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Mélodie d'Alzheimer et palilalie : les enjeux du dévoilement des processus archaïques dans la maladie Alzheimer à un stade avancé

Abstract : The author proposes a reflection on the palilalia of the subject suffering from Alzheimer's disease at a severe stage. If, most of the time, this behavior of verbal repetition is considered senseless, the aim is to bring a new approach, including the hypothesis of an involution of the system of representation of the subject denies.In palilalia, it is not so much the content that matters but the way of saying. Thus, by emphasizing the saying rather than the saying as well as on the manifestations of the body, the author concludes that the prosody of palilalia becomes an important indicator concerning the state of distress of the subject. From then on, the environment in which the Alzheimer subject is located is paramount. The more the distress increases, the more the flow of the palilalia will be fast and the tone high.After trying to "repeat the repetition" with Alzheimer subject, and finding that this method generated new syllables, the author proposed a music therapy to the three subjects of this research, in the hope that the mediation through music preserves the beneficial effects initially observed. The results validated the hypothesis that active and / or passive music has a positive effect on palilalia, both in terms of appeasement and symbolic relaunch.In fact, this study more broadly suggests that palilalia does not (only) have a neurological cause as research so far suggested, since the modulation of the environment and the presence of another benevolent and listen are able to channel it.
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Pauline Deboves. Mélodie d'Alzheimer et palilalie : les enjeux du dévoilement des processus archaïques dans la maladie Alzheimer à un stade avancé. Psychologie. Université de Lyon, 2018. Français. ⟨NNT : 2018LYSE2149⟩. ⟨tel-02492191⟩

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