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American Journal of Alzheimer's Disease and Other Dementias®
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Barriers to the construction of a valued social identity: A case study of Alzheimer's disease

Steven R. Sabat, PhD

Lisa Napolitano

Heather Fath

Department of Psychology, Georgetown University, Washington, DC.

This case study describes a person with mild-to-moderate stage Alzheimer's disease (AD) and examines the relationship between malignant positioning and the ability of a person with AD to gain the cooperation of healthy persons to construct a valued social identity. Findings reveal that malignant positioning limited the person with AD to the embarrassing social identity of dysfunctional patient; whereas, the absence of such positioning allowed the subject to gain the cooperation from others necessary to construct a valued social identity, as well as reduce embarrassment and experience greater sense of self-worth. Preliminary recommendations on reducing malignant positioning are provided. Further research is required to elucidate the degree to which the present findings may be generalized.

Key Words: Alzheimer's disease • dementia • social identity • malignant positioning • psychosocial

American Journal of Alzheimer's Disease and Other Dementias®, Vol. 19, No. 3, 177-185 (2004)
DOI: 10.1177/153331750401900311
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