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Aging
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Table of Contents

Preface
Prologue
About the Authors
Basic Concepts I. A Life Course Perspective on Aging
Age Identification
The Stages of Life
The Life Course and Aging
Traditional Theories of Aging
Influences on the Life Course
Aging in the 21st Century
The Biology of Aging
Mechanisms of Physical Aging
Aging and Psychological Functioning
Conclusion
Controversy 1. Does Old Age Have Meaning?
The Meaning of Age
Leisure Activities in Later Life
Religion and Spirituality
Gerontology and the Meaning of Age
Activity or Reflection?
Reading 1: The Coming of Age, Simone de Beauvoir
Reading 2: Vital Involvement in Old Age, Erik H. Erikson, Joan M. Erikson, and Helen Q. Kivnick
Reading 3: Successful Aging, John Rowe and Robert Kahn
Reading 4: The Measure of My Days, Florida Scott-Maxwell
Controversy 2. Why Do Our Bodies Grow Old?
The Process of Biological Aging
Biological Theories of Aging
Is Aging Inevitable?
Ways to Prolong the Life Span
Compression or Prolongation of Morbidity?
Reading 5: Why Do We Live as Long as We Do? Leonard Hayflick
Reading 6: Vitality and Aging, James F. Fries and Lawrence Crapo
Reading 7: The Compression of Morbidity Hypothesis, Vincent Mor
Reading 8: Health Trends in the Elderly Population, Marti G. Parker and Mats Thorslund
Reading 9: We Will Be Able to Live to 1,000, Aubrey de Grey
Reading 10: Don’t Fall for the Cult of Immortality, S. Jay Olshansky
Controversy 3. Do Intelligence and Creativity Decline With Age?
Elements of Cognitive Function
The Classic Aging Pattern
Measures of Late-Life Intelligence
Studies of Age and Cognitive Function
Correlates of Cognitive Stability
Creativity in an Aging Population
Reading 11: Age and Achievement, Harvey Lehman
Reading 12: Age and Achievement, Wayne Dennis
Reading 13: Growing Old or Living Long, Laura L. Carstensen
Reading 14: The Mature Mind, Gene Cohen
Reading 15: Aging and Creativity, Becca Levy and Ellen Langer
Basic Concepts II. Aging, Health Care, and Society
The Challenge of Longevity
Epidemiology of Aging
Economics of Health Care
Long-Term Care
Self-Determined Death
Conclusion
Controversy 4. Should We Ration Health Care For Older People?
Precedents for Health Care Rationing
The Justification for Age-Based Rationing
Rationing as a Cost-Saving Plan
The Impetus for Rationing
Cost Versus Age
Alternative Approaches to Rationing
Euthanasia and Assisted Suicide
The Debate Over Age-Based Rationing
Reading 16: Why We Must Set Limits, Daniel Callahan
Reading 17: Pricing Life, Peter Ubel
Reading 18: The Pied Piper Returns for the Old Folks, Nat Hentoff
Reading 19: From an Ethics of Rationing to an Ethics of Waste Avoidance, Howard Brody
Reading 20: Aim Not Just for Longer Life, but Expanded “Health Span,”Daniel Perry and Robert Butler
Controversy 5. Should Families Provide For Their Own?
Aging and the American Family
Abandonment or Independence?
Family Responsibility
Medicaid and Long-Term Care
Financing Long-Term Care
Medicaid Planning
Reading 21: Medicaid and Long-Term Care, Peter J. Strauss and Nancy M. Lederman
Reading 22: Shame of the Rich, Jane Bryant Quinn
Reading 23: The Fallacy of Impoverishment, Stephen Moses
Reading 24: The Case Against Paying Family Caregivers, C. Jean Blaser
Reading 25: For Love and Money, Suzanne R. Kunkel, Robert A. Applebaum, and Ian M. Nelson
Controversy 6. Should Older People Be Protected From Bad Choices?
The Vulnerabilities of Older People
Interfering When People Make Bad Choices
Elder Abuse and Neglect
Perceptions of Quality of Life
Sexuality in Later Life
Crime and Older Adults
Intervention in the Lives of Vulnerable Older Adults
Reading 26: The Right to Freedom From Restraints, Robert N. Brown
Reading 27: Ethical Dilemmas in Elder Abuse, Terrie T. Wetle and Terry T. Fulmer
Reading 28: A Legal Perspective on Elder Abuse, Candace J. Heisler and Mary Joy Quinn
Reading 29: Elder Self-Neglect, Dorothy R. Fabian and Eloise Rathbone-McCuan
Controversy 7. Should People Have the Choice to End Their Lives?
Depression and Suicide
The “Right to Die”
Outlook for the Future
Reading 30: Why Do People Seek Physician-Assisted Death? Robert A. Pearlman and Helene Starks
Reading 31: A Time to Die, Charles F. McKhann
Reading 32: Last Rights, Sue Woodman
Reading 33: Neither for Love nor Money, Leon Kass
Basic Concepts III. Social and Economic Outlook for an Aging Society
The Varieties of Aging Experience
The Economic Status of Older Americans
Public Policy on Aging
Conclusion
Controversy 8. Should Age or Need Be the Basis for Entitlement?
A Tale of Two Generations
Justice Between Generations
The Least-Advantaged Older Adults
Help for Those Most in Need
The Targeting Debate
Reading 34: Growing Older, Lester Thurow
Reading 35: Will America Grow Up Before It Grows Old? Peter G. Peterson
Reading 36: “Generational Equity” and the New Victim Blaming, Meredith Minkler
Reading 37: The Generational Equity Debate, John B. Williamson, Diane M. Watts-Ray, and Eric R. Kingson
Controversy 9. What is the Future for Social Security?
Main Features of Social Security
Success—and Doubt
Pay as You Go
Social Security Trust Fund
Eligibility
Privatization
Women and Social Security
Debate Over Social Security
Reading 38: How to Save Social Security, Peter Diamond and Peter Orszag
Reading 39: The Necessity and Desirability of Social Security Reform, Ramesh Ponnuru
Reading 40: Social Security Reform and Benefit Adequacy, Lawrence H. Thompson
Reading 41: Social Security for Yesterday’s Family? C. Eugene Steuerle and Melissa Favreault
Reading 42: The Future of Social Security, AARP
Controversy 10. Is Retirement Obsolete?
History of Retirement
Origins of Late-Life Leisure
Changes in the American Economy
A New View of Retirement
Debate Over Retirement Policy
Reading 43: Achieving a Productive Aging Society, Francis G. Caro, Scott A. Bass, and Yung-Ping Chen
Reading 44: Prime Time, Marc Freedman
Reading 45: The Busy Ethic, David J. Ekerdt
Reading 46: Moving Toward a Creative Retirement, Ronald J. Manheimer
Controversy 11. Aging Boomers: Boom or Bust?
Who Are the Boomers?
What Is a Generation? Age-Period-Cohort Analysis
Social Construction of the Boomer Phenomenon
Boomers in the Years Ahead
Reading 47: Boomsday, Christopher Buckley
Reading 48: No Country for Young Men, Megan McArdle
Reading 49: The Longevity Revolution, Theodore Roszak
Reading 50: The Long Baby Boom, Jeff Goldsmith
Controversy 12. The New Aging Marketplace
The New Customer Majority
One Market Sector Likely to Grow
What Do Older Consumers Want?
Limits of the Marketplace Model
Reading 51: Overview of the Boomer Market, Mary Furlong
Reading 52: Age Branding, Harry R. Moody and Sanjay Sood
Reading 53: Selling the Fountain of Youth, Arlene Weintraub
Reading 54: Marketplace of Memory, Daniel R. George and Peter J. Whitehouse
Epilogue: Finding Your Place in an Aging Society
Appendix: How to Research a Term Paper in Gerontology
Glossary
Bibliography
Photo Credits
Index

