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Embodied mind

Is the self lost in dementia?

Fuchs T · Medicine, health care, and philosophy · 2020

Open access · cc by · source: Europe PMC

If personhood is primarily bodily selfhood and implicit memory, dementia disturbs reflective meta-perspective without erasing the self-as-subject.

How this study connects

Role on claims

Each row is a claim on a concept or method page where this paper supports, challenges, or qualifies the statement. Roles are hand-checked — not a model guess.

  • SupportsEmbodied mindconcept

    Losing one's life story is not the same as losing one's self, on this view.

    If personhood is primarily bodily selfhood and implicit memory, dementia can disturb the reflective, narrative perspective without erasing the self-as-subject.

    Evidence for the claim as stated.

  • SupportsEmbodied mindconcept

    Both dementia papers are embodied accounts, but they disagree on what survives: one locates the self in bodily selfhood and implicit memory, so the person persists despite lost reflection; the other requires retained higher-order personality, values and relationships, so severe loss can end the same person.

    Evidence for the claim as stated.

  • Applied to personal identity, the method has been used to distinguish self-as-object from self-as-subject in dementia, arguing that implicit body memory and a basal feeling of self can remain even when reflective meta-perspective is disturbed, and to assess memory-modification technologies on a narrative account of the self, where deleting factual content threatens authenticity but stripping sensory vividness often does not.

    Evidence for the claim as stated.

  • Across the set, the output is an argument rather than a dataset. The papers describe themselves as essays, reconstructions or legal-philosophical analyses; none produces a clinical score, a cohort or a trial, and several say so explicitly in their limits.

    Evidence for the claim as stated.

  • Where the self is grounded. The dementia paper founds personhood in bodily selfhood and implicit memory and criticises purely discursive accounts, while the two neuroethics papers found practical identity in a self-told narrative whose accuracy and coherence can be damaged by editing memory or by misleading information. Both are phenomenological, but they locate the threat to identity in different places.

    Evidence for the claim as stated.

Open questions

Tensions this paper is part of

From concept pages' “where studies disagree.” Disagreement means the same question; scope means different assays, populations, or outcomes.

  • Disagreement on the same question

    Both dementia papers are embodied accounts, but they disagree on what survives: one locates the self in bodily selfhood and implicit memory, so the person persists despite lost reflection; the other requires retained higher-order personality, values and relationships, so severe loss can end the same person.

  • Scope difference — different assays, populations, or outcomes

    Where the self is grounded. The dementia paper founds personhood in bodily selfhood and implicit memory and criticises purely discursive accounts, while the two neuroethics papers found practical identity in a self-told narrative whose accuracy and coherence can be damaged by editing memory or by misleading information. Both are phenomenological, but they locate the threat to identity in different places.

History

When this study was placed

Dated entries from the concept change log — when this paper was added or removed as support, challenge, or qualifier on a claim.

  1. 2026-09-27

    Placed as supporting evidence on Embodied mind

    Both dementia papers are embodied accounts, but they disagree on what survives: one locates the self in bodily selfhood and implicit memory, so the person persists despite lost reflection; the other requires retained higher-order personality, values and relationships, so severe loss can end the same person.

Study at a glance

Design
Other — Phenomenological argument that basal bodily selfhood persists despite reflective losses in dementia
N
Philosophical phenomenology; not an empirical sample
Population
Personhood and selfhood accounts applied to people living with dementia
Outcome
Dementia disturbs reflective meta-perspective without erasing the self-as-subject

Structured fields used in claim comparison tables when every cited study has a complete layer.

Inspect source passages

Is the self lost in dementia?

These passages occur verbatim in the stored paper text. They support the points listed below; they do not verify every statement in the explanation.

What view of personhood is opposed to cognitivism?

I will oppose the cognitivist perspective on dementia to another conception of personhood, which has its foundation in the phenomenology of the body. Here,

Self-as-object vs self-as-subject?

self-as-object” is preceded by the “self-as-subject”, a continual, pre-reflective experience of self which does not need to be made explicit or grasped in
Read passages in the original paper

Key findings

Dementia disturbs decentering and meta-perspective, but large ranges of implicit/body memory can remain even late. Continuity of a basal feeling of self should block talk of a total loss of self. Founding the self only in others’ discourse misses first-person awareness. A purely rational concept of person stigmatises people with severe cognitive deficits.

Methodology

The author opposes a cognitivist picture of dementia (loss of self as loss of memory and reflection) to a phenomenology of the body. Drawing on body-memory traditions (Maine de Biran, Bergson), they distinguish self-as-object from self-as-subject and criticise purely externalist or discursive accounts of remaining personhood.

Limitations

This is a philosophical reconstruction, not a new clinical cohort. It does not measure residual body memory in a sample, and it does not deny that dementia is devastating for reflective capacities.

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