Cultural scripts for a good death in Japan and the United States: similarities and differences

Long, Susan

doi:10.1016/j.socscimed.2003.10.037

Cited by 129 publications

(94 citation statements)

References 17 publications

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“…Then, we conducted pilot studies We asked participants to rate the relative importance of each component for a good death on a seven-point Likert scale (1: absolutely unnecessary, 2: unnecessary, 3: somewhat unnecessary, 4: unsure, 5: somewhat necessary, 6: necessary and 7: absolutely necessary). In addition, we asked about the relative importance of three components of a good death: Ôdying as one sleepsÕ [17], ÔpokkuriÕ [16] (sudden death) and ÔomakaseÕ [18] (leaving the decision to a medical expert).…”

Section: Measurementsmentioning

confidence: 99%

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Good death in cancer care: a nationwide quantitative study

et al. 2007

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Background: The aims of this study were to (i) conceptualize dimensions of a good death in Japanese cancer care,(ii) clarify the relative importance of each component of a good death and (iii) explore factors related to an individual's perception of the domains of a good death. Methods:The general population was sampled using a stratified random sampling method (n = 2548; response rate, 51%) and bereaved families from 12 certified palliative care units were surveyed as well (n = 513; 70%). We asked the subjects about the relative importance of 57 components of a good death.Results: Explanatory factor analysis demonstrated 18 domains contributing to a good death. Ten domains were classified as Ôconsistently important domainsÕ, including Ôphysical and psychological comfortÕ, Ôdying in a favorite placeÕ, Ôgood relationship with medical staffÕ, Ômaintaining hope and pleasureÕ, Ônot being a burden to othersÕ, Ôgood relationship with familyÕ, Ôphysical and cognitive controlÕ, Ôenvironmental comfortÕ, Ôbeing respected as an individualÕ and Ôlife completionÕ. Conclusions:We quantitatively identified 18 important domains that contribute to a good death in Japanese cancer care. The next step of our work should be to conduct a national survey to identify what is required to achieve a good death.

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Section: Measurementsmentioning

confidence: 99%

“…In Japan, however, we have had only a few studies investigating this topic: a qualitative study of hospice nurses [14], a small investigation of advanced cancer patients [15] and an observational study of participants [16]. To set up a goal of palliative care in Japan, it is important to conceptualize what constitutes a good death in Japan.…”

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confidence: 99%

Good death in cancer care: a nationwide quantitative study

et al. 2007

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“…Christians compose only 0.7% of the Japanese population (The World Factbook 2006). The hospice concept is associated with Christians (Long 2004). Thus, people may not readily identify with HPC since "hospice" has a Christian association.…”

Section: Religious Considerationsmentioning

confidence: 99%

A Cross-Cultural Comparison of Hospice Development in Japan, South Korea, and Taiwan

Glass

Chen

Hwang

et al. 2010

J Cross Cult Gerontol

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By 2050, one out of four people in Eastern Asia will be aged 65 and above. Thus, preparing to care for an older population is imperative. Addressing quality care for elders includes consideration of palliative and end-of-life care. A comparative study of the development of hospice and palliative care services in Japan, South Korea, and Taiwan, is presented, based on an extensive literature review. Both commonalities and differences were found. This article provides information on the origins and administration of hospice services in these three cases, as well as the degree of government involvement. Cultural and religious aspects are also considered, and obstacles to the spread of hospice services are discussed. This review compares experiences with hospice services and identifies factors that influence people's perceptions and adoption of hospice. Stronger financial support for hospice and palliative care through the government and insurance programs would help increase the availability and use of services. Also, the need for continuing education of healthcare providers, patients, families, and the community is urgent. However, promotion of understanding of better pain management and the worth of hospice and palliative care must be conducted in ways that are sensitive to the cultural values and traditions in Japan, South Korea, and Taiwan. Only when hospice and palliative care can be viewed as an admirable choice for one's loved ones, overcoming issues of truth telling, filial piety, worries about how one is judged, and religious considerations, will it become more widely accepted.

