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We live at a time when the human lifespan has increased like never before. As average lifespans stretch to new lengths, what impact should this have on our values? Should our values change over the course of our ever-increasing lifespans? Nancy S. Jecker coins the term, the life stage relativity of values, to capture the idea that at different stages of our lives, different ethical concerns shift to the foreground. During early life, infants and small children hold dear the value of being cared for and nurtured by someone they trust--and their vulnerability and dependency make these the right values for them. By early adulthood and continuing into midlife, the capacity for greater physical and emotional independence gives people reason to place more emphasis on autonomy and the ability to freely choose and carry out their plan of life. During old age, heightened risk for chronic disease and disability gives us a reason to shift our focus again, emphasizing safeguarding our central capabilities and keeping our dignity and self-respect intact. Despite different values becoming central at different stages of life, we often assume the standpoint of someone in midlife, who is in the midst of planning a future adulthood that stretches out before them. Jecker coins the term, midlife bias, to refer to the privileging of midlife. Midlife bias occurs when we assume that autonomy should be our central aim at all life stages and give it priority in a wide range of ethical decisions. The privileging of midlife raises fundamental problems of fairness. It also suggests the possibility of large gaps in the ethical principles and theories at hand. Ending Midlife Bias: New Values for Old Age addresses these concerns in a step-wise fashion, focusing on later life. Jecker first introduces a philosophical framework that extends moral theorizing to older adults, addressing midlife bias, the life stage relativity of values, human capabilities and dignity, time's passage, the narrative self, and justice between old and young. She then turns to policy and practice and explores ethical issues in bioethics, long term care, personal robotic assistants, care of the dying and newly dead, ageism in medical research, the allocation of healthcare, mandatory retirement, and the future of population aging.
We live at a time when the human lifespan has increased like never before. As average lifespans stretch to new lengths, what impact should this have on our values? Should our values change over the course of our ever-increasing lifespans? Nancy S. Jecker coins the term, the life stage relativity of values, to capture the idea that at different stages of our lives, different ethical concerns shift to the foreground. During early life, infants and small children hold dear the value of being cared for and nurtured by someone they trust--and their vulnerability and dependency make these the right values for them. By early adulthood and continuing into midlife, the capacity for greater physical and emotional independence gives people reason to place more emphasis on autonomy and the ability to freely choose and carry out their plan of life. During old age, heightened risk for chronic disease and disability gives us a reason to shift our focus again, emphasizing safeguarding our central capabilities and keeping our dignity and self-respect intact. Despite different values becoming central at different stages of life, we often assume the standpoint of someone in midlife, who is in the midst of planning a future adulthood that stretches out before them. Jecker coins the term, midlife bias, to refer to the privileging of midlife. Midlife bias occurs when we assume that autonomy should be our central aim at all life stages and give it priority in a wide range of ethical decisions. The privileging of midlife raises fundamental problems of fairness. It also suggests the possibility of large gaps in the ethical principles and theories at hand. Ending Midlife Bias: New Values for Old Age addresses these concerns in a step-wise fashion, focusing on later life. Jecker first introduces a philosophical framework that extends moral theorizing to older adults, addressing midlife bias, the life stage relativity of values, human capabilities and dignity, time's passage, the narrative self, and justice between old and young. She then turns to policy and practice and explores ethical issues in bioethics, long term care, personal robotic assistants, care of the dying and newly dead, ageism in medical research, the allocation of healthcare, mandatory retirement, and the future of population aging.
This thought-provoking book exposes the values, judgements, and hierarchies that underlie ageism in care settings. Destabilizing the assumption that biases like ageism are always bad, Buetow suggests that ageism is normatively neutral and that truly person-centred care requires situated acknowledgement of and responsiveness to its negative and positive aspects. Buetow contends that respecting meaningful age differences between persons as moral agents puts ageism on the radar of care environments, weakening barriers to engagement. His analysis moves from concern for age-friendliness to prudent ageism that enables person-centred care to apply practical wisdom in everyday, age-sensitive judgement and decision-making. Challenging political correctness and advocating for justice rather than social justice, Buetow discusses how prudent ageism may advantage some age groups over others in particular circumstances while providing a moral structure for managing real rather than socially constructed differences. Looking at how age-sensitive judgments combined with a person first approach can inform research, policy, and practice, this book will interest students and researchers from fields like health and social care, and disciplines, such as sociology, psychology, politics, and philosophy.
