The realities and myths of long-term care and the challenges it poses for the ethics of autonomy are analyzed in this perceptive work. The book defends the concept of autonomy, but argues that the standard view of autonomy as non-interference and independence has only a limited applicability for long term care. The treatment of actual autonomy stresses the developmental and social nature of human persons and the priority of identification over autonomous choice. The work balances analysis of the ethical concepts associated with autonomy with discussion of the implications of the ethical analysis for long term care. A central chapter involves a phenomenological analysis of four general features of everyday experience (space, time, communication, and affectivity) and explores their practical implications for long term care. This work concludes with a discussion of the advantages associated with a phenomenologically-inspired treatment of actual autonomy for the ethics of long-term care.
Dependence and Autonomy in Old Age
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Book Description
Editorial Reviews
Review
"This book has been hailed by critics as a milestone in medical ethics....It challenges clinicians to reexamine many of the ethical principles on which they have based their interactions with patients in long-term care."--The New England Journal of Medicine
"Agich addresses [the provider's responsibility to respect the patient's autonomy] richly and comprehensively in this new book...Valuable."--Elder Express, Newsletter of the Office of Geriatric Medicine and Gerontology, Wright State University School of Medicine
"A well-written exploration of how to think about improving the quality of life for long-term care patients."--Choice
"An excellent work. It is an intelligent analysis of some of the realities that confront this serious problem in our aging society....Should be required reading for researchers, clinicians, ethicists, and philosophers on issues related to the care of the elderly."--Lawrence Lapalio (Loyola Univ Medical Center), Doody's Journal
"The most important contribution to the maturation of our thinking about autonomy that has yet been offered. Those who labor in long-term care or who are responsible for an interface with long-term care will be rewarded, but so too will a broad audience of health professionals and ethicists. The clear, sometimes lyrical writing makes the reading easy. The message is very important."--Annals of Internal Medicine
"Intellectually important, revelatory, and suggestive, offers insights that must be the basis on which real reform is crafted."--Martha Holstein, Medical Humanities Review
"For persons serving on ethics committees of short- or long-term care facilities, this volume will provide useful food for thought and a springboard from which to reassess authonomy in light of a model much more grounded in the developmental interdependence of our families and our care-giving institutions."--Psychiatric Services
"Agich addresses [the provider's responsibility to respect the patient's autonomy] richly and comprehensively in this new book...Valuable."--Elder Express, Newsletter of the Office of Geriatric Medicine and Gerontology, Wright State University School of Medicine
"A well-written exploration of how to think about improving the quality of life for long-term care patients."--Choice
"An excellent work. It is an intelligent analysis of some of the realities that confront this serious problem in our aging society....Should be required reading for researchers, clinicians, ethicists, and philosophers on issues related to the care of the elderly."--Lawrence Lapalio (Loyola Univ Medical Center), Doody's Journal
"The most important contribution to the maturation of our thinking about autonomy that has yet been offered. Those who labor in long-term care or who are responsible for an interface with long-term care will be rewarded, but so too will a broad audience of health professionals and ethicists. The clear, sometimes lyrical writing makes the reading easy. The message is very important."--Annals of Internal Medicine
"Intellectually important, revelatory, and suggestive, offers insights that must be the basis on which real reform is crafted."--Martha Holstein, Medical Humanities Review
"For persons serving on ethics committees of short- or long-term care facilities, this volume will provide useful food for thought and a springboard from which to reassess authonomy in light of a model much more grounded in the developmental interdependence of our families and our care-giving institutions."--Psychiatric Services
Book Description
In this influential book, George Agich abandons comfortable abstractions to reveal the concrete threats to personal autonomy in long-term care, where ethical conflict, dilemma and tragedy are inescapable. His book therefore offers a framework for carers to develop an ethic of long-term care within the complex environment in which many dependent and aged people find themselves. Previously published as Autonomy and Long-term Care, this revised edition, in paperback for the first time, will have wide appeal among bioethicists and health care professionals.
--This text refers to the
Paperback
edition.
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