We argue that contemporary conceptualizations of “persons” have failed to achieve the moral goals of “person-centred care” (PCC, a model of dementia care developed by Tom Kitwood) and that they are detrimental to those receiving care, their families, and practitioners of care. We draw a distinction between personhood and selfhood, pointing out that continuity or maintenance of the latter is what is really at stake in dementia care. We then demonstrate how our conceptualization, which is one that privileges the lived (...) experiences of people with dementia, and understands selfhood as formed relationally in connection with carers and the care environment, best captures Kitwood’s original idea. This conceptualization is also flexible enough to be applicable to the practice of caring for people at different stages of their dementia. Application of this conceptualization into PCC will best promote the well-being of people with dementia, while also encouraging respect and dignity in the care environment. (shrink)

Jakob von Uexküll’s umwelt theory opens new perspectives for understanding animal extinction. The umwelt is interpreted here as a sum of structural correspondences between an animal’s subjective experience, ecosystem, physiology, and behaviour. The global environmental crisis disturbs these meaning-connections. From the umwelt perspective, we may describe extinction as umwelt collapse: The disintegration of an animal’s umwelt resulting from the cumulative errors in semiotic processes that mediate an organism and ecosystem. The loss of umwelt-ecosystem integration disturbs “ecological memory,” which provides the (...) ecosystem with adaptive modelling and self-design capacities. Making a distinction between core and mediated umwelts, and describing different types of umwelt collapse, are suitable methods for more detailed analysis. The concept of umwelt collapse enables the reinterpretation of extinction, from an internal perspective, as a semiotic breakdown. Such an approach may help us map scenarios of animal extinction, and may lead to successful compensation strategies in adapting to environmental change. (shrink)

The dominant discourse on dementia promotes a view that as individuals progress with the disease, they experience a neurological decline causing a loss of self. This notion, grounded in a Cartesian representation of selfhood, associates a loss of self as directly related to cognition. This paper presents an alternative anthropological framework, embodied selfhood, that challenges this representation. It then examines a potential tool, graphic medicine, to translate this theory into caregiving practice. Through analyzing three graphic novels—Wrinkles, Tangles, and Aliceheimer’s—this paper (...) demonstrates how tension exists between different conceptions of selfhood and associated implications for caregivers and patients alike. (shrink)