Pursuit of psychological well-being (ikigai) and the evolution of self-understanding in the context of caregiving in Japan.

Using the Japanese concept of ikigai, which describes a certain state of psychological well-being, this study explores how Japanese family caregivers of elderly parents with dementia pursue, maintain, or attempt to regain their psychological well-being in the face of the hardship of caregiving. Using constant comparative methodology, twenty-six Japanese women who were caring for an elderly demented parent or parent-in-law were interviewed. Based on the analysis of interview data, we define ikigai as certain life experiences and/or the positive emotion felt through those experiences that allow the caregiver to judge her life as good and meaningful, and to feel that it is worthwhile to continue living. Caregivers use various different means to pursue their ikigai depending on the context of care. The types of their pursuit of ikigai are examined in varying contexts of caregiving. Because the data suggest that ikigai experience influences how the caregivers' self-understanding changes over time, the notion of ikigai is further explored in relation to the construct of self-understanding.