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Separation issues understood using the phenomenological description of the melancholic type (MT) by Tellenbach may further shed light on our understanding of depression in dementia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Subject and Methods<\/jats:title><jats:p>In a 90\u2010year\u2010old woman presenting with advanced (Clinical Dementia Rating 3) mixed dementia and BPSD in the form of vocally disruptive behaviour (VDB), we discuss separation anxiety as the aetiopathogenic hypothesis. Depression and BPSD were assessed using the Neuropsychiatric Inventory, Cornell scale, and Montgomery\u2010\u00c5sberg Depression Rating Scale to confirm our second phenomenological diagnostic hypothesis, ie, melancholy. The Big Five Inventory scale filled in by a proxy was also used to evaluate the patient's premorbid personality. We then propose an explanatory frame of VDB and depression through the standard phenomenological assessment of its relation to time, space, self, and other.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Confirming MT, we found an inhibited temperament and low openness to experience in the patient, as well as a symbiotic relationship with a close relative (the other).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Separation anxiety may well explain the patient's MT expressed by VDB. Melancholic type and her symbiotic relationship led to a situation unbearable to the patient and her close relative unable to delegate care to a specialized team.<\/jats:p><\/jats:sec><jats:sec><jats:title>Running Head<\/jats:title><jats:p>Phenomenology in vocally disruptive behaviour in dementia. We have found new explanations in similar clinical cases in dementia as follows. A patient presenting with vocally disruptive behaviour has a melancholic type, a behavioural\u2010inhibited temperament, and marital violence in the past. Phenomenology may help explain this profile with neurobiological disorders. The life trajectory, from childhood into older age, must be taken into account to understand behavioural and psychological symptoms of dementia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/gps.4947","type":"journal-article","created":{"date-parts":[[2018,7,17]],"date-time":"2018-07-17T11:22:30Z","timestamp":1531826550000},"page":"1294-1300","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Phenomenological contribution to understanding of vocally disruptive behaviour: A clinical case study in a patient with dementia"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8597-2404","authenticated-orcid":false,"given":"Olivier","family":"Tible","sequence":"first","affiliation":[{"name":"D\u00e9partement de Psychiatrie, Service Universitaire de Psychiatrie de l'\u00c2ge Avanc\u00e9 (SUPAA) Lausanne University Hospital Prilly Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Montserrat","family":"Mendez","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Psychiatrie, Service Universitaire de Psychiatrie de l'\u00c2ge Avanc\u00e9 (SUPAA) Lausanne University Hospital Prilly Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armin","family":"von Gunten","sequence":"additional","affiliation":[{"name":"D\u00e9partement de Psychiatrie, Service Universitaire de Psychiatrie de l'\u00c2ge Avanc\u00e9 (SUPAA) Lausanne University Hospital Prilly Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,7,17]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"PringueyD PachoudB.IV\u00e8me Journ\u00e9e de Psychiatrie Ph\u00e9nom\u00e9nologique de Nice. 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