Final Days: Japanese Culture and Choice at the End of Life
"Final Days represents a new perspective on end-of-life decision-making, arguing that culture does make a difference but not as a checklist of customs or as the source of a moral code. The final stage of life is as rooted as any other in political and economic constraints and social relationships. Policy, technology, and institutions - as well as biology - set limits on what is possible, defining the set of options from which people choose. Culture provides a vocabulary of words, metaphors,...
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"Final Days represents a new perspective on end-of-life decision-making, arguing that culture does make a difference but not as a checklist of customs or as the source of a moral code. The final stage of life is as rooted as any other in political and economic constraints and social relationships. Policy, technology, and institutions - as well as biology - set limits on what is possible, defining the set of options from which people choose. Culture provides a vocabulary of words, metaphors, and images that can be drawn on to interpret experiences and create a sense of what it means to die well." Grounded in ethnographic data, the book offers an examination of how policy and meaning frame the choices Japanese make about how to die. As an essay in descriptive bioethics, it engages an extensive literature in the social sciences and bioethics to examine some of the answers people have constructed to end-of-life issues. Like their counterparts in other postindustrial societies, Japanese find no simple way of handling situations such as disclosure of diagnosis, discontinuing or withholding treatment, organ donation, euthanasia, and hospice. Through interviews and case studies in hospitals and homes, Susan Orpett Long offers a window on the ways in which "ordinary" people respond to serious illness and the process of dying.
1Culture and choice at the end of life12Anthropology and the study of dying143Structuring the options for dying : Japan as a postindustrial society294Metaphors and scripts for the good death525Who decides? : social roles and relationships736Deciding to treat or not to treat1107Life-and-death decisions and cultural stereotypes1508New scripts and culture change1839Choice and the creation of a meaningful death205
