Understanding socially disruptive behaviour in dementia is never easy. Most explanations offer neither solace nor solutions for families and carers. Challenging behaviours are the most common reason for family care breaking down, treatment with psychotropic drugs and admission to hospital and once in care, treatment is often characterised by policies of control and containment. The result of 15 years clinical work with people who are challenging, this book disputes the traditional medical model of dementia and asserts that if we reach behind the barrier of cognitive devastation and decipher the cryptic messages, it can be shown that much behaviour in dementia is not meaningless but meaningful. Challenging behaviour is not simply a reaction to the actions of others but an expression of their attempts to meet or communicate their personal, social and emotional needs.
- Contrasts the medical interpretation that sees anti-social behaviour as mere symptoms of disease with a person-centred interpretation that resonates change and resolution.
- A radical and innovative interpretation of challenging behaviour consistent with the new culture of dementia care, focusing on needs to be met rather than problems to be managed.
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