Annette Leibing

Lawrence Cohen

Cultural responses to most illnesses differ; dementia is no exception. These responses, together with a society's attitudes toward its elderly population, affect the frequency of dementia-related diagnoses and the nature of treatment. Bringing together essays by nineteen respected scholars, this unique volume approaches the subject from a variety of angles, exploring the historical, psychological, and philosophical implications of dementia. Based on solid ethnographic fieldwork, the essays employ a cross-cultural perspective and focus on questions of age, mind, voice, self, loss, temporality, memory, and affect. Taken together, the essays make four important and interrelated contributions to our understanding of the mental status of the elderly. First, cross-cultural data show the extent to which the aging process, while biologically influenced, is also very much culturally constructed. Second, detailed ethnographic reports raise questions about the behavioral criteria used by health care professionals and laymen for defining the elderly as demented. Third, case studies show how a diagnosis affects a patient's treatment in both clinical and familial settings.; Finally, the collection highlights the gap that separates current biological understandings of aging from its cultural meanings. As Alzheimer's disease and other forms of dementia continue to command an ever-increasing amount of attention in medicine and psychology, this book will be essential reading for anthropologists, social scientists, and health care professionals.

Culture, Loss, and the Anthropology of Senility

Thinking about Dementia

Cultural responses to most illnesses differ; dementia is no exception.These responses, together with a society's attitudes toward its elderlypopulation, affect the frequency of dementia-related diagnoses and thenature of treatment. Bringing together essays by nineteen respectedscholars, this unique volume approaches the subject from a variety ofangles, exploring the historical, psychological, and philosophicalimplications of dementia. Based on solid ethnographic fieldwork, theessays employ a cross-cultural perspective and focus on questions ofage, mind, voice, self, loss, temporality, memory, and affect. Takentogether, the essays make four important and interrelated contributionsto our understanding of the mental status of the elderly.

From the opening sequence, in which mid-nineteenth-century Indian fishermen hear the possibility of redemption in an old woman's madness, No Aging in India captures the reader with its interplay of story and analysis. Drawing on more than a decade of ethnographic work, Lawrence Cohen links a detailed investigation of mind and body in old age in four neighborhoods of the Indian city of Varanasi (Banaras) with events and processes around India and around the world. This compelling exploration of senility—encompassing not only the aging body but also larger cultural anxieties—combines insights from medical anthropology, psychoanalysis, and postcolonial studies. Bridging literary genres as well as geographic spaces, Cohen responds to what he sees as the impoverishment of both North American and Indian gerontologies—the one mired in ambivalence toward demented old bodies, the other insistent on a dubious morality tale of modern families breaking up and abandoning their elderly. He shifts our attention irresistibly toward how old age comes to matter in the constitution of societies and their narratives of identity and history.

Alzheimer's, The Bad Family, and Other Modern Things

No Aging in India

"Beautifully written, erudite, a perfect balance between theory and ethnography. The narratives are wonderful."—E. Valentine Daniel, author of Charred Lullabies "No book in medical anthropology matches No Aging in India in its extraordinary richness of ethnographic detail. A feast of stories, lives, and theory--it contains such a thickness of social experience that the reader feels he or she has become a part of India's local worlds. Lawrence Cohen has written one of the finest ethnographic monographs I have read. A triumph of field research and writing, this book will, I feel sure, set the standard for the next wave of ethnographies in medical anthropology."—Arthur Kleinman, author of Writing at the Margin

Lawrence Cohen

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