Ethics, Aging, and Society: The Critical Turn

Contents......Page 6
Acknowledgments......Page 8
Introduction......Page 10
INTRODUCTION......Page 26
A SHORT HISTORY OF ETHICS AND AGING......Page 28
THE EVOLUTION OF THE ‘‘FOUR PRINCIPLES’’ APPROACH TO BIOMEDICAL ETHICS......Page 30
WHY AUTONOMY?......Page 34
AUTONOMY IN THE LONG-TERM CARE SETTING......Page 37
References......Page 40
Limitations of Conventional Views of Autonomy......Page 44
Getting Beyond Individual Autonomy......Page 45
Building Trust: Attentiveness to Relationships......Page 50
Feminist and Narrative Frameworks: A Critical Turn in Ethics......Page 51
Discourse Ethics and Aging......Page 59
Introduction......Page 68
Our Bodies, Our Selves......Page 70
The Strong View: Aging as Pure Social Construct......Page 72
Back to the Biological Body......Page 74
Culture and the Older Woman......Page 76
Culture Matters......Page 78
The Power to Resist......Page 80
Conclusion......Page 82
References......Page 83
Introduction......Page 88
Dominant Normative Ideals for the ‘‘New’’ Old Age......Page 91
The ‘‘Particular Circumstances’’ of Being Old......Page 93
The Critique: An Overview......Page 95
The View of Privilege......Page 96
Persistence of Ageism......Page 98
A Further Concern: The Non-political Agenda......Page 99
A Tentative Proposal: The Meaning of Old Age for Individuals and Societies......Page 101
Conclusion......Page 104
References......Page 105
Introduction......Page 110
What is Anti-aging Medicine?......Page 112
The Proponents of Anti-aging Technology......Page 114
The Critics of Anti-aging Technology......Page 116
Is an Anti-aging Agenda Morally Wise?......Page 117
Feminist and Social Justice Concerns......Page 119
Conclusion......Page 122
References......Page 123
Ethics, Aging, and Public Policy: Strange Bedfellows?......Page 126
Policy and Ethics......Page 127
Impediments to Bridging Ethics and Public Policy......Page 132
The Ideology of Neo-Liberalism......Page 134
Generational Conflict or Generational Solidarity......Page 136
The Feminist Ethics of Care......Page 138
Next Steps......Page 139
Broadening Normative Commitments: Dignity, Social Solidarity, and Gender Equity......Page 140
Conclusion......Page 142
Introduction......Page 148
Care: An Essential Human Need......Page 151
Dependency, Vulnerability, and Frailty......Page 152
Giving and Receiving Care: Basic Facts......Page 153
Everyone Wants the Best, But …......Page 157
A Response......Page 160
Values to Support Care at Home......Page 162
Next Steps......Page 163
Conclusion......Page 165
The Nursing Home......Page 170
Social History of the Nursing Home......Page 172
History of Bioethics in the Nursing Home Setting......Page 174
Reconceptualizing the Nursing Home: An Ethical and Practical Agenda......Page 179
Organizational Support for Ethical Action......Page 180
The Fact of Dependency......Page 183
Loss and Gain, Self and Recognition......Page 184
Living Toward Death......Page 186
Nursing Home Ethics Programs: Making Change Happen......Page 187
Working With Clients and Patients......Page 196
Fighting Ageist Attitudes......Page 198
Physical and Emotional Alienation......Page 199
Power Relationships......Page 201
Relationships in Institutions......Page 203
An Affair of the Demented......Page 204
Problems in Setting Boundaries......Page 207
Confidentiality and Privacy in Long-Term Care......Page 208
An Overview: Respect for Elders, Respect for Ourselves......Page 212
Introduction......Page 216
Grace Jones......Page 217
Paula Chase......Page 218
Abuse and Neglect......Page 220
Self-Neglect......Page 221
Background......Page 222
Ethical thinking about Abuse, Neglect, and Self-Neglect......Page 223
Conclusion......Page 231
The Forgotten Daughter......Page 236
Bioethics and Dementia: The Past......Page 239
Bioethics and Dementia: New Directions......Page 244
Practical Issues......Page 246
Addressing Cost......Page 248
Dignity......Page 249
Conclusion......Page 253
Beyond Rational Control: Caring at the End of Life......Page 256
Challenging Assumptions......Page 258
Taming Death: Taking Control......Page 259
Other Ways to Assert Control: Hospice, Palliative Care, and Physician-Assisted Suicide......Page 260
Aid in Dying......Page 262
Advance Care Planning and Individual Choice......Page 263
Other Problems: The Culture of Medicine......Page 266
Problems: The Politics of Death and Dying......Page 268
Proposals for Change......Page 269
Conclusion......Page 274
Aging and Disasters......Page 278
The Situation......Page 279
Ethical Analysis......Page 286
Identification......Page 296
Integration......Page 297
Contingency......Page 298
References......Page 299
Bringing It All Together......Page 304
Rethinking Philosophies of Aging
......Page 310
References
......Page 313
Index......Page 314