Advance care planning (ACP) is a process in which the patient expresses their wishes regarding future medical care in the presence of their family and health care provider. ACP is generally...Show moreAdvance care planning (ACP) is a process in which the patient expresses their wishes regarding future medical care in the presence of their family and health care provider. ACP is generally accepted in Western countries and has a positive effect on end-of-life care for people with dementia. However, culture affects expectations and preferences regarding end-of-life care and decision making. This study compared the acceptability of and preference for two types of ACP interventions for patients with dementia in health care providers from the Netherlands, the US and Japan. One intervention focused on concrete treatment orders in which the patient makes specific decisions. The other focused on what the patient finds important in life, resulting in global goals of care. A total of 125 participants were assessed by means of a structured interview and a questionnaire. Participants found both types of ACP acceptable, in general and per country. A multinomial logistic regression analysis indicated no significant difference in acceptability of the concrete or the global ACP approach between countries when adjusted for age and gender. However, age was a significant predictor of acceptability of the concrete ACP approach (2 (2, 123) = 6.32, p = .042), with older participants being less likely to find it acceptable compared to not finding it acceptable (W(8) = 5.50, p = 0.019). Participants preferred the global ACP approach for patients with dementia. A multinomial logistic regression analysis indicated no significant differences in preference between countries when adjusted for age and gender in general. However, Dutch participants were less likely to prefer the global ACP approach (W(8) = 5.18, p = .023). The relationship between country and preference was not influenced by whether participants most strongly considered what the patient with dementia wants for themselves, what the patient’s family wants or what they as the health care provider want for their patient when making medical decisions. ACP is generally regarded as an acceptable form of care for patients with dementia by health care providers across countries. Future research could more specifically determine which cultural or demographic aspects affect health care providers’ views on different ACP approaches.Show less
South Korea, Japan, and China are struggling with loneliness in their respective societies. As prolonged feelings of loneliness can have large and lasting consequences for one’s health, it should...Show moreSouth Korea, Japan, and China are struggling with loneliness in their respective societies. As prolonged feelings of loneliness can have large and lasting consequences for one’s health, it should be avoided at all costs. People found solace in watching livestreams; the streams are very personal and it feels like the hosts are in the room with you. In South Korea, mukbangs became popular as more and more people are living in single-person households and therefore more frequently eat alone as well. VTubers made it possible for Japanese people to interact with anime characters, giving life to large communities as a growing number of people are looking at technology to fulfill their social needs. Nǚ zhǔ bō streams provided young Chinese men that are unable to find real girlfriends a virtual girlfriend experience. Livestreaming is a breeding ground for parasocial relationships, as the relationship between streamer and viewer feels very intimate and real. Ideally would viewers find comfort in the company not of the streamers, but in the community as a whole, in which actual meaningful relationships can be formed.Show less
Master thesis | Cultural Anthropology and Development Sociology (MSc)
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This thesis delves into the complex dynamics of gender performance within the Tokyo trans and X-gender community, examining the ways in which individuals navigate their gender identities in...Show moreThis thesis delves into the complex dynamics of gender performance within the Tokyo trans and X-gender community, examining the ways in which individuals navigate their gender identities in different social settings. By adopting Erving Goffman's concept of the "frontstage" and the "backstage", the study aims to shed light on the complex interplay between conformity and self-expression in this cultural context. Through a combination of casual conversations, semi-structured interviews, observation, use of drawings, and analysis of online discourse, this research unveils the strategies employed by community members to negotiate societal norms and expectations. After defining gender roles and expectations in Japan, the thesis focuses on looks and the ability to "pass" as a cisgender person, which not only influence trans and X-gender people's possibility to access to queer and non-queer settings, but also condition their gender performance. Afterwards, the thesis focuses on gender performance in the "frontstage" and "backstage". Whereas the "frontstage" showcases the performative aspects of gender identity, often influenced by societal pressures and traditional gender roles, the "backstage" allows for a more authentic exploration of self, often characterized by fluidity and experimentation.Show less
The Tokyo National Museum is considered to be the oldest national museum in Japan, finding its origins in the Yushima Seidō exposition of 1872. As such, the various changes of the institution...Show moreThe Tokyo National Museum is considered to be the oldest national museum in Japan, finding its origins in the Yushima Seidō exposition of 1872. As such, the various changes of the institution throughout its history give an impression of the development of the Japanese concept of a museum. This Master thesis takes a closer look at several historical examples of traditional Japanese exposition practices, the advent of the modern museum in Japan, and various Western influences on Japanese culture during the 19th and 20th century. By presenting this overview, this thesis aims to present a better understanding of significant cultural differences between traditional methods of display in the West and in Japan. By observing the historical development of the Tokyo National Museum, as well as the more modern installations which were part of the exposition celebrating the museum’s 150th anniversary, the institution provides a case study illustrating the confluence of non-Western traditional display practices and the Western concept of a modern museum.Show less
