Death Attitudes Among Middle-Aged and Older Adults in Japan: A Qualitative Study Based on Erikson's Theory of Generativity.

This study examines death attitudes among middle-aged and older Japanese individuals unfamiliar with death, using qualitative analysis grounded in Erikson's theory of generativity. Through semi-structured interviews with 13 participants, the research identifies seven components of death attitudes, which broadly fall into two categories: agency (self-directed purpose and autonomy) and communion (relationships and social connectedness). Findings reveal that death attitudes evolve from a focus on agency toward a balance with communion, facilitated by narration and dialogue, leading to what the study terms the "maturity of death attitudes," oriented toward eudaimonic well-being. The study highlights the dynamic, individualized nature of death attitudes and suggests that fostering conversations about death may support psychological growth and well-being in later life.