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.

In the popular imagination, retirement promises a well-deserved rest-idle days spent traveling, volunteering, pursuing hobbies, or just puttering around the house. But as the nature of work has changed, becoming not just a means of income but a major source of personal identity, many accomplished professionals struggle with discontentment in their retirement. What are we to do-individually and as a culture-when work and life experience make conventional retirement a burden rather than a reprieve? In Retirement and Its Discontents, Michelle Pannor Silver considers how we confront the mismatch between idealized and actual retirement. She follows doctors, CEOs, elite athletes, professors, and homemakers during their transition to retirement as they struggle to recalibrate their sense of purpose and self-worth. The work ethic and passion that helped these retirees succeed can make giving in to retirement more difficult, as they confront newfound leisure time with uncertainty and guilt. Drawing on in-depth interviews that capture a range of perceptions and common concerns about what it means to be retired, Silver emphasizes the significance of creating new retirement strategies that support social connectedness and personal fulfillment while countering ageist stereotypes about productivity and employment. A richly detailed and deeply personal exploration of the challenges faced by accomplished retirees, Retirement and Its Discontents demonstrates the importance of personal identity in forging sustainable social norms around retirement and helps us to rethink some of the new challenges for aging societies.

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.

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.

America grows older yet stays focused on its young. Whatever hill we try to climb, we're "over" it by fifty and should that hill involve entertainment or athletics we're finished long before. But if younger is better, it doesn't appear that youngest is best: we want our teachers, doctors, generals, and presidents to have reached a certain age. In context after context and contest after contest, we're more than a little conflicted about elders of the tribe; when is it right to honor them, and when to say "step aside"?
In LASTINGNESS, Nicholas Delbanco, one of America's most celebrated men of letters, profiles great geniuses in the fields of visual art, literature, and music-Monet, Verdi, O'Keeffe, Yeats, among others - searching for the answers to why some artists' work diminishes with age, while others' reaches its peak. Both an intellectual inquiry into the essence of aging and creativity and a personal journey of discovery, this is a brilliant exploration of what determines what one needs to do to keep the habits of creation and achievement alive.

The challenges faced by individuals and families at the end of life are still incredibly diverse, and many behavioural interventions and clinical approaches have been developed to address this great diversity of experiences in the face of dying and death, helping providers to care for their clients. Perspectives on Behavioural Interventions in Palliative and End-of-Life Care is an accessible resource that collates and explores interventions that can be used to address a wide range of behavioural, psychological, social and spiritual issues that arise when people are facing advanced chronic or life-limiting illness. With perspectives from experienced clinicians, providers, and caregivers from around the world, this book offers a strong foundation in contemporary evidence-based practice alongside seasoned practice insights from the field. Its chapters explore: Interventions to enhance communication and decision making The management of physical and mental health symptoms Meaning-Centred Psychotherapy for cancer patients Dignity Therapy Interventions embracing cultural diversity and intersectionality. Together with Perspectives on Palliative and End-of-Life Care: Disease, Social and Cultural Context, the book provides a foundation for collaborative international and interprofessional work by providing state-of science information on behavioural interventions addressing mental health and wellness. It is of interest to academics, researchers and postgraduates in the fields of mental health, medicine, psychology and social work, and is essential reading for healthcare providers and trainees from psychosocial and palliative medicine, social work and nursing.

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.

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.

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."

The demographic and social structure of most industrialized and developing countries are changing rapidly as infant mortality is reduced and population life span has increased in dramatic ways. In particular, the oldest-old (85+) population has grown and will continue to grow. This segment of the population tends to suffer physical and cognitive decline, and little information is available to describe how their positive and negative distal experiences, habits, and intervening proximal environmental influences impact their well-being, and how social and health policies can help meet the unique challenges they face. Understanding Well-Being in the Oldest Old is the outcome of a four-day workshop attended by U.S. and Israeli scientists and funded by the U.S.-Israel Bi-National Science Foundation to examine both novel and traditional paradigms that could extend our knowledge and understanding of the well-being of the oldest old. This volume engages social scientists in sharing methods of understanding, and thereby possibly improving, the quality of life of older populations, especially among the oldest old.

With the world's population getting increasingly older, there has never been a more pressing need for the study of old age and ageing. An Introduction to Gerontology provides a wide-ranging introduction to this important topic. By assuming no prior expert knowledge and avoiding jargon, this book will guide students through all the main subjects in gerontology, covering both traditional areas, such as biological and social ageing, as well as more contemporary areas, such as technology, the arts, sexuality and education of older adults. An Introduction to Gerontology is written by a team of international authors with multidisciplinary backgrounds who draw evidence from a variety of different perspectives and traditions.

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.

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.

Kornhuber and Deecke first recorded and reported the Bereitschaftspotential in 1964. The aim of this book is to bring together in a single volume some of the important research on the Bereitschaftspotential and other movement-related cortical potentials and to highlight and address some of the pertinent questions relating to the Bereitschaftspotential and to identify the key issues for future investigation in this field. This book represents a unique compilation of information about the Bereitschaftspotential and related cortical potentials and techniques for measuring preparatory processes in the brain. The book will be of interest to motor physiologists, psychologists and neurologists working in clinical or research laboratories.

