Motta-Ochoa Rossio, Incio Serra Natalia, Frantz Allison, Blain-Moraes Stefanie
School of Physical & Occupational Therapy, Faculty of Medicine, McGill University, Montreal, Quebec.
Biosignal Interaction and Personhood Technology (BIAPT) Lab, Montreal General Hospital, Montreal, Quebec.
Arts Health. 2022 Jun;14(2):133-148. doi: 10.1080/17533015.2021.1894464. Epub 2021 Mar 2.
Arts-based programs can counter the dominant narrative of loss associated with dementia, in part through fostering expressions of agency. This study uses social science theories of interaction between structure and agency to examine how an arts-based movement program, entitled Mouvement de passage, supports agency among individuals with dementia.
Ethnographic methods were used to trace how participants enact agency within the structure of the movement program. The program's sessions were video recorded and iteratively analyzed.
Participants expressed their agency in three ways: 1) transforming the exercise's structure according to individual interests and desires; 2) resisting the exercise's structure; and 3) improvising movements collectively.
The movements of individuals with dementia were shaped by both program structure and individual/collective expressions of agency. The design of Mouvement de passage, based on open-ended structures and voluntary participation, provides a template for developing interventions that foster agency among these persons.
基于艺术的项目可以部分通过促进能动性的表达来对抗与痴呆症相关的主导性丧失叙事。本研究运用结构与能动性之间相互作用的社会科学理论，来考察一个名为“过渡运动”的基于艺术的运动项目如何支持痴呆症患者的能动性。
采用民族志方法来追踪参与者如何在运动项目的结构中展现能动性。对该项目的课程进行录像并反复分析。
参与者以三种方式表达他们的能动性：1）根据个人兴趣和愿望改变运动的结构；2）抵制运动的结构；3）集体即兴创作动作。
痴呆症患者的动作既受项目结构的影响，也受个人/集体能动性表达的影响。基于开放式结构和自愿参与的“过渡运动”设计，为开发促进这些人能动性的干预措施提供了一个模板。
