scholarly journals A Senior as an Individual in the Situation of Dementia. Tom Kitwood's Person-Centred Care Model and the Philosophy of Dialogue

2020 ◽  
Vol 10 (1) ◽  
pp. 51-61
Author(s):  
Agnieszka Smrokowska-Reichmann

Seniors suffering from dementia are always exposed to a reductive approach and depersonalization due to the specificity of that disease. The subjectivity of a senior is neglected or even completely negated. What remains unnoticed is the fact that, despite their disease, a senior is still a person – with the rights and needs of a person – and not just a helpless patient. The paper presents a break that has been made in the understanding and care of seniors with dementia thanks to the work of Tom Kitwood, a British psychologist. In Kitwood’s Person-Centred Care model, a person is defined as a relational, feeling, and historical being. At the same time, being a person is only possible in the interpersonal context. Hence the author's suggestion to read Kitwood’s concept from the angle of the philosophy of dialogue, which is always an affirmation of subjectivity and an opposition to tendencies that reify human beings. In the author’s opinion, Kitwood translated the main postulates of the philosophy of dialogue into the language of psychology, gerontology and senior care by operationalizing the indicators of the well-being of a patient with dementia.

Author(s):  
Alan L. Mittleman

This chapter moves into the political and economic aspects of human nature. Given scarcity and interdependence, what sense has Judaism made of the material well-being necessary for human flourishing? What are Jewish attitudes toward prosperity, market relations, labor, and leisure? What has Judaism had to say about the political dimensions of human nature? If all humans are made in the image of God, what does that original equality imply for political order, authority, and justice? In what kinds of systems can human beings best flourish? It argues that Jewish tradition shows that we act in conformity with our nature when we elevate, improve, and sanctify it. As co-creators of the world with God, we are not just the sport of our biochemistry. We are persons who can select and choose among the traits that comprise our very own natures, cultivating some and weeding out others.


2018 ◽  
Vol 69 (8) ◽  
pp. 2306-2310
Author(s):  
Aureliana Caraiane ◽  
Razvan Leata ◽  
Veronica Toba ◽  
Doina Vesa ◽  
Luana Andreea Macovei ◽  
...  

The progress made in dentistry during the latest decades is due, conceptually, to the new, systemic vision of man, which has also taken place in this field of medicine. In this context, the link between organic and psychic is indestructible. Thus illness is understood as a drama in which the somatic process has a psychic value, and the mental one has a body value. It is known that the morphological and functional integrity of the dental system, health and vigorousness, gives the individual a state of well-being that affects his somatic and psychic health, as any disturbance at this level entails repercussions in psychological and social behavior. Such a disruption is the total edification that seriously alters not only the dental system but the whole organism, putting various biological and psychosocial problems to the practitioner. The total expression represents not only a physical disability but also a psychological one. A special importance in studying psychological changes at total edentulous presents the psychological aspects of senile involution. This is not only a theoretical but also a practical importance due to the increase in the number of elderly people. Through the researches of the present paper we intend to present the reality of the psychological manifestations in the total edentation, which is objectified on different methods of psychodiagnosis in the first part, in order for the second part to be addressed to problems of prosthetic psychotherapy.The study comprises a group of 43 patients, of whom 24 were men and 19 women with total uni or bimaxilar edentation. Total edentation can be and is responsible for somatopsychic alterations, along with other pathogens, general, local, social, which sometimes can take a dramatic form, converting, where the area is also favorable, a pure somatic disease, for those who are not in psychopathy or even psychosis, although these latter cases are extremely rare and especially in youngsters, which would disrupt not only the person�s behavior as an individual, but also their status, function and social integrity. The treatment of dental and psychological complex is mandatory for any patient, but especially for the elderly, where recovery is more difficult, with disease-specific disorders adding to those of senescence.


Author(s):  
Kelly R. Arora

Interspiritual conversations are becoming more common in health care settings as providers recognize that patients’ diverse spiritual/religious values, beliefs, and practices may influence their health care decision-making and general well-being. This essay explores the practical dimensions of teaching health care professionals how to use an interspiritual dialogue approach grounded in values and particularism through a course entitled “Faith, Spirituality and Culture in Health Care,” which was designed for and taught to doctoral students at a Denver, Colorado, School of Pharmacy. After considering the contemporary context for teaching interspiritual dialogue to healthcare professionals, the essay reflects upon and relates the pedagogical choices made in designing and teaching the course, as well as the course structure, outline, objectives, and schedule.


