Family ties of the aged in cross-cultural perspective.
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Biomedical subjects
Publications and source records attributed to C N Nydegger.
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When a scientifically trained health professional is called upon to deal with patients holding differing causal views of illness, the resulting lack of communication is frustrating to both. This discussion traces some implications for medical practice of significant cultural differences in two aspects of causal paradigms of illness: (1) terms accepted and (2) dimension or level of causality typically sought. The second is the more pervasive and intractable problem, having distinctive consequences for the role of curer, symptomatology, diagnosis and treatment.
Four papers, differing in research design and using both longitudinal and cross-sectional data, came to a number of convergent conclusions: there was little evidence for a midlife crisis; stability was most prominent during the forty-to fifty-year decade; sex differences were striking, this period being most stressful for women; stable personality characteristics show interactions with role-stage expectations. Caveats as to generalizability of conclusions and lack of cohort comparison were stated. Certain theoretical issues were discussed related to the meaning of "middle age," developmental dynamics, and sources of stability and change.