The “authentic subjective experience” of memory in Alzheimer’s disease

Author:

El Haj Mohamad123,Moustafa Ahmed A.45,Roche Jean6,Pasquier Florence7,Kapogiannis Dimitrios8,Gallouj Karim2,Antoine Pascal9

Affiliation:

1. Univ Nantes, Laboratoire de psychologie des Pays de la Loire, LPPL, EA 4638, F-44000 Nantes, France

2. Unité de Gériatrie, Centre Hospitalier de Tourcoing, Tourcoing, France

3. Institut Universitaire de France, Paris, France

4. School of Social Sciences and Psychology & Marcs Institute for Brain and Behaviour, Western Sydney University, Sydney, Australia

5. Department of Human Anatomy and Physiology, the Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa

6. CHU de Lille, Unité de Psychogériatrie, Pôle de gérontologie, 59037 Lille, France

7. University Lille Nord de France UDSL and Memory Clinic, CHU, Lille, France

8. Laboratory of Neurosciences, National Institute on Aging, Baltimore, MD, USA

9. Univ. Lille, CNRS, CHU Lille, UMR 9193 – SCALab – Sciences Cognitives et Sciences Affectives, F-59000 Lille, France

Abstract

AbstractMost research has mainly focused on the decline of the subjective experience in Alzheimer’s disease (AD). However, few attempts have been made to evaluate whether subjective experience may be maintained in AD. In this narrative review, we attempt to provide a positive view, according to which patients with AD can enjoy, to some extent, subjective experience during memory retrieval. Memory and expression difficulties (e.g., aphasia) limit the ability of patients with AD to describe their memories, resulting in a little specificity of reported memories. However, according to the “authentic subjective experience” view, we propose in this study that the ability to mentally relive these memories could be preserved in the patients. By proposing the authentic subjective experience view, we attempt to provide an alternative view to the general consideration that the patients suffer a diminished subjective experience. This view can contribute to a larger clinical framework that gives a positive meaning to the subjective experience of patients with AD. Furthermore, several clinical and empirical implications can be drawn from the authentic subjective experience view, including the possibility to evaluate behavioral correlates of the subjective experience in AD.

Publisher

Walter de Gruyter GmbH

Subject

General Neuroscience

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