“Cognitive decline” covers realities of different nature and severity. We must therefore distinguish three levels: the physiological transformation linked to age, functional fragility and the established neurocognitive disorder, to then identify a clinic attentive to the diversity of trajectories.
The continued increase in life expectancy has profoundly reconfigured the contours of the clinic of aging. In this unprecedented demographic context, the issue of cognitive aging is now emerging as one of the major challenges in the field of mental health and is even shaking up its priorities. It therefore calls for renewed reflection on the cognitive trajectories of old age, considered in all their diversity and complexity, as media, institutional, but also clinical discourses have simplified them by reducing them to the sole idea of decline.
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