The symptomatology of the behavioral disturbances in dementia

  • Matsuda Minoru
    Department of Geriatric Neurology, Shiga Medical Center for Adults.

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  • 認知症の症候論

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  The psychopathological aspects of various behavioral disturbances commonly observed in people with dementia are discussed. Patients with Alzheimer's disease frequently keep up appearances under difficult conditions such as when they cannot answer the examiner's questions. This sort of behavior may be understood as coping skills of people with dementia who are unwilling for their disabilities to be exposed. Psychological aloneness and anxiety should play a major role in developing delusions of theft which are the most common type of delusions in dementia. Delusional misidentifications may be associated with denial of the unpleasant relationship between patients and their close relatives. <br>  To elucidate the pathogenesis of behavioral disturbances in dementia, and to offer appropriate therapeutic suggestions, we should approach the individual mind of people with dementia considering individual personality, biography, and the environments, in addition to neuropsychological evaluation.

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