Abstract
Current concepts of dementia often act to exclude the internal
world of the
dementia sufferer from consideration as a valid object of study. This paper
presents a three stage model of the subjective world of dementia sufferers,
drawing on ideas from both clinical and social psychology. The first stage
involves the feelings engendered by the process of dementia and includes
at
least four discrete states: anxiety; depression; grief; and despair/terror.
The
second stage of the model concerns the behaviour provoked in response to
the
process of decline. Finally, we consider the social nature of emotional
behaviour, with emotional actions falling along a continuum. The ability
of an
individual with dementia to engage in emotional behaviour depends upon
the
extent of their cognitive impairment and the social context in which they
are
located. This model has implications for the delivery of services, including
psychotherapy, to people with dementia.
Publisher
Cambridge University Press (CUP)
Subject
Public Health, Environmental and Occupational Health,Geriatrics and Gerontology,Arts and Humanities (miscellaneous),Social Psychology,Health(social science)
Cited by
72 articles.
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