Expectant futures and an early diagnosis of Alzheimer's disease: Knowing and its consequences

Social Science & Medicine
Julia Swallow

Abstract

Efforts to diagnose Alzheimer's disease (AD) at earlier stages as a means to managing the risks of an ageing population, dominate scientific research and healthcare policy in the UK. It is anticipated that early diagnosis will maximise treatment options and enable patients to 'prepare for their future' in terms of care. Drawing on qualitative data gathered across an out-patient memory service and in-patient hospital in the UK, the purpose of this paper is to examine the ways in which the hopeful promissory claims of early diagnosis as it maintains the dominant biomedical model for managing AD, are negotiated by healthcare practitioners. Developing the analytical standpoint of the sociology of expectations, this paper demonstrates that early diagnosis has the potential to 'close off' hopeful promissory visions of the future in two ways. Firstly, it (re)produces the fearful anticipations of AD built around expectations concerning the ageing future 'self', and secondly it produces uncertainty in terms of the availability of care as material resource. Whilst practitioners account for the uncertainties and anxieties it produces for patients and their families, they also convey a sense of ambivalence concerning early diagnosis. This ...Continue Reading

Citations

Jan 30, 2018·Journal of Alzheimer's Disease : JAD·Elena PortacoloneRobert L Rubinstein
Oct 23, 2019·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Leonie N C VisserMarij A Hillen
Jun 4, 2019·New Genetics and Society·Anne KerrSarah Cunningham-Burley
Feb 18, 2021·Health Sociology Review : the Journal of the Health Section of the Australian Sociological Association·James Rupert Fletcher
Feb 27, 2021·Sociology of Health & Illness·Karen Dam Nielsen, Marianne Boenink
Sep 14, 2021·Frontiers in Aging Neuroscience·Jiacheng ZhongJianjun Liu

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