Abstract
‘Dementia’ suggests that the person is out of his or her mind. This is stigmatizing, especially given that, even into severe dementia, there is evidence that the person living with dementia remains minded. But this leads us on to consider different theories relating to the nature of the mind. This chapter discusses dualist interactionism, eliminative materialism, functionalism, social constructionism and externalism. In each case two questions are posed: First, does philosophy of mind give us insights into the nature of dementia? Secondly, what can we learn about mind (from the perspective of any particular theory) by studying people with dementia? The conclusions are that we need to have a broad understanding of what constitutes mind and that, for people with dementia, it is important to see them holistically as persons.
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Notes
- 1.
As in the poem ‘Adlestrop’ by Edward Thomas (1878 – 1917) which commences:
Verse
Verse ‘Yes. I remember Adlestrop – The name, because one afternoon Of heat the express-train drew up there Unwontedly. It was late June.’
(Gardner 1972, p. 847)
References
American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders, fifth edition (DSM-5). Arlington: American Psychiatric Association Publishing.
Armstrong, D.M. (1968). A materialist theory of the mind. London: Routledge & Kegan Paul.
Ball, A. (2006). Ellen’s prayer. In J.C. Hughes (Ed.), Palliative care in severe dementia (p. 134)London: Quay Books.
Bauby, J-D. (1997). The diving-bell and the butterfly (trans: J. Leggatt). London: Fourth Estate.
Brooker, D. (2005). Dementia care mapping: a review of the research literature. The Gerontologist, 45(Special Issue I), 11–18.
Churchland, P. (1981). Eliminative materialism and the propositional attitudes’, Journal of Philosophy, 78, 67–90.
Dekkers, W. (2010). Persons with severe dementia and the notion of bodily autonomy. In J.C. Hughes, M. Lloyd-Williams, G.A. Sachs (Eds.), Supportive care for the person with dementia (pp. 253–261). Oxford: Oxford University Press.
Descartes, R. (1954). Descartes: philosophical writings (trans: E. Anscombe & P.T. Geach). Sunbury-on-Thames: Nelson’s University Paperbacks, The Open University.
Fodor, J.A. (1976). The language of thought. Hassocks, Sussex: The Harvester Press.
Fodor, J.A. (1985). Fodor’s guide to mental representation: the intelligent auntie’s Vade-Mecum. Mind, 94, 76–100.
Gardner, H. (Ed.). (1972). The new Oxford book of English verse 1250–1950. Oxford: Oxford University Press.
Gergen, K.J. (1985). The social constructionist movement in modern psychology. American Psychologist, 40, 266–275.
Harré, R. (1992). What is real in psychology. A plea for persons. Theory and Psychology, 2, 153–158.
Harré, R. (1993). Social being. Second edition. Oxford: Blackwell.
Harré, R. (1994). Emotion and memory: the second cognitive revolution. In A. Phillips Griffiths (Ed.), Philosophy, psychology and psychiatry (pp. 25–40). Cambridge: Cambridge University Press.
Hughes, J.C. (2001). Views of the person with dementia. Journal of Medical Ethics, 27, 86–91.
Hughes, J.C. (2011a). Thinking through dementia. Oxford: Oxford University Press.
Hughes, J.C. (2011b). Alzheimer’s and other dementias: the facts. Oxford: Oxford University Press.
Hughes, J.C. & Beatty, A. (2013). Understanding the person with dementia: a clinicophilosophical case discussion. Advances in Psychiatric Treatment, 19, 337–343.
Kitwood, T. (1989). Brain, mind and dementia: with particular reference to Alzheimer’s disease. Ageing and Society, 9, 1–15.
Kitwood, T. (1997). Dementia reconsidered: the person comes first. Buckingham: Open University Press.
Kontos, P.C. (2004). Ethnographic reflections on selfhood, embodiment and Alzheimer’s disease. Ageing and Society, 24, 829–849.
Lewis, H.D. (1982). The elusive self. London: Macmillan.
Lowe, E.J. (2000). An introduction to the philosophy of mind. Cambridge: Cambridge University Press.
Luntley, M. (1999). Contemporary philosophy of thought: truth, world, content. Oxford UK and Malden USA: Blackwell Publishers.
Matthews, E. (2005). Mind: key concepts in philosophy. London and New York: Continuum.
McCulloch, G. (2003). The life of the mind. An essay on phenomenological externalism London and New York: Routledge.
McMillan, J. (2006). Identity, self and dementia. In J.C. Hughes, S.J. Louw, S.R. Sabat (Eds.), Dementia: mind, meaning, and the person (pp. 63–70). Oxford: Oxford University Press.
Normann, H.K., Asplund, K., Norberg, A. (1998). Episodes of lucidity in people with severe dementia as narrated by formal carers. Journal of Advanced Nursing, 28, 1295–1300.
Popper, K.R., & Eccles, J.C. (1977). The self and its brain. Berlin: Springer International.
Quigley, H., Colloby, S.J., O’Brien, J.T. (2011). PET imaging of brain amyloid in dementia: a review. International Journal of Geriatric Psychiatry, 26, 991–999.
Sabat, S.R. (2001). The experience of Alzheimer’s disease: life through a tangled veil. Oxford: Blackwell.
Sabat, S.R., & Harré, R. (1992). The construction and deconstruction of self in Alzheimer’s Disease. Ageing and Society, 12, 443–461.
Sabat, S.R., & Harré, R. (1994). The Alzheimer’s disease sufferer as a semiotic subject. Philosophy, Psychiatry, & Psychology, 1, 145–160.
Thornton, T. (1998). Wittgenstein on language and thought: the philosophy of content Edinburgh: Edinburgh University Press.
Wittgenstein, L. (1968). Philosophical investigations (Eds.: G.E.M. Anscombe & R. Rhees, trans: G.E.M. Anscombe). Oxford: Blackwell.
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Hughes, J.C. (2016). Dementia and the Nature of Mind. In: Scarre, G. (eds) The Palgrave Handbook of the Philosophy of Aging. Palgrave Macmillan, London. https://doi.org/10.1057/978-1-137-39356-2_17
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