Moral Self-Orientation in Alzheimer's Dementia.

IF 1.1 4区 哲学 Q3 ETHICS Kennedy Institute of Ethics Journal Pub Date : 2020-01-01 DOI:10.1353/ken.2020.0009
Steve Matthews
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引用次数: 1

Abstract

People with Alzheimer's dementia experience significant neuropsychological decline, and this seems to threaten their sense of self. Yet they continue to have regard for their moral standing, especially from the feedback they receive from others in relation to such things as pride in their work, retaining a valued role, or acting out of a sense of purpose. This continuing self-regard is based on a self-image which often persists through memory loss. I will argue that in care settings the self-image ought to be assumed to remain intact. Treating a person with Alzheimer's dementia supportively and respectfully as the person with a certain role or identity-say as scientist, musician, janitor, parent, or friend-fosters an environment in which they are best able to retain what I call moral self-orientation. The latter notion is central to the well-being of social persons, and so it takes on special significance for people with dementia because, although their remembering selves are fragmenting, their self-image persists. Normative aspects of the self-image, I argue, require a social framework of support to sustain the self-image.

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阿尔茨海默氏痴呆症的道德自我取向。
患有阿尔茨海默氏症的人会经历严重的神经心理衰退,这似乎威胁到他们的自我意识。然而,他们仍然重视自己的道德地位,特别是从他人的反馈中,他们对自己的工作感到自豪,保留一个有价值的角色,或者出于目的而行动。这种持续的自我关注是建立在一种自我形象的基础上的,这种自我形象通常会在记忆丧失时持续存在。我认为在护理环境中自我形象应该保持完整。以支持和尊重的态度对待患有阿尔茨海默氏症的人,把他们视为具有某种角色或身份的人——比如科学家、音乐家、看门人、父母或朋友——培养了一种环境,在这种环境中,他们最能保持我所说的道德自我取向。后一种观念对社会人的幸福至关重要,因此它对痴呆症患者具有特殊的意义,因为尽管他们的记忆自我正在分裂,但他们的自我形象仍然存在。我认为,自我形象的规范方面需要一个社会框架的支持来维持自我形象。
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
19
期刊介绍: The Kennedy Institute of Ethics Journal offers a scholarly forum for diverse views on major issues in bioethics, such as analysis and critique of principlism, feminist perspectives in bioethics, the work of the Advisory Committee on Human Radiation Experiments, active euthanasia, genetics, health care reform, and organ transplantation. Each issue includes "Scope Notes," an overview and extensive annotated bibliography on a specific topic in bioethics, and "Bioethics Inside the Beltway," a report written by a Washington insider updating bioethics activities on the federal level.
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