探索为什么“记忆丧失”是对痴呆症患者的一种误导性描述,并可能导致功能失调的护理。

Dementia (London, England) Pub Date : 2023-11-01 Epub Date: 2023-09-05 DOI:10.1177/14713012231200622
Steven R Sabat, Alison Warren
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引用次数: 0

摘要

在预防和改善对痴呆症患者的治疗的目标中,仍有许多工作要做,以提高目前确诊患者的生活质量,特别是将准确的信息从专业人员传递给公众。尽管许多医疗保健专业人员了解各种类型的记忆,并且在痴呆症的进展过程中可能比其他人更容易受到影响,但外行人往往不知道这一重要信息。用于描述痴呆症症状的术语可能会对缺乏、受损或保留的官能的认知产生很大影响。在这方面,了解痴呆症患者保留的记忆能力和其他认知能力的细微差别是重要的。“记忆丧失”一词作为痴呆症综合征的描述词,并将其归因于痴呆症患者,意味着无法形成新的记忆和参与有意义的社会互动,这对他们的人格是有害的。通过神经学、神经生物学、心理学和案例研究等多学科方法,我们在此强调“记忆丧失”一词可能是不准确的、适得其反的,并可能促进与痴呆症相关的误解、恶性定位和恶性社会心理。研究和日常行为证明,痴呆症患者明显在外显记忆或按需回忆方面存在困难,但仍保留内隐记忆。因此,我们建议使用替代医学语言来准确反映记忆障碍和保留一些重要的记忆能力。
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Exploring why "memory loss" is a misleading descriptor of people living with dementia and can lead to dysfunctional care.

Amidst goals for prevention and improved treatment for people living with dementia, much remains needed to enhance the quality of life of those currently diagnosed, especially the transfer of accurate information from professionals to the public. Although many healthcare professionals understand the various types of memory and which are likely to be more affected than others during the progression of dementia, lay persons are more frequently unaware of that important information. The terms used to describe the symptoms of dementia can have a great impact on perceptions of faculties that are absent, compromised, or preserved. Understanding the nuances of preserved memory faculties and other cognitive abilities retained by persons with dementia is important in this regard. The term "memory loss" as a descriptor of the syndrome of dementia and ascribing it to persons with dementia connotes an inability to form new memories and participate in meaningful social interactions, which is detrimental to their personhood. From a multidisciplinary approach drawn from neurology, neurobiology, psychology, and case vignettes, we aim herein to highlight the ways in which the term "memory loss" can be inaccurate, counterproductive and potentially promote dementia-related misperceptions, malignant positioning and malignant social psychology. Persons with dementia unequivocally struggle with explicit memory, or recalling on demand, but retain implicit memory, as evidenced by research and everyday actions. Therefore, we propose the use of alternative medical language to reflect accurately memory impairment and preservation of some important memory capabilities.

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