''Full of valuable definitions, descriptions, discussion and succinct summaries....the volume forms an interesting, up-to-date reservoir of information on 'preparation for aging'. As a source of specific insights and alternative perspectives it is a welcome addition to the literature.'' -Aging and Society

Tommy Bengtsson Population ageing, the shift in age distribution towards older ages, is of immense global concern. It is taking place to a varying degree all over the world, more in Europe and some Asian countries, less on the African continent. The worldwide share of people aged 65 years and above is predicted to increase from 7. 5% in 2005 to 16. 1% in 2050 (UN 2007, p. 11). The corresponding ?gures for developed countries are 15. 5 and 26. 2% and for developing countries 5. 5 and 14. 6%. While population ageing has been going on for some time in the developed world, and will continue to do so, most of the change is yet to come for the developing world. The change in developing countries, however, is going to be much faster than it has been in the developed world. For example, while it took more than 100 years in France and more than 80 years in Sweden for the population group aged 65 and above to increase from 7 to 14% of the population, the same change in Japan took place over a 25-year period (UN 2007, p. 13). The scenario for the future is very similar for most developing countries, including highly populated countries like China, India and Brazil. While the start and the speed differ, the shift in age structure towards older ages is a worldwide phenomenon, stressing the signi?cance of the concept global 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. "

With people living longer, often with chronic illnesses and disabilities, it is becoming increasingly important to understand how depression, disability, and physical illnesses are interrelated, the mechanisms underlying these interrelationships, and their implications for diagnosis and treatment. This volume synthesizes a carefully selected portion of the knowledge about physical illness and depression that has emerged during the past twenty years.

This volume is the third in the Contemporary Geriatric Medicine series. As in previous volumes, information is presented in the form of easy-to read essays to bring the reader up to date on state-of-the-art develop ments in the area of geriatric medicine. Once again, a system approach is utilized. In addition, several new topics-including alcoholism, throm boembolic disease, and decubitus ulcer management-have been intro duced to enhance this volume's usefulness to the busy clinician and student. Each chapter is not meant to be an exhaustive review of all topics in the field, but rather to focus on issues currently receiving a great deal of attention. Our goal continues to be to create an exciting approach to contemporary issues in geriatric medicine. The editors are once again appreciative for having been given the opportunity to develop this series. Appreciation is also expressed to our professional colleagues, families, and administrative assistants, who have enabled this volume to reach fruition. As in the past, we thank, most of all, our elderly patients for providing the inspiration and impetus to improve our knowledge and understanding of the health care needs of the elderly. Steven R. Gambert, M.D. V alhalla, New York ix Contents Chapter 1 Geriatric Cardiology and Blood Pressure 1 Edmund H. Duthie, Jr., and Michael H. Keelan, Jr."

In the last two years, a wealth of new information has accumulated regarding both clinical and research aspects of health care for the elderly. Although many controversial issues have been resolved, many still remain. Volume 2 of Contemporary Geriatric Medicine is once again dedicated to the clinician who cares for the elderly on a continuing basis. Although, for the most part, general topics first introduced in Volume 1 have been retained, all infor mation in this volume is new and represents the current state of the art. In addi tion, several new topics-including falls, interpretation of laboratory data, and oral health care-have been introduced to enhance this volume's usefulness to the busy clinician. Through these easy-to-read essays, we attempt once again to keep the non geriatrician abreast of the current state of the art regarding the special needs and problems of the elderly. Each chapter is not meant to be an exhaustive review of all topics in the field, but rather to focus on issues receiving a great deal of atten tion. Our goal is to create an exciting approach to contemporary issues in gerIatric medicine."

Clinical trials are the most definitive tool for evaluation of the applica bility of clinical investigations. The main objective of clinical investiga tions is to assess the potential value of a therapeutic entity in the treat ment or prophylaxis of a disease or a condition. It is also deemed necessary at this stage to obtain information regarding the undesirable side effects, associated risks, and their interrelationship with clinical assessments. Most of these clinical investigations conform, in some form or fashion, to the guidelines adopted by the Food and Drug Administration (FDA) for a given class of compounds. Clinical investigations in the past have not included specific studies in special or subpopulations, e.g., the elderly. Because of an ever-increasing elderly population, newer policies for clinical investigations are now being debated with the recognition of enhanced drug sensitivity in this special population. This key research activity can lead not only to improved health care in the elderly but also to control of its costs."

Guide to Fitness After Fifty presents basic and applied research data, authoritative advice and tested techniques for professional workers who want to learn more about physical exercise, fitness and health for aging people and for all who seek to become more physically and mentally fit. The editors and contributors believe that physical activity and exercise following the pri ciples and practices utlined in this inter disciplinary volume can improve the health and quality of life by increasing en durance and cardiovascular fitness, strengthening the musculoskeletal system, im proving mobility, posture and appearance, and relaxing emotional tensions. Evidence at hand and discussed in this book demonstrates that properly prescribed physical activity or exercise can raise the level of physical fitness and health, both physical and mental, at any age, delay the ravages of aging, and prevent or reduce disability from musculoskeletal and circulatory disorders. Section I, Perspectives on Exercise and Aging, surveys the fundamental problems and relationships of exercise to aging and health and provides historical insights and philosophic perspectives on the significance and importance of physical fitness and exercise through the centuries and in contemporary society. Section II, Evaluation and Physiology of Exercise, presents objective scientific and medical evidence that reasonable improvement in fitness and other bodily func tions may be achieved by people of all ages who follow well designed exercise and relaxation routines for at least 30 minutes three or more times weekly."

'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.

Does human mortality after age 110 continue to rise, level off, or start to decline? This book describes a concerted, international research effort undertaken with the goal of establishing a database that allows the best possible description of the mortality trajectory beyond the age of 110. The International Database on Longevity (IDL) is the result of this ongoing effort. The IDL contains exhaustive information on validated cases of supercentenarians (people 110 years and older) and allows unbiased estimates of mortality after age 110. The main finding is remarkable: human mortality after age 110 is flat at a probability of death of 50% per year. The sixteen chapters of this book discuss age validation of exceptional longevity, data on supercentenarians in a series of countries, structure and contents of the IDL, and statistical analysis of human mortality after age 110. Several chapters include short accounts of specific supercentenarians that add life to demographic research.