The Nosology of Dementia

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Nosology is the classification of disease. The classification of dementia first as a syndrome distinct from other causes of cognitive impairment, and then as one with several causes, continues to evolve. Current trends aim to move the syndromic diagnosis of dementia more towards being based on cognitive test impairment, and less on how low cognitive test scores impact on function, or on the personhood of the individual with low cognitive test scores. Although this can favour early diagnosis, which will be of especial value if progression can be prevented, it is not without the potential for unintended adverse consequences. Such a trend was anticipated and warned against by early modern commentators on dementia. How far the pendulum will swing towards a low threshold for diagnosis and for how long it will stay there, will be of interest.

Original languageEnglish
Title of host publicationPrinciples and Practice of Geriatric Psychiatry
Subtitle of host publicationThird Edition
PublisherJohn Wiley and Sons
Pages201-206
Number of pages6
ISBN (Print)9780470747230
DOIs
Publication statusPublished - Dec 2 2010

Bibliographical note

Funding Information:
This work was supported in part by National Institute on Aging grants AG03991 and AG05681 and by National Institute of Neurological Disorders and Stroke grant NS24050.

ASJC Scopus Subject Areas

  • General Medicine

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