Embodied Selfhood and Personal Identity in Dementia

Tewes, Christian

doi:10.1017/9781108776660.029

Cited by 24 publications

(9 citation statements)

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“…A minimal self thus remains throughout the course of the disease [54][55][56]. It does, however, change what it is like to be a person with dementia throughout the course of the disease [57].…”

Section: Dementia and Narrative Identitymentioning

confidence: 99%

Preserving Narrative Identity for Dementia Patients: Embodiment, Active Environments, and Distributed Memory

Heersmink

2022

Neuroethics

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One goal of this paper is to argue that autobiographical memories are extended and distributed across embodied brains and environmental resources. This is important because such distributed memories play a constitutive role in our narrative identity. So, some of the building blocks of our narrative identity are not brain-bound but extended and distributed. Recognising the distributed nature of memory and narrative identity, invites us to find treatments and strategies focusing on the environment in which dementia patients are situated. A second goal of this paper is to suggest various of such strategies, including lifelogging technologies such as SenseCams, life story books, multimedia biographies, memory boxes, ambient intelligence systems, and virtual reality applications. Such technologies allow dementia patients to remember their personal past in a way that wouldn’t be possible by merely relying on their biological memory, in that way aiding in preserving their narrative identity and positively contributing to their sense of well-being.

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Section: Dementia and Narrative Identitymentioning

confidence: 99%

Preserving Narrative Identity for Dementia Patients: Embodiment, Active Environments, and Distributed Memory

Heersmink

2022

Neuroethics

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“…Christian Tewes cites a patient of Thomas Fuchs who in advanced stages of dementia is still able to skillfully play football with his grandchildren [( 42 ), p. 301]. As Tewes explains, this is not automatic behavior but “situation-specific embedded action patterns that depend on attention to and implicit understanding or know-how of the respective social context” [( 43 ), p. 383]. Such skill is also strongly linked to previous life experiences even if, as in the case of dementia, these life experiences cannot be explicitly recalled by the subject.…”

Section: A 3-part Methods To This Madnessmentioning

confidence: 99%

Integration and Causality in Enactive Approaches to Psychiatry

Gallagher

2022

Front. Psychiatry

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In this paper I address what has been called the integration problem in psychiatry. This problem is tied to conceptions of causality and explanatory levels in our understanding of mind. I take an interdisciplinary enactive perspective to develop a 3-fold method for exploring the dynamics of integration, based on a concept of dynamical causation and a non-hierarchical (level-free) notion of gestalt. I also consider Autism Spectrum Disorder (ASD) as a test case.

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“…The ambiguous conception of personhood in dementia is addressed by a wide range of authors (Hydén et al 2014;Kontos 2012;Summa 2014;Snyder 2006;Tewes 2021;Wray 2020). Many of them argue that personhood is constituted in social practices.…”

Section: Social and Embodied Personhood In Dementiamentioning

confidence: 99%

“…These different types of bodily responses will be addressed in this paper. 5 Fuchs (2020), Tewes (2021), and Kontos et al (2017) argue against rationalist Cartesian assumptions of a dualistic nature of the person that traditionally account for a separation between body and mind. In rationalist or cognitivist views, the person's body is regarded as the mere carrier of a brain, which is an organ that produces and processes only mental states.…”

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confidence: 99%

Disrupted Intercorporeality and Embodiedness in Dementia Care during the COVID-19 Crisis

Winniewski

2022

pjcp

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In this paper, I address the effects of social distancing for embodied lived experience in relation to dementia care and experiences of dementia. From a critical phenomenological perspective, I focus specifically on the safety measures of physical distancing and face-masking in pandemic times, asking whether they might risk marginalizing and disembodying people with dementia, especially in isolated healthcare settings. As much as these measures offer physical protection against spreading the virus, I consider how they might disrupt intersubjective processes (e.g., calming social or therapeutic touch) and contribute to “an alienated bodily communication” (Dolezal 2020). From Husserl and Merleau-Ponty’s philosophies of embodiment and enactive theories of intersubjectivity, to more recent phenomenological work on illness, many authors argue that our existential being-in-the-world is embodied in multimodal and intersubjective ways (Fuchs and De Jaeger 2009; Carel 2016; Ratcliffe 2008; Kontos 2011). For this reason, our lived bodies need to stay in touch and positively interact with other lived bodies. Based on empirical studies of multisensory and interactive therapy in nursing homes before and during the COVID-19 pandemic, I emphasize the effects of distant socializing for patients, care, and carers. My aim is to address the broader structures and discursive practices, which have undergone dramatic changes due to the spread of COVID-19.

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Embodied Selfhood and Personal Identity in Dementia

Cited by 24 publications

References 0 publications

Preserving Narrative Identity for Dementia Patients: Embodiment, Active Environments, and Distributed Memory

Preserving Narrative Identity for Dementia Patients: Embodiment, Active Environments, and Distributed Memory

Integration and Causality in Enactive Approaches to Psychiatry

Disrupted Intercorporeality and Embodiedness in Dementia Care during the COVID-19 Crisis

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