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History and the Challenges of Dementia
Journal article   Open access   Peer reviewed

History and the Challenges of Dementia

The Hastings Center report, v 55 Suppl 1, pp S41-S47
01 Jul 2025
PMID: 40966410
url
https://doi.org/10.1002/hast.4991View
Published, Version of Record (VoR) Open

Abstract

history of dementia cultural narratives of dementia critical perspectives on dementia neoliberalism and health policy pharmaceutical vs. social and behavioral interventions bioethics
Much has been written about the biological, clinical, and epidemiological aspects of dementia. Dire, sometimes apocalyptic social and policy issues have been identified and discussed, and scores of books have been published explaining all of this to a popular audience and providing practical advice for patients and their families. But the vast professional and popular discourse on dementia has largely been ahistorical and uncritical. This essay argues that history can be the basis of a more critically informed discussion of dementia by showing that attitudes and ideas often taken to be natural and inevitable are, in fact, historically contingent, shaped by specific social and cultural circumstances. History can renew a sense of possibility by pointing out that things were not always as they are now, and that they might well be different in the future.Much has been written about the biological, clinical, and epidemiological aspects of dementia. Dire, sometimes apocalyptic social and policy issues have been identified and discussed, and scores of books have been published explaining all of this to a popular audience and providing practical advice for patients and their families. But the vast professional and popular discourse on dementia has largely been ahistorical and uncritical. This essay argues that history can be the basis of a more critically informed discussion of dementia by showing that attitudes and ideas often taken to be natural and inevitable are, in fact, historically contingent, shaped by specific social and cultural circumstances. History can renew a sense of possibility by pointing out that things were not always as they are now, and that they might well be different in the future.

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Web of Science research areas
Ethics
Health Care Sciences & Services
Medical Ethics
Social Sciences, Biomedical
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