A diagnosis of dementia changes the ways people engage with each other – for those living with dementia, as well their families, caregivers, friends, health professionals, neighbours, shopkeepers and the community. Medical understandings, necessary as they are, provide no insights into how we may all live good lives with dementia.
This innovative volume brings together an interdisciplinary group of researchers and practitioners to focus on dementia as lived experience. It foregrounds dementia’s social, moral, political and economic dimensions, investigating the challenges of reframing the dementia experience for all involved. Part I critiques the stigmas, the negativity, language and fears often associated with a dementia diagnosis, challenging debilitating representations and examining ways to tackle these. Part II examines proactive practices that can support better long-term outcomes for those living with dementia. Part III looks at the relational aspects of dementia care, acknowledging and going beyond the notion of person-centred care. Collectively, these contributions highlight the social and relational change required to enhance life for those with dementia and those who care for them.
Engaging in a critical conversation around personhood and social value, this book examines the wider social contexts within which dementia care takes place. It calls for social change, and looks for inspiration to the growing movement for relational care and the caring society. Dementia as Social Experience is important reading for all those people who, in various ways, are living with dementia, as well as for those working in this area as clinicians, researcher and carers.
Chapter 1. Reframing Dementia. The Social Imperative
Gaynor Macdonald, Jane Mears and Ailin Naderbagi
Part I. Challenging Social Constructions of Ageing and Dementia
Chapter 2. Negative Positioning of 'Dementia' in an Environment of Competition for Resources
Chapter 3. ‘Nobody Cares About Me’. Older Women, Caring and Dementia
Chapter 4. Feeling Invisible and Ignored. Families’ Experiences of Marginalisation Living with Younger Onset Dementia
Karen Hutchinson, Chris Roberts and Pamela Roach
Chapter 5. Generational Perceptions of Dementia in the Public Sphere. Public Health, Age-Othering and Generational Intelligence
Simon Biggs, Irja Haapala and Ashley Carr
Part II. Autonomy and Dignity
Chapter 6. Developing a Relational Approach to Decision-Making in Health Care Settings
Chapter 7. 'We've Always Thought of One Another'. Relational Perspectives on Autonomy and Decision-Making Among People with Dementia and Their Family-Carers
Craig Sinclair, Romola Bucks, Meredith Blake, Kathy Williams, Josephine Clayton, Kirsten Auret, Helen Radoslovich, Sascha Callaghan, Sue Field and Susan Kurrle
Chapter 8 Planning for the Rest-of-Life, Not End-of-Life. Reframing Advance Care Planning (ACP) for People with Dementia
Gail Yapp, Craig Sinclair, Adele Kelly, Kathy Williams, Ingrid Amgarth-Duff, Meera Agar
Part III. Persons in Relationship. The Dynamics of Care
Chapter 9. The Critical Importance of Adopting a ‘Personhood Lens’ in Reframing Support and Care for Those with Dementia
Lynette R. Goldberg, Andrea D. Price, Susanne E. Becker, Aidan Bindoff
Chapter 10. Emotional Labour, Person-Centred Care and Problem Solving in Regulating Dementia Care
Ashley Carr and Simon Biggs
Chapter 11. Why ‘Person-Centred’ Care is Not Enough. A Relational Approach to Dementia