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Do We Need an Anthropology of the Aging Person and What should it Look Like?

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Ethics, Health Policy and (Anti-) Aging: Mixed Blessings

Part of the book series: Ethics and Health Policy ((EHP,volume 1))

Abstract

The classical Greek philosophers called human beings ‘mortals’ as opposed to ‘immortals’ who were gods and angels. All individual life—including human life—has limited duration and passes from growth through maturity into a phase, especially in higher forms of life, in which biological functions gradually deteriorate. This is the process that we call aging. Aging is generally considered to be a biological process that is beyond our control. Aging just happens.

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Notes

  1. 1.

    A fine example of an older person who accepts his bodily decline is Emperor Hadrian as described by Marguerite Yourcenar in her book Memoirs of Hadrian, written in the form of letters to Hadrian’s adopted grandson and later emperor Marcus Aurelius. In a pictorial way Hadrian depicts the deterioration of his body—he suffers from weakness of the heart—and his longing for death. After considering suicide and assisted suicide he finally decides to accept his bodily decay and all other “real ailments” of life: “death, old age, incurable diseases, unrequited love, rejected friendship, the poverty of a life that is less grand than our plans and more faded than our dreams: All the misery caused by the divine nature of things” (Yourcenar 1995, p. 107; translation WD).

  2. 2.

    Pascal seems to specifically refer here to the Cartesian dichotomy of res extensa and res cogitans.

  3. 3.

    Sometimes ‘vulnerability ’ and ‘frailty’ are used interchangeably. Tulle, for example, writes: “Human beings are inherently at risk of frailty: A universal condition of the human species […] Any manifestation of frailty, from injury, illness or biological aging, threatens to disrupt our sense of self” (Tulle 2008, p. 5). Most often, however, these two terms refer to different things: frailty then is considered the physical aspect of a more encompassing vulnerability.

  4. 4.

    Also the Royal Dutch Medical Association recently published a report about medical care for the elderly with a focus on vulnerability (RDMA 2010).

References

  • Bacon, F. 1996. The new atlantis. In Francis Bacon: A critical edition of the major works, ed. B. Vickers 457–489. Oxford: Oxford University Press.

    Google Scholar 

  • Beauchamp, T.L., and Childress, J.F. 1994. Principles of biomedical ethics. New York/Oxford: Oxford University Press.

    Google Scholar 

  • Beauvoir, S. de. 1996. The coming of age. New York/London: Norton & company.

    Google Scholar 

  • Binstock, R.H. 2004. The search for prolongevity: A contentious pursuit. In The fountain of youth. Cultural, scientific, and ethical perspectives on a biomedical goal, eds. S.G. Post and R.H. Binstock. 11–37. Oxford: Oxford University Press.

    Google Scholar 

  • Bullington, J. 2006. Body and self: A phenomenological study on the aging body and identity. Journal of Medical Ethics; Medical Humanities 32(1):25–31.

    Article  Google Scholar 

  • Callahan, D. 1987. Setting limits. Medical goals in an aging society. New York etc.: Simon & Schuster.

    Google Scholar 

  • Callahan, D. 1993. The troubled dream of life. Living with mortality. New York etc.: Simon & Schuster.

    Google Scholar 

  • Campbell, C.S. 1995. Marks of the body: Embodiment and diminishment. In Embodiment, morality, and medicine, eds. L.S. Cahill and M. Farley. 169–183. Dordrecht: Kluwer Academic Publishers.

    Google Scholar 

  • Campen, C. van ed. 2011. The frail elderly [Kwetsbare ouderen]. Den Haag: Sociaal Cultureel Planbureau.

    Google Scholar 

  • Caplan, A.L. 2004. An unnatural process: Why is it not inherently wrong to seek a cure for aging. In The fountain of youth. cultural, scientific, and ethical perspectives on a biomedical goal, eds. S.G. Post and R.H. Binstock. 271–285. Oxford: Oxford University Press.

    Google Scholar 

  • Cicero. 1923. On old age. Cambridge, Mass.: Harvard University Press.

    Google Scholar 

  • Dekkers, W. 2001. Autonomy and dependence: Chronic physical illness and decision-making capacity. Medicine, healthcare and philosophy 4(2):185–192.

    Article  CAS  Google Scholar 

  • Esposito, J.L. 1987. The obsolete self. Philosophical dimensions of aging. Berkeley: University of California Press.

    Google Scholar 

  • Fries, J.F. 1987. An introduction to the compression of morbidity. Gerontologica Perspecta 1(1):5–8.

    Google Scholar 

  • Gadow, S. 1991. Recovering the body in aging. In Aging and ethics. Philosophical problems in gerontology, ed. N.S. Jecker 113–120. Clifton, New Jersey: Humana Press.

    Google Scholar 

  • Gebsattel, V.E. von 1954. Prolegomena einer medizinischen Anthropologie. Berlin: Springer Verlag.

    Book  Google Scholar 

  • Gruman, G.J. 2003. A history of ideas about the prolongation of life. New York: Springer.

    Google Scholar 

  • Haugen, H.M. 2010. Inclusive and relative language: The use of the concepts of autonomy, dignity and vulnerability in different contexts. Medicine Healthcare and Philosophy 13(3):203–213.

    Article  Google Scholar 

  • Health Council of the Netherlands. 2009. Prevention in the elderly: Focus on functioning in daily life [Preventie bij ouderen: Focus op zelfredzaamheid]. The Hague, Health Council of the Netherlands; publication no. 2009/07.