Symmetry ◽  
2021 ◽  
Vol 13 (4) ◽  
pp. 657
Author(s):  
Rezzy Eko Caraka ◽  
Maengseok Noh ◽  
Rung-Ching Chen ◽  
Youngjo Lee ◽  
Prana Ugiana Gio ◽  
...  

Design: Health issues throughout the sustainable development goals have also been integrated into one ultimate goal, which helps to ensure a healthy lifestyle as well as enhances well-being for any and all human beings of all social level. Meanwhile, regarding the clime change, we may take urgent action to its impacts. Purpose: Nowadays, climate change makes it much more difficult to control the pattern of diseases transmitted and sometimes hard to prevent. In line with this, Centres for Disease Control (CDC) Taiwan grouped the spread of disease through its source in the first six main groups. Those are food or waterborne, airborne or droplet, vector-borne, sexually transmitted or blood-borne, contact transmission, and miscellaneous. According to this, academics, government, and the private sector should work together and collaborate to maintain the health issue. This article examines and connects the climate and communicable aspects towards Penta-Helix in Taiwan. Finding: In summary, we have been addressing the knowledge center on the number of private companies throughout the health care sector, the number of healthcare facilities, and the education institutions widely recognized as Penta Helix. In addition, we used hierarchical likelihood structural equation modeling (HSEMs). All the relationship variables among climate, communicable disease, and Penta Helix can be interpreted through the latent variables with GoF 79.24%.


2020 ◽  
Vol 3 (1) ◽  
pp. 80
Author(s):  
Muniyandi Balasubramanian

Forest ecosystem services have played a vital role in human well-being. Particularly, recreational ecosystem services are creating physical and mental well-being for human beings. Therefore, the main objective of the paper is to estimate the economic value of recreational ecosystem services provides by recreational sites such as Nandi Hills and Nagarhole National Park based on the individual travel cost method in Karnataka, India. This study has used a random sampling method for 300 tourist visitors to recreational sites. The present study has also estimated the consumer surplus of the visitors. The results of the study have found that (i) economic value of two creational sites has been estimated at US $323.05 million, (ii) the consumer surplus has been estimated for Nandi Hills at US $7.45 and Nagarhole National Park at US $3.16. The main implication of the study is to design the entry fees for the recreational site and sustainable utilization of recreational ecosystem services for the present and future generations.


1997 ◽  
Vol 4 (1) ◽  
pp. 119-122 ◽  
Author(s):  
Julian Thomas

I am grateful to Håkan Karlsson for his thoughtful commentary on some of the issues concerning Heidegger and archaeology which were raised in a previous issue of this journal, and find myself fascinated by his project of a ‘contemplative archaeology’. However, one or two points of clarification could be made in relation to Karlsson's contribution. Firstly, as a number of authors have pointed out (e.g. Anderson 1966, 20; Olafson 1993), the gulf between Heidegger's early work and that which followed the Kehre may have been more apparent than real. While his focus may have shifted from the Being of one particular kind of being (Dasein) to a history of Being (Dreyfus 1992), the continuities in his thought are more striking. Throughout his career, Heidegger was concerned with the category of Being, and the way in which it had been passed over by the western philosophical tradition. It is important to note that in Being and time the analysis of Dasein essentially serves as an heuristic: the intention is to move from an understanding of the Being of one kind of being to that of Being in general. What complicates the issue is the very unusual structure of this specific kind of being, for Heidegger did not choose to begin his analysis with the Being of shoes or stones, but with a kind of creature which has a unique relationship with all other worldly entities. ‘Dasein’ serves as a kind of code for ‘human being’ which enables Heidegger to talk about the way in which human beings exist on earth, rather than becoming entangled in biological or psychological definitions of humanity. In this formulations, what is distinctive about human beings is that their own existence is an issue for them; Dasein cares, and this caring is fundamentally temporal.


