2024/07/08

What is the Fourth Age?

What is the Fourth Age?



What is the Fourth Age?



Author: Ruth Preston


Celebrating the Fourth Age and Valuing the Contributions of Older People





Those in the fourth age are in their eighties, nineties and centenarians. Many commentators refer to the fourth age as living with the ‘Gift of Years’, recognising that the seniors have much to give in terms of their experience and wisdom; that those who may be less able physically and even mentally, often have great strength in their spirituality. Christian faith organisations have many opportunities to show a recognition, appreciation and celebration of old age; in particular the oldest old.





Viewing older age as a precious gift, helps people think of those in the fourth age with positive respect and affirmation; to remember and value the wisdom they bring to the younger generations; to view older people just as useful as other members, in service of the church and wider kingdom work.





The fourth age is a period which requires a special approach – a celebration of life’s successes and achievements, a letting go of failures and disappointment and a recognition of the wisdom and strength developed over many years. The later stages of life can enable people to reflect on their own experiences, shift their own values and expectations, and appreciate that (for some things) there are no absolute answers.



It has been suggested that people in the fourth age can become ‘more themselves’, as they are able to let go of things that are no longer important, accept that some things have no answers and better ‘entertain paradox and hold polarities in tension’ (Walker 2013). It seems that through spiritual and pastoral support, those in the fourth age can be helped to deal with any perceived failings of life, discover new meanings and values and become more connected to their faith (Woodward 2008; Walker 2013).




Specific Opportunities and Blessings of the Fourth Age



An understanding of the importance of spirituality and an anticipation of heaven.
An opportunity to experience God’s grace and prepare ourselves to enter glory.
A fullness in knowing God – when wisdom is gained through knowledge and experience.
Spiritual growth and deeper intercession and relationship with God.
For exhibiting the fruit of the Spirit – ‘love, joy, peace, patience, kindness, goodness,
faithfulness, gentleness and self-control.’ Galatians 5:22,23.
For sharing God’s goodness manifested over a lifetime.
For sharing and mentoring the younger generation.



Churches and other Christian faith-organisations have great potential and opportunities to encourage and enable older people to feel valued and appreciated; to feel more positively about themselves and to be more involved in the work and ministry of the organisation. Whilst growing older may lead to reduced physical activity, fewer opportunities to travel and fewer social demands and responsibilities, those living in the fourth age still have much to contribute, in terms of pastoral and spiritual service. It is important for churches to recognise that those in the fourth age will often have wisdom, biblical knowledge, life experience, and spiritual maturity which can be great assets to any ministry and most valuable in the discipleship and growth of younger Christians





For many Christians in their fourth age, their faith has been the context of their life for many years. Some will have been active in spreading the gospel message to the next generation, while others have been faithful in their Christian living, day by day. Some will have had wider missionary or ministry roles and bring to later life a rich variety of skills, experiences and aptitudes for mission and ministry to young and old. Learning from experience of their own faith journeys, those living in the fourth age have much to give, in terms of pastoral and spiritual support to others. They are often excellent prayer warriors, telephone missionaries and ‘friendship evangelists’ (Jewell 2013).





Christians On Ageing (2019) reminds us that it is important to remember and reiterate that the stories of those in the fourth age are not just about the past, they are relevant to the here and now, of the Churches’ proclamation of the gospel of Jesus Christ and to the service of the kingdom of God.




Reflection



What opportunities does our church provide to encourage and appreciate older people?
How could our church use its oldest members to support, share and develop the younger generations?
Are the older ‘prayer warriors’ in our church invited to play a central role in the prayer life of our church?
How do we show that we value and respect our oldest church members? Do those in the fourth age feel that they are worthless or a burden to the church?
How do we celebrate the lives and achievements of those living in the fourth age? (Apart from holding funerals).







© Professor Keith Brown from ‘Guidance for Christian Faith Organisations in the Support and Value of Older People’.

SOCIAL CHARACTERISTICS OF THE FOURTH AGE - PMC

SOCIAL CHARACTERISTICS OF THE FOURTH AGE - PMC
Published online 2019 Nov 8. doi: 10.1093/geroni/igz038.2564
PMCID: PMC6841537
SOCIAL CHARACTERISTICS OF THE FOURTH AGE
John Pothen, Emily C Dore, and Ellen Idler
Author information Copyright and License information PMC Disclaimer



Abstract


How can we differentiate distinct phases of aging in later life? Theorizations of the third and fourth age posit that later life often involves a time of continued growth and increased opportunity (the “third age”) as well as a time marked by growing cognitive, physical, and social losses (the “fourth age”). In contrast to population-based definitions that place this transition around the age of 80, a person-based definition using frailty as a marker offers more sensitivity by focusing on ability and agency instead of age alone. In this study, we apply both definitions in order to examine the social characteristics of the fourth age. Using a nationally representative sample of adults over the age of 65 from from the National Health and Aging Trends Study (NHATS) seventh round (n=6,312) we find that the population-based definition overestimates the number of adults in the fourth age (2,834 vs 569; p<0.001). Additionally, social network patterns observed when comparing adults above and below the age of 80 - increased rates of including a daughter or son and a decreased rate of including a friend - are not seen when comparing adults who do and do not meet criteria for frailty. Our findings suggest that common understandings of the social characteristics of the oldest old - understandings with important implications for policy and the promotion of human dignity - may be biased by focusing on age alone as a marker of change instead of ability and agency.

