Reliable Narrators of Experience: Rethinking Dementia Narratives from Insider Perspectives

IF 2.3 3区 哲学 Q1 ETHICS
Kate de Medeiros
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引用次数: 0

Abstract

Cultural narratives about dementia reinforce the idea that people living with the condition are unreliable narrators of their own experiences. Challenges with recall and memory and changes in language that are commonly experienced by people living with dementia become equated to a loss of self. Since language is a shared space where people construct meaning through stories, stories that lack coherence or exhibit broken language are often discounted. To counter the notion that broken narratives reveal broken selves, I present a story by Marlene, a person living with dementia who recalled an encounter with a bobcat while on a camping trip. Rather than considering the veracity of her story, I focus on the importance of the emotions presented—the feeling self. Overall, I argue that by shifting focus from story challenges to expressed emotions, we are better positioned to understand and respect people living with dementia as authorities of their own experiences.

可靠的经验叙述者:从内部视角重新思考痴呆症叙事。
关于痴呆症的文化叙事强化了这样一种观点,即患有痴呆症的人对自己的经历是不可靠的叙述者。痴呆症患者通常经历的回忆和记忆方面的挑战以及语言变化等同于自我丧失。由于语言是一个共享的空间,人们通过故事构建意义,缺乏连贯性或表现出语言破碎的故事往往不被重视。为了反驳“破碎的叙述揭示了破碎的自我”这一观点,我呈现了玛琳(Marlene)的一个故事,她是一位患有痴呆症的人,她回忆起在一次露营旅行中遇到一只山猫的经历。而不是考虑她的故事的真实性,我关注的是所呈现的情感的重要性——感觉自我。总的来说,我认为,通过将注意力从故事挑战转移到表达情感上,我们可以更好地理解和尊重痴呆症患者,将他们作为自己经历的权威。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hastings Center Report
Hastings Center Report 医学-卫生保健
CiteScore
3.50
自引率
3.00%
发文量
99
审稿时长
6-12 weeks
期刊介绍: The Hastings Center Report explores ethical, legal, and social issues in medicine, health care, public health, and the life sciences. Six issues per year offer articles, essays, case studies of bioethical problems, columns on law and policy, caregivers’ stories, peer-reviewed scholarly articles, and book reviews. Authors come from an assortment of professions and academic disciplines and express a range of perspectives and political opinions. The Report’s readership includes physicians, nurses, scholars, administrators, social workers, health lawyers, and others.
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