John Libbey Eurotext

Gériatrie et Psychologie Neuropsychiatrie du Vieillissement


For an integrative approach of Alzheimer's disease. Relevance and limits Volume 10, issue 1, Mars 2012

Hôpital de jour de psychiatrie de l’âge avancé « Le Rempart », Rouffach

Alzheimer's disease could be studied according to neurological, cognitive, and psychopathological aspects. We propose an integrative approach fitting together the theoretical advances of the various dimensions to develop a better understanding of the disorders, then a better care for the patients. The integrative approach deviates deliberately from any attempt to formulate etiological hypotheses, and considers the disorder in its functional complexity, simultaneously taking into account the somatic and psychological factors involved. According to this monistic view, the traditional cleavage between the soma and psyche, usually found in Alzheimer's disease, should be rejected and substituted for the principle of compatibility intending to identify the points of convergence of various conceptual approaches in order to emphasize their potential overlap and areas of clinical complementarity rather than their epistemological antagonisms. The neuro-psychic link is therefore central to the conceptual development proposed here, and more specifically for the memory disorders, the concept of memory trace belonging both to psychoanalytic and neuropsychological theories.