Amazon.com.au: Elizabeth MacKinlay: books, biography, latest update

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Aging, spirituality, and pastoral care : a multi-national perspective by MacKinlay, Elizabeth, 1940-; Ellor, James

Aging, spirituality, and pastoral care : a multi-national perspective
by MacKinlay, Elizabeth, 1940-; Ellor, James W; Pickard, Stephen K



Publication date 2001
https://www.routledge.com/Aging-Spirituality-and-Pastoral-Care-A-Multi-National-Perspective/Ellor/p/book/9780789016690
===
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Aging, Spirituality, and Pastoral Care: A Multi-National Perspective  April 2002
by James W Ellor (Author)
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How can you foster spiritual growth in older people?This multidisciplinary work re-examines issues of aging with dignity and spiritual meaning. Aging, Spirituality, and Pastoral Care: A Multi-National Perspective brings together chaplains, pastors, counselors, and health care practitioners in all walks of gerontology from around the world to present a fully rounded picture of the spiritual needs and potentialities of this fast-growing population. It also includes a study of the spiritual awareness of nurses working in six different nursing homes, as well as a model for a parish nursing practice that focuses on the aged. Aging, Spirituality, and Pastoral Care addresses urgent issues for older people, including:

social and spiritual isolation
the wisdom of the aging
the need for intimacy
sexuality among older people
living with dementia
the spiritual dimensions of caregiving

===

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Aging, Spirituality, and Pastoral Care
A Multi-National Perspective
By James W Ellor
Copyright 2002
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How can you foster spiritual growth in older people?

This multidisciplinary work re-examines issues of aging with dignity and spiritual meaning. Aging, Spirituality, and Pastoral Care: A Multi-National Perspective brings together chaplains, pastors, counselors, and health care practitioners in all walks of gerontology from around the world to present a fully rounded picture of the spiritual needs and potentialities of this fast-growing population. It also includes a study of the spiritual awareness of nurses working in six different nursing homes, as well as a model for a parish nursing practice that focuses on the aged.

Aging, Spirituality, and Pastoral Care addresses urgent issues for older people, including:

social and spiritual isolation
the wisdom of the aging
the need for intimacy
sexuality among older people
living with dementia
the spiritual dimensions of caregiving

Table of Contents
Preface
Introduction

Section 1. Ethical, Theological and Biblical Dimensions
Ethics and Ageing in the 21st Century
Beyond the Biomedical Paradigm: Generating a Spiritual Vision of Ageing
Outward Decay and Inward Renewal: A Biblical Perspective on Ageing and the Image of God
‘Wholeness, Dignity and the Ageing Self’: A Conversation Between Philosophy and Theology
The Getting and Losing Wisdom

Section 2. Issues of Ageing and Pastoral Care
Ageing and Isolation: Is the Issue Social Isolation or Is It Lack of Meaning of Life?
Pastoral Support for Late-Life Sexuality
Understanding the Ageing Process: A Developmental Perspective of the Psychosocial and Spiritual Dimensions
Through a Glass Darkly: A Dialogue Between Dementia and Faith
When Words Are No Longer Necessary: The Gift of Ritual
The Spiritual Dimension of Caring: Applying a Model for Spiritual Tasks of Ageing
The Challenges and Opportunities of Faith Community (Parish) Nursing in an Ageing Society

Epilogue
Radical Discipleship for an Ageing Society
Index
Reference Notes Included

Book Review — Aging, Spirituality, and Pastoral Care: A Multi-National Perspective
SEPTEMBER-OCTOBER 2004
SHARETwitterFacebookLinkedinPrint
REVIEWED BY FR. JAMES BRESNAHAN, SJ, JD, PhD

Aging, Spirituality, and Pastoral Care: A Multi-National Perspective
Elizabeth MacKinlay, James W. Ellor, and Stephen Pickard, eds.
Haworth Press, Binghamton, NY, 2001, 190 pp., $39.95, $24.95 (paperback)

This book, which also appeared in 2001 as two consecutive issues of the Journal of Religious Gerontology, is a collection of 12 essays followed by a brief afterword. Of the dozen authors, one is from Scotland, two are from the United States, and the others, including the three editors, are all from Australia. Some are Protestants, others Catholic. The perspectives from which they examine the challenges of aging and of caring for the aging range from the explicitly theological to the (primarily) psychological to the practical (studies of nursing care). The essays' style and content also vary, ranging from the academic marshaling of opinions to interpretative narratives to poetic musings on the experience of aging.

The essays are divided into two sections. The first includes essays on the "ethical, theological and biblical dimensions" of the aging process itself as we have come to know it in our own era, when an increasing number of people survive into old age and deal with various kinds of chronic illness. The essays of the second section attend to the pastoral challenges involved in dealing with the aging.

