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Qualitative Assessment of The Writing Sentence Item in The MMSE

Qualitative Assessment of The Writing Sentence Item in The MMSE. I. Biran 1 , J.P. Newman 1 , A. Gal 1 , N. Levin 1 , G. Friedman 2 Departments of Neurology(1) and Geriatrics(2) Hadassah Hebrew University Medical Center Special Thanks to Dr. Gitit Kave (Tel-Aviv University).

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Qualitative Assessment of The Writing Sentence Item in The MMSE

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  1. Qualitative Assessment of The Writing Sentence Item in The MMSE I. Biran1, J.P. Newman1, A. Gal1, N. Levin1, G. Friedman2 Departments of Neurology(1) and Geriatrics(2) Hadassah Hebrew University Medical Center Special Thanks to Dr. Gitit Kave (Tel-Aviv University)

  2. Narrative Approach • Content • Self Generated • Related to the individual’s experience • Opens a window to the inner world

  3. Pt - 1 • Parkinson’s Disease patient, normal MMSE, pre-op (Deep Brain Stimulation) evaluation Once more into the breach, once more, or fill the breach with our English dead • William Shakespeare, King Henry V, Act 3, Scene I (before Harfleur) Once more unto the breach, dear friends, once more;Or close the wall up with our English dead.In peace there's nothing so becomes a manAs modest stillness and humility:But when the blast of war blows in our ears,Then imitate the action of the tiger; • Personality type? Coping with disease…

  4. Pt - 2

  5. MMSE Psycho-analysis … the fundamental rule of psycho-analysis which lays it down that what ever comes into one’s head must be reported without criticizing it… (Freud S., The Dynamics of Transference, Standard Edition, XII, 107) … You will be tempted to say to yourself that this or that is irrelevant… …you must never give in to these criticism… … say whatever goes through your mind… (Freud S., On Beginning the Treatment, Standard Edition, XII, 135)

  6. Hypothesis • The MMSE can probe psychodynamic processes

  7. Design

  8. Demographics

  9. Informative Sentences Does a sentence convey information which might be new to the examiner?

  10. Information Regarding The Current Situation Is the sentence related to the current situation? “I am embarrassed by these questions”

  11. Related to Oneself? Is the subject = 1st person? “I want to be healthy”

  12. Positive information Sentence contains positive adjectives/adverbs “You are nice…”

  13. Conclusions • The MMSE sentence writing item, although regarded as a linguistic item, can be utilized for affective co-morbidity in AD subjects • The MMSE sentence writing item can serve as a “red flag” for psychodynamic processes

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