Two Months in the Nursing Home

  • Seymour B. Sarason†
Part of the Caregiving: Research, Practice, Policy book series (CARE)


Where I reside the nursing home is called the “Health Center,” a euphemism that obscures the fact that a large majority of patients will be there until they die and they know that. It always reminds me that during World War I sauerkraut was called liberty cabbage. And it was around the time that undertakers called themselves morticians or funeral directors. In principle I have no objection to accentuating the positive and eliminating the negative. I make an exception, however, when the negative is the overarching concern of people! The word and concept of nursing homes evokes imagery and obligations. Substituting wellness for nursing conveys implicitly the message, “Let’s not say that your days are numbered, let us talk about other things,” a message every patient knows is a form of Madison Avenue advertising. Don’t call it impotency, call it erectile dysfunction. Calling a nursing home a wellness center is but one of the ways illustrative of how differently patients and staff define needs. The gulf between the phenomenologies of patients and staff has different sources and the bridging of that gulf is primarily the obligation and responsibility of the staff.


Nursing Home Independent Living Pressure Sore Selection Committee Medical School Faculty 


  1. Koch, K. (1970). Wishes, lies, and dreams: Teaching children to write poetry. New York: Random House.Google Scholar
  2. Sarason, S. B. (1986). Caring and compassion in clinical practice. San Francisco: Jossey-Bass.Google Scholar
  3. Spitx, R. A. (1945). Hospitalism: An inquiry into the genesis of psychiatric conditions in early childhood. Psychoanalytic Study of the Child, 1, 53–74.Google Scholar
  4. Spitx, R. A., & Wolff, K. M. (1946). Anaclitic depression. Psychoanalytic Study of the Child, 2, 313–342.Google Scholar
  5. Koch, K. (1997, September–October). I never told anybody: Teaching poetry writing in a nursing home. Random House.Google Scholar
  6. Biro, D. (2000). One hundred days: My unexpected journey from doctor to patient. New York: Pantheon Books.Google Scholar
  7. Consumer Reports. (2006, September). Nursing homes: Business as usual. Consumer Reports, 71(9), 38–41.Google Scholar
  8. Kurland, G. (2002). My own medicine: A doctor’s life as a patient. New York: Times Books.Google Scholar
  9. Pensack, R. J. (1994). Raising Lazarus: A Memoir. New York: GP Putnam’s Sons.Google Scholar
  10. Rosenbaum, E. E. (1988). A taste of my own medicine: When the doctor is the patient. New York: Random House. (Republished in 1991 by Ivy Books as “Doctor” and made into the movie “The Doctor” that year)Google Scholar
  11. Weisman, J. (2002). As I live and breathe: Notes of a patient-doctor. New York: North Point Press.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  • Seymour B. Sarason†
    • 1
  1. 1.Department of PsychologyYale UniversityNew HavenUSA

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