Three essays were of particular interest to this reviewer. The first, by Melvin Kimble, PhD, is called "Beyond the Biomedical Paradigm: Generating a Spiritual Vision of Ageing." The other two, both by Elizabeth MacKinlay, one of the book's editors, are "Understanding the Ageing Process: A Developmental Perspective of the Psychosocial and Spiritual Dimensions" and "The Spiritual Dimension of Caring: Applying a Model for Spiritual Tasks of Ageing."

In all three essays, caregivers are urged to recognize and respond to spiritual developments characteristic of many aging persons, to their spiritual accomplishments as well as their spiritual needs and longings. In the first of her two pieces, MacKinlay describes a study of nurses who, in the course of their work, came to acknowledge and deal with the spiritual — as distinct from the psychosocial — in their patients. Doing so involves a wider than usual understanding of "spirituality" in today's Western cultures, in which spirituality is by no means found only in those aging persons who belong to churches, synagogues, or temples. In her second essay, MacKinlay enumerates six spiritual themes identified in a study of independent living older adults. These themes express various aspects of the search, which many aging people conduct as death approaches, for meaning in life and in relationships.

Other essays, especially "Through a Glass Darkly: A Dialogue between Dementia and Faith" by Malcolm Goldsmith, provide valuable insights into ways to interpret and respond to the deeply troubling aspects of dementia in the aging.

This is a collection well worth exploring, although the variety in the approaches in these essays will not please everyone.

Fr. James Bresnahan, SJ, JD, PhD
Professor Emeritus, Medical Ethics and Humanities and Medicine
Northwestern University Feinberg School of Medicine
Chicago

 

Copyright © 2004 by the Catholic Health Association of the United States
For reprint permission, contact Betty Crosby or call (314) 253-3477.
Book Review - Aging, Spirituality, and Pastoral Care - A Multi-National Perspective
Copyright © 2004 by the Catholic Health Association of the United States

For reprint permission, contact Betty Crosby or call (314) 253-3490.

Spiritual Growth and Care in the Fourth Age of Life eBook : MacKinlay, Elizabeth: Amazon.com.au: Kindle Store

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Spiritual Growth and Care in the Fourth Age of Life Kindle Edition
by Elizabeth MacKinlay (Author) Format: Kindle Edition
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Spiritual Growth and Care in the Fourth Age of Life explores the spiritual dimension of ageing and investigates the role of pastoral and spiritual care in helping the frail elderly cope with end-of-life issues.

Focusing on the experience of nursing home residents and anecdotes gathered in interviews, MacKinlay sensitively presents the struggles facing older people in need of care, such as loss of independence and privacy. Her findings show that despite ill health, loneliness and depression, older people near the end of their lives find meaning and support in (re)discovering their spirituality, and that this is not just the experience of those in care facilities, but of older people more generally. The book includes a useful chapter on spiritual assessment, providing carers with information on how to recognise the need for care.

This book will be of interest to nurses, care workers, pastoral support professionals and anyone else working with older people.


Review
This comprehensive book, successfully delivers the primary aim of helping people tp develop a deeper understanding of spirituality in relation to frailty and dependency in the fourth age... It explores the spiritual dimension in late life and sensitivity presents the struggles facing older people in need of care, tackling important ethical issues such as the use of staff resources to meet relationship and intimacy needs in care homes... Therapists, particularly those who are unsure how to address this topic within their practice, or interested in developing a greater understanding in this area of gerontology will find it a thought provoking, searching, but thoroughly readable book. It is a very useful book for any reference library for occupational therapists involved with end of life care in the fourth age and for those working in care homes.

About the Author

Preface. 1. The spiritual dimension of ageing and people in need of care. 2. The studies of frail older people and staff in aged care. 3. Assessment of spirituality and spiritual needs: A developmental approach. 4. Meaning of Life and frailty in the later years. 5. Wisdom, final meaning, the spiritual journey and frail older people. 6. Spiritual reminiscence: provisional and final meanings in frail older people. 7. The spiritual journey and mental health amongst older adults in need of care. 8. Meeting the challenge: older people with memory loss and dementia. 9. Worship and use of ritual among older people: different cultures, different religions; working in multi-faith and multicultural societies. 10. Vulnerability and transcendence, living in a disintegrating body and failure to thrive. 11. Vulnerability, transcendence and living with physical health problems. 12. Relationship and intimacy needs among nursing home residents. 13. Grief, death, dying and spirituality in an aged care facility. 14. Ethical issues in the fourth age of life. 15. The model of spiritual growth and care in the fourth age of life. 16. References. Appendix 1: Assessment of the Spiritual Needs of Older Adults - 1st Level. Appendix 2: Assessment of the Spiritual Needs of Older Adults - 2nd Level. Appendix 3: Group topics for spiritual reminiscence. References. Index.




