Melody, memory and engagement in Alzheimer disease

What are the personal and clinical implications of preserved memory for music in dementia? In light of this question, a framework is proposed for integrating basic and clinical research findings and for case formulation and theory building in music-based interventions. Elaborating on the Comprehensive Process Model of Engagement, a proposal is made for music engagement as an inclusive concept that encompasses the variety of ways in which individuals involve themselves with musical stimuli. It is argued that instances of music engagement arise through the combined influence of person, stimulus, and environment attributes. Preserved memory for melodies is discussed as an attribute of the person with particular relevance to music engagement. This approach orients naturally toward considering individual differences and, as such, lends itself well to case-based research and clinical case formulation.