Medical anthropology, Faculté des sciences infirmières, Université de Montréal, CP 6128, succ. Centre-ville, Montreal, QC H3C 3J7, Canada.
Department of sociology, Trent University, 1600 West Bank Drive, Peterborough, ON K9L 0G2, Canada.
J Aging Stud. 2024 Jun;69:101224. doi: 10.1016/j.jaging.2024.101224. Epub 2024 Mar 20.
Discussions regarding personhood and dementia care are often based on practices of recognition; on notions of being-or not being- 'one of us'. This article provides a short overview of personhood as articulated in dementia care, especially in the assemblage of practices known as 'person-centred care' (PCC), and in post-human approaches that developed following the critique of PCC. This article posits an alternative framework, based on a rereading of the concept of alienation, that we want to call 'alienation-centred care'. It considers the extent to which dynamic prosthetic networks can be adapted to the lives of people with dementia, rather than only examining the individual's reactivity to dementia interventions that define traditional approaches. It further urges us to understand the multiple origins of alienating states. Conclusions explore how this framework might address some of the limitations identified in both humanist and post-human approaches to personhood and dementia.
关于人格和痴呆症护理的讨论通常基于认可的实践；关于是否是“我们中的一员”的概念。本文简要概述了痴呆症护理中阐述的人格概念，特别是在被称为“以患者为中心的护理”（PCC）的实践组合中，以及在对 PCC 进行批判后发展起来的后人类方法中。本文提出了一个替代框架，基于对异化概念的重新解读，我们称之为“异化中心护理”。它考虑了动态假体网络在多大程度上可以适应痴呆症患者的生活，而不仅仅是检查个体对定义传统方法的痴呆症干预的反应性。它进一步敦促我们理解异化状态的多种起源。结论探讨了这一框架如何解决在人格和痴呆症的人文主义和后人类方法中发现的一些局限性。
