My spouse is completely unaware of what she has lost. Easier on her (if I can play along) and harder on both of us when I can't.
In a more sophisticated version of the test, they have you look at a picture adn draw it from memory. I was amazed to see in testing what I had observed in real life: She creates memories that are very bit as real as if they had actually happened.
She has sgnificant reproduction errors in the first copy. Every one thereafter was identical to the first (messed up) copy. In real life, how this manfests is that she makes up things that have happened from bits and pieces of real life. Often exaggerated to make a better story - and once embedded she cannot be convinced she made the first error.
I have heard conversations I had with people recited by her in the first pesron (as if she, rather than I, had the conversation).
The most spectacular one comes from when our daughter was under 2 (she's 30 this month). The ER needed a urine sample - it was the first fo July when you want to avoid all hospitals if you can. Our daughter peed on the examining table. The (brand new baby doctor) attempted to collect a sample from the table by using tubing with a squeeze bulb attached. That would not have created a useful sample becasue of the contamination by hitting the examining table (so yes, there was error by the doctor).
The story she tells is that the doctor grabbed a straw and used it to suck up a sample using his mouth to provide the suction. It makes a good story - but it never happened. I've tried to correct her - but she is absolutely convinced it happened the way she really truly remembers it.
I banged my head against the wall for several years watching this happen. I kept trying to make her see what was going on - so we could get treatment if early treatment made a difference. She finally relented, has a diagnosis, is taking two Alzheimer's meds but still insists I'm the one with memory issues. Once I saw that her most significant deficit was in executive reasoning, it was crystal clear that she wasn't faking it - the lack of exective reasoing prevents her from understanding. Trump has signficiantly less executive reasoning abilty, from anything I can see. So he might be completely unaware that there was no challenge at all to the test. (And since that test doesn't test executive reasoning, it might not be a challenge.)
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