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[Transgressions and Behavioral Disorders in Demented Seniors]
Philippe Thomas1, Cyril Hazif-Thomas2
1Centre de recherches sémiotiques (CeReS, EA 3648), Université de Limoges, 39 rue Camille-Guérin, 87000 Limoges, France.
Behavioral disorders in the elderly are not solely due to Alzheimer's disease. Underlying factors like life experiences and psychological defenses can contribute, impacting their environment and increasing risks in care settings.
Area of Science:
- Gerontology
- Psychiatry
- Psychology
Background:
- Behavioral disorders in the elderly are often attributed solely to cognitive decline, such as Alzheimer's disease.
- This perspective overlooks other significant contributing factors to behavioral disturbances in older adults.
- Understanding these multifaceted origins is crucial for effective elderly care.
Purpose of the Study:
- To explore factors beyond cognitive disorders that influence behavioral problems in the elderly.
- To investigate the role of "transgressive will," life history, and psychological defense mechanisms.
- To analyze the impact of these behavioral issues on the human environment and institutional psycho-social risks.
Main Methods:
- Qualitative analysis of case studies and psychological assessments.
- Exploration of psychoanalytic theories related to defense mechanisms and life narratives.
- Review of environmental and social factors within institutional settings.
Main Results:
- Behavioral disorders in the elderly can stem from "transgressive will," rooted in life experiences and archaic psychological defenses, independent of cognitive impairment.
- The distress caused by these behaviors can exacerbate the problems and negatively affect the elderly individual's environment.
- Institutional settings face increased psycho-social risks due to these complex behavioral challenges.
Conclusions:
- Cognitive disorders are not the sole cause of behavioral issues in the elderly.
- Life history and psychological defense mechanisms play a critical role and require consideration in treatment.
- Addressing these underlying factors is essential to mitigate environmental distress and reduce institutional risks.
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