The second to last stage of Alzheimer’s consists of the move to
the frontal lobe. This is when the loss of ability to interact socially is
activated, as well as loss of reasoning and judgment. It is in this time that
we see patients sometimes exhibit violent tendencies, and extreme mood swings. During
this phase the subject loses their social skills entirely prompting some
problematic behavior (Callone) : “Persons with
Alzheimer’s may exhibit behaviors that are considered inappropriate, such as
exposing their genitals in public. Some persons will undress completely and
wander into public spaces oblivious to their behavior. Urination in public
places may also occur. Some persons with SDAT will make frequent demands for
sexual intercourse or will propose sexual intercourse in the company of
visitors” (Long 214) .
On an anecdotal note, I
myself have been witness to this behavior, and it can be rather disturbing for
the outside parties involved. But I think what was the most upsetting is when,
or if, the subject becomes lucid momentarily long enough to recognize what had
just taken place. Sometimes in this case, the subject will become ashamed of
their actions and react in a violent outburst. Unfortunately, my Uncle had
dementia and I can remember the instances when he would be lucid just long
enough to recognize that he had done something inappropriate. The usual
reaction would be some version of self-destructive behavior, because he was
unable to communicate he became frustrated and acted out.
It was when my
Uncle had jumped from his reality into ours where the problems in
disassociation became real for him. Without the ability to communicate, or to
have full control of motor functions, the shift into our world again was
emotionally devastating. It is around this phase where, if the patient were
receiving in home care, they may be more likely to move into a facility where
they can have round the clock care. And it is also at this time where a
significant switch might occur in the attitude of the patients loved ones.
This one seems a little underdeveloped and a lot less theoretical than your other posts so far. Can you explain more how that transitional functions to cause pain (ie- it's not the slip from reality that is painful, but the return TO it...that is fascinating...) and think about that in terms of the theory you have discussed previously?
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