Sad senior man sitting on wooden bench outside nursing home

Hastings Center Report

From Self-Advocacy to Solidarity: Narrating Disability and Dementia beyond Personal Identity

Abstract: Does the pursuit of disability justice for people with demen­tia require that people with dementia personally identify as disabled? On one level, self-repre­sentation has been a critical strategy for combating harm­ful and inaccurate assumptions that people with disabilities or dementia are inherently incapable of self-advocacy. At the same time, disability-rights narratives in which self-representation is fundamental to liberation cannot fully account for the realities of people with advanced dementia or other conditions that profoundly affect cognitive function. This essay argues that bringing disability and dementia advocacy together requires a shift beyond identity-based personal narratives and toward struc­tural narratives that illustrate the processes through which dementia is historically constructed and that imagine alternatives to those processes. Such narratives not only reveal the effects of ableism beyond those who identify as disabled but also illuminate possibilities for resisting harmful structural forces through coalitional organizing and solidarity.

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