chapter  1
4 Pages


This book had an interesting beginning, arising from discussions amongst a number of us who presented papers at the 13th International Congress on Gerontology, in New York, July, 1985. We were expressing concerns that there seemed to be a disproportionate amount of funding and publicity for neurobiological research into dementia compared with research about 'care-giving in dementia'. To counterbalance this tendency, we initially undertook to write a joint article about the various approaches to care-giving that we were using individually, and to have it published in a journal. The response was so overwhelming that we had to change to a book format before the original article was ever compiled. As the range of topics continued to increase, we were forced to restrain our content to the following categories: models and theories, interventions for persons with dementia in care facilities, interventions for persons with dementia in the community, interventions for family and, educational approaches to multidisciplinary care. (Behaviour modification is not included as an intervention in this book because of the consensus of opinion that persons with attention al , short-and long-term memory deficits are not helped by tradition al reward and punishment regimens. Remotivation therapy is not

inc1uded in this book because we could not find anyone who was still using it, or had experience in using it, to contribute a chapter.)

Just as the fields of psychology and nursing are now becoming established as evolving 'sciences' in their own right, so too is care-giving in dementia. Abrief history of the advances in care-giving might be helpful if you are not used to thinking in terms of this evolution.