Beauvoir, Ernaux, and Me: On Age, Disability, and Dying Well.

IF 1.5 4区 医学 Q2 ANTHROPOLOGY Culture Medicine and Psychiatry Pub Date : 2024-12-26 DOI:10.1007/s11013-024-09891-3
Thomas J Mann
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Abstract

Can the fraught relation between disability and aging ever become untangled? What is the place of the catastrophically disabled in a time when giving voice and being seen are significant lodestars of political activism? And what becomes of the caregivers, who often labor in silence, and who hope to work well enough just to get through another day? This essay draws on the memoirs of Simone de Beauvoir, Annie Ernaux, Amy Bloom, and my own experiences to show the complicated imbrications of age, disability, and caretaking. I attempt to demonstrate through these experiences that age and disability, which appear to be intimately woven together, are oftentimes misleadingly connected. I suggest that an ethic of vulnerability, rather, is a more useful heuristic that avoids collapsing the categories of age and disability together. Nevertheless, these reflections inevitably lead to a discussion of death and the choices, policies, and other care structures (un)available for persons who sometimes desire to make significant decisions about ending their life when confronted with the possibility of terminal and catastrophic mental and bodily decline. Finally, I suggest that these relationships and the decisions about (end of life) care must be understood to be ambiguous and require a deep reciprocity of care based upon love, sympathy, and respect.

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波伏娃,埃诺和我:论年龄,残疾和死亡。
残疾和衰老之间令人担忧的关系能否得到解决?在一个发声和被人看到是政治活动的重要目标的时代,灾难性的残疾人的位置是什么?那些常常默默劳动,希望自己工作得足够好,只为了再过一天的看护人又会怎样呢?这篇文章借鉴了西蒙娜·德·波伏娃、安妮·埃诺、艾米·布鲁姆的回忆录,以及我自己的经历,展示了年龄、残疾和照顾的复杂关系。我试图通过这些经历来证明,年龄和残疾,这似乎是紧密交织在一起的,经常被误导地联系在一起。相反,我认为,脆弱性伦理是一种更有用的启发,它可以避免将年龄和残疾的分类混为一谈。然而,这些反思不可避免地导致了对死亡的讨论,以及对那些有时在面对可能发生的灾难性的精神和身体衰退时,希望做出关于结束生命的重大决定的人可用的选择、政策和其他护理结构。最后,我建议这些关系和关于(生命终结)护理的决定必须被理解为模棱两可的,需要基于爱、同情和尊重的深层互惠关怀。
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来源期刊
CiteScore
3.70
自引率
5.90%
发文量
49
期刊介绍: Culture, Medicine, and Psychiatry is an international and interdisciplinary forum for the publication of work in three interrelated fields: medical and psychiatric anthropology, cross-cultural psychiatry, and related cross-societal and clinical epidemiological studies. The journal publishes original research, and theoretical papers based on original research, on all subjects in each of these fields. Interdisciplinary work which bridges anthropological and medical perspectives and methods which are clinically relevant are particularly welcome, as is research on the cultural context of normative and deviant behavior, including the anthropological, epidemiological and clinical aspects of the subject. Culture, Medicine, and Psychiatry also fosters systematic and wide-ranging examinations of the significance of culture in health care, including comparisons of how the concept of culture is operationalized in anthropological and medical disciplines. With the increasing emphasis on the cultural diversity of society, which finds its reflection in many facets of our day to day life, including health care, Culture, Medicine, and Psychiatry is required reading in anthropology, psychiatry and general health care libraries.
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