2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Vhumani Magezi ◽  
Clement Khlopa

The notion of ubuntu as a moral theory in the South African and African contexts presents attractive norms of an African worldview that can be articulated and applied to contemporary Christian ethics. The proponents of ubuntu perceive it as an African philosophy based on the maxim, “a person is a person through other persons”, whereby the community prevails over individual considerations. It is not merely an empirical claim that our survival or well-being is causally dependent on others but is in essence capturing a normative account of what we ought to be as human beings. However, ubuntu has shortcomings that make it an impractical notion. Despite its shortcomings, ubuntu has natural ethic potential that enforces and engenders hospitality, neighbourliness, and care for all humanity. This article contributes to further conceptualisation and understanding of the notion of ubuntu and its relationship with hospitality in order to retrieve some principles that can be applied to effective and meaningful pastoral care. The principles drawn from ubuntu are juxtaposed with Christian principles and pastoral care to encourage embodiment of God by pastoral caregivers.


2013 ◽  
Vol 2 (3) ◽  
pp. 54 ◽  
Author(s):  
Merel Visse ◽  
Tineke Abma ◽  
Hetty Van den Oever ◽  
Yvonne Prins ◽  
Vincent Gulmans

Aims and objectives: This paper is a report of a study of experiences of people with Cystic Fibrosis (CF) with their hospital admission. It evaluates how they perceive their treatment and care and the impact on their social life (school or work). Background: In The Netherlands, people with CF are hospitalized in seven CF centers. In general, hospitalization may raise several challenges concerning the patient’s psychosocial well-being, before, during and after the admission. The admission of people with CF is complicated, because of segregated treatment and care that aims to prevent hospital-based cross-infection. Design: This article reports on a qualitative study. Methods: Data were collected during 2009 and 2010. Nineteen people with CF admitted for more than 5 days in one of the seven Dutch CF-centres participated. Results and conclusions: The findings are organized into five contexts with subthemes: Before admission & Arrival (1); Treatment & Care (2); Room & Stay (3); Discharge (4); Social & Societal context (5). The findings show that patients express a need for enhancing the quality of some treatments, like intravenous injections and patients express normative expectations of professionals that directly relate to their psychosocial well-being, e.g. they want to be ‘seen’ and treated as human beings and not solely as patients. They desire segregation policies to be consistent, whilst simultaneously they prefer flexible segregation guidelines. In general, respondents are satisfied with hospital facilities. The study reports on challenges concerning continuation of school and work during the admission. The paper is relevant to every hospital where people are being nursed in isolation.


2018 ◽  
Vol 10 (7) ◽  
pp. 2485 ◽  
Author(s):  
Rafaela Hillerbrand

This paper reflects on criticisms raised in the literature on the UN’s Sustainable Development Goals (SDGs). These have been criticized as creating a dichotomy between the environment and human beings that fails to address the multiple interconnections between the two. This paper focuses on SDG7—“affordable and clean energy”—and suggests that there is in fact a tripartite distinction between the environment, human beings and technology underlying the SDGs. This distinction, we argue, does not adequately represent the multiple interconnections among the various SDGs and hampers their implementation. We contend that the formulation of SDG7 produces a circular definition of sustainability, a difficulty that is currently resolved at the level of the targets and indicators in a way that regards energy technologies primarily as artifacts. By contrast, the literature on ethical aspects of energy systems largely agrees that energy is a paradigmatic example of a sociotechnical system. We contend that, by not considering this sociotechnical nature, the SDGs run the risk of implicitly defending a certain variant of technological optimism and determinism. We argue that this is disadvantageous to the environment, human well-being and technological development. In line with recent critical evaluations of the SDGs, we argue that these (and other) shortcomings can be addressed by better connecting the SDGs to human well-being. Building on recent literature that expands the scope of the Capability Approach as an alternative measure of well-being so as to include considerations of sustainability, we articulate a framework that allows us to elucidate this connection and thus to take advantage of synergies between human well-being and the environment. On the basis of the Capability Approach, we argue that equating sustainable energy with renewable energy—as is done in the transition from SDG7’s goal to its targets—is indefensible because, as part of the overarching energy systems, energy technologies cannot be classified as simply right or wrong. Rather, the indicators and targets within a framework focused on sustainability need to be (more) context sensitive, meaning that, among other things, they may vary by country and with the available technology.


2004 ◽  
Vol 17 (1) ◽  
pp. 72-77 ◽  
Author(s):  
Adela Yarcheski ◽  
Noreen E. Mahon ◽  
Thomas J. Yarcheski

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