メモ【認知症】

• Dunham, Charlotte Chorn & Julie Harms Cannon, 2008, "They're still in control enough to be in control": Paradox of power in dementia caregiving, journal of Aging Studies,22:45-53.

Based on an interview study of 26 employed women dementia caregivers, we have found that caregiving involves a complex relationship that is characterized as a paradox in which the exercise of power creates an experience of powerlessness on the part of the caregiver; that the care recipients are not powerless, but encourage as well as resist attempts at providing care; and this relationship occurs in the context of a culture that influences and controls the family through the production of knowledge that is used to shape the caregiving relationship and give direction to the caregiver's actions. The control achieved by the use of knowledge of medicine and gender is incomplete and is thus embraced yet resisted by caregivers who see the inadequacy of the knowledge for achieving the goal of loving, dignified care.

　ジェロントロジーへのフーコー的アプローチという一派？があることを知った。認知症の相手をケアする際の、コントロールすることと、尊厳を守ることとのジレンマという、よくある論点。認知症の肉親が段々依存的になっていって関係性に生じる問題を、認知的・実践的に処理するために医学的知識があるというような感じだった。10年前に読んだこの種の論文とあんまり論点が変わっていないような…。