Let’s face it: almost everyone fears growing older. We worry about losing our looks, our health, our jobs, our self-esteem—and being supplanted in work and love by younger people. It feels like the natural, inevitable consequence of the passing years, But what if it’s not? What if nearly everything that we think of as the “natural” process of aging is anything but? In Agewise, renowned cultural critic Margaret Morganroth Gullette reveals that much of what we dread about aging is actually the result of ageism—which we can, and should, battle as strongly as we do racism, sexism, and other forms of bigotry. Drawing on provocative and under-reported evidence from biomedicine, literature, economics, and personal stories, Gullette probes the ageism thatdrives discontent with our bodies, our selves, and our accomplishments—and makes us easy prey for marketers who want to sell us an illusory vision of youthful perfection. Even worse, rampant ageism causes society to discount, and at times completely discard, the wisdom and experience acquired by people over the course of adulthood. The costs—both collective and personal—of this culture of decline are almost incalculable, diminishing our workforce, robbing younger people of hope for a decent later life, and eroding the satisfactions and sense of productivity that should animate our later years. Once we open our eyes to the pervasiveness of ageism, however, we can begin to fight it—and Gullette lays out ambitious plans for the whole life course, from teaching children anti-ageism to fortifying the social safety nets, and thus finally making possible the real pleasures and opportunities promised by the new longevity. A bracing, controversial call to arms, Agewise will surprise, enlighten, and, perhaps most important, bring hope to readers of all ages.
Winner of the MLA Prize for Independent Scholars and the APA's Florence L. Denmark Award for Contributions to Women and Aging When the term “ageism” was coined in 1969, many problems of exclusion seemed resolved by government programs like Social Security and Medicare. As people live longer lives, today’s great demotions of older people cut deeper into their self-worth and human relations, beyond the reach of law or public policy. In Ending Ageism, or How Not to Shoot Old People, award-winning writer and cultural critic Margaret Morganroth Gullette confronts the offenders: the ways people aging past midlife are portrayed in the media, by adult offspring; the esthetics and politics of representation in photography, film, and theater; and the incitement to commit suicide for those with early signs of “dementia.” In this original and important book, Gullette presents evidence of pervasive age-related assaults in contemporary societies and their chronic affects. The sudden onset of age-related shaming can occur anywhere—the shove in the street, the cold shoulder at the party, the deaf ear at the meeting, the shut-out by the personnel office or the obtuseness of a government. Turning intimate suffering into public grievances, Ending Ageism, Or How Not to Shoot Old People effectively and beautifully argues that overcoming ageism is the next imperative social movement of our time. About the cover image: This elegant, dignified figure--Leda Machado, a Cuban old enough to have seen the Revolution--once the center of a vast photo mural, is now a fragment on a ruined wall. Ageism tears down the structures that all humans need to age well; to end it, a symbol of resilience offers us all brisk blue-sky energy. “Leda Antonia Machado” from “Wrinkles of the City, 2012.” Piotr Trybalski / Trybalski.com. Courtesy of the artist. A Declaration of Grievances "A Declaration of Grievances" was written by Margaret Morganroth Gullette and is excerpted from her book Ending Ageism, or How Not to Shoot Old People (2017, Rutgers University Press). The poster was designed by Carolyn Kerchof.​ A Declaration of Grievances (in English): https://d3tto5i5w9ogdd.cloudfront.net/wp-content/uploads/2023/01/15175130/A-Declaration-of-Grievances_Eng.pdf​ A Declaration of Grievances (in Spanish): https://d3tto5i5w9ogdd.cloudfront.net/wp-content/uploads/2023/01/15175131/A-Declaration-of-Grievances_Spanish.pdf ​A Declaration of Grievances (in French): https://d3tto5i5w9ogdd.cloudfront.net/wp-content/uploads/2023/01/15175130/A-Declaration-of-Grievances_French.pdf ​A Declaration of Grievances (in German): https://d3tto5i5w9ogdd.cloudfront.net/wp-content/uploads/2023/01/15175131/A-Declaration-of-Grievances_German.pdf Print the PDF (make sure to click "fit to page") and hang the Declaration up in your home or place of work. Please share this link with other people you know who care about the rights of older persons. Share on social media with the hashtags #ADeclarationOfGrievances and #EndingAgeismGullette. For more information, an excerpt, links to reviews, and special offers on this book, go to: https://www.rutgersuniversitypress.org/ending-ageism Related website: (https://www.brandeis.edu/wsrc/scholars/profiles/gullette.html)
