{"title":"痴呆症、叙事和地点:从老年友好运动中学到什么?","authors":"Richard Ward, Andrew Clark","doi":"10.1002/hast.4988","DOIUrl":null,"url":null,"abstract":"<p>This essay considers policy narratives of aging and dementia, what they do, and where they lead. It is argued that a renewed policy narrative of dementia is long overdue, and the authors reflect upon the value of drawing on the established age-friendly cities and communities movement to help guide the crafting of this new narrative. The essay develops three points: first, that efforts to promote an age- and latterly dementia-friendly agenda have elided a series of tensions within each program; second, that these tensions often materialize and are perhaps best understood at the point where policy is implemented and “lived out”; and third, that such points of friction provide a useful focus for future dialogue between the hitherto largely parallel and disconnected trajectories of age- and dementia-friendly agendas. Fostering such a dialogue can strengthen an evolving policy critique and ultimately help refine policy-making.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 S1","pages":"S19-S28"},"PeriodicalIF":2.3000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4988","citationCount":"0","resultStr":"{\"title\":\"Dementia, Narrative, and Place: What Can Be Learned from the Age-Friendly Movement?\",\"authors\":\"Richard Ward, Andrew Clark\",\"doi\":\"10.1002/hast.4988\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>This essay considers policy narratives of aging and dementia, what they do, and where they lead. It is argued that a renewed policy narrative of dementia is long overdue, and the authors reflect upon the value of drawing on the established age-friendly cities and communities movement to help guide the crafting of this new narrative. The essay develops three points: first, that efforts to promote an age- and latterly dementia-friendly agenda have elided a series of tensions within each program; second, that these tensions often materialize and are perhaps best understood at the point where policy is implemented and “lived out”; and third, that such points of friction provide a useful focus for future dialogue between the hitherto largely parallel and disconnected trajectories of age- and dementia-friendly agendas. Fostering such a dialogue can strengthen an evolving policy critique and ultimately help refine policy-making.</p>\",\"PeriodicalId\":55073,\"journal\":{\"name\":\"Hastings Center Report\",\"volume\":\"55 S1\",\"pages\":\"S19-S28\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-09-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4988\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hastings Center Report\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hast.4988\",\"RegionNum\":3,\"RegionCategory\":\"哲学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"ETHICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hastings Center Report","FirstCategoryId":"98","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/hast.4988","RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ETHICS","Score":null,"Total":0}
Dementia, Narrative, and Place: What Can Be Learned from the Age-Friendly Movement?
This essay considers policy narratives of aging and dementia, what they do, and where they lead. It is argued that a renewed policy narrative of dementia is long overdue, and the authors reflect upon the value of drawing on the established age-friendly cities and communities movement to help guide the crafting of this new narrative. The essay develops three points: first, that efforts to promote an age- and latterly dementia-friendly agenda have elided a series of tensions within each program; second, that these tensions often materialize and are perhaps best understood at the point where policy is implemented and “lived out”; and third, that such points of friction provide a useful focus for future dialogue between the hitherto largely parallel and disconnected trajectories of age- and dementia-friendly agendas. Fostering such a dialogue can strengthen an evolving policy critique and ultimately help refine policy-making.
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.