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This book highlights (1) the significance of reciprocity for the maintenance of self-esteem in old age and (2) the negative implications for the well-being of dependent older people when that significance goes unrecognized and, as a consequence, opportunities to give back to society, as well as take from it, are not facilitated by those in a position to do so. The discussion draws on research undertaken in the UK and Southern India into the extent to which having the self-perception of being valued in the world is important to older people in receipt of care support and whether, in their experience, this is recognized by others. The author presents an analysis of theoretical insights from leading thinkers across a broad range of literature and from several disciplines, including social theory, social work, philosophy, and gerontology. The author also gives voice to the perspectives of those dependent older people not often heard because of marginalizing and disempowering processes that contribute to their having little opportunity to be heard in the first place. The emphasis of this book is on aspiration to a meaningful life and continuing personal growth as offering a challenge to dominant discourses the equate old age with decline.