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Thinking Through Dementia [Pehme köide]

(Consultant in Old Age Psychiatry, Northumbria Healthcare NHS Foundation Trust, and Honorary Professor of Philosophy of Ageing, Institute for Ageing and Health, Newcastle University, UK)
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With a rapidly expanding elderly population, there has been a marked increase in the incidence of dementia, and this dreadful, debilitating illness now affects - directly or indirectly - millions of people across the world. Dementia throws up a number of particular clinical, ethical, and conceptual problems, which mostly reflect complicated evaluative decisions, for instance about diagnosis and the distinction between normal and abnormal ageing.

Different disciplines approach dementia in different ways - thus there are disease, cognitive neuropsychology, and social constructivist models of dementia, Underlying these models and approaches, each of which is clinically useful, are various and differing conceptual committments. These models carry ethical implications concerning how we ought to treat people suffereing from dementia.

Thinking through Dementia offers a critique of the main models used to understand dementia-the biomedical, neuropsychological, and social constructionist. It discusses both clinical issues and cases, together with philosophical work that might help us better understand and treat this illness. Drawing on philosophical critique of models of dementia, as well as empirical data and clinical experience, the book unifies the biological, psychological, and social accounts of illness and disease.

Highly original and thought provoking, this book will interest psychiatrists, philosophers, psychologists, and anyone involved in the care and management of those with dementia.

Arvustused

This is an interesting, thoughtful, and thought-provoking philosophical critique of the models of dementia. Written and edited by a philosophically-oriented geriatric psychiatrist, this book provides a refreshing look at this all too common syndrome. This book is a welcome addition to this neurological, psychiatric, and bioethical literature. * Doody's * Overall, the book is a valuable addition to theorising about dementia and is a welcome addition to the bookshelves of academics, students and practitioners who wish to challenge their knowledge base about understanding dementia. * Ageing and Society * This is a challenging important book demanding careful reading and thoughtful reflection. Regardless of professional identification or partisan loyalty, it is relevant to anyone who seeks philosophical understanding, conceptual clarity, critical analysis of complex degenerative neurocognitive conditions and their social impact, and who labours to develop humane, ethical dementia care practice. * Journal of Dementia Care * The book displays the intellectual rigor of an academic philosopher, tempered by the compassion and pragmatism of a good clinician. * Daniel Harwood, Journal of International Psychogeriatrics *

Abbreviations xvii
Part I Introduction
1 The clinical surround: values and versions
3(26)
2 The SEA view of persons
29(28)
Part II Mental states and normativity
3 The mind and the world
57(24)
4 Normativity in the world
81(38)
Part III Models of dementia
5 The problem: models of dementia and normativity
119(34)
6 Moving towards a solution: dementia and the normative world
153(32)
7 The consequence: beyond models to the thing itself
185(38)
Part IV Personhood and the world
8 From dementia-in-the-world to the human-person-perspective
223(28)
9 Dilemmas in dementia: a framework and philosophical approach
251(14)
10 Conversion and revolution
265(8)
Bibliography 273(20)
Index 293