Dependence and Autonomy in Old Age: An Ethical Framework for Long-term Care
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There is no reason why residential and nursing homes should not provide a similar service, but who would pay? Nevertheless, they do shape the everyday reality of actual autonomy: In cheap establishments breakfast is served at a set time. Similarly, at least in my experience of geriatric and old age psychiatry teams, it is not true that: It may be, once again, that systemic or economic factors limit the ability of services to pursue rehabilitation effectively.
Yet rehabilitation is certainly the avowed aim of such services. These are, however, mere niggles. A more substantial complaint is that Agich gives away too much when he says: This seems to suggest that people with dementia lack agency and, therefore, personhood. Some might think this true, but I wonder if it is what Agich intends? Agency is not held intact solely by memory. As in the case of old age generally, it is the situated nature of individuals that helps to maintain agency and personhood.
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In such a richly argued and scholarly work it might seem churlish to point to an omission, but I was struck by the lack of reference to the work of Tom Kitwood. He writes of the spatial, temporal, communicative, and affective dimensions p ff. His elucidation of these dimensions brought to my mind what Kitwood regarded as the main psychological needs of people with dementia: What Agich provides—and Kitwood only hints at—is a deep seated and rigorous philosophical treatment of autonomy. The interesting thing some might think it obvious is that both Agich and Kitwood, from their different perspectives, emphasise the importance of personhood thickly conceived.
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Register a new account? Forgot your user name or password? Search for this keyword. Actual autonomy Result-oriented theories Action-oriented theories The concrete view of persons Autonomy: A phenomenological view of social action Sociality and the everyday world General Features of the social nature of persons Space Time Communication Affectivity Summary 6. Autonomy and long-term care: His previous books are Responsibility in Health Care , and The Price of Health , and he is a member of the editorial board of The American Journal of Bioethics and other journals.
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Dependence and autonomy in old age: an ethical framework for long term care
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Dependence and autonomy in old age: an ethical framework for long term care
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Perhaps the change of title says it all. This is the revised edition of Agich's Autonomy and Long Term Care, which was itself a seminal work. The new title gives. Dependence and. Autonomy in Old Age. An Ethical Framework for Long-Term Care. Second and Revised Edition. George J. Agich.
Add to cart Add to wishlist Other available formats: This title is not currently available on inspection. Translates the abstractions of ethical analysis into the real world of long-term care Provides an ethical framework for people caring for the elderly Builds on the author's earlier book Autonomy and Long-term Care, of which this is a revised edition, now in paperback for the first time.
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