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KAB
5.0 out of 5 stars An excellent read.Reviewed in the United Kingdom on 4 March 2016
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This is an excellent, interesting and very readable book which has inspired me to read more widely in this area and to conduct my own small- scale research project too. MacKinlay found that participants in her project were keen to share their thoughts and experiences which and should make all those who care for elderly people ,reflect on their relationships with them and gain a better understanding of their needs.
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James Rafferty
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Rethinking Old Age: Theorising the Fourth Age : Higgs, Paul, Gilleard, Chris: Amazon.com.au: Books

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Rethinking Old Age: Theorising the Fourth Age Hardcover – 1 May 2015
by Paul Higgs (Author), Chris Gilleard (Author)
5.0 5.0 out of 5 stars 2 ratings
Edition: 1st
With the aspiration for a long life now achievable for many individuals, the status of old age as a distinct social position has become problematic. In this radical re-examination of the nature of old age, Paul Higgs and Chris Gilleard reveal the emergence of a 'fourth age' that embodies the most feared and marginalised aspects of old age, conceptually linked to and yet distinct from traditional models of old age.

Inspired by the authors' ground-breaking work on the third and fourth age and supported by extensive sociological, medical and historical research, Rethinking Old Age offers a unique and timely analysis of the fourth age as a 'social imaginary' that is shaped and maintained by the social, cultural and political discourses and practices that divide later life. It stands as a significant resource for students, academics and practitioners of sociology, ageing studies, gerontology, social policy, health studies, social work and nursing.


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Review
The authors of this interesting new book discuss a new separating out of the final stage before death: The Fourth Age . the authors also discuss the inter-relationship between the old person and his/her nearest, carers and society as a whole . This book rewards readers, young and old, who would understand the moral imperative of displaying humanity by a sense of compassion. ― Michael Costello, Third Age Matters, www.U3A.org.uk, Issue 24
From the Back Cover
With the aspiration for a long life now achievable for many individuals, the status of old age as a distinct social position has become problematic. In this radical re-examination of the nature of old age, Paul Higgs and Chris Gilleard reveal the emergence of a 'fourth age' that embodies the most feared and marginalised aspects of old age, conceptually linked to and yet distinct from traditional models of old age.

Inspired by the authors' ground-breaking work on the third and fourth age and supported by extensive sociological, medical and historical research, Rethinking Old Age offers a unique and timely analysis of the fourth age as a 'social imaginary' that is shaped and maintained by the social, cultural and political discourses and practices that divide later life. It stands as a significant resource for students, academics and practitioners of Sociology, Ageing Studies, Gerontology, Social Policy, Health Studies, Social Work and Nursing.


About the Author
Paul Higgs is Professor of Sociology of the Ageing in the Division of Psychiatry at University College London, UK.#

Chris Gilleard is a Visiting Research Fellow in the Division of Psychiatry at University College London, UK.
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Product details
Publisher ‏ : ‎ Red Globe Press; 1st edition (1 May 2015)
Language ‏ : ‎ English
Hardcover ‏ : ‎ 184 pages

The Spiritual Dimensions of Ageing : Mackinlay, Elizabeth: Amazon.com.au: Books

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The Spiritual Dimensions of Ageing Paperback – 5 September 2000
by Elizabeth Mackinlay (Author)
3.8 3.8 out of 5 stars 3 ratings

===
What gives a frail and isolated or institutionalised older person their sense of wholeness and self? What makes later life meaningful? This clear and practical text presents much-needed guidance for health and social care practitioners, as well as for religious professionals, seeking to identify and meet the spiritual needs of older people in their caring role.

Drawing on in-depth interviews with older people, Elizabeth MacKinlay, an experienced nurse and chaplain, develops an understanding of spirituality that enables the reader to explore the spiritual dimension of ageing and to learn how it contributes to well being and health in later life. This accessible and inspiring book will be a useful text for students, trainers and academics, policy makers and practitioners in health and social care, as well as religious professionals, in hospital, residential and other caring settings.

272 pages
Jessica Kingsley Publishers, Ltd
=====
Review
The Spiritual Dimension Of Ageing by Elizabeth Mackinlay comes close to being a definitive book for health and social care professionals but is also of much wider interest... the issues covered in the book are universal. Mackinlay's contention is that spiritual health in ageing can be enhanced by sensitising older people to their own spiritual journeys, by assessing the spiritual needs of frail older people and by assisting older people effectively to meet their spiritual needs. Reminiscence and life review are important means to this end, and Mackinlay covers this aspect well.--Journal Of The British Society of Gerontology

This recent addition to Jessica Kingsley's series concerned with spirituality and aging is greatly to be welcomed. The book comes close to being a definitive one for both clergy and health and social care professionals and is an excellent read for older people themselves and their carers. The Spiritual Dimension of Aging has many strengths. Mackinlay succeeds better than most in making the necessary distinctions between religion, faith and spirituality. She is very illuminating concerning reminiscence and life review. Her sense of direction is quite clear. Viewing human beings as meaning-makers, she sees the spiritual task of aging as a comprising transcending adversity, seeking final meanings, finding intimacy (with God and others) and holding onto hope. The practical implications for nurses and pastoral carers are well set out. Her work was enlivened by the humour through which older people transcend circumstances and she pays humble tribute to the depth of sharing in which she felt privileged to join.--Leveson Centre for the Study of Ageing, Newsletter

A rich, well-written and accessible resource on an important subject which offers insights into the spiritual lives of older people. A summary at the end of each chapter highlights the key issues...This book is a great contribution to the literature and is relevant to all health professionals.--British Journal of Occupational Therapy

