Dichotomising dementia: is there another way?

Dichotomising dementia: is there another way?
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DOI:
10.1111/1467-9566.12438
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发表时间:
2017-02-01
影响因子:
2.9
通讯作者:
Innes, Anthea
Innes, Anthea
中科院分区:
医学2区
文献类型:
--
作者:
Mc Parland, Patricia;Anthea, Fiona Kelly;Innes, Anthea

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本文讨论了减少痴呆症的复杂经验,以二分法的“悲剧”或“生活得好”的话语在当代西方社会。我们探讨这两种话语,将它们放置在一个成功的老龄化模式的背景下,突出了痴呆症的复杂性和这些可以说是竞争话语的出现相关的风险。具体来说,我们探讨这种二分法的背景下,社会的理解和应对痴呆症。我们主张接受痴呆症的流体性质的经验,并认识到痴呆症的社会包容发生所需的多种现实的理解的重要性。这样的接受要求,而不是捍卫一个立场对另一个,目前对痴呆症的话语是挑战和问题化,使痴呆症的更细致入微的理解可能会出现;一个完全接受这种复杂的条件的矛盾性质。
This article discusses the reduction of the complex experience of dementia to a dichotomised 'tragedy' or 'living well' discourse in contemporary Western society. We explore both discourses, placing them in the context of a successful ageing paradigm, highlighting the complex nature of dementia and the risks associated with the emergence of these arguably competing discourses. Specifically, we explore this dichotomy in the context of societal understandings and responses to dementia. We argue for an acceptance of the fluid nature of the dementia experience, and the importance of an understanding that recognises the multiple realities of dementia necessary for social inclusion to occur. Such an acceptance requires that, rather than defend one position over another, the current discourse on dementia is challenged and problematised so that a more nuanced understanding of dementia may emerge; one that fully accepts the paradoxical nature of this complex condition.