Society today, writes Stephen Post, is "hypercognitive": it places
inordinate emphasis on people's powers of rational thinking and
memory. Thus, Alzheimer disease and other dementias, which over an
extended period incrementally rob patients of exactly those
functions, raise many dilemmas. How are we to view -- and value --
persons deprived of what some consider the most important human
capacities?
In the second edition of "The Moral Challenge of Alzheimer
Disease," Post updates his highly praised account of the major
ethical issues relating to dementia care. With chapters organized
to follow the progression from mild to severe and then terminal
stages of dementia, Post discusses topics including the experience
of dementia, family caregiving, genetic testing for Alzheimer
disease, quality of life, and assisted suicide and euthanasia. New
to this edition are sections dealing with end-of-life issues
(especially artificial nutrition and hydration), the emerging
cognitive-enhancing drugs, distributive justice, spirituality, and
hospice, as well as a critique of rationalistic definitions of
"personhood." The last chapter is a new summary of practical
solutions useful to family members and professionals.
Praise for "The Moral Challenge of Alzheimer Disease":
"Health professionals who deal with dementia, as well as family
members who care for relatives who become disabled, will find this
book thoughtful, engaging, and provocative."" -- New England
Journal of Medicine"
"The genuine concern and caring that permeates this
well-researched, informative and moving book leads me to recommend
it highly both to academic and general readers."-- "Heythrop
Journal"
"This is a much needed andinspirational addition to the
literature of Alzheimer's disease... Ethics Committees will find it
invaluable as will nursing home administrators, directors of
nursing, and all who care for people no longer able to care for
themselves." -- "Journal of Long-Term Care Administration"
"An intelligent and morally informed treatment of dementia in
the aged."" -- First Things"
"Full of nourishing food for thought... "The Moral Challenge of
Alzheimer Disease" presents the reader with a clear offering of
concerns, ideas, and issues about the quality of life and quality
of choice issues."" -- American Journal of Alzheimer's Disease"
"Stephen Post has produced an outstanding, potentially classic
book. It is well written, clear, patiently argued, and broadly
referenced. Readers can learn much about Alzheimer's disease from
this book." -- "Health Affairs"
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