Calls of Care: Materializing Posthuman Personhood with Conversational Agents in Dementia Care

In designing for dementia, the concept of person-centered care (PCC) effectively shifts attention away from deficit orientations. However, it predominantly focuses on the roles of humans in sustaining personhood, leaving the roles of nonhuman actors in care assemblages under-explored. To address this, we propose a theory–method package that extends PCC with posthumanist perspectives. We applied it in a six-month participatory design process to develop a conversational agent (CA) with four people living with dementia (PlwD), their relatives, and care workers. We report both the design process and analysis of conversations between the CA and one PlwD. Tracing the socio-material and ethical assemblages that emerged in these intra-actions, we identify moments of recognition, validation, holding, and facilitation. Situating these within broader discussions of care, process-oriented ethics, and posthuman design, we illustrate opportunities and limits to design for meaningful experiences of personhood between people with dementia, CAs, and other nonhuman actors.