Medical Anthropological Studies of Suffering and Care in Aging and Dying in the Aging Society of Japan

明确了在日本老龄化社会中，老龄化和死亡方式的构建是两极分化的。其一，人们已经认识到，他们应该自己设计衰老和死亡的方式，而不是离开自然的生命轨迹。他们已经能够选择一个自然的葬礼或一个家庭的葬礼，从选项中选择一个进一步加速了个人化，这意味着一个人特有的死亡方式。虽然主动的选择是要摆脱传统的限制，但人们会有困惑、纠结或痛苦。另一方面，人们对传统的葬礼以及家庭成员和社区之间的联系进行了重新评估，以大地震和海啸为契机，各种医学专家都在寻找支持的方式作为家庭护理。然而，由于失去了临终文化，人们对在家死亡一直抱有很大的焦虑。

I cleared that the construction of the way of aging and dying is to be bipolarized in the aging society of Japan. One is that the people have appreciated that they should design the way of aging and dying by theirselvs rather than to leave natural life course. They have been able to choose a natural burial or a family one, and to choose one among options has further accelerated individuslization by 'Jibunnrashii Shinikata' that means one's characteristic way of dying. Though the active choice is to be free from the traditional restrictions, the people are to have bewilderment, entanglement or suffering. The other, the people have revaluated the traditional funerals and the ties among family members and communities taking the oppotunity of the Great East Earthquake and Tsunami, various medical experts have searched for the way of support as a home care. However, the people have held much anxiety for dying at home because of losing culture of attending one's deathbed.