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Title: A comparison of the hospice movement between the West and Japan
Author: Maruyama, T. C.
Awarding Body: University College of Swansea
Current Institution: Swansea University
Date of Award: 1995
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The modern Western hospice philosophy has a strong Christian background, and implies an active attitude to and individual responsibility for pain, life and death, as one carries his "own" "cross." This individualistic and active approach to pain and death is not really relevant for Japanese people, because their culture tends to emphasize a family or community responsibility for and sharing of the matter of each person's life and death, and passive acceptance of death and pain. Therefore, if the hospice concept is impossible without an active and individualistic relationship with death and pain, it cannot fit with the experience of Japanese people. This study reveals the significant differences between Western and Japanese culture in relation to the historical backgrounds of the hospice movement, attitudes to death and dying, and doctor-patient relationships, and considers difficulties in bringing the Western hospice concept to Japan. At the same time, the research examines the possibility of how Japan might take some of the features of hospice care for its people without contaminating their long tradition of community sharing of death and emotional issues and lack of a strong awareness of the fear of death.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available