Centers for Ending The Coming Crisis in the Care of Aged People

As people live longer and health care costs continue to rise and fewer doctors choose to specialize in geriatrics, how prepared is the United States to care for its sick and elderly? According to veteran psychologist Seymour Sarason’s eloquent and compell

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official publication of The Rosalynn Carter Institute for Caregiving

For other titles published in this series, go to www.springer.com/series/8274

Seymour B. Sarason

Centers for Ending The Coming Crisis in the Care of Aged People

Foreword by Saul B. Cohen

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Seymour B. Sarason (deceased) Department of Psychology Yale University New Haven, CT 06520

ISBN 978-1-4419-5724-5 e-ISBN 978-1-4419-5725-2 DOI 10.1007/978-1-4419-5725-2 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2011930251 © Springer Science+Business Media, LLC 2011 All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

To Lisa Who deserves more than mere words of gratitude and affection

Series Foreword

From its inception in 1987, the Rosalynn Carter Institute for Caregiving (RCI) has sought to bring attention to the extraordinary contributions made by caregivers to their loved ones. I grew up in a home that was regularly transformed into a caregiving household when members of my family became seriously ill, disabled or frail with age, so my interest in the issue is personal. In my hometown of Plains, Georgia, as in most communities across our country, it was expected that family members and neighbors would take on the responsibility of providing care whenever illness struck close to home. Delivering such care with the love, respect, and attention it deserves is both labor-intensive and personally demanding. Those who do so represent one of this nation’s most significant yet underappreciated assets in our health delivery system. When the RCI began, “caregiving” was found nowhere in the nation’s health lexicon. Its existence was not a secret but rather simply accepted as a fact of life. In deciding on the direction and priorities of the new institute, we convened groups of family and professional caregivers from around the region to tell their personal stories. As I listened to neighbors describe caring for ag