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Epistemological Issues in the Study of Insight in People with Alzheimer’s DiseaseGeorgetown University, Washington, DCsabats{at}georgetown.edu Epistemological challenges that attend the study of the degree to which people with Alzheimer’s disease (AD) manifest insight into their deficits are explored in terms of (1) the social dynamics of the situations that those afflicted confront in the process; (2) issues surrounding the use of discrepancy scores and interviews with those afflicted and their caregivers; and (3) problems surrounding the sorts of inferences that are made through the use of statistics in group studies. It is recommended that an understanding of and sensitivity to the personhood of the afflicted individual is of paramount import in interpreting his or her behavior in such situations, and that ignoring the individuality of those afflicted and their scores on assessment instruments in favor of statistical analysis of group data can result in grievous errors of interpretation of that data. Case examples are provided to underscore these points.
Key Words: anosognosia • cognition • dementia • personhood
Dementia, Vol. 1, No. 3,
279-293 (2002) This article has been cited by other articles:
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