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Difficult behaviour and dementia in nursing homes: five cases of psychosocial intervention
Author(s) -
MonizCook Esme,
Stokes Graham,
Agar Sharon
Publication year - 2003
Publication title -
clinical psychology and psychotherapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.315
H-Index - 76
eISSN - 1099-0879
pISSN - 1063-3995
DOI - 10.1002/cpp.370
Subject(s) - psychosocial , dementia , distress , psychology , intervention (counseling) , context (archaeology) , psychological intervention , perspective (graphical) , psychiatry , psychotherapist , gerontology , disease , medicine , paleontology , pathology , artificial intelligence , computer science , biology
Psychosocial interventions in five people, who presented with uncooperative and difficult behaviour at mealtimes and during assistance with self‐care tasks, are described. In four cases, a single case experimental design was used. The results are discussed in the context of ‘rementia’ and a broadly defined functional analytic perspective to assessment and intervention. In contrast to the standard neurogenic‐disease paradigm, a person‐centred holistic model of dementia is proposed for the understanding and amelioration of distress in people with dementia who are seen as difficult or ‘challenging’. Copyright © 2003 John Wiley & Sons, Ltd.