ABSTRACT
This chapter explores current research on the psychology of development and adaptation in advanced old age. It deals with issues relating to the provision of support services in old age, but specifically directed to the needs of those with dementia. The chapter considers the importance of coming to terms with a diagnosis of dementia and how the process of adaptation can be fostered by group support and counselling. It concerns research findings on the importance of gearing care practice more precisely to assessment of individual needs and interests. The quality of late life, as at all stages of life, depends on sensitive support from those around the person. Dementia used to be a hidden condition of late life, cloaked in stigma and shame. With the greater opening up of attitudes and a more constructive approach to support and therapy, acknowledgement of a diagnosis of dementia directly to the person affected is now recommended practice.
