Integrating Citizenship, Embodiment, and Relationality: Towards a Reconceptualization of Dance and Dementia in Long-Term Care.

J Law Med Ethics

Pia Kontos has a Ph.D. in Public Health Sciences (University of Toronto, Toronto, Ontario, Canada), and is a Senior Scientist at the Toronto Rehabilitation Institute - University Health Network and Associate Professor in the Dalla Lana School of Public Health, University of Toronto. She is a critical scholar committed to the transformation of long-term dementia care so it is more humanistic and socially just. She draws on the arts (e.g., music, dance, improvisational play) to enrich the lives of people living with dementia. She also creates research-based dramas to effect personal and organizational change. She has published across multiple disciplines on embodiment, relationality, ethics, and dementia. Alisa Grigorovich has a Ph.D. in Gender, Feminist & Women's Studies (York University, Toronto, Ontario, Canada) and is a postdoctoral fellow in the Dalla Lana School of Public Health at the University of Toronto. Her research focuses on the organization of care, health equity and ethics, with a focus on sexuality and dementia. In her postdoctoral research she is exploring the management of sexuality in long-term residential care.

Published: September 2018

Dance, as aesthetic self-expression, is a unique arts-based program that combines the physical benefits of exercise with psychosocial therapeutic benefits. While dance has also been shown to support empowerment, meaningful self-expression, and pleasurable experience, it is rarely adopted to support these aspects of engagement in the context of dementia care. The instrumental reduction of dance to its application as a therapeutic tool can be traced to the contemporary movement towards cognitive science with an emphasis on embodied cognition. This has effectively elided a consideration of how the body itself, separate and apart from cognition, could be a source of intelligibility, inventiveness, and creativity. We argue for the need to broaden the therapeutic model of dance to more fully support embodied and creative self-expression by persons living with dementia. To achieve this, we explore how a relational model of citizenship that recognizes corporeality and relationality as fundamental to human existence brings a new and critical dimension to understanding the importance of dance in the context of dementia. Drawing on this model, we articulate a new kind of ethic characterized by a pre-reflective intercorporeal sensibility that requires the mobilization of public structures and practices to cultivate a relational environment for individuals living with dementia that supports human flourishing.

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Source
http://dx.doi.org/10.1177/1073110518804233DOI Listing

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