I recommend this book for both educational study and personal reading. Although written for the general market, it does not reduce spirituality merely to feelings or a set of mythological beliefs, nor does it assume all religions are equivalent, even though it has only passing mention of non- Christian religions. It covers the major topics that ought to be infused into the awareness of all who work with ageing people, whether in volunteer services or in professions like nursing, pastoral care or social work.--Perspectives on Science and Christian Faith

MacKinlay's book has had a significant influence on those who wish to develop a holistic approach to the care of older people... clear and practical.--Leveson Newsletter (The Leveson Centre for the study of Ageing, Spirituality and Social Policy)

The book is an excellent resource and a wealth of information from someone who clearly knows her field and is passionate about finding appropriate ways of companioning men and women as they grow old. She is particularly helpful at many points where she suggests areas of further work needing to be done and I suspect that that this will become a book many people will turn to over and over again. She dares to suggest that our accustomed ways of thinking and acting have been less than adequate when spirituality has been neglected and major shifts have to be made. This will challenge many practitioners to examine their prejudices and their priorities and that will ultimately be a great gift to us.--Australasian Journal of Ageing

The book is enlightening for anyone interested in the subject matter, but particularly useful for those in any caring profession - health or social. The book highlights the fundamental importance of recognising spiritual well-being throughout the ageing process, something we should all be aware of!--Signpost

The discussions about life after death make fascinating reading for those who, like me, are actively involved in providing pastoral care within the context of a faith community, especially as many of those interviewed are quite happy to describe their spirituality in non-religious terms'.--Ageing and Society

This book is an excellent resource and a wealth of information from someone who clearly knows her field and is passionate about finding appropriate ways of companioning men and women as they grow old. She is particularly helpful at many points where she suggests areas of further work needing to be done and I suspect that this will become a book many people will turn to over and over again. She dares to suggest that our accustomed ways of thinking and acting have been less than adequate when spirituality has been neglected and major shifts have to be made. This will challenge many practitioners to examine their prejudices and their priorities and that will ultimately be a great gift to us.--Australian Journal of Ageing
About the Author
Elizabeth MacKinlay is a registered nurse and an Anglican priest. She is Director of the Centre for Ageing and Pastoral Studies at St Mark's National Theological Centre, Canberra, and a Professor in the School of Theology, Charles Sturt University. Elizabeth was Chair of the ACT Ministerial Advisory Council on Ageing in 2008 and is the ACT Senior Australian of the Year for 2009.

Product details
Publisher ‏ : ‎ Jessica Kingsley Publishers, Ltd; 1st edition (5 September 2000)
Language ‏ : ‎ English
Paperback ‏ : ‎ 272 pages
=====
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Rita Clancy
5.0 out of 5 stars Valuable addition to my libraryReviewed in the United States on 4 April 2015
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I was very pleased to be able to get a copy of this book which I needed for a Uni course. I am an admirer of Elizabeth MacKinlay's work in this area and look forward to 'digesting' is contents.
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KAB
5.0 out of 5 stars 
An excellent, immensely readable and helpful book which enables the ...Reviewed in the United Kingdom on 31 January 2016
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An excellent, immensely readable and helpful book which enables the reader to better understand the spiritual dimension of the ageing process.
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Spirituality-Aged-Care-Resources.pdf

Spirituality-Aged-Care-Resources.pdf

Spirituality and Aged Care - MAC Library

1. Aboriginal spiritual perspectives, research findings relevant to end-of-life care.
Pam McGrath, Emma Philips (eResource)
2. Ageing and spirituality across faiths and cultures. Elizabeth MacKinlay
3. Ageing, spirituality and well-being. Albert Jewell
4. Aging, spirituality, and pastoral care: a multi-national perspective. Elizabeth
MacKinlay, James W. Ellor, Stephen Pickard
5. Breaking the circle: death and the afterlife in Buddhism. Carl B. Becker
6. Caring for Jewish patients. Joseph Spitzer
7. Caring for Muslim patients. Aziz Sheikh, Abdul Rashid Gatrad
8. Caring for patients from different cultures. Geri-Ann Galanti
9. Chinese religions: beliefs and practices. Fowler J. D., & Fowler M.
10. Culture, religion and patient care in a multi-ethnic society. Alix Henley & Judith
Schott
11. Death and afterlife: perspectives of world religions. Hiroshi Obayashi
12. Death and bereavement around the World: major religious traditions. J.D. Morgan
& P. Laungani
13. In living color: an intercultural approach to pastoral care and counselling. E.Y.
Lartey
14. Integrating spirituality in health and social care: perspectives and practical
approaches. Wendy Greenstreet
15. Introduction to the world’s major religions. Lee W. Bailey
16. The Jewish way in death and mourning. Maurice Lamm
17. Life after death in world religions. Faith meets faith Series. Harold Coward
18. Making sense of death: spiritual, pastoral, and personal aspects of death, dying
and bereavement. Gerry Cox, R. Bendiksen, & R. Stevenson
19. Mental health and spirituality in later life. Elizabeth MacKinlay
20. Prayers & rituals at a time of illness & dying: the practices of five world religions.
Pat Fosarelli
21. Religions, culture and healthcare: a practical handbook for use in healthcare
environments. Susan Hollins
Factsheet 1 of 1 Produced by Multicultural Aged Care
Spirituality and Aged Care - MAC Library
22. Religions, culture and healthcare: a practical handbook for use in healthcare
environments. Susan Hollins
23. Religious holidays and calendars: an encyclopedic handbook. Karen Bellenir
24. Routledge encyclopedia of religious rites, rituals and festivals. Frank A. Salamone
25. Spiritual needs of people with dementia. Eileen Shamy & Averil Harrison
26. Spirituality, personhood, and dementia. Albert Jewell
27. Spiritual care at the end of life, the chaplain as a "hopeful presence". Steve Nolan
28. Trinity of Sikhism: philosophy, religion, state. Pritam Singh Gill
29. Ultimate journey: death and dying in the world’s major religions. Steven J. Rosen
30. World religions in practice: a comparative introduction. Paul Gwynne

