"Bushfield and DeFord offer us an excellent, informed and sensitive work that speaks both of the erosion of family systems due to addiction and the complications that arise when these victimized families face end-of-life care."
--Illness, Crisis and Loss
With a growing elderly population comes an increased need to recognize the medical and psychological needs of older adults suffering from addiction, particularly towards the end of life. This guide describes the challenges such persons and families present to those providing end-of-life care, and shows caregivers how to best negotiate these issues with clients and their families.
The authors place special emphasis on the role of the family, presenting a cohesive family systems approach to end-of-life care. The book demonstrates how hospice teams can work collaboratively with the client and family to help alleviate some of the emotional stress and pain of addiction. The authors also present practical guidelines for recognizing and diagnosing addiction, determining appropriate interventions, and outlining special concerns for addicted people in end-of-life care.
Key features:Identifies the known markers of substance abuse and appropriate interventionsProvides guidance on how to address the physiological, psychological, and spiritual effects of addictionDetails what every hospice team needs to know about family systems theoryDiscusses the emotional process of addicted clients, and what hospice teams, caregivers, and family members can do to help
Sometimes loss may transform the bereaved in ways that lead to growth and maturity; other times a loss leads to unremitting anger or melancholia. There may be a variety of spiritual expressions that the bereaved experience in their time of loss, but there appears to be some common elements in all of them. Overtime, survivors' feelings are transformed into growing exploration of the spiritual, a profound sense of rebirth, newfound feelings of self-mastery or confidence, and a deeply held conviction that "life goes on."
The contributions to this volume are based on a conference held in New York on the first anniversary of September 11, 2001. Contributors include Peter Metcalf, Robert Jay Lifton, Ilana Harlow, Robert A. Neimeyer, Samuel Heilman, and Neil Gillman. This sensitive and heartfelt volume relates specifically to issues of death, bereavement, and mourning in the aftermath of the attack on the World Trade Center, but the applications to other individual and catastrophic events is obvious. The contributions do not simply explore how people deal with bereavement or are psychologically affected by extreme grief: they address how people can try to find meaning in tragedy and loss, and strive to help restore order in the wake of chaos. The multidisciplinary perspectives include those of anthropology, psychology, theology, social work, and art.
Samuel Heilman is the Distinguished Professor of Sociology and holder of the Harold Proshansky Chair in Jewish Studies and Sociology at the City University of New York, and has also taught at the University of Illinois at Chicago, the Hebrew University in Jerusalem, Tel Aviv University, and the Universities of New South Wales and Melbourne. He is the author of several books, including Synagogue Life and The People of the Book, both published in paperback by Transaction.