About the Author

Harry R. Moody is a graduate of Yale University and received his Ph.D. in philosophy from Columbia University. He has taught philosophy at Columbia University, Hunter College, New York University, and the University of California at Santa Cruz.  He recently retired as Vice President and Director of Academic Affairs for AARP in Washington, DC.  He is currently Visiting Professor at Tohoku University in Japan, and Distinguished Visiting Professor at Fielding Graduate University.  Dr. Moody previously served as Executive Director of the Brookdale Center on Aging at Hunter College and Chairman of the Board of Elderhostel (now Road Scholar). Moody is the author of over 100 scholarly articles, as well as a number of books including: Abundance of Life: Human Development Policies for an Aging Society (Columbia University Press, 1988) and Ethics in an Aging Society (Johns Hopkins University Press, 1992). His most recent book, The Five Stages of the Soul, was published by Doubleday Anchor Books and has been translated into seven languages worldwide.  He is the editor of a newsletter, "Human Values in Aging," reaching 10,000 subscribers each month. In 2011 he received the Lifetime Achievement Award from the American Society on Aging and in 2008 he was named by Utne Reader Magazine as one of  “50 Visionaries Who Are Changing Your World.”

Jennifer R. Sasser is Chair and Associate Professor in the Department of Human Sciences at Marylhurst University in Portland, Oregon, where she coordinates the gerontology program. She joined the Marylhurst faculty in 1997 and since that time has been involved in the design and implementation of many on-campus and Web-based courses and programs for adult learners, including the graduate and undergraduate certificate programs in gerontology. While conducting her doctoral work at Oregon State University, she was a graduate teaching and research fellow, as well as the first recipient of the AARP/Andrus Foundation Graduate Fellowship in Gerontology. Over the past 20 years, Dr. Sasser has studied and written about creativity in later life; older women’s embodiment; critical gerontological theory; and transformational adult learning practices. She served on the Oregon Gerontological Association Board of Directors starting in 2005 and was President of the Board for three years. In 2012, she received a Distinguished Teacher award from the Association for Gerontology in Higher Education.

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