Spirituality and Ageing - A Reflective Workshop

 Spirituality and Ageing - A Reflective Workshop 

SPIRITUALITY

"Spirituality is our way of living in relation to that which is beyond the self. . . Spirituality is a fundamental part of human personhood. Everyone has spirituality whether they think of themselves as spiritual or not."

"The quest for meaning and purpose, and to determine and achieve right action, form two important aspects of spiritual development".

Hughes, Julian C. "A Situated Embodied View of the Person with Dementia" in Spirituality and Personhood in Dementia, edited by Albert Jewell, 205. London and Philadelphia: Jessica Kingsley Publishers, 2011.

Disability Bioethics: Moral Bodies, Moral Difference : Scully, Jackie Leach: Amazon.com.au: Books

Disability Bioethics: Moral Bodies, Moral Difference : Scully, Jackie Leach: Amazon.com.au: Books

https://archive.org/details/humanenhancement0000unse/page/n21/mode/2up
The human enhancement debate and disability : new bodies for a better life
Publication date 2014
Topics Biomedical Enhancement -- ethics, Disabled Persons, Bioethical Issues
Publisher Houndmills, Basingstoke, Hampshire, England ; New York, NY : Palgrave Macmillan
Collection internetarchivebooks; inlibrary; printdisabled
Contributor Internet Archive
Language English
xviii, 257 pages ; 23 cm

Includes bibliographical references

Looking at human enhancement through the disability lens / Christoph Rehmann-Sutter, Miriam Eilers, and Katrin Grüber -- On unfamiliar moral territory : about variant embodiment, enhancement, and normativity / Jackie Leach Scully -- Improving deficiencies : historical, anthropological, and ethical aspects of the human condition / Christina Schües -- Good old brains : how concerns about the ageing society and ideas about cognitive enhancement interact in neuroscience / Morten Bülow -- The making and unmaking of deaf children / Sigrid Bosteels and Stuart Blume -- Token of the loss : ethnography of artificial restoration of cancer patients' bodies and lives in Kenya / Benson Mulemi -- Singing better by sacrificing sex / Anna Piotrowska -- Mood enhancement and the authenticity of experience : ethical considerations / Lisa Forsberg -- Prometheus descends : disabled or enhanced? / John Harris -- Human enhancement, and the creation of a new norm / Trijsje Franssen -- More human than human! how recent Hollywood films depict enhancement technologies and why / Kathrin Klohs -- Transhumanism's anthropological assumptions : a critique / Nicolai Münch -- Be afraid of the unmodified body! the social construction of risk in enhancement utopianism / Sascha Dickel



Disability Bioethics: Moral Bodies, Moral Difference Hardcover – 15 August 2008
by Jackie Leach Scully (Author)

Jackie Leach Scully argues that bioethics cannot avoid the task of considering the moral meaning of disability in humans - beyond simply regulating reproductive choices or new areas of biomedical research. By focusing on the experiential and empirical reality of impairment, and drawing on recent work in disability studies, Scully brings new attention to complex ethical questions surrounding disability. Impairment is variously considered as a set of social relations and practices, as experienced embodiment, and as an emancipatory movement, as well as a biomedical phenomenon. In this way, disability is joined to the general late-twentieth century trend of attending to difference as a significant and central axis of subjectivity and social life.

Review

Disability Bioethics brings together important insights from disability studies, feminist theory, and bioethics to create an integrated, original analysis into a range of ethical questions that arise in the context of medical approaches to disabilities. Scully's expertise in diverse approaches to philosophy, biology, and feminist thought ensure careful and critical engagement with multiple approaches to the complex questions that surround the place of disabilities and people who are disabled in society, in medicine, and in science. The book moves questions concerning disabilities from the margins to the center of bioethics and makes clear how important it is that we understand how deeply assumptions about disability run in many current debates. Challenging the superficial treatment of ethical issues concerning disability that is prevalent in bioethics, Scully adopts the perspective of feminist disability ethics to show how important it is to begin bioethics from the reality of disabled lives.

Both provocative and sound - a thoughtful exploration of the way(s) in which understanding disability illuminates our broad understanding of human biology and its processes, by a scholar with expertise in both fields.

