The Construction and Deconstruction of Self in Alzheimer's Disease

Sabat, Steve R.; Harré, Rom

doi:10.1017/s0144686x00005262

Cited by 450 publications

(352 citation statements)

References 8 publications

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“…Whereas dementia research often focuses on self-esteem as an internally derived form of self-conception, which becomes susceptible to the invasive effects of the illness (eg, Brod et al, 1999), of course social relations influence our social esteem (Honneth, 1995). Accordingly, a decline of self in dementia may result from the loss of recognition by others (Sabat and Harre, 1992). The sense of 'ontological insecurity' evident among some of the people with dementia in the study indicated that, while their understanding of their social lives was reduced, they were still conscious of subtle changes in relationship dynamics.…”

Section: Using Emotion As a Moral Guide To Social Lifementioning

confidence: 92%

Showing how they feel: the emotional reflexivity of people with dementia

Boyle

Warren

2017

Families, Relationships and Societies

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This article explores whether people with dementia demonstrate emotional reflexivity within their personal relationships. Previous research has suggested that they may lose their capacity for reflection as the disease progresses. In turn, it has also been assumed that they lack the reflexive abilities necessary to exercise agency within their daily lives. The authors draw on findings from a qualitative study of everyday decision-making by people with dementia and their spouses undertaken in England. The sample consisted of 21 couples, but to enable emotional reflexivity to be examined in depth, this article focuses on the emotional communication of six people with more advanced dementia. The research found that even when their abilities for deliberation, discourse and social interaction were limited, they could nonetheless demonstrate emotional reflexivity. As they also exhibited a capacity for imaginative agency, this suggests that intersubjectivity can be preserved in dementia even when social skills are apparently lost. key words agency • reflexivity • emotions • dementia • social relationships

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Section: Using Emotion As a Moral Guide To Social Lifementioning

confidence: 92%

Showing how they feel: the emotional reflexivity of people with dementia

Boyle

Warren

2017

Families, Relationships and Societies

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“…Self-identity is changed-not totally lost-and typically is preserved into the end stage of advanced dementia (Harris & Sterin, 1999;Sabat & Harré, 1992). The consequence of this changing self-identity is a new form of life, a new way of living in the world that is fraught with incoherence and unknown meaning.…”

Section: The Changing Self and Public Identitymentioning

confidence: 99%

Reframing Person-Centered Nursing Care for Persons With Dementia

Penrod¹,

Yu²,

Kolanowski³

et al. 2007

Res Theory Nurs Prac

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Alzheimer's dementia manifests in a complex clinical presentation that has been addressed from both biomedical and phenomenological perspectives. Although each of these paradigmatic perspectives has contributed to advancement of the science, neither is adequate for theoretically framing a personcentered approach to nursing care. The need-driven dementia-compromised behavior (NDB) model is discussed as an exemplar of midrange nursing theory that promotes the integration of these paradigmatic views to promote a new level of excellence in person-centered dementia care. Clinical application of the NDB promotes a new level of praxis, or thoughtful action, in the care of persons with dementia.

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“…Sabat (Sabat 2002;Sabat and Harre 1992) adapted Goffman's theory to dementia, with a distinction between three different aspects -Self 1, Self 2, and Self 3. Self 1 is the internal sense of identity, how we keep a record of our autobiography.…”

Section: Theoretical Perspectives On the Self And Identitymentioning

confidence: 99%

The fragility of “white Irish” as a minority ethnic identity in England

Willis

2016

Ethnic and Racial Studies

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This paper is a methodological reflection on the experiences of a white Irish woman researching ethnicity in England. Ethnic identity is described as a performance between two social actors that requires the collusion of both parties in order to be socially accepted. The history and disputes around the white Irish ethnic group category in England are discussed. Through the use of fieldnotes and interview extracts, I discuss how I became aware that my ethnic identity was not always recognised by participants, and in some cases the distinction between white Irish and white British was denied. At the micro level this affects my rapport with individual participants, while at the macro level it resonates with historical relationships between Ireland and England. I argue that such experiences can lead to an existential threat to a person's ethnic identity and therefore that the status of white Irish identity in England can be fragile.

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The Construction and Deconstruction of Self in Alzheimer's Disease

Cited by 450 publications

References 8 publications

Showing how they feel: the emotional reflexivity of people with dementia

Showing how they feel: the emotional reflexivity of people with dementia

Reframing Person-Centered Nursing Care for Persons With Dementia

The fragility of “white Irish” as a minority ethnic identity in England

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