Jacqueline Anne Sullivan
University of Western Ontario
This study aimed to understand the preserved elements of self-identity in persons with moderate to severe dementia attributable to Alzheimer’s disease. A semi-structured interview was developed to explore the narrative self among residents with dementia in a residential care facility and residents without dementia in an independent living setting. The interviews were transcribed verbatim from audio recordings and analyzed for common themes, while being sensitive to possible differences between the groups. The participants with dementia showed evidence of self-reference even though losses in explicit memory were evident. The most noticeable difference between the two groups was time frame reference. Nonetheless, all participants showed understanding of their role in relationships and exhibited concrete preferences. Our findings suggest that memory loss and other cognitive deficits associated with moderate to severe dementia do not necessarily lead to a loss of “self.”.
Keywords self  Alzheimer's disease  dementia
Categories (categorize this paper)
Reprint years 2015, 2016
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

 PhilArchive page | Other versions
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

Five Kinds of Self-Knowledge.Ulric Neisser - 1988 - Philosophical Psychology 1 (1):35 – 59.
The Alzheimer's Disease Sufferer as a Semiotic Subject.Steven R. Sabat & Rom Harré - 1994 - Philosophy, Psychiatry, and Psychology 1 (3):145-160.

Add more references

Citations of this work BETA

Add more citations

Similar books and articles

Dementia in Our Midst: The Moral Community.Stephen G. Post - 1995 - Cambridge Quarterly of Healthcare Ethics 4 (2):142.
“The Heart Still Beat, but the Brain Doesn't Answer”.Mary C. Olson - 1999 - Theoretical Medicine and Bioethics 20 (1):85-95.
The Burden of Dementia: A Medical and Research Perspective.Piero Antuono & Jan Beyer - 1999 - Theoretical Medicine and Bioethics 20 (1):3-13.
Agency and Moral Relationship in Dementia.Bruce Jennings - 2009 - Metaphilosophy 40 (3-4):425-437.
Thinking Through Dementia.Julian C. Hughes - 2011 - Oxford University Press.


Added to PP index

Total views
676 ( #9,526 of 2,448,737 )

Recent downloads (6 months)
38 ( #17,989 of 2,448,737 )

How can I increase my downloads?


My notes