In her wise, clear, and careful book, Jackie Leach Scully takes her place among the leaders of a second wave of disbility theory.

The detailed and reflective description of disability as a factor in shaping moral identity, and the consideration in the concluding chapters of the formation of groups with similar limitations as political or cultural communities, make this a unique and creative contribution to the moral issues of life with disabilities. This book will be valuable to professionals and individuals dealing practically with living in "different bodies." Very thorough bibliography and index. Highly recommended.

This book operates at the intersection of three debates: bioethics; biomedicine; and disability/Deaf studies. It is an excellent introduction for bioethicists and others who are unfamiliar with the challenge posed by disability studies. Not least because she is unafraid to deploy autobiography as part of her intellectual toolbox, Scully's personality comes through the pages of this book: accessible, thoughtful, with a dry wit. Scully is one of the deeper thinkers in contemporary disability studies, eschewing radical rhetoric in favor of detailed readings and carefully constructed arguments.

적과 나의 경계를 넘어서: 인드라망세계관으로 보는 적과 나 - 에큐메니안

적과 나의 경계를 넘어서: 인드라망세계관으로 보는 적과 나 - 에큐메니안
적과 나의 경계를 넘어서: 인드라망세계관으로 보는 적과 나적의 계보학⑪
이명호(인드라망생명공동체 인드라망연구소) | 승인 2024.07.03 04:31댓글2


▲ 이명호 연구원


연기(緣起)법을 핵심 교리로 하는 불교는 세계에 대한 이해를 ‘그물’에 비유한다. 『화엄경』에 나오는 이야기로 인도 토착신인 제석천(인드라신)이 머무는 궁전 위에는 그물이 끝없이 펼쳐져 있다. 사방으로 끝없는 이 그물의 모든 그물코에는 보배구슬이 달려 있다. 이 보배구슬에 다른 모든 구슬이 비치고 그 구슬은 동시에 다른 모든 구슬에 비춰진다. 그 구슬에 비춰진 다른 모든 구슬의 영상이 다시 다른 모든 구슬에 거듭 비춰진다.

관계의 이어짐이 끝없이 중중무진(重重無盡)으로 펼쳐진다. 구슬들은 동시에 겹겹으로 서로서로 투영되고 서로서로 투영을 받아들인다. 이처럼 인드라궁에 있는 그물(인드라망)의 구슬들이 서로서로 비추어 끝이 없는 것처럼 세계의 모든 현상과 존재들도 중중무진하게 관계를 맺으며 연기하고 있다는 인식이 바로 불교의 인드라망세계관이다. 인간의 구슬은 자연의 구슬에 투영되고 자연의 구슬은 인간의 구슬에 투영된다. 나는 너에게 투영되고, 너는 나에게 투영된다.

우주에 존재하는 유형무형의 모든 것은 그물코에 달려 있는 구슬처럼 중중무진의 관계를 맺고 있고, 서로서로 의지하고 있고, 서로서로 영향과 도움을 주고받으며 존재한다. 본래부터 하나로 분리된 개체로서 나[我]라고 할만한 것이 없다는 무아(無我)로, 그리고 무아들의 관계 및 연결로 이어진다.

너와 나는 따로 존재하지 않는다. 그래서 나에게만 편안한 일이나 좋은 일은 가능하지 않다. 삼라만상(森羅萬象)이 모두 연결되어 있고 분리되어 있지 않은데 어떻게 남의 고통을 모른체 할 수 있을까? 불교의 문구로 이야기하면, 천지는 나와 한 뿌리, 만물은 나와 한 몸(天地與我同根 萬物與我一體)(1)이기에, 동체대비(同體大悲)라는 고통을 대하는 자연스러운 행동으로 나아간다. 그래서 보살은 ‘중생이 아프며, 나도 아프다’라고 이야기하고, 그들의 고통을 이해하고 그들의 고통을 해소하기 위해 자신의 성불을 늦춘다. 모든 불교인이 보살의 삶을, 보살행의 실천을 목표로 하는 이유이다.

사회적 약자나 소수자 등을 향하는, 즉 다른 존재의 고통에 공감하고 이해하고 소통하는 보살행, 혹은 자비행을 대부분 사람이 큰 저항 없이 실천한다. 나의 구슬에 비치는 타인의 고통에 공감하며, 타인의 고통에 자신도 어느 정도 기여했음을 인정하기도 한다. 소위, 공업(共業)의 개념을 논리적, 정서적으로 받아들이고, 고통의 감소 혹은 해소를 위해 기꺼이 노력한다.

인드라망세계관에 따라 연기법을 철저하게 논리적 관점에서 이해한다면 고통을 대하는 사회적 약자나 소수자를 향하는 우리의 자세는 ‘적’에게도 동일하게 적용되어야 한다. 나의 구슬에 비치는 사람들은 이웃, 친한 사람, 동료, 선한 사람뿐만 아니다. 이해관계가 상충하여 혹은 가치가 달라서 대립하는 사람들, 하나의 목표를 두고 경쟁하는 사람들, 여러 이유에서 다투는 사람이나 집단도 나의 구슬에 비치고 있다. 그들과도 나는 연결되어 있으며 서로서로 영향을 주고받고 있다.

