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将公民身份、体现和关系性融为一体:重新构想长期护理中的舞蹈与痴呆症。

Integrating Citizenship, Embodiment, and Relationality: Towards a Reconceptualization of Dance and Dementia in Long-Term Care.

机构信息

Pia Kontos has a Ph.D. in Public Health Sciences (University of Toronto, Toronto, Ontario, Canada), and is a Senior Scientist at the Toronto Rehabilitation Institute - University Health Network and Associate Professor in the Dalla Lana School of Public Health, University of Toronto. She is a critical scholar committed to the transformation of long-term dementia care so it is more humanistic and socially just. She draws on the arts (e.g., music, dance, improvisational play) to enrich the lives of people living with dementia. She also creates research-based dramas to effect personal and organizational change. She has published across multiple disciplines on embodiment, relationality, ethics, and dementia. Alisa Grigorovich has a Ph.D. in Gender, Feminist & Women's Studies (York University, Toronto, Ontario, Canada) and is a postdoctoral fellow in the Dalla Lana School of Public Health at the University of Toronto. Her research focuses on the organization of care, health equity and ethics, with a focus on sexuality and dementia. In her postdoctoral research she is exploring the management of sexuality in long-term residential care.

出版信息

J Law Med Ethics. 2018 Sep;46(3):717-723. doi: 10.1177/1073110518804233.

Abstract

Dance, as aesthetic self-expression, is a unique arts-based program that combines the physical benefits of exercise with psychosocial therapeutic benefits. While dance has also been shown to support empowerment, meaningful self-expression, and pleasurable experience, it is rarely adopted to support these aspects of engagement in the context of dementia care. The instrumental reduction of dance to its application as a therapeutic tool can be traced to the contemporary movement towards cognitive science with an emphasis on embodied cognition. This has effectively elided a consideration of how the body itself, separate and apart from cognition, could be a source of intelligibility, inventiveness, and creativity. We argue for the need to broaden the therapeutic model of dance to more fully support embodied and creative self-expression by persons living with dementia. To achieve this, we explore how a relational model of citizenship that recognizes corporeality and relationality as fundamental to human existence brings a new and critical dimension to understanding the importance of dance in the context of dementia. Drawing on this model, we articulate a new kind of ethic characterized by a pre-reflective intercorporeal sensibility that requires the mobilization of public structures and practices to cultivate a relational environment for individuals living with dementia that supports human flourishing.

摘要

舞蹈作为一种美学的自我表达,是一种独特的艺术项目,它将运动的身体益处与社会心理治疗益处相结合。虽然舞蹈也被证明可以支持赋权、有意义的自我表达和愉悦的体验,但在痴呆症护理的背景下,它很少被采用来支持这些方面的参与。将舞蹈工具化,将其仅仅应用于治疗工具,可以追溯到当代对认知科学的重视,重点是具身认知。这实际上忽略了一个问题,即身体本身,与认知分开,也可以成为理解、创造力和创造力的源泉。我们认为有必要拓宽舞蹈的治疗模式,以更充分地支持患有痴呆症的人的身体和创造性的自我表达。为了实现这一目标,我们探讨了一种公民关系模式,该模式承认身体和关系是人类存在的基础,这为理解舞蹈在痴呆症背景下的重要性带来了新的、关键的维度。借鉴这一模式,我们阐述了一种新的伦理,其特征是一种先验的主体间感性,需要调动公共结构和实践来为患有痴呆症的个人培养一种支持人类繁荣的关系环境。

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