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Continuity and discontinuity in Dementia

โœ Scribed by Tom Dening


Publisher
John Wiley and Sons
Year
1993
Tongue
English
Weight
454 KB
Volume
8
Category
Article
ISSN
0885-6230

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โœฆ Synopsis


Recent evidence from epidemiological studies has been used to suggest that dementia represents the extreme of a continuous distribution of normal ageing, rather than being a qualitatively distinct disease entity. In contrast, clinicians, who are asked to advise about individual cases, assign patients to diagnostic groups, thereby using a categorical model of dementia. This article argues that both approaches are models, and therefore neither is 'correct'. Each model has its strengths and limitations, and the choice of which model to apply should depend on which is more appropriate to the issues under consideration. Clinicians do not need to be apologetic about using dementia as a category as long as they are aware of the limitations of this approach.

KEY woms-Dementia, diagnosis, categories.


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