The American culture of caring: An overview of beliefs and practices
Otto O von Mering
Centre for Gerontologic Studies, College of Liberal Arts and Sciences, University of Florida, Gainsville FL, Unites States of America
PP: 181 - 191
Abstract
As anthropologists, we learn that 'it is through language that members of society organize, describe and account for the everyday world they experience' (Boden & Bielby 1983: 31). It is proposed that caregiving, like language is 'both a primary medium of social interaction and a primary mode for describing (and defining) interaction' (Boden & Bielby, p.31). For humankind, giving care and language are both universal life-giving experiences. Together, they comprise distinct strategies for producing and interpreting speech and action (Coupland, Coupland, Giles & Henwood 1988).
Hence it is reasonable to inquire into the nature of a society on the basis of its characteristic ways of caregiving throughout the life course. As students of contemporary nation cultures like the USA, we note, for example, a 'dominant cultural penchant for using chronological age markers to identify the social performances of young and old,' all in the face of 'today's rising bio-social fact of extended personal longevity' (von Mering 1991: 12). Accordingly, a majority of young, midlife, and old people have come to live in 'different subcultures with distinct self and other-identities, aspirations, beliefs, and life circumstances' (Coupland et al 1988: 6). In the USA in particular, the teens and old age are seen as 'terminal problem cultures' which call for consonant caregiving attitudes and practices (Hill, von Mering & Guillette 1995).
Once we recognise that the giving of care is a fundamental cultural way of communicating, we can speak of caring as an indicator of behaviour which characterises every culture, and varies from culture to culture. We can observe it as an iterative and diurnal 'discourse' between people, with people, and for people in every society.
References
AFL-CIO-Department of Occupational Safety and Health (27 April 1992) Death on the job: The toll of neglect (A State-by-State Profile of Worker Safety and Health in the United States). Washington DC: American Federation Labor (AFL) and Congress of Industrial Organizations (CIO).
Annas GJ (1997) Patients' rights in managed care: Exit, voice and choice. New England Journal of Medicine 337(3): 210-215.
Battin MP (1994) The least worst death: Essays in bioethics on the end of life. UK: Oxford University Press.
Berlin I (1997) The sense of reality. New York: Farrer, Strauss & Giroux.
Boden D and Bielby DD (1983) The past as a resource: A conversational analysis of elderly talk. Human Development 26, Generations Review 7(1): 2-5.
Coupland N, Coupland N, Giles H and Henwood K (1988) Accommodating the elderly: Invoking and extending a theory. Language in Society 77(1): 1-41.
Cutler NE (1997) Financial gerontology and the middle ageing of the world: The UK in international perspective. Generations Review 7(2): 4-6.
Dally G (1996) Ideologies of caring: Rethinking community and collectivism. London UK: Macmillan Press.
Egan T (1992) When children can't afford parents. New York Times Editorial, Sunday March 29 , Week in Review 4: 7.
Frolik LA and Patrucco Barnes A (1992) Elder law: Cases and materials. Charlottsville VA: The Michia Co. Law Publishers.
Fuchs VR and Reklis DM (1992) Americas children: Economic perspectives and policy options. Science 255(1): 41-46.
Gillion C (1991) Ageing populations: Spreading the costs. Journal of European Social Policy 1(2): 107-128.
HCIA Inc (1996) Length of stay by diagnosis and operation, Report (2 vols), Annual National and Regional Data: Spinal Chord Injuries, Baltimore MD: HCIA Inc. 300 E Lombard St.
Hennessy CH (1989) Culture in the use, care and control of the aging body. Journal of Aging Studies 13(1): 39-54.
Hill R, von Mering O and Guillette EA (1995) Adolescence and old age, Part 1: Terminal problem cultures in American society. Educational Gerontology 21(3): 275-283.
Hoefler JH (1997) Managing death. Boulder CO: Westview Press.
Jutras S and Veilleux F (1991) Informal caregiving: Correlates of perceived burden. Canadian Journal on Ageing 10(1): 40-55.
Kassirer JP (1997) Managing managed care's tarnished image. New England Journal of Medicine 337(5): 338-339.
Levy BS (1997) Conditions in which people can be healthy. American Public Health Association. The Nation's Health, p.2.
Martinez R (1997) US Congress Committee on Transportation and Infrastructure, House Subcommittee on Surface Transportation (Committee Serial No. 105.34, Testimony No. 1): July 17, p.10.
McBeath WH (1991) Health for all: A public health vision. American Journal of Public Health 81(12): 1560-1565.
Mitchell J (1982) Looking after ourselves: An individual responsibility? Journal of the Royal Society of Health 102(4): 169-173.
Monk A (1994) An introduction. In A Monk (Ed) The Columbia retirement handbook, pp.3-11. New York: Columbia University Press.
Morgan RQ, Virnig BA, DeVito CA and Persily NA (1997) The Medicare-HMO revolving door: The healthy go in and the sick go out. New England Journal of Medicine 337(3): 169-175.
Ontario: Provincial Government, the Premiers' Council on Health Strategy (1990) Ontario Report: Nurturing Health. Toronto, Ontario, Canada.
Pierre KD (1992) Health beyond medicine: Acting together for individual well-being. University of Toronto Magazine 19(3): 11-13.
Samuelson RJ (1997) The rich and deserving. Washington Post Weekly Edition August 18: 26.
Shilling C (1993) The body and social theory, Thousand Oaks CA: Sage.
Turner BS (1992) Regulating bodies: Essays in medical sociology. London: Routledge.
US National Centre for Health Statistics (1997) Data from the National Health Interview Survey, 1990-92. Vital and Health Statistics, Series 10, #19 (DHS97-1523, January 1997).
von Mering O (1991) The 'Fourth Age' is a global blessing/challenge, revolution. Perspectives on Aging July/August and September/October: 12-16.
von Mering O (1992) Societies in transition: The impact of longevity on generations. Educational Gerontology 18: 123-134.
von Mering O (1996) American culture and long-term care. In R Binstock, L Cluff and O von Mering (Eds) The future of long-term care: Social and policy issues, pp.252-271. Baltimore: Johns Hopkins University Press.
von Mering Q and Earley LW (1965) Major changes in the western medical environment. Archives of General Psychiatry 13: 195-201.
Walker Jr B (1992) The future of public health. American Journal of Public Health 82(1): 21-23.

eContent Home




