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引用次数: 2

摘要

1906年11月3日,在第37届西南德国精神病学家会议上,阿洛伊斯·阿尔茨海默博士报告了“一种特殊的严重的大脑皮层疾病过程”。与他有关的这种疾病一直无法治愈,据预测,到2050年,全球每85人中就有1人患有这种疾病。随着资源和资金需求的增加,卫生保健提供者、研究人员和政府都注意到要探索不同的方法来理解和解决阿尔茨海默病和相关痴呆(ADRD)。其中一种方法是以人为本的护理(PCC),它将重点放在个人而不是疾病上,强调能力和使能能力,并承认痴呆症患者拥有选择权、个人赋权和自决权。我们扩展了体现PCC的“痴呆症友好社区”概念,设想如何重新思考和设计美术馆、图书馆、档案馆和博物馆(GLAM)等文化遗产机构内的空间、项目和服务,以增强ADRD患者的日常生活体验。通过将痴呆症患者的权利作为残疾人的权利加以表述、接受、采纳和促进,进一步推动了这些举措。这种对权利的强调很重要,因为它背后有国际协议和具有法律约束力的联合国残疾人权利公约(2008年)的力量。我们认为,文化遗产机构有责任和理由为那些随着时间的推移而被边缘化的人提供服务,而不是他们的身份。
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Dementia Friendly Memory Institutions
On November 3, 1906, at the 37th Meeting of South-West German Psychiatrists, Dr. Alois Alzheimer, reported on “a peculiar severe disease process of the cerebral cortex”. The disease with which he is associated has continued to elude a cure and is forecast to afflict one in eighty-five persons globally by 2050. Health care providers, researchers, and governments are on notice to explore different ways of understanding and addressing Alzheimer’s Disease and Related Dementias (ADRD) as demands for resources and funding escalate. One of those approaches, person-centered care (PCC), puts a focus on the individual, not the disease, emphasizing ability and enablement, and recognizing people with dementia as having rights of choice, personal empowerment, and self-determination. We expand on the concept of “dementia friendly communities,” embodying PCC, to envision how spaces, programs, and services within cultural heritage institutions such as galleries, libraries, archives, and museums (GLAM), could be re-thought and designed to enhance the everyday life experience of persons with ADRD. Impetus for such initiatives is provided further through the articulation, acceptance, adoption, and promotion of the rights of those with dementia as the rights of persons with disabilities. This emphasis on rights is important as it has behind it the force of international agreement and legally-binding United Nations’ Convention on the Rights of Persons with Disabilities (2008). We argue that cultural heritage institutions have a responsibility and a rationale for servicing those who have been marginalized across time by what they have rather than who they are.
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