Representation of Body Image in Dementia

Montani, Claudine

Representation of Body Image in Dementia - 2009.


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This study discusses body image based upon clinical observations (speech, human-figure drawings) of subjects with dementia. After outlining a theoretical reflection on this concept at the articulation between the physical body and the psychological Self, the authors propose a few hypotheses about the failure of self-containment observed in subjects with dementia. The subject’s loss of the feeling of permanence and of historicity could partially originate in the de-differentiation between the psychological Self and the bodily Self. Body image can no longer carry out its transitional object function, confronting the subject with a symbolic gap and an emptiness anxiety. In an attempt to fill the gaps of this failed soma/psychic envelope, the subject may activate various Self-containing processes. Psychological therapy for a person with dementia is described as a narcissistic anchoring supporting the restoration of their Self-identity.

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