First I want to clarify the variable of whether or not the person was this way (manipulative and negative) BEFORE the disease. Yes, very much so.
If it's so out of the patient's character to begin with (before) you know it's the disease (after). What about the one's who were controlling and manipulative before the onset? And now it seems they are using the disease as a reason to justify their behavior? I'm talking higher brain functioning here.... remembering consistently ONLY the wrong thing to do, consistently doing ONLY the very thing you have asked them not to do. When an opportunity to do the wrong thing in a situation doesn't come up for awhile and then does, NEVER accidentally making the RIGHT choice. I guess that's what it comes down to. It seems her intent is negative by choice because she NEVER "accidentally" gets it right. Consistency and intent. IF a patient with Alzheimer's is consistent in every way with the execution of getting it wrong, does it not imply that they can therefore be consistent in the other direction? And Yes, I'm talking about a person who was a mean, nasty and manipulative person before the disease. Those are the ones we have to talk about honestly and quit muddling up the discussion by grouping them in with the one's who were never like that before the disease. It warrants honest discussion and clarification.