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Profiles in Caregiving -  Carol S. Aneshensel,  Joseph T. Mullan,  Leonard I. Pearlin,  Carol J. Whitlatch,  Steven H. Zarit

Profiles in Caregiving (eBook)

The Unexpected Career
eBook Download: PDF
1995 | 1. Auflage
385 Seiten
Elsevier Science (Verlag)
978-0-08-053983-6 (ISBN)
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56,49 inkl. MwSt
(CHF 55,15)
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Given medical advances and greater understanding of healthful living habits, people are living longer lives. Proportionally speaking, a greater percentage of the population is elderly. Despite medical advances, there is still no cure for dementia, and as elderly individuals succumb to Alzheimer's Disease or related dementia, more and more people are having to care their elderly parents and /or siblings. Profiles in Caregiving is practical source of information for anyone who teaches caregiving, acts as a caregiver, or studies caregiving.
This book discusses recent research on stress factors associated with caregiving, and what factors impact on successful versus non-successful adaptation to the care-giving role. This is an expanding field in gerontology, and is also of interest to personality and social psychologists studying stress and interpersonal relations. Although there are many books on the cause and treatment of dementia, there has been a book that provides a research investigation into the factors associated with effective caregiving to dementia patients.

Key Features
* Conceptualizes caregiving as a multistage career whose impact on the caregiver continues to be felt after in-home care has ceased
* Based upon a longitudinal survey of a demographically diverse sample of principal caregivers over a three-year period
* Identifies caregivers who are most at-risk for adverse adaptation to the role
* Describes preventative and clinical intervention strategies
* Identifies post-care risk and issues
* Identifies antecedents to successful adaptation
* State of the art analytic techniques
* Graphic presentation of empirical findings
* Renowned multidisciplinary research team
Given medical advances and greater understanding of healthful living habits, people are living longer lives. Proportionally speaking, a greater percentage of the population is elderly. Despite medical advances, there is still no cure for dementia, and as elderly individuals succumb to Alzheimer's Disease or related dementia, more and more people are having to care their elderly parents and /or siblings. Profiles in Caregiving is practical source of information for anyone who teaches caregiving, acts as a caregiver, or studies caregiving. This book discusses recent research on stress factors associated with caregiving, and what factors impact on successful versus non-successful adaptation to the care-giving role. This is an expanding field in gerontology, and is also of interest to personality and social psychologists studying stress and interpersonal relations. Although there are many books on the cause and treatment of dementia, there has been a book that provides a research investigation into the factors associated with effective caregiving to dementia patients. - Conceptualizes caregiving as a multistage career whose impact on the caregiver continues to be felt after in-home care has ceased- Based upon a longitudinal survey of a demographically diverse sample of principal caregivers over a three-year period- Identifies caregivers who are most at-risk for adverse adaptation to the role- Describes preventative and clinical intervention strategies- Identifies post-care risk and issues- Identifies antecedents to successful adaptation- State of the art analytic techniques- Graphic presentation of empirical findings- Renowned multidisciplinary research team

Front Cover 1
Profiles in Caregiving: The Unexpected Career 4
Copyright Page 5
Contents 8
Preface 16
Chapter 1. Setting the Stage 20
Introduction 20
The Aging of the Population and the Need for Family Care 24
The Late-Life Dementias 26
The Epidemiology of Late-Life Dementia 28
Precursory Commentary 29
Chapter 2. Caregiving Careers and Stress Processes 34
Caregiving as a Career 35
Stages and Transitions in Caregiving Careers 42
Alternative Career Paths for Caregiving 50
Caregiving and the Stress Process 52
The Synergistic Convergence of Caregiving Careers and the Stress Process 58
Chapter 3. An Empirical Inquiry into Caregiving 60
Origins of the Theoretical Framework and Methods 60
Caregivers and Their Impaired Relatives 62
Measurement Strategy 74
Data Analysis Strategies 78
Summary 81
Chapter 4. The Organization of Stressors in the Lives of Caregivers 84
The Onset of Caregiving 85
The Primary Stressors of Caregiving 88
The Creation of Secondary Stressors 102
Extrinsic Stressors 117
The Social Context of Caregiving 119
Summary 124
Discussion 125
Chapter 5.The Natural History of Care-Related Stress 128
The Course of Primary Stressors over Time 129
The Course of Secondary Stressors over Time 131
Individual Patterns of Stability and Change 134
Summary 139
Discussion 139
Chapter 6. Stress Proliferation 142
Structural and Interpersonal Foundations of Stress Proliferation 143
Proliferation over the Short-Term 145
Proliferation over the Long-Term 159
Summary 165
Discussion 166
Chapter 7. The Containment of Care-Related Stressors 170
Psychosociai Resources: Social Support and Mastery 171
Resources and Their Naturalistic Interventions 177
Resources as Stress Mediators and Moderators 178
The Independent Effects of Psychosocial Resources 181
The Long-Term Impact of Psychosocial Resources 190
Summary 196
Discussion 196
Chapter 8. The Transition to Institutional Care 202
The Average Course of In-Home Care 204
The Timing of Institutionalization 208
Catalysts for Institutionalization 217
The Family Context of Institutionalization 224
Institutionalization as a Stressor 225
Summary 234
Discussion 235
Chapter 9. Adaptation Following Institutionalization 240
Continuity and Change in the Caregiver Role 241
The Impact of Institutionalization 248
Caregivers' Adaptation to Placement 255
Long-Term Institutionalized Caregiving 264
Summary 268
Discussion 269
Chapter 10. The Timing and Settings of Patient Death 272
Patterns of Mortality among Care Recipients 273
Health Status and Mortality 277
The Impact of Institutionalization 279
Summary 285
Discussion 286
Chapter 11. Bereavement 288
Continuities and Discontinuities in the Stress Process along the Caregiving Career 290
The Immediate Impact of the Death of the Dementia Patient 291
Death and Grief 305
The Long-Term Impact of the Death of the Dementia Patient 314
Summary 319
Discussion 320
Chapter 12. Clinical Interventions and Caregiving Careers 324
Intervention Strategies across the Caregiving Career 325
Clinical Intervention and the Stress Process 327
Basic Premises 329
The Need for Early Intervention: Role Acquisition 331
Interventions for the Long Haul: Role Enactment 333
Adjustments during Bereavement: Role Disengagement 342
Types of Clinical Approaches 344
Concluding Comments 345
Chapter 13. Implications for Public Policy and Society 346
The Policy Conundrum: Addressing Diverging Interests 348
Directions for Public Policy and Caregiving 356
Ethics and Public Policy 363
Concluding Comments 365
Chapter 14. A Review and Overview of Caregiving Careers 368
The Caregiving Career 369
The Care-Related Stress Process 373
In Retrospect 381
Closing Commentary 383
References 384
Index 394

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