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Author: Renée Rose Shield
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 272
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Book Description
"If we continue, we grow old, and this is how it could be for us," writes Renée Rose Shield in her candid and sympathetic account of life in one American nursing home. Drawing on anthropological methods and theory to illuminate institutional life, she probes the sources of the profound sense of unease she found at the place she calls "The Franklin Nursing Home."For fourteen months Shield participated in life at a nursing home in the northeastern United States. She got to know many of the people associated with the home--doctors, nurses, custodians, kitchen workers, administrators, social workers, visiting relatives, and above all, the residents, who emerge in this book as the individuals they are. Sections in which the residents speak poignantly in their own voices are woven throughout her richly detailed observations of everyday routines and events. We see them using guile and humor to get by, struggling to approach the end of their lives with a measure of autonomy and dignity, and we meet an often conscientious and caring staff constrained by conflicting professional perspectives and by the bureaucratic structure in which they work.There are no villains here. Rather, Shield explains how conditions in the nursing home create a difficult and uncomfortable "liminality"--the transition from an accustomed role to a new one-for the residents. In characterizing nursing-home existence, she goes beyond Erving Goffman's classic definition of the "total institution" to show how residents pass from adulthood to death without the comfort of ritual or community support common in rites of passage. In addition to the isolation created by this solitary passage, she finds restrictions on "reciprocity"--the old people are always recipients whose need and obligation to repay are seen as unnecessary and difficult to satisfy. The system encourages their passivity, which deepens their dependency and helps to explain why they are often perceived as children. Offering concrete suggestions for improving the quality of nursing-home life, Uneasy Endings will find a broad audience among those who work with the aged.
Author: Renée Rose Shield
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 272
Get Book Here
Book Description
"If we continue, we grow old, and this is how it could be for us," writes Renée Rose Shield in her candid and sympathetic account of life in one American nursing home. Drawing on anthropological methods and theory to illuminate institutional life, she probes the sources of the profound sense of unease she found at the place she calls "The Franklin Nursing Home."For fourteen months Shield participated in life at a nursing home in the northeastern United States. She got to know many of the people associated with the home--doctors, nurses, custodians, kitchen workers, administrators, social workers, visiting relatives, and above all, the residents, who emerge in this book as the individuals they are. Sections in which the residents speak poignantly in their own voices are woven throughout her richly detailed observations of everyday routines and events. We see them using guile and humor to get by, struggling to approach the end of their lives with a measure of autonomy and dignity, and we meet an often conscientious and caring staff constrained by conflicting professional perspectives and by the bureaucratic structure in which they work.There are no villains here. Rather, Shield explains how conditions in the nursing home create a difficult and uncomfortable "liminality"--the transition from an accustomed role to a new one-for the residents. In characterizing nursing-home existence, she goes beyond Erving Goffman's classic definition of the "total institution" to show how residents pass from adulthood to death without the comfort of ritual or community support common in rites of passage. In addition to the isolation created by this solitary passage, she finds restrictions on "reciprocity"--the old people are always recipients whose need and obligation to repay are seen as unnecessary and difficult to satisfy. The system encourages their passivity, which deepens their dependency and helps to explain why they are often perceived as children. Offering concrete suggestions for improving the quality of nursing-home life, Uneasy Endings will find a broad audience among those who work with the aged.
Author: Julian Barnes
Publisher: Vintage
ISBN: 0307957330
Category : Fiction
Languages : en
Pages : 158
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Book Description
BOOKER PRIZE WINNER • NATIONAL BESTSELLER • A novel that follows a middle-aged man as he contends with a past he never much thought about—until his closest childhood friends return with a vengeance: one of them from the grave, another maddeningly present. A novel so compelling that it begs to be read in a single setting, The Sense of an Ending has the psychological and emotional depth and sophistication of Henry James at his best, and is a stunning achievement in Julian Barnes's oeuvre. Tony Webster thought he left his past behind as he built a life for himself, and his career has provided him with a secure retirement and an amicable relationship with his ex-wife and daughter, who now has a family of her own. But when he is presented with a mysterious legacy, he is forced to revise his estimation of his own nature and place in the world.