    Google Scholar 

  • Heikkinen, R-L. 2000. Aging in an autobiographical context. Aging and Society 20(1):467–483.

    Article  Google Scholar 

  • Hennessy, C.H. 1989. Culture in the use, care, and control of the aging body. Journal of Aging Studies 3(1):39–54.

    Article  Google Scholar 

  • Jonas, H. 1992. The burden and blessing of mortality. The Hastings Center Report 22(1):34–40.

    Article  PubMed  CAS  Google Scholar 

  • Kirkwood, T. 2007. Changing expectations of life. In: AGEACTION. Conference report, 26–33. http://ageaction.ncl.ac.uk/AgeAction_book.pdf. Accessed 17 Oct 2011.

  • Kottow, M.H. 2004. Vulnerability: What kind of principle is it? Medicine Healthcare and Philosophy 7(3):281–287.

    Article  Google Scholar 

  • Leder, D. 1990. The absent body. Chicago and London: The University of Chicago Press.

    Google Scholar 

  • Levinas E. 1971. Totality and infinity. An essay on exteriority. The Hague: Martinus Nijhoff Publishers.

    Google Scholar 

  • Manschot, H. 1992. Levenskunst of lijfsbehoud? Een humanistische kritiek op het beginsel van autonomie in de gezondheidszorg. Utrecht: Universiteit voor Humanistiek.

    Google Scholar 

  • McKee, P.L., ed. 1982. Philosophical foundations of gerontology. New York: Human Sciences Press.

    Google Scholar 

  • Miller, R.A. 2004. Extending life: Scientific prospects and political obstacles. In The fountain of youth. Cultural, scientific, and ethical perspectives on a biomedical goal, eds. S.G. Post and R.H. Binstock. 228–248. Oxford: Oxford University Press.

    Google Scholar 

  • Montaigne, M. de. 1993. The complete essays. London: Penguin Classics.

    Google Scholar 

  • Murphy, T.F. 1986. A cure for aging? Journal of Medicine and Philosophy 11(3):237-255.

    Article  PubMed  CAS  Google Scholar 

  • Nussbaum, M.C. 1986. The fragility of goodness. Luck and ethics in Greek tragedy and philosophy. Cambridge: Cambridge University Press.

    Google Scholar 

  • Pascal, B. 2001. Thoughts. Harvard Classics, vol. 48, Part 1. On-line edition. Bartleby.com.

    Google Scholar 

  • Paulson, S., and Willig, C. 2008. Older women and everyday talk about the aging body. Journal of Health Psychology 13(1):106-120.

    Article  PubMed  Google Scholar 

  • Pijnenburg, M.A.M., and Leget C. (2007). Who wants to live forever? Three arguments against extending the human lifespan. Journal of Medical Ethics 33(10):585-587.

    Article  PubMed  Google Scholar 

  • Plato (1966). Plato in twelve volumes, vol. 1. Cambridge, MA: Harvard University Press/London: William Heinemann Ltd.

    Google Scholar 

  • Post, S.G., and R.H. Binstock. 2004. Introduction. In The fountain of youth. Cultural, scientific, and ethical perspectives on a biomedical goal, eds. S.G. Post and R.H. Binstock. 108. Oxford: Oxford University Press.

    Google Scholar 

  • Prado C.G. 1986. Rethinking how we age. A new view of the aging mind. Westport (CT): Greenwood Press.

    Google Scholar 

  • President’s Council on Bioethics. 2003. Beyond therapy: Biotechnology and the pursuit of happiness. Washington, DC.

    Google Scholar 

  • Rose, M.R. 2004. The metabiology of life extension. In The fountain of youth. Cultural, scientific, and ethical perspectives on a biomedical goal, eds. S.G. Post and R.H. Binstock. 160–176. Oxford: Oxford University Press.

    Google Scholar 

  • Royal Dutch Medical Association [KNMG]. Strong medical care for vulnerable people [Sterke medische zorg voor kwetsbare ouderen]. March 2010.

    Google Scholar 

  • Scarry, E. 1885. The body in pain. New York: Oxford University Press.

    Google Scholar 

  • Seneca. 1979. Het Gelukkige Leven. Baarn: Ambo.

    Google Scholar 

  • Sporken, P. 1983. Begeleiding en Ethiek. Baarn: Ambo.

    Google Scholar 

  • Toombs, S.K. 1992. The body in multiple sclerosis. A patient’s perspective. In The body in medical thought and practice, ed. D. Leder. 127–137. Dordrecht etc.: Kluwer Academic Publishers.

    Google Scholar 

  • Toombs, S.K. 1999. What does it mean to be somebody? Phenomenological reflections and ethical quandaries. In Persons and their bodies, ed. M.J. Cherry. 73–94. Kluwer: Academic Publishers.

    Google Scholar 

  • Tulle, E. (2008). Aging, the body and social change: Running in later life. School of law and social sciences. Paper 112. London: Palgrave Macmillan: http://researchonline.gcu.ac.uk/lss/112/. Accessed 11 Apr 2012.

  • Yourcenar, M. 1995. Hadrianus’ Gedenkschriften. Amsterdam: Atheneum-Polak & Van Gennep.

    Google Scholar 

  • Wilde, O. 1985. The picture of Dorian Gray. London: Penguin Classics.

    Google Scholar 

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Dekkers, W. (2013). Do We Need an Anthropology of the Aging Person and What should it Look Like?. In: Schermer, M., Pinxten, W. (eds) Ethics, Health Policy and (Anti-) Aging: Mixed Blessings. Ethics and Health Policy, vol 1. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-3870-6_4

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