{"title":"寻求治疗“阿尔茨海默病”:通过改变文化重新设想目标。","authors":"Peter Whitehouse, Daniel R. George, Connor Riegal","doi":"10.1002/hast.4992","DOIUrl":null,"url":null,"abstract":"<p>This essay explores personal and cultural meaning in dementia through the respective stories of biomedicine, public health, and alternative worldviews, using Indigenous perspectives as a critical example. Since Alzheimer's visibility as a biomedical illness intensified in the 1970s, the disease has generated powerful narratives of scientific cure that are now limiting public discourse and appropriate social and ecological action. In this essay, our approach is rooted in the recognition that stories in their many forms (oral, written, embodied, and visual) and their associated metaphors create the semantic webs of words and actions that endow human beings with meaning. New stories from less medicalized spaces can both challenge the often-unrecognized limits and damaging behaviors of profit-driven, scientific reductionism and revitalize public and ecological health approaches based on expanded worldviews of individual, social, environmental, and indeed planetary health.</p>","PeriodicalId":55073,"journal":{"name":"Hastings Center Report","volume":"55 S1","pages":"S48-S56"},"PeriodicalIF":2.3000,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4992","citationCount":"0","resultStr":"{\"title\":\"The Quest for Cure of “Alzheimer's”: Reimagining the Goal by Changing Culture\",\"authors\":\"Peter Whitehouse, Daniel R. George, Connor Riegal\",\"doi\":\"10.1002/hast.4992\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>This essay explores personal and cultural meaning in dementia through the respective stories of biomedicine, public health, and alternative worldviews, using Indigenous perspectives as a critical example. Since Alzheimer's visibility as a biomedical illness intensified in the 1970s, the disease has generated powerful narratives of scientific cure that are now limiting public discourse and appropriate social and ecological action. In this essay, our approach is rooted in the recognition that stories in their many forms (oral, written, embodied, and visual) and their associated metaphors create the semantic webs of words and actions that endow human beings with meaning. New stories from less medicalized spaces can both challenge the often-unrecognized limits and damaging behaviors of profit-driven, scientific reductionism and revitalize public and ecological health approaches based on expanded worldviews of individual, social, environmental, and indeed planetary health.</p>\",\"PeriodicalId\":55073,\"journal\":{\"name\":\"Hastings Center Report\",\"volume\":\"55 S1\",\"pages\":\"S48-S56\"},\"PeriodicalIF\":2.3000,\"publicationDate\":\"2025-09-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hast.4992\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Hastings Center Report\",\"FirstCategoryId\":\"98\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1002/hast.4992\",\"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.4992","RegionNum":3,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"ETHICS","Score":null,"Total":0}
The Quest for Cure of “Alzheimer's”: Reimagining the Goal by Changing Culture
This essay explores personal and cultural meaning in dementia through the respective stories of biomedicine, public health, and alternative worldviews, using Indigenous perspectives as a critical example. Since Alzheimer's visibility as a biomedical illness intensified in the 1970s, the disease has generated powerful narratives of scientific cure that are now limiting public discourse and appropriate social and ecological action. In this essay, our approach is rooted in the recognition that stories in their many forms (oral, written, embodied, and visual) and their associated metaphors create the semantic webs of words and actions that endow human beings with meaning. New stories from less medicalized spaces can both challenge the often-unrecognized limits and damaging behaviors of profit-driven, scientific reductionism and revitalize public and ecological health approaches based on expanded worldviews of individual, social, environmental, and indeed planetary health.
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.