Author: Herbert Schlesinger
Publisher: Routledge
ISBN: 1134639406
Category : Psychology
Languages : en
Pages : 312
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Book Description
In this second edition of Endings & Beginnings (Routledge, 2006), Herbert J. Schlesinger explores endings and beginnings within psychoanalysis and psychoanalytic therapy; both the obvious main endings and beginnings of any course in treatment, and the many little endings and beginnings that permeate analysis. The second edition contains new chapters including one on transference and counter-transference as sources of information about the process of therapy and as sources of difficulty in ending. It deals especially with the impact of prospective ending on the therapist, which if not understood and well handled, might interfere with working through and impede termination, if not ending itself. Another new chapter deals with the difficulties in terminating with especially narcissistic patients. One of the main criticisms against psychoanalysis and the psychotherapies derived from it is that it lacks criteria for when the patient has had enough. Herbert J. Schlesinger shows how we may view the process as a series of episodes each with an ending and possibly with a new beginning. He presents the way patients signal, even before they are aware of it, that ending is "in the air," and how it organizes how they experience the therapy. If alerted, the therapist can make use of these signals to locate self and patient in the process. So informed, the therapist is better able to discern when the therapy should end and help the patient work through the issues of separation and loss to terminate the treatment constructively. All patients tend to end psychotherapy in the way they end all other relationships. In several chapters on the problems related to severe regression, therapists can learn how to help vulnerable patients, for whom attachment is problematic, deal with separation non-traumatically. In Endings & Beginnings 2nd Edition, the theory of the continuous experience of ending and beginning and the array of landmarks that parse the clinical process are distinct advances to the technique of psychoanalysis and the psychotherapies derived from it. Schlesinger offers many clinical examples of ending and beginning with their technical problems and solutions. This contribution to the technique of ending and beginning psychotherapy electively will be useful to practicing psychotherapists and psychoanalysts, and to undergraduate and post-graduate students in clinical psychology, psychiatry and social work.
Author: Renée Rose Shield
Publisher: Cornell University Press
ISBN: 9780801439896
Category : Business & Economics
Languages : en
Pages : 260
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Book Description
Sequestered within the heart of a cosmopolitan city is an exotic world--a place where diamonds, astronomically priced, are bought and sold on the strength of a handshake, and business disputes are resolved according to ancient Jewish principles of arbitration. Yet it is also a modern industry facing the same fundamental global changes affecting all businesses today.In Diamond Stories, Renée Rose Shield leads us into the unexamined realm of wholesale diamond traders in New York. Related to several well-respected traders, she had unprecedented access to a society normally closed to outside inquiry. Here she deftly blends her personal relationship and her anthropological training to provide an insightful exploration of this tradition-bound industry, the new challenges it faces, and the ways both industry and individuals adapt to and endure change.Shield begins with a fascinating history of diamond mining, combining the story of the De Beers cartel, the role of Jews in the trade, and the part diamonds have played both in war and liberation. Throughout, she incorporates commentary by current diamond traders. Succeeding chapters explore the evolving nature of both the global trade and the New York diamond district. Shield takes a close look at the increasingly complex ethnic makeup of the district, illuminates the rarely documented work done by women, chronicles the resilient system of arbitration, and reveals the ways in which many traders work well into their eighties and nineties. Their long lives of work, cushioned by the trade's social environment, offer hints for successful aging in general.
Author: Benyamin Schwarz
Publisher: Routledge
ISBN: 1135417903
Category : Medical
Languages : en
Pages : 143
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Book Description
Learn how to make elder housing more homelike! Taking an incisive look at assisted living for the elderly, Assisted Living: Sobering Realities is an important book for the professionals who work with aging Americans and their families. This vital book provides a multidisciplinary overview of the world of assisted living for older Americans. With unique insight and a keen clinical perspective, Assisted Living examines a variety of topics: the dilemma of aging in place, the realities of end-of-life care, and the ins and outs of residential care supply. Easy-to-read graphs and charts make the data user-friendly. This book delivers current information on: the housing needs of elderly renters, with case studies of 109 residents in two facilities the need for improved housing and services for low-income elderly, providing an overview of how successful facilities take a comprehensive approach in linking low-income elders with community-based services the advantages and disadvantages of residential care facilities research about aging in place from providers and residents’ perspectives the unmet needs of the elderly who qualify for housing assistance how visitation patterns affect the overall satisfaction and quality of life of assisted living residents
Author: Laura Montesi
Publisher: UCL Press
ISBN: 180008028X
Category : Social Science
Languages : en
Pages : 275
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Book Description
By portraying the circumstances of people living with chronic conditions in radically different contexts, from Alzheimer’s patients in the UK to homeless people with psychiatric disorders in India, Managing Chronicity in Unequal States offers glimpses of what dealing with medically complex conditions in stratified societies means. While in some places the state regulates and intrudes on the most intimate aspects of chronic living, in others it is utterly and criminally absent. Either way, it is a present/absent actor that deeply conditions people’s opportunities and strategies of care. This book explores how individuals, groups and communities navigate uncertain and unequal healthcare systems, in which inherent moral judgements on human worth have long-lasting effects on people’s wellbeing. This is key reading for anyone wishing to deconstruct the issues at stake when analysing how care and chronicity are entangled with multiple institutional, economic, and other circumstantial factors. How people access the available informal and formal resources as well as how they react to official diagnoses and decisions are important facets of the management of chronicity. In the arena of care, people with chronic conditions find themselves negotiating restrictions and handling issues of power and (inter)dependency in relationships of inequality and proximity. This is particularly relevant in current times, when care has given in to the lure of the market, and the possibility of living a long and fulfilling life has been drastically reduced, transformed into a ‘reward’ for the few who have been deemed worthy of it.