This thesis examines the Echigo-Tsumari Art Triennale (ETAT) and the Setouchi Triennale (ST), two of the largest and best-known Art Triennale in (and outside) Japan, and considers how these art...Show moreThis thesis examines the Echigo-Tsumari Art Triennale (ETAT) and the Setouchi Triennale (ST), two of the largest and best-known Art Triennale in (and outside) Japan, and considers how these art festivals intend to provide a solution to the continuing ageing population and declining birthrate in Japanese rural areas. Japan contains the largest proportion of elderly people in the world and its population continues to decline since 2004. Yet, this decrease is especially severe in rural areas because the majority of the population consist of elderly people. The Echigo-Tsumari Art Triennale (ETAT) and the Setouchi Triennale (ST), have been established as strategies to tackle Japan’s increasingly ageing population. The former was established by Kitagawa Fram (1946-present) whereas the latter was co-founded in 2010 by Kitagawa Fram and Fukutake Sōichirō (1945/46-present). The common aim of the ETAT and ST initially seems to be the restoration of these economically declining rural areas through contemporary art projects. Yet, this thesis claims that Kitagawa’s and Fukutake’s idealistic views about the countryside and ‘traditional’ countryside lifestyles resulted into their attempt to reshape Japanese society by reidentifying neglected rural areas through contemporary art. This is because both men’s strong partnership and their active involvement in both Triennale shape these art festivals according to their own convictions and objectives. Therefore, this thesis demonstrates that the ETAT and ST’s purpose exceeds rural revitalization and is actually about the creation of a ‘new’ society which is brought together by the art festivals.Show less
By investigating the ODA approaches of both Japan and the Republic of Korea considering the human rights crisis in Myanmar, the East Asian Development Model seems to hold. Both countries prioritize...Show moreBy investigating the ODA approaches of both Japan and the Republic of Korea considering the human rights crisis in Myanmar, the East Asian Development Model seems to hold. Both countries prioritize economic development over human rights issues, although they differ in their motivations. This theory-testing case analysis dives into a descriptive account of the actions of Japan and the ROK considering the Rohingya Crisis. While Japan struggles to deal with its imperial past and continues to argue for a kakehashi approach, it is found how human rights have taken second place behind economic development projects. Similarly, the ROK strives for recognition by trying to establish itself as a leader, yet simultaneously fails to lead the way when it comes to standing for the OECD/DAC norms. The descriptive account of both countries shows how human rights issues are snowed under by the importance given to economic development and a favorable relationship with the government of Myanmar.Show less
This thesis analyses how previously demilitarized states are pressured to remilitarize and tries to find a middle ground in the fragmented debate on this issue. The case study used to study this...Show moreThis thesis analyses how previously demilitarized states are pressured to remilitarize and tries to find a middle ground in the fragmented debate on this issue. The case study used to study this topic is Japan from the end of the Second World War until the present day. The two primary pressures through which the research is conducted are economic competition with the protector and the rise of new perceived threats. By reviewing both government sources and secondary literature it is apparent that external forces linked to economic competition and rising threats are consistently motivating remilitarization efforts. However, remilitarization is not one-dimensional. This paper observed both increased multilateral efforts and domestic military upgrading. These different facets interact with each other and provide a mixed-mode of remilitarization that does not neatly fit the existing polarized narratives.Show less
This thesis looks at the role of Japan during the negotiations of a large-scale free trade agreement in the Asia-Pacific region, namely the Regional Comprehensive Economic Partnership (RCEP)....Show moreThis thesis looks at the role of Japan during the negotiations of a large-scale free trade agreement in the Asia-Pacific region, namely the Regional Comprehensive Economic Partnership (RCEP). Previously, academic discourse such as the pivotal state theory by Solís and Katada has focused on role of Japan during mega-FTAs. However, most of this research has been focused on Japan during CPTPP negotiations. This thesis looks at Japan’s role within RCEP, as it is the first mega-FTA with China. How does Japan’s influence compare to China during RCEP negotiations? By way of methodological triangulation, this thesis will measure the influence of Japan. While there are limitations, Japan was able to influence some regulations, especially regarding tariff reduction, intellectual property and e-commerce. That being said, while Japan hoped to include India within RCEP, India withdrew in the last stage of negotiations. This is because that Japan’s position within negotiations was hampered among others by its interventionist agricultural lobby. As Japan’s influence within RCEP was limited, it remains an unlikely pivotal state while China’s influence grows. With its analysis, this thesis will contribute to a broader academic discourse on the pivotal state theory, as well as the developments of mega-FTA negotiations in general.Show less
The thesis discusses the hybridity of Japanese sartorial culture with a focus on the works of Issey Miyake. It explores the boundaries between culture, body and sartorial design. Moreover, how do...Show moreThe thesis discusses the hybridity of Japanese sartorial culture with a focus on the works of Issey Miyake. It explores the boundaries between culture, body and sartorial design. Moreover, how do the designs of Issey Miyake express his Japanese identity while also crossing borders between East and West?Show less
This thesis provides an analysis of three marginal historical movements from the inter-war period in the 20th century; German neocolonialism, Japanese Pan-Asianism and Pan-Africanism. All three...Show moreThis thesis provides an analysis of three marginal historical movements from the inter-war period in the 20th century; German neocolonialism, Japanese Pan-Asianism and Pan-Africanism. All three movements represent trends that present alternative views of the dominant ideologies of the century which they were ultimately suppressed by with the onset of the Second World War. Based on what documentation they left behind however, a model can be constructed that attempts to explain how these movements could have survived or otherwise have seen a resurgence in the absence of global liberalism and communism. Alternative histories found in video games, such as the popular Hearts of Iron IV expansion made by its (non-academic) community The New Order: Last Days of Europe provide an opportunity to put this model into practice, but the shortcomings in its existing narrative regarding Africa must first be addressed.Show less
