Constructing classification boundaries in the memory clinic
Negotiating Risk and Uncertainty in Constituting Mild Cognitive Impairment
Bibliographic Data
| ID | 2249648 |
|---|---|
| Authors | J Swallow (0000-0002-9341-3239, School of Sociology and Social Policy University of Leeds Leeds UK, corresponding author) |
| Year | 2020 |
| Volume | 42 |
| Issue | S1 |
| Pages | 99-113 |
| Publication date | 2020-08-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.13016 |
| PMID | 31724775 |
| OpenAlex | W2989030141 |
| Language | EN |
| Citations received | 14 |
| References cited | 52 |
Determining the boundaries around processes of 'normal' ageing and pathological cognitive deterioration associated with Alzheimer's disease (AD) is a difficult process, complicated further by the expansion of the disease category to include mild cognitive impairment (MCI). MCI is a label used to identify individuals with the symptoms of cognitive deterioration not attributable to 'normal ageing' but deemed to be 'at risk' of developing AD despite clinical uncertainty around whether individuals will go on to develop the condition in the future. Drawing on qualitative data gathered across an out-patient memory service, this article examines practitioners' accounts of the complexity associated with constructing the boundaries around MCI, AD and age in the clinic. Practitioners utilise uncertainty by classifying patients with MCI to keep them on for review to account for the possibility that patients may go on to develop AD but they also recognise the difficulty in predicting future progression to AD. Negotiating classification boundaries in the clinic is, however, not only about managing uncertainty regarding potential future risk but also about navigating the wider social and political context in which ageing and cognitive deterioration intersect, and are constructed and managed
Cognition · Cognitive decline · Cognitive impairment · Cognitive psychology · Context (archaeology · Dementia · Disease · Memory clinic · Negotiation · Pathology · Psychiatry · Sociology · Aging and Gerontology Research · Dementia and Cognitive Impairment Research · History · Medicine · Mental Health and Psychiatry · Psychology · Gerontology
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| Unique citing works | 14 |
|---|---|
| Citations per year | 2 |
| Citation span | 2019 - 2026 (8) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 14 |