La maladie d'Alzheimer (variations mélodiques d'une vie psychique)

Dans la maladie d'Alzheimer, les troubles mnésiques s'inscrivent dans le fonctionnement global de la psyché, conscient et inconscient. L'étude seule des fonctions instrumentales et cognitives ne suffit pas à mettre en lumière la spécificité démentielle. En effet, la perte des capacités intellectuelles ne justifie en rien l'hypothèse d'absence d'appareil psychique. La théorie psychanalytique offre les outils conceptuels permettant d'appréhender les fonctionnements psychiques qui aparaissent dans la démence. De plus, l'introduction de la musique au sein de la relation psychothérapique vise non seulement à déterminer les applications de la musicothérapie dans le champ de la démence mais encore à découvrir en quoi la musique nous éclaire sur le fonctionnement psychique du sujet dément. (...)In Alzheimer's disease, memory troubles come up in the global functioning of the psyche, conscious and unconscious. Just studing the cognitive functions is not enough to bring out the demential specificity. In fact, the loss of intellectual capacities doesn't justify the hypothesis of an absent psychic system. The analytical theory gives the concepts the grasp of psychic functionings that can appear in dementia. Furthermore, the introduction of music in psychoterapic relationship aims not only at determining the applications of musictherapy in the field of dementia, but at discovering how music can help to understand the psychic functioning of a demented subjet. (...)PARIS5-BU Saints-Pères (751062109) / SudocPARIS5-Bib. SHS Descartes CNRS (751062113) / SudocBOULOGNE-BU Psych. Henri Pieron (920125201) / SudocSudocFranceF

An overview of the use of music therapy in the context of alzheimer's disease: a report of a french expert group

International audienceObjectives: The aim of this overview is to present the developments of music therapy in France, its techniques, mechanisms and principal indications, mainly in the context of Alzheimer's disease.Methods: An international review of the literature on music therapy applied to Alzheimer's disease was conducted using the principal scientific search engines. A work group of experts in music therapy and psychosocial techniques then considered the different points highlighted in the review of literature and discussed them.Results and Discussion: Clinical and neurophysiological studies have enlightened some positive benefits of music in providing support for people with Alzheimer's disease or related disorders. Music therapy acts mainly through emotional and psycho-physiological pathways. It includes a series of techniques that can respond to targeted therapeutic objectives. Some studies have shown that music therapy reduces anxiety, alleviates periods of depression and aggressive behaviour and thus significantly improves mood, communication and autonomy of patients.Conclusion: Psychosocial interventions, such as music therapy, can contribute to maintain or rehabilitate functional cognitive and sensory abilities, as well as emotional and social skills and to reduce the severity of some behavioural disorders