Still Alice: Early-Onset Alzheimer's Disease

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The book, ‘Still Alice’, is written from the perspective of Alice, a woman diagnosed with Early-Onset Alzheimer’s Disease. Focusing on Alice’s thoughts, feelings and wishes surrounding her experiences throughout the progression of her condition, as well as the impact which she believes her illness will have upon her family, the story can relate to the emotional state of many individuals during the transition into mental distress. Within the book various themes relevant to social work become evident, however, this review concentrates on the issue of identity and how this can be impacted by loss, as well as societal treatment following a diagnosis of mental illness. The book highlights the numerous psychological and emotional effects which …show more content…

However following the diagnosis of Alzheimer’s Disease, Alice’s self-worth plummets as uncertainty causes her to question her identity. Whilst comprehending her role and purpose in life, Alice struggles with her emotional responses as she grieves the loss of the person she was and the person she will become. Alice is not only affected by various emotions relating to her dilemma, such as fear of the unknown and disbelief over her inaccurate assumption of dementia stereotyped as an ‘older person’s disease’, but Alice also contends with negative internalised feelings, such as hopelessness, worthlessness and failure, brought on by the derogatory treatment and discrimination she receives from societal prejudicial attitude on account of her ‘label’. Alice becomes a target for differential treatment as the stigma surrounding mental health labels means Alice is assumed incapable of thinking and acting rationally; something which she herself starts to …show more content…

The strengths perspective of social work focuses and utilises the assets family members possess to minimise their difficulties. Social workers are mindful of diversity and, to prevent bias, remain non-judgmental and respectful of families varying norms, values and attitudes, as well as have awareness of the potential of their own values influencing practice. As in many families with parents with relatively low care needs the high cost of assisted care means caring tends to befall upon daughters because of gender inequality and the assumption that females are more nurturing. In the story, Lydia had a strained relationship with her mother, but is was unthinkable for her father and brother to care for Alice as their role was as financial providers for the family’s needs. Consequentially, although Alice felt guilt and a burden to the family, Lydia adopted the role of primary carer, partially out of love and loyalty for her mother, but also necessity due to the family’s traditional views of gender. Although caring and supporting Alice with her mental ill-health needs enabled Lydia and her mother to repair and rekindle a closer relationship. Lydia tailed communication around Alice’s capabilities and through being honest and open, Lydia began to understand Alice as she could empathise with her mother’s plight and its emotional effect.

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