“…Such difficulties in both spontaneous and posed expressions alongside the dissociation between experience and expression of emotions suggests an underlying physical or neuromotor deficit (Dworkin, Clark, Amador, & Gorman, 1996) rather than a specific deficit in neural or behavioral systems that underpin the experience (Putnam & Kring, 2007 (Jakobs, Manstead, & Fischer, 1999), particularly in those who are preverbal (see Nelson & de Haan, 1997) or for those with impaired speech (Hemsley et al, 2001), such as individuals who develop dementia. As dementia, most notably Alzheimer's disease, progresses, declines are noted in expressive language skills (Faber-Langendoen et al, 1988;Kertesz & Clydesdale, 1994) and consequently the ability to report internal affective states (e.g.…”