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12 - Growing back into community: changes through life with dementia

Published online by Cambridge University Press:  13 May 2022

Richard Ward
Affiliation:
University of Stirling
Andrew Clark
Affiliation:
University of Salford
Lyn Phillipson
Affiliation:
University of Wollongong, Australia
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Summary

Prior to my diagnosis my involvement in community was centred around my extended family and work and work colleagues. Like many people, my family is spread over a large geographic area and meaningful interaction involves physical and social contact. This has necessitated regular travel by private car. Private transport provides a needed degree of flexibility and control that is lacking from public transport. Social interaction within my local community was limited to a small circle of friends who were predominately work colleagues.

Then came my diagnosis. In mid-2013 at the age of 59 I was diagnosed with younger onset dementia. As part of my diagnosis I was given three to six years to live and told that I should retire as soon as possible. I soon began to experience the stigmas associated with dementia that are often the result of people's misconceived stereotypes around dementia. My GP also advised me not to tell anyone I has frontotemporal dementia, but to say that I had frontotemporal degeneration. I didn't understand why she would advise this, but later realised it was a strategy to avoid the stigmas associated with dementia. I was also advised I either had to stop driving or have a driving test. However, it was both expensive and stressful to undergo a ‘fitness to drive’ assessment, just to prove I could still drive. So it felt like there were obstacles being put in the way of me continuing to do the things that were important to me. As I finished work my world of social interactions diminished and my interactions with the broader community contracted. What I experienced I later realised was best described as ‘prescribed disengagement’ (Swaffer, 2015), being advised to withdraw from ‘normal’ life, get my affairs in order and prepare to die. My broad group of social contacts contracted to a few friends and family. My interactions within my local neighbourhood became those oriented around doing ‘essential tasks’ such as grocery shopping and medical appointments – a model that could have been the prototype of ‘social isolation’ in today's world of COVID-19.

After about 18 months of this contracting social world, I was invited to attend an early public meeting of what was to become the ‘Dementia Friendly Kiama Project’.

Type
Chapter
Information
Dementia and Place
Practices, Experiences and Connections
, pp. 186 - 190
Publisher: Bristol University Press
Print publication year: 2021

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