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着装被打乱:在痴呆症背景下通过着装的物质性协商护理

Dressing disrupted: negotiating care through the materiality of dress in the context of dementia.

作者信息

Buse Christina, Twigg Julia

机构信息

Department of Sociology, University of York, UK.

Social Policy, Sociology and Social Research, University of Kent, Canterbury, UK.

出版信息

Sociol Health Illn. 2018 Feb;40(2):340-352. doi: 10.1111/1467-9566.12575.

DOI:10.1111/1467-9566.12575
PMID:29464768
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6849805/
Abstract

This paper explores how the materiality of dress mediates and shapes practices of care in the context of dementia. Earlier research called for an approach to conceptualising care that recognised the role played by everyday artefacts. We extend this to a consideration of dress and dressing the body in relation to people with dementia that involves the direct manipulation of material objects, as well as the materiality of bodies. The paper draws on an ESRC funded study Dementia and Dress, which examined experiences of dress for people with dementia, families and care-workers using ethnographic and qualitative methods. Our analysis explores the process of dressing the body, the physicality of guiding and manipulating bodies into clothing, dealing with fabrics and bodies which 'act back' and are resistant to the process of dressing. We consider how the materiality of clothing can constrain or enable practices of care, exploring tensions between garments that support ease of dressing and those that sustain identity. Examining negotiations around dress also reveals tensions between competing 'logics' of care (Mol ).

摘要

本文探讨了在痴呆症背景下,服装的物质性如何调解和塑造护理实践。早期研究呼吁采用一种概念化护理的方法,该方法要认识到日常物品所起的作用。我们将此扩展到对与痴呆症患者相关的着装和身体穿着的考虑,这涉及对物质对象的直接操作以及身体的物质性。本文借鉴了经济与社会研究委员会(ESRC)资助的一项名为“痴呆症与着装”的研究,该研究使用人种志和定性方法研究了痴呆症患者、家庭和护理人员的着装体验。我们的分析探讨了给身体穿衣的过程、将身体引导和穿入衣服的身体体验、处理“有反作用”且抗拒穿衣过程的织物和身体。我们思考服装的物质性如何能够限制或促进护理实践,探究支持轻松穿衣的服装与维持身份认同的服装之间的矛盾。审视围绕着装的协商也揭示了相互竞争的护理“逻辑”(莫尔)之间的矛盾。

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本文引用的文献

1
Embodiment and dementia: exploring critical narratives of selfhood, surveillance, and dementia care.体现与痴呆:探索自我认同、监控和痴呆护理的关键叙事。
Dementia (London). 2013 May;12(3):288-302. doi: 10.1177/1471301213479787. Epub 2013 Mar 7.
2
Washing the patient: dignity and aesthetic values in nursing care.为患者清洗:护理中的尊严和美学价值。
Nurs Philos. 2013 Jul;14(3):186-200. doi: 10.1111/nup.12014.
3
Managing the body work of home care.管理家庭护理的身体工作。
Sociol Health Illn. 2011 Feb;33(2):206-19. doi: 10.1111/j.1467-9566.2010.01331.x.
4
Conceptualising body work in health and social care.概念化健康和社会护理中的身体工作。
Sociol Health Illn. 2011 Feb;33(2):171-88. doi: 10.1111/j.1467-9566.2010.01323.x. Epub 2011 Jan 12.
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Soc Sci Med. 2010 Jun;70(11):1682-9. doi: 10.1016/j.socscimed.2010.01.050. Epub 2010 Mar 12.
6
Including older people with dementia in research: challenges and strategies.将患有痴呆症的老年人纳入研究:挑战与策略。
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