國立虎尾科技大學 |

Growing Old in China's New Nursing Homes.

紀錄類型:	書目-語言資料,手稿 : Monograph/item
正題名/作者:	Growing Old in China's New Nursing Homes./
作者:	Keimig, Rose Kay.
面頁冊數:	1 online resource (220 pages)
附註:	Source: Dissertation Abstracts International, Volume: 79-05(E), Section: A.
Contained By:	Dissertation Abstracts International79-05A(E).
標題:	Cultural anthropology. -
電子資源:	click for full text (PQDT)
ISBN:	9780355681628

Growing Old in China's New Nursing Homes.
Keimig, Rose Kay.

Growing Old in China's New Nursing Homes. - 1 online resource (220 pages)

Source: Dissertation Abstracts International, Volume: 79-05(E), Section: A.

Thesis (Ph.D.)--Yale University, 2017.

Includes bibliographical references

This thesis explores the elderly experience of living and dying in China's developing eldercare institutions amid major social, economic, and demographic transitions. Driven by increasing life expectancies and decreasing fertility rates, the percentage of the population aged 60 and over in China is expected to more than double from 15.2% in 2015 to 36.5% in 2050. Although it has been described as a "surging grey tsunami," the demographic situation is far from a "natural" disaster. Throughout their adult lives, today's elders endured continual upheavals with the promise that these sacrifices would not be forgotten. However, in the new age of capitalist accumulation focused on speed, advancement, growth, and expansion, the old, dependent, slow, and declining, seem to have no place except as a burden or hindrance. In response to the demographic shifts, the Chinese government has put forward a "9073" strategy, under which 90% of eldercare is provided in-home, 7% by communities, and 3% by institutions. This thesis focuses on that 3%, and looks at the changing relationships between elders and themselves, their family members, society, and the state, and the attempts made within and across these multidimensional webs of relationships to find balance and harmony.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355681628Subjects--Topical Terms:

1179959
Cultural anthropology.
Index Terms--Genre/Form:

554714
Electronic books.

Growing Old in China's New Nursing Homes.
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245 1 0 $a Growing Old in China's New Nursing Homes.
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300 $a 1 online resource (220 pages)
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500 $a Source: Dissertation Abstracts International, Volume: 79-05(E), Section: A.
500 $a Adviser: Marcia C. Inhorn.
502 $a Thesis (Ph.D.)--Yale University, 2017.
504 $a Includes bibliographical references
520 $a This thesis explores the elderly experience of living and dying in China's developing eldercare institutions amid major social, economic, and demographic transitions. Driven by increasing life expectancies and decreasing fertility rates, the percentage of the population aged 60 and over in China is expected to more than double from 15.2% in 2015 to 36.5% in 2050. Although it has been described as a "surging grey tsunami," the demographic situation is far from a "natural" disaster. Throughout their adult lives, today's elders endured continual upheavals with the promise that these sacrifices would not be forgotten. However, in the new age of capitalist accumulation focused on speed, advancement, growth, and expansion, the old, dependent, slow, and declining, seem to have no place except as a burden or hindrance. In response to the demographic shifts, the Chinese government has put forward a "9073" strategy, under which 90% of eldercare is provided in-home, 7% by communities, and 3% by institutions. This thesis focuses on that 3%, and looks at the changing relationships between elders and themselves, their family members, society, and the state, and the attempts made within and across these multidimensional webs of relationships to find balance and harmony.
520 $a Data for this research were gathered between 2013 and 2014, during thirteen months of ethnographic fieldwork in Kunming, the capital city of Yunnan province in southwest China. I conducted interviews and participant observation with elders, families, and caregivers in three hospitals and six different eldercare facilities, ranging from high-end eldercare estates to rural welfare homes. The questions I asked explored the tension between old and new ideas, desires, and understandings, and how they are shaping the experience of caring and being cared for. This thesis examines how those changes within eldercare institutions reflect, respond, and contribute to broader changes in the social fabric.
520 $a Confucian family ethics have shaped collective consciousness and social structures in China for millennia. In terms of eldercare, the concept of xiao, or filial piety, is evoked as the defining moral element of the parent-child relationship. However, there is a strong tendency within existing literature to focus on the child's perspective and overlook parents' continuing contributions and active roles as morally creative agents. In an attempt to recapture the parental perspective, I look at filial piety as part of a larger system of family ethics based on balance and harmony. I suggest that although filial piety is a key moral element, the concepts of kindness, love, and benevolence are equally important for understanding today's eldercare transitions in relation to China's family-centric ethical foundation.
520 $a This thesis also analyzes today's eldercare transitions in terms of larger historical trends. Keeping the focus on the elders and their personal histories, I show how old age and eldercare are being experienced today, in the living present, in completely new ways. Using notions of embodiment, I show the complex ways historical events in China over the past century were experienced by different generations, and continue to shape present-day aging and caregiving experiences. I argue that new forms of "senior subjectivity" are shaping and are shaped by the new eldercare formations and institutions.
520 $a I also look at the ways care itself operates and circulates in eldercare institutions. Analyzing definitions of and expectations for both family-based and institutional care in China, I ask: Who should care, in what way, and why? Through examples of everyday care practices, I show how multiple dimensions of care operate in eldercare institutions today. Finally, I examine the darker side of end-of-life and the ways end-of-life interventions complicate both living and dying for today's institutionalized elders. I demonstrate how the intersecting forces of medical technologies, demographic imbalances, and caregiving shifts turns dying into a diagnosis. For those cut off from both curative and palliative care, life itself becomes pathological, and they find themselves suspended in a state of what I call "chronic living." Through my analysis I argue that as health care practitioners, policy makers, elders, and family members search for new and better ways of extending life, it is necessary to also expand notions of and possibilities for a good death.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2018
538 $a Mode of access: World Wide Web
650 4 $a Cultural anthropology. $3 1179959
650 4 $a Aging. $3 559847
655 7 $a Electronic books. $2 local $3 554714
690 $a 0326
690 $a 0493
710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a Yale University. $3 1178968
773 0 $t Dissertation Abstracts International $g 79-05A(E).
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10767248 $z click for full text (PQDT)