著者

小國 英夫

出版者

関西学院大学

雑誌

関西学院大学社会学部紀要 (ISSN:04529456)

巻号頁・発行日

vol.105, pp.15-30, 2008-03

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Although social welfare in Japan is aspiring to a new direction, with a Nursing-care Insurance System (executed in 2000) and a Disabled-Persons'-Independence Support System (executed in 2006), and so on, based on "recipient / patient autonomy," Japan's geriatric welfare remains traditionally bound by "Peternalism" and a "Protectionist Principle" and in the nearly 8 years which have elapsed since the Nursing-care Insurance System was put into operation has not yet conquered these constraints. Sinxce the fall of 1997, the writer objected that at the center of the implementation of the "My Care Plan" in the Nursing-care Insurance System, mental "self-rule" - "autonomy" (i.e., recipient-autonomy based) - should outweigh physical "self-standing" - "independence" - for geriatric welfare as well. In such movements as Independent Living for Challenged Persons, and so onm, this view was emphasized and practiced from early on. Whether or not disability welfare and geriatric welfare can assume completely identical viewpoints, fundamentally many of their viewpoints can be shared apropos of "human beings' ways of life." The writer wishes to contend that a geriatric welfare that progresses with welfare fror challenged children and others in a directio of mutual ideological and systemic based has tremendous value for social welfare and for raising Japan's social welfare to an international standard.