ABSTRACT

Psychotherapy and dementia seem unlikely companions. Can psychotherapy be of use to someone increasingly impaired by dementia? If so, what might that psychotherapy be like? What follows is a summary of my experience doing once-a-week psychotherapy for about one year with a 43-year-old man with AIDS. He was a former health-care professional who was probably very mildly demented at the onset of treatment, but who became increasingly more so over the course of our work. For me, his condition and our work raised many questions, concerns, and reactions, the discussion of which I hope will be useful to others in similar treatment situations.