Institutionalising senile dementia in 19th‐century Britain

Andrews, Emily Stella

doi:10.1002/9781119397984.ch6

Cited by 6 publications

(9 citation statements)

References 22 publications

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“…In the past, people with dementia were often banished to so-called lunatic asylums 4 . However, once it was understood that people with dementia had a medical condition that was destroying their brains, they were accepted into nursing homes where they often would arrive early in the trajectory of their condition and live many years locked away from society.…”

Section: [H1] Introductionmentioning

confidence: 99%

The promise of technology in the future of dementia care

Moyle

2019

Nat Rev Neurol

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Dementia is a leading cause of disability, and the prevalence of dementia is steadily increasing. Although people with dementia are living longer lives in the community, without adequate support for their declining physical and psychological needs, the majority of these individuals end up in nursing homes. With no cure in sight, and in the context of population ageing, we must consider how to care for these individuals in the future. Technologies that augment existing care can maintain a person comfortably in their community, maximize individual autonomy and promote social participation. However, to date, such technologies have rarely been used in dementia care. This Perspectives article highlights the need for affordable and appropriate technologies to assist future dementia care, outlines some of the technologies currently available, and describes the many challenges to integration of such technologies. Finally, guidelines are suggested for the development and implementation of new technologies in dementia care.

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Section: [H1] Introductionmentioning

confidence: 99%

The promise of technology in the future of dementia care

Moyle

2019

Nat Rev Neurol

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“…During the 19th century, families remained the primary caregivers for people with intellectual disabilities (Wright, 1998(Wright, , 2001 and dementia (Andrews, 2014;Andrews, 2017), although growing numbers 'drifted' into the workhouse (Bartlett, 1998(Bartlett, , 1999aAndrews, 2014;Andrews, 2017;Jarrett, 2020: 218). Some, however, ended up in the asylums.…”

Section: 'Idiots' and 'Senile Dements' Within Lunacy Lawmentioning

confidence: 99%

“…They represented a small proportion (3.9 per cent) of overall asylum admissions, but were still regarded as a strain on the overcrowded asylum system (Commissioners in Lunacy, 1883) and as 'too challenging' to conform to workhouse regimes (Andrews, 2017: 244). Dementia was often construed by psychiatrists as a natural rather than pathological phenomenon, deploying certification strategically as a mechanism to resist asylum admission (on grounds of lack of lunacy) (Andrews, 2017). We might draw connections with the Law Commission's (2017: [9.13]) belief that 'pure' brain disorders do not constitute 'mental disorders' as defined by s1 MHA.…”

Section: 'Idiots' and 'Senile Dements' Within Lunacy Lawmentioning

confidence: 99%

Deprivation of Liberty in the Shadows of the Institution

Series¹

2022

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The book cover is black, with the title and author's name in white writing at the top, and the publisher's logo at the bottom. Below the title is an image of room with light coming in through windows and a large pair of glass doors, which are thrown open, on the right-hand side. On the left is a short flight of stairs leading to another room. The warm colour and low angle of the light suggest it is early morning or evening. The room inside is lit up but the small square frames on the doors and windows cast long shadows. You can glimpse trees outside the window. The room is unfurnished, with a brown carpet, white ceiling tiles and long strip lights, which are turned off. The photograph is of a large room -possibly a day room -in the West Sussex County Asylum, later known as Graylingwell Hospital, which closed in 2003. The photographs were taken in 2017 by two (anonymous) brothers, whose website, The Time Chamber (https:// the time cham ber.co.uk/ ), documents empty and derelict buildings, including many former asylums.

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“…Understanding of dementias and their related regimes of care have undergone several transformations. Initially seen as a normal outcome of ageing minds to be managed within the home or asylum, they came to be seen as ‘problems’ of the body that, as such, fell within the purview of biomedicine (Andrews ). In the 1970s a key critique of biomedicine in general and its approach to dementia in particular emerged, highlighting biomedicine's exclusion of the centrality of the patient's experience as an outcome of a narrow focus on diagnosis, treatment and the forlorn hope of cure (Kleinman ).…”

Section: Dementia ‐ Approachesmentioning

confidence: 99%

‘Going with the flow’ of dementia: A reply to Nigel Rapport on the social ethics of care

Dawson

Goodwin‐Hawkins²

2018

Australian J of Anthropology

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In this editors’ reply to Nigel Rapport's Afterword to the articles collected in the special issue ‘Moralities of care in later life’, we wonder: does the social ethics of care come with unacknowledged limits? We join with Rapport's call to maintain the individual's ‘personal preserve’ but observe—critically—that his “so far as possible, for as long as possible” makes for an uncomfortable caveat. To do so, we return ethnographically to the former mining town of Ashington, Northern England, and illustratively to a disease typically associated with the progressive loss of personhood: dementia. In contrast to both prevailing biomedical and person‐centred views of dementia, we adopt a radically relational approach, which in practice calls for attentiveness and opening oneself up on the part of the carer to the individual life‐world of another. Or, as it was for Ashington residents Eric and Elizabeth, a care‐full inter‐relationship re‐found in ‘going with the flow’.

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Institutionalising senile dementia in 19th‐century Britain

Cited by 6 publications

References 22 publications

The promise of technology in the future of dementia care

The promise of technology in the future of dementia care

Deprivation of Liberty in the Shadows of the Institution

‘Going with the flow’ of dementia: A reply to Nigel Rapport on the social ethics of care

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