and fields of engineering and medical research, to study how ageing is changing and the ways in which this process can be made more beneficial to both individuals and society. Comprising individual, local, national and global perspectives, this book will appeal to everyone with an interest in one of the greatest challenges facing the world - our own ageing.

Thisbriefs on human suffering adds to human understanding of suffering by contextualizing both stories and statistics on suffering, while showing that suffering adds a useful perspective to contemporary thought and research on quality of life, social well-being, and measures of societal progress. The scholarship on suffering is made more comprehensible in the book by using nine different conceptual frames that have been used for making sense of suffering. The primary focus of this work is with the last frame, the quality of life frame. Overall, this chapters show how the research on quality of life and well-being can be enhanced by embracing human suffering. "

Springing Forth brings words of encouragement, healing, and renewal to those experiencing loss and afflictions. The prose enlightens the mind and the poetry moves the heart. Scriptural lessons reveal the predicaments and promises for anyone who is bewildered with changes, especially the aged. Words bring courage to change, and changes provide access to power and peace. The thirty good steps included give practical and spiritual ways to overcome anger, bitterness, fear, despair, suffering, loneliness, worry, darkness, blindness, control of demons and Satan, inertia, being stuck on oneself, sense of inadequacy, changing circumstances, identity crisis, and lack of productivity.

Despite continuing ageist beliefs that sexuality is a privilege designed only for the young and physically healthy, research continues to indicate that the majority of older adults maintain interest in sexuality and may engage in fulfilling sexual behavior well into their last decade of life. Unfortunately, many professionals remain unaware of general knowledge of elderly sexuality, including the expected and normal physiological changes that can occur within the context of both male and female aging. The presence of chronic illness and other medical problems certainly can influence the expression of an aging adult's sexuality, and emergent research suggests that there are effective ways to cope with menopause, heart disease, arthritis, incontinence, diabetes, sleep disorders, breast cancer, prostate cancer, and erectile dysfunction (ED), among others. Dramatic changes have taken place within the last decade alone in terms of non-surgical treatment for incontinence and ED, with forms of sex therapy, biofeedback, and PDE-5 inhibitors. Regrettably, many aging adults and their care providers remain unaware of their increased risk factors for STDs, including HIV infection via lack of knowledge, changes in the vaginal lining, and typical declines in immune function. Estimates suggest that by the year 2020, more than half of all individuals living with HIV will be over the age of 50. Although some high quality professional books are available for clinicians, they tend to be disjointed research bibliographies, edited volumes on a narrowly focused aspect of elderly sexuality, or texts that are more than 10 years old. With the extent of new information available regarding sexuality and aging, an up to date, empirically based text is necessary.

It has been ten years since the National Hormone and Pituitary Program (then called the National Pituitary Agency) sponsored a symposium on human growth hormone (hGH). Numerous advances have occurred during this period. This book does not attempt to summarize past achievements. Rather, it deals with the contemporary issues in hGH research. A discussion of the present state of the art, of necessity, includes a review of the past. Some of the topics herein discussed include the following: 1. Growth hormone releasing factor (GRF). In 1973, the growth hormone inhibitory factor (somatostatin) had recently been discovered. The search for a releasing factor in humans led to its discovery not in the pituitary but in a pancreatic tumor that secreted growth hormone. The advances are discussed in this book. The current hope is that GRF will eventually become an effective therapeutic agent for idiopathic hypopituitarism in childhood and adolescence. 2. Biosynthesis of hGR by recombinant DNA technology. Current advances are discussed. Although hGH is not yet an approved drug, it will eventually become one. This will broaden our horizons in terms of hGH effectiveness in disorders other than hypopituitary dwarfism. The current experience with this type of hGH in both the Vnited States and Europe is reviewed by several authors.

Taken over the course of more than a year of exclusive access, this work applies large format still life photography to the context of a unique prison community, E Wing at Kingston Prison in Portsmouth. For eight years this was Britain's only wing dedicated to holding elderly lifers: murderers, rapists, paedophiles and other violent criminals aged from their late 50s to over 80 years old. "Still Life: Killing Time", is not simply a reportage about a particular prison. Elements of metaphor, abstraction and documentary explore the experience of long term incarceration and the passage of time, and touch on how ageing and physical decline affect the prison environment. The claustrophobia of these close up, deliberate and regular compositions reflects both the nature of the place and the experience of working in E Wing.The recurring motifs - bars, squares, boxes, grids - show the segmentation and ordering of time and space that is fundamental to prison life, while the details of the inmates' possessions, notice-boards, walls, tables and bedsides suggest their state of mind and how they adapt to long term incarceration and getting old in an institution.

By recounting actual court cases, this book examines the multi-billion-dollar elder fraud industry, the special vulnerabilities of those it targets, and the ease and frequency with which it obtains hundreds of thousands of dollars per victim. It also reveals successful strategies for combating that industry and the important contributions to that effort by concerned bankers, doctors, reporters and others in the private sector. The cases reveal an increasingly sophisticated global industry that targets each victim with a series of repeat "hits." This tactic--criminals call it "reloading"--sets the elder fraud industry apart from groups that defraud younger individuals. Twelve key age-related fraud vulnerabilities are illustrated in the cases. So, too, are the scammers' skills in mapping their target's unique combination of vulnerabilities and then tailoring their narratives to exploit each one. Most of the cases highlight actual victims, scam artists or fraud fighters. Their individual stories range from inspiring and sometimes comical to frustrating and deeply disturbing. Readers with aging parents, law enforcement officials, medical professionals, members of the financial industry and others who work with older adults will find it particularly useful.