Please cite this article as: Gil R, Fargeau M-N, Jaafari N, Conscience de Soi, maintien du Soi et identité humaine au cours de la maladie d'Alzheimer, Annales mediopsychologiques (2010), doi:10.1016/j.amp.2011.06.004 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.Page 1 of 10 A c c e p t e d M a n u s c r i p t
AbstractIdentity is a part of self-consciousness, which is also expressed as "being in the world" which one in turn shows to others as the Self. The assessment of the Self in a population of patients with Alzheimer's disease, according to a multidimentional definition (physical, social, spiritual), showed that the social self was impaired, and the severity of impairment of the self was correlated to apathy and lack of semantic autobiographical memory. It also appears that ipseity is selectively affected by the disease.
RésuméObjectif : Une incohérence du sentiment de Soi ou Self ne procède pas toujours d'un déficit de la mémoire autobiographique. Conclusion : L'altération du sentiment de Soi peut ainsi procéder non d'un déficit de la mémoire mais de la difficulté qu'a un sujet à intégrer à sa mémoire (identité narrative) un souvenir imaginaire dont la réalité s'impose néanmoins à lui.Mots clés : Connaissance de Soi ; Identité ; Mémoire
AbstractObjective: An inconsistency in the sense of self does not necessarily follow from a deficit of autobiographical memory.
Materials and methods:We report two cases of memory reduplication with delusion, one concerning an event reduplication memory, the other one a spatial reduplication memory.Results: The first patient, J.M., presents with a confusion of identity, which forces him to search for some evidence in his imaginary memory. The second patient, R.B., remembered having juxtaposed two separate geographical sites, became aware of his false conviction, and Page 2 of 2 A c c e p t e d M a n u s c r i p t finally attempted to find explanations for this perceptual illusion.Conclusion: Impairment of self-knowledge can be caused not only by a memory deficit, but also by a difficulty of subject to incorporate an imaginary history in his memory (narrative identity), particularly when reality is not coherent with the imaginary history.
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