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Updated: Aug 16, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
A Disembodied Dementia: Graphic Medicine and Illness Narratives
Sarah B Kovan1, Derek R Soled2
1Department of Psychiatry, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Abstract:
The dominant discourse on dementia promotes a view that as individuals progress with the disease, they experience a neurological decline causing a loss of self. This notion, grounded in a Cartesian representation of selfhood, associates a loss of self as directly related to cognition. This paper presents an alternative anthropological framework, embodied selfhood, that challenges this representation. It then examines a potential tool, graphic medicine, to translate this theory into caregiving practice. Through analyzing three graphic novels-Wrinkles, Tangles, and Aliceheimer's-this paper demonstrates how tension exists between different conceptions of selfhood and associated implications for caregivers and patients alike.
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