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Posts Tagged ‘stigma’

When I was first pitching Forget Memory to agents, a very successful agent whom I admire a great deal told me that it was a great idea, but that unfortunately, in her experience, “dementia doesn’t sell.”  I just got word today that Lisa Genova’s book Still Alice, which she initially self-published, has been picked up by Simon and Schuster for a hefty six figures.  It’ll be out in early 09.

There are three books out there right now on midlife memory loss (Carved in Sand, Can’t Remember What I Forgot, and Where Did I Leave My Glasses?) and an elegantly written fictional account of early on-set AD, The Story of Forgetting.  I’m sure the film rights for The Story of Forgetting and Still Alice can’t be far behind, if they haven’t already been snapped up.

Dementia is starting to sell.   Perhaps this means that we are starting to break the threshold of being able to talk about dementia…and to live with it as human beings rather than be considered vegetables.

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Well, at least I think it’s a great book. I’m only on page 22. Stephen Hinshaw’s The Mark of Shame: Stigma of Mental Illness and an Agenda for Change is new from Oxford University Press. I just got it through interlibrary loan and am drinking up his careful distinctions between stigma, stereotype, and prejudice; and between various definitions of mental illness. I’m a little sad because one quick look in the index (I always go there first) shows “almshouses” followed by “ambivalence”. There’s no mention of dementia either. Or aging. I still think it’s going to be a great book. But I’ll just have to extrapolate…

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This foggy Friday morning has found me on a Google adventure, looking up the far reaching anti-stigma efforts against mental illness in this country. For just a taste of the breadth of these actions, check out this link to the Anti-Stigma Campaigns of the Substance Abuse and Mental Health Services Association. I’m also re-reading all my disability rights movement history books – trying to find the points of divergence. Why isn’t dementia included in this mammoth anti-stigma effort? It’s mentioned very rarely. What are the historical reasons why these movements separated? And remain separated? The effort in England Changing Minds, includes dementia. But not in the States. Why? The mental illness movement does seem to use a heavy language of recovery…which is not possible in Alzheimer’s. Is it because there are no survivor stories?

As TimeSlips embarks on a national anti-stigma effort, we’re looking to partner to bridge this divide.

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Fresh back from giving a talk at a conference up in Appleton – the 3rd Annual Palliative Care Conference, put on by Theda Care and the Alzheimer’s Association Greater Wisconsin Chapter. The whole day’s agenda revolved around creativity, spirituality, and dementia. There were family members, people with dementia, and professional care staff – an invigorating blend. Abhilash Desai, the MD who runs the ThedaCare Behavioral health’s Alzheimer’s Center on Excellence is a pretty unusual soul – encouraging and coaching his patients through some of the hardest moments of their lives – diagnosis, adjusting to loss, and when the time comes, letting go.

I was inspired by a great deal in Dr. Desai’s talk, and in a talk by my friend and colleague Susan McFadden, who began her talk about “social death” and stigma in dementia with a quote from William James:

“If no one turned round when we entered, answered when we spoke, or minded what we did, but if every person we
met ‘cut us dead,’ and acted as if we were non-existing things, a kind of rage and impotent despair would ere long well
up in us, from which the cruelest bodily tortures would be a relief; for these would make us feel that, however bad
might be our plight, we had not sunk to such a depth as to be unworthy of attention at all.” (from the Principles of
Psychology, 1890)

McFadden connected social death to studies of how loneliness makes us sick (Hawkey and Cacioppo, 2007, “Aging and loneliness: Downhill quickly? Current Directions in Psychological Science, 16. 187-191)

And suddenly, I was in my mom’s running store, The Aid Station, where I worked in high school. The running movement was just starting in 1982, so work tended to be a little slow. A friend had given me a book to pass the time – by someone named Kurt Vonnegut. The book was called Slapstick, or Lonesome No More. In it, Wilbur Daffodil-11 Swain runs for President and wins on the slogan, Lonesome No More. His theory was that modern times had torn up the fabric of community and we needed to reknit it to survive. I was a bit of a lonely kid – and in Vonnegut’s playful voice, I had found my home. I read it in an afternoon. And after work, went down to the Janesville Public Library and checked out every Vonnegut book they had.

sorry for the digression…memory is funny.

200px-slapstickvonnegut.jpg

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I came across this website/effort today– Changing Minds. The Royal College of Psychiatrists in the UK and the Republic of Ireland are tackling the problem of stigmatization of people with mental illness. The effort addresses Anxiety, Depression, Schizophrenia, Dementia, Alcohol and Drug Addiction, and Eating Disorders. Seems like a good idea for a project in this country…

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