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“…Considerar que las muertes se producen a partir de procesos de normativización, tal y como lo plantean los estudios mencionados, conlleva a una cierta visión de uniformización que Long (2004) rehúsa al exponer que en las sociedades post-industriales no hay formas únicas de morir bien. A partir de un estudio etnográfico sobre los guiones culturales (cultural scripts) de la buena muerte en Estados Unidos y en Japón, la autora defiende que no hay diferencias que puedan definir una buena muerte típicamente Americana y una buena muerte típicamente Japonesa, sino que ambas tienen múltiples guiones, partes de los cuales comparten y partes en las que difieren.…”

Section: La Buena Muerteunclassified

La biomedicalización de la muerte: una revisión

Flores-Pons

Íñiguez-Rueda

2012

analesps

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Resumen: La biomedicina ha jugado un papel esencial en la definición de la muerte, estableciéndola como objeto del saber tecnocientífico a la vez que constituyéndola y performándola a partir de las prácticas biomédicas, sus equipamientos técnicos y sus espacios de acción. En el presente trabajo trazamos un recorrido por los principales temas de estudio que hemos identificado en los trabajos recientes alrededor de la biomedicalización de la muerte, como son (I) la buena muerte, (II) el ser en y para la muerte, (III) los cuidados paliativos, (IV) la muerte como decisión, (V) las prácticas de resucitación, (VI) la muerte tecnológica en las Unidades de Cuidados Intensivos (UCI) y (VII) la muerte encefálica. Por otra parte, también hacemos una rápida aproximación a los trabajos a partir de las perspectivas y tradiciones de investigación que están movilizando. La muerte se presenta como un hecho controvertido en la sociedad actual y son múltiples los ámbitos médicos en los que se despliega como tal. Según cómo se defina qué es la muerte, se definirán los debates que la acompañan y viceversa, según cuáles sean las preocupaciones alrededor de la muerte, se delimitará en qué consiste ésta, en qué términos y con qué prácticas se puede definir. Palabras clave: Muerte; medicalización; biomedicalización; medicina; biomedicina; tecnociencia.Title: Biomedicalization of death: a review Abstract: Biomedicine has played an essential role in death's definition by stablishing it as an object of technoscientific knowledge as well as constituting and performing it through biomedical practices, its technical equipments and its spaces of action. In this article we draw a route for recent works involving principal issues of study around the biomedicalización of death as are (I) the good death, (II) being in and for death, (III) palliative care, (IV) death as a decision, (V) resuscitation practices, (VI) the technological death in the Intensive Care Units (ICU) and (VII) brain death. Furthermore, we do a fast approach to the works through the research perspectives and traditions that they are mobilizing. Death is presented as a controverted fact in the existing society and are multiple fields of medicine in which it is spread as such. It results unmistakeable that according to how death is defined, debates that accompany it will be defined and vice versa, according to which are the worries about death, will be delimited what it is, in what terms and through which practices it can be defined. Keywords: Death; medicalization; biomedicalization; medicine; biomedicine; technoscience. IntroducciónLa medicina ha sido muy importante en la constitución del conocimiento de la persona, no sólo a nivel metodológico sino como disciplina constructora de realidad, ya que ha colocado al ser humano como objeto de saber a la vez que como sujeto poseedor de dicho saber. Se ha constituido como ciencia del individuo siendo portadora de formas concretas de existencia como es la salud y, a su vez, ha delineado esta existencia al regular y declarar la muerte (...

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Cultural scripts for a good death in Japan and the United States: similarities and differences

Cited by 129 publications

References 17 publications

Good death in cancer care: a nationwide quantitative study

Good death in cancer care: a nationwide quantitative study

A Cross-Cultural Comparison of Hospice Development in Japan, South Korea, and Taiwan

La biomedicalización de la muerte: una revisión

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