Analyse du sens d'un trouble du comportement dans la démence

The behavior disorders are frequent in Alzheimer's disease. They sometimes reflect a tension between on the one hand what the patient did, what he would like to continue and on the other hand the frame of the caregivers' horizon. Poor praxis, instrumental difficulties, are sources of failure in what patients undertake and of relational difficulties within the human surrounding where he/she is no more understood. We propose in this article, from a clinical case, a method of analysis of the practices' adjustments of demented person with the aim of an adaptation of the care. We insist in this article on the analysis of the interrelations of the systematic components to release the sense direction of what the patients tries through their behavior, by taking account of their points of view and those of their formal or informal caregivers. In the reported case, through a behavioral disorder, the demented person raises the question of his/her identity. Sense of the behavior disorder, such as the nursing can understand it, is then his demand of identity's support, and not simply in a palliative help of failing practices.