An Existential Approach to Dementia
People living with dementia continually face reminders of their illness, be it subtle, insidious failures in carrying out everyday tasks, being asked to complete a cognitive assessment that explicitly tests their deterioration, or hearing a news report on the radio about exciting new drug discoveries for dementia. In this book, we have argued that people defend themselves in different ways against the emotional disequilibrium that these existential reminders would otherwise create. Framing dementia as a threat has many advantages. There are conceptual benefits from binding together what until now have been disparate areas of research. This perspective also opens up new methodological approaches and theoretical insights. Most importantly it emphasises the need to focus care on sustaining those psychological resources that buffer people against the threat. A Terror Management Approach to dementia emphasises the need for services to provide post-diagnostic support that helps people adjust to their diagnosis.
KeywordsDementia Alzheimer’s disease Existential threat Post-diagnostic support Terror Management Theory
- 1.Kitwood, T. (1997). Dementia reconsidered: The person comes first. London: Open University Press.Google Scholar
- 2.Watzlawick, P., Weakland, J. H., & Fisch, R. (1974). Change: Principles of problem formation and problem resolution. Oxford: W. W. Norton.Google Scholar
- 4.Watts, S., Cheston, R., Moniz-Cook, E., Burley, C., & Guss, R. (2014). Post-diagnostic support for people living with dementia. In R. Guss et al. (on behalf of the Faculty of the Psychology of Older People, and in collaboration of people living with dementia and the Dementia Workstream Expert Reference Group) Clinical psychology in the early stage dementia care pathway. Leicester: British Psychological Society.Google Scholar
- 5.Marshall, A., Spreadbury, J., Cheston, R., Coleman, P., Ballinger, C., Mullee, M., et al. (2015). A pilot randomised control trial to compare changes in quality of life for participants with early diagnosis dementia who attend a “Living Well with Dementia” group compared to waiting list control. Aging and Mental Health, 19(6), 526–535. https://doi.org/10.1080/13607863.2014.954527.CrossRefPubMedGoogle Scholar