China
Africa
Explore chapters and articles related to this topic
The role of the clinical psychologist in the assessment, diagnosis and management of patients with dementia
Published in Stephen Curran, John P. Wattis, Practical Management of Dementia, 2018
Validation therapy grew out of the belief of an American social worker (Naomi Feil) that RO and similar methods were too confrontational and led to the person withdrawing and possibly becoming hostile. This could well be at least as much a criticism of the routine and unthinking way in which interventions like RO have been applied in some settings as being necessary aspects of the techniques themselves. Validation therapy stresses the validation of feelings in whatever time or place appears to be real to the individual, regardless of whether this corresponds to what staff members regard as the ‘here and now’. The widow who talks as if her husband is still alive may be responded to not by denying this but, for example, by pointing out that the listener is aware that she was very fond of her husband.
Dementia
Published in Rachael E. Docking, Jennifer Stock, International Handbook of Positive Aging, 2017
The aims of validation therapy is the validation of the person with dementia through: restoration of self-worth; engaging with the person to promote communication and social connections with others; reducing stress, agitation and anxiety; and supporting the resolving of unfinished life tasks (Feil, 1993). Validation therapy involves the categorisation of behaviours of people with dementia into one of four stages on the continuum of dementia from mild to severe. Then the methods of communication used by the person with dementia such as verbal and non-verbal are allocated to a stage. The four stages include: malorientation, time confusion, repetitive motion and vegetation (Feil, 1993). However, this approach has been heavily criticised, although Feil argues strongly for the effectiveness of this approach (Neal and Briggs, 2000). A Cochrane systematic review by Neal and Barton White (2003) found some evidence to support validation therapy.
Topic 3 Geriatric Psychiatry
Published in Melvyn W.B. Zhang, Cyrus S.H. Ho, Roger C.M. Ho, Basant K. Puri, Get Through, 2016
Melvyn W.B. Zhang, Cyrus S.H. Ho, Roger C.M. Ho, Basant K. Puri
Non-pharmacological interventions that may be useful include the following: Reality orientation involves the consistent use of orientation devices to remind patients of their environment.Reminiscent therapy involves reliving the past experiences using old TV sets, radios and home environment.Validation therapy empathizes with the feelings and meanings hidden behind their confused speech and environment.Art therapy (painting and drawing), aromatherapy (lavender), pet therapy and music therapy may be useful.
Tailoring the therapeutic interventions for behavioral and psychological symptoms of dementia
Published in Expert Review of Neurotherapeutics, 2022
Barbara Vuic, Marcela Konjevod, Lucija Tudor, Tina Milos, Matea Nikolac Perkovic, Gordana Nedic Erjavec, Nela Pivac, Suzana Uzun, Ninoslav Mimica, Dubravka Svob Strac
Psychoeducational and psychotherapeutic interventions might reduce BPSD through single or group therapy. These include counseling, supporting the patients and providing assistance for the caregiver, which are all mostly beneficial in alleviating the burden of the caregivers. A combination of these two approaches showed great effect in decreasing aggression, depression, anxiety and, agitation [15]. Reminiscence therapy is an approach used to improve mood through memory stimulation [15]. It involves the patients, the caregivers and family members. By using objects such as photographs, books and familiar items, the aim of this therapy is to share experiences [98]. On the other hand, validation therapy is focused only on BPSD patients, in order to encourage positive feelings, through a reduction of negative feelings [15,99]. Finally, cognitive stimulation includes gardening, puzzles, word games, cooking and other activities, usually performed in small groups [98]. Some studies showed that cognitive stimulation had beneficial effects in BPSD reduction [98].
Strangers at the Altar
Published in The American Journal of Bioethics, 2021
One of many questions Brummett’s contribution raises is whether current SCEs must profess the metaphysical commitments he stipulates and, if they do not, whether this disqualifies them from their current roles.2 SCEs who do not believe in eternal salvation or who do not believe in Christ might reject some of Brummett’s commitments because they imply that Christ exists or that eternal salvation is possible.3 An SCE who rejects Christ instead might profess, “Christ does not exist and thus there is no relationship about which to be concerned.” SCEs who reject Christ might articulate Brummett’s metaphysical claim to assuage patients or families rather than tell them directly that they reject the very foundation of their faith. In those cases, SCEs behave like people caring for persons with advanced dementia who apply the principles of validation therapy and work with delusions rather than correcting them.4
Assessment of Cognitive Training & Social Interaction in People with Mild to Moderate Dementia: A Pilot Study
Published in Clinical Gerontologist, 2019
Hillary J. Rouse, Brent J. Small, Mark E. Faust
There are currently two distinct management options for people experiencing the neuropsychiatric symptoms of dementia. The first option commonly used is pharmacological interventions. Antipsychotic medications are often the first line of treatment for problematic behaviors associated with dementia. They are often inappropriately and unnecessarily prescribed, even though they carry black box warnings with substantial adverse effects (Douglas, James, & Ballard, 2004). The regulations by the Centers for Medicare and Medicaid Services continue to focus on the reduction of antipsychotic medication usage and address the need to continue to replace psychotropic medications administered in assisted living facilities with non-pharmacological interventions (Institute of Medicine, 1983). These non-pharmacological interventions typically fall into three categories of unmet needs interventions, learning and behavioral interventions, and environmental vulnerability and reduced stress-threshold interventions (Ayalon et al., 2006). More specifically, some of these different therapies are aromatherapy, animal-assisted therapy, bright-light therapy, multi-sensory stimulation therapy, music therapy, reminiscence therapy, and validation therapy (Douglas et al., 2004; Dugmore, Orrell, & Spector, 2015). These interventions hold promise for positive changes in neuropsychiatric symptoms and possibly also cognitive functioning without the troubling side effects, but often involve a large commitment of time and energy on the part of caregivers and assisted living staff (O’Connor, Ames, Gardner, & King, 2009).