Author: Jerry Rhoads
Publisher: iUniverse
ISBN: 0595481671
Category : Family & Relationships
Languages : en
Pages : 422
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Book Description
Remedy Eldercide, Restore ELDERPRIDE will surely become an election issue. Just look at the voting pool. 77 million baby boomers, that grew up expecting the best of everything, turned 60 in 2006. If the nursing home industry does not change they can only expect the worst. 36 million people have joined AARP because they want bargaining power. 1.7 million people are already institutionalized in nursing homes and are facing extinction. Millions more will have to face the possibility of one day joining the list of system victims. Every American has a personal, vested interest in changing this struggling industry. Without a comprehensive overhaul the current health care system will be bankrupt in 2020 with the cost exceeding $4 trillion dollars annually or 36% of the GNP. 6% of those costs are funding the nursing home industry. That means that unless we make a change we will spend 960 billion dollars, in four years, to fund a system that kills its patients and bankrupts itself and its operators. This book details three prevailing principles that makes this problem solvable: Embrace the restorative care model Use computer technology and case management to customize care plans for each patient Pay for performance based on outcomes attained. RESTORATIVE CARE remedies Eldercide the systematic institutionalization of the elderly and disabled by restoring function of the mind, the body, the emotions and the spirit...any of these that are slighted in treating the aging process results in chronic illnesses and dependence on prescription drugs and nstitutional care. Health Care Reform (notably Obama Care) does not use Health Sciences and holistic methods for establishing processes that deal with the whole person and still depend on inductive reasoning (guessing) and treatment rather deductive processes and prevention of such diseases using the pursuit of definable and measurable outcomes. The MEDICAL MODEL (symptomatic treatment) and the SOCIAL MODEL (elderly housing) now in practice models are not the solution for managing the aging processes. This book defines the problems facing society with the BOOMERS COMING at us and lays out the methods, systems and outcomes that need to be pursued by physicians, hospitals, skilled nursing facilities, home care and hospice providers. It also proposes a SHIFT in the payment paradigm based on outcomes and funding using Self Health Insurance Funding Trusts that allow the individual to manage their own health care services and costs.
Author: Jo Harris-Wehling
Publisher: National Academies
ISBN:
Category : Long-term care facilities
Languages : en
Pages : 314
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Book Description
Author: Renée Rose Shield
Publisher: Berghahn Books
ISBN: 9781571810809
Category : Psychology
Languages : en
Pages : 262
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Book Description
Never before in human existence have the aged been so numerous - and for the most part - healthy. In this important new book, two professionals, an anthropologist and a physician, wrestle with the complex subject of aging. Is it inevitable? Is it a burden or gift? What is successful aging? Why are some people better at aging than others? Where is aging located? How does it vary among individuals, within and between groups, cultures, societies, and indeed, over the centuries? Reflecting on these and other questions, the authors comment on the impact age has in their lives and work. Two unique viewpoints are presented. While medicine approaches aging with special attention given to the body, its organs, and its functions over time, anthropology focuses on how the aged live within their cultural settings. As this volume makes clear, the two disciplines have a great deal to teach each other, and in a spirited exchange, the authors show how professional barriers can be surmounted. In a novel approach, each author explores a different aspect of aging in alternating chapters. These chapters are in turn followed by a commentary by the other. Further, the authors interrupt each other within the chapters - to raise questions, contradict, ask for clarification, and explore related ideas - with these interjections emphasizing the dynamic nature of their ideas about age. Finally, a third "voice" - that of a random old man - periodically inserts itself into the text to remind the authors of their necessarily limited understanding of the subject.
Author: June Starr
Publisher: Cornell University Press
ISBN: 1501723324
Category : Law
Languages : en
Pages : 390
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Book Description
No detailed description available for "History and Power in the Study of Law".