Die sechste Ausgabe von Pathy's Principles and Practice of Geriatric Medicine bietet einen umfassenden Überblick über das Thema sowie aktuelle, evidenzbasierte Informationen über die zahlreichen und unterschiedlichen Probleme, unter denen ältere Patienten leiden. In dieser neuesten Ausgabe haben die Autoren die Inhalte aktualisiert und dabei die neuesten wissenschaftlichen Erkenntnisse konsequent auf die klinische Praxis übertragen, wobei sie vermehrt auf Beispielbilder, Algorithmen und Grundsätze der guten klinischen Praxis zurückgreifen. Die durchgängig aktualisierten Kapitel vermitteln eine wirklich umfassende Perspektive auf die Geriatrie und berücksichtigen auch die neuesten Veränderungen in Bezug auf Behandlungsmöglichkeiten und Gesundheitszustände. Neben den neuen Kapiteln über verschiedene aktuelle Themen, den Grundsätzen der guten klinischen Praxis und den Beispielbildern (u. a. MRT-Scans) enthält das Buch außerdem: * Eine umfassende Einführung in die relevanten biologischen, sozialen und gemeinwohlbezogenen Perspektiven bei der Pflege älterer und alternder Patienten sowie in die Verschreibung von Medikamenten für ältere Patienten * Eine umfassende Untersuchung von Essstörungen, die häufig bei älteren Menschen auftreten, sowie Methoden zur Förderung einer gesunden Ernährung bei älteren Patienten * Eine praktische Erörterung hämatologischer und kardiovaskulärer Störungen und Krankheiten bei älteren Patienten * Eine eingehende Betrachtung besonderer Themen in der Altenpflege, darunter Missbrauch älterer Menschen, Alkoholabhängigkeit und Drogenmissbrauch, Schwierigkeiten beim Transport und Sterbebegleitung Pathy's Principles and Practice of Geriatric Medicine eignet sich perfekt für alle Personen in Pflegeberufen, die mit älteren Patienten arbeiten, und darf auch in den Bibliotheken von Mitarbeitern der Gesundheitsdienste bei der Betreuung von älteren Patienten und Pflegebedürftigen nicht fehlen
This book explores and elaborates three theories of public reason, drawn from Rawlsian political liberalism, natural law theory, and Confucianism. Drawing together academics from these separate approaches, the volume explores how the three theories critique each other, as well as how each one brings its theoretical arsenal to bear on the urgent contemporary debate of medical assistance in dying. The volume is structured in two parts: an exploration of the three traditions, followed by an in-depth overview of the conceptual and historical background. In Part I, the three comprehensive opening chapters are supplemented by six dynamic chapters in dialogue with each other, each author responding to the other two traditions, and subsequently reflecting on the possible deficiencies of their own theories. The chapters in Part II cover a broad range of subjects, from an overview of the history of bioethics to the nature of autonomy and its status as a moral and political value. In its entirety, the volume provides a vibrant and exemplary collaborative resource to scholars interested in the role of public reason and its relevance in bioethical debate.
This book provides novel perspectives on ethical justifiability of assisted dying in the revised edition of New Directions in the Ethics of Assisted Suicide and Euthanasia. Going significantly beyond traditional debates about the value of human life, the ethical significance of individual autonomy, the compatibility of assisted dying with the ethical obligations of medical professionals, and questions surrounding intention and causation, this book promises to shift the terrain of the ethical debates about assisted dying. The novel themes discussed in the revised edition include the role of markets, disability, gender, artificial intelligence, medical futility, race, and transhumanism. Ideal for advanced courses in bioethics and healthcare ethics, the book illustrates how social and technological developments will shape debates about assisted dying in the years to come.
Ageing without Ageism? contributes to the essential and timely discussion of age, ageism, population ageing, and public policy. It demonstrates the breadth of the challenges posed by these issues by covering a wide range of policy areas: from health care to old-age support, from democratic participation to education, and from family to fiscal policy. With contributions from 21 authors the discussion bridges the gap between academia and public life by putting in dialogue fresh philosophical analysis and specific new policy proposals. It approaches familiar issues like age discrimination, justice between age groups, and democratic participation across the ages from novel perspectives.