Emerging Technologies for Preventing the 'New' Dementia: Ambiguous Optimism in the Canadian Context.

Experts' views on the use of mostly digital technologies for dementia prevention are characterized by a simultaneity of "gerontechnological optimism" and skeptical hesitancy. Despite the hope for progress in dementia prevention through preventive technologies, experts also point to the complexity of prevention, the importance of environmental factors and public health policies, and the danger of an excessive focus on individual interventions. Without questioning the positive impact such technologies can have on many people, we claim that the experts' ambiguity reveals a deeper concern, a kind of "cruel optimism" that is based on a fantasy of "supported autonomy".

Annette Leibing and Silke Schicktanz (eds): Preventing dementia?: Critical perspectives on a new paradigm of preparing for old age : Berghahn Books, New York / Oxford, 2020.

Given the lack of effective curative treatment options and in light of a significant reconceptualization of Alzheimer's disease, the focus of dementia research has shifted towards prevention, risk prediction, and detection in very early disease stages. In the context of these shifts, the edited volume Preventing Dementia?: Critical Perspectives on a New Paradigm of Preparing for Old Age (edited by Annette Leibing and Silke Schicktanz) collects critical and insightful positions on the new paradigm of dementia prevention from an interdisciplinary and international perspective. The editors introduce the overarching topic of prevention by reflecting on the optimistic framing of modifiable risk factors and their novelty in the dementia context. Leibing and Schicktanz call for a cautious reception of the findings in the Lancet report(s) and draw attention to epistemic, ethical, and socio-political issues of what the editors term the contested "new dementia" and to the effect that this might have on rethinking individual and societal perceptions of aging. The contributions of the anthology depict the social and cultural dimensions of dementia discourses and consider the ethical implications of the changing conceptions of Alzheimer's disease as well as the shift towards early disease stages and prevention. With this, the anthology initiates a debate about the often implicit unresolved social, ethical, and political implications and preconditions of the medical understanding and handling of cognitive disorders.

The Experts' Advice: Prevention and Responsibility in German Media and Scientific Discourses on Dementia.

In the absence of effective pharmacological therapy options, the focus of dementia and Alzheimer's research has shifted from treatment and care to risk prediction, early detection, and prevention. Public health communication and media coverage regarding dementia emphasize the individual responsibility for dementia risk management. Focusing on the social and moral implications of the new understanding and public representation of dementia, we present an analysis of medical science, nursing science, and media discourses in Germany between 2014 and 2019. We show which notions of dementia and prevention characterize the medical and nursing science debates regarding dementia and how scientific knowledge is transferred into media discourses on dementia. We further discuss how dementia risk communication interacts with contemporary social and health policies and in what ways current dementia discourses are associated with a (self-)responsibilization of cognitive aging.

Paradoxes of late-modern autonomy imperatives: Reconciling individual claims and institutional demands in everyday practice.

Governmentality studies and social theories agree that in contemporary societies the idea of autonomy is no longer simply an ideal or an individual aspiration but a social obligation. In an attempt to clarify the meaning of autonomy in this day and age, this paper asks how individuals perceive and negotiate the various dimensions of autonomy and how this affects the functioning of late-modern institutions. The empirical insights derived from a qualitative study provide a differentiated picture of how individuals pursue their claims to autonomy and comply with institutional demands for autonomy in everyday practice. By presenting seven types of late-modern "autonomy managers," the analysis evinces a usurpation of autonomous agency that renders individuals the institutional editors of the contemporary contradictions, deficits, and tensions that occur in their everyday interactions. This comes at the price of notionally free but exhausted actors running short of all kinds of resources.