▲ 특정한 종교적 세계관을 벗어나더라도 세상은 저 홀로 존재하는 것은 없다. 모든 것은 서로서로에게 연결되어 있다. ⓒGetty Images


틱낫한 스님은 <부디 나를 참이름으로 불러다오>라는 시에서 ‘작은 배로 조국을 떠나 피난길에 올랐다가 해적한테 겁탈당하고 푸른 바다에 몸을 던진 열두 살 소녀’, ‘강제노동수용소에서 천천히 죽어가는 사람’도 ‘나’이고, ‘열두 살 소녀를 겁탈하고 죽음에 이르게 한 해적’도 ‘막강한 권력을 움켜잡은 공산당 정치국 요원’도 ‘나’라고 하였다. 내가 일하고 있는 인드라망생명공동체의 도법스님도 불교 내 진보 진영에서 지지받지 못하는 총무원장 체제에서 소임을 거부하는 것은 자신의 평소 지론인 ‘화쟁’에 어긋나는 것이라며 소임을 받아들였다.

하지만 고통받은 사람들을 위해 자신의 마음과 재산, 시간을 기꺼이 내놓는 사람들도 자신과 대립, 투쟁하는 사람들, 그래서 적으로 규정되는 사람들에 대한 이러한 태도를 받아들이지 못한다. 두 스님 모두 세상의 범부들에게 질타와 지지 철회, 비판을 받았다.

우리는 적과 나를 구분하고, 나는 선이요 적은 악이라고 분별하는 데 익숙하다. 하지만 이는 적은 곧 나이며, 나도 곧 적이라는 연기론적 사유에서는 성립하지 않는다. 인드라망세계관에서는 선도 악도 연기(緣起)되어진 것이고, 그와 연관된 적과 나도 연기된 존재이다. 소녀와 해적, 정치국 요원과 수용소의 수용자, 총무원장과 도법스님, 적과 나 모두 별개로 존재하지 않는다. 상호연결되어 의존하는 관계이다.

나와 너는 분리되어 있다는 전도몽상의 세계에서 벗어나려는 일반인들의 노력이 바로 이 지점에서는 중지된다. 고통받는 사람들에게는 적용되었던 무경계의 사유가 적에게는, 나와 가치가 다른 사람/집단에게는, 대립하고 투쟁하는 사람/집단에게는 적용되지 않는다. 나와 너를 분별하는 이분법적 사고가 나와 그들을 분리하는 개체론적 사고가 지속된다. 나는 그들과 격리된 선한 세계에 존재하고, 적들은 나와 아무 연관이 없는 악한 세계에 있다. 그들과 우리 사이에는 깊은 심연이 있다.

인드라망세계관의 본질은 관계의 이어짐이며 관계를 통한 소통이다. 일반적으로 소통을 위해서는 이해가 필요하다고 이야기한다. 하지만 이해는 적과 나의 관계가 끊어져 있음을 인정하고 끊어진 관계를 복원하려는 노력 이후에나 가능하다. 지금 당장은 깊은 심연을 넘어설, 분리된 두 세계를 이어줄 다리가 필요하다. 그래서 문제의 원인은 너에게도 나에도 있지 않다는 사실을 인정할 용기가 필요하다.

누구나 그렇게 할 수밖에 없는 상황 또는 조건에 있다. 적을 제거한다고 지금의 상황이, 문제가 극복되는 것은 아니다. 직면해 있는 문제 혹은 실상을 그대로 들여다볼 용기가 필요하다. <나를 해체해다오>라는 시에서 언급된 틱낫한 스님의 당부는 바로 이 여실지견(如實知見)을 지혜를 말하는 듯 하다.

“당신들이 나를 돌보려면 / 많은 인내심과 냉정함이 필요하다는 사실을 / 나는 알고 있다. / 나는 또한 당신들 안에도 / 해체시킬 폭탄이 있음을 안다. / 그러니 왜 우리는 서로를 돕지 않는가?”

미주
(1) 『조론( 肇論)』 「열반무명론(涅槃無明論)」


이명호(인드라망생명공동체 인드라망연구소) 
===

인드라 신이 사는 궁전 지붕에는 그물이 드리워져 있고, 각 그물코마다 영롱한 구슬이 달려 있답니다. 그 구슬이 어찌나 영롱한지 작은 구슬이 전 우주를 비추고, 다른 구슬이 비춘 우주를 다시 비춰냅니다. 이 장면은 서로가 서로에게 영향을 주면서 서로 겹치고 겹침이 끝없이 계속되는 중중무진(重重無盡)의 세계에 대한 가장 고전적인 비유입니다.
이명호 박사가 쓴 "적의 계보학"(11)에서는,
'적'은 수술하듯 도려내는 방식으로 극복되기 보다는,
끝없이 이어지는 관계의 논리에 대한 통찰과,
적과 나를 연결지을 수 있는 심층에 대한 지혜,
그것을 인정하는 용기가 필요하다고 요청하고 있습니다.
물론 상대성의 세계에서 벌어지는 악한 일을 그냥 잊고 넘어가라는 얘기는 아니지요...