Psychodynamic Approaches to the Experience of Dementia: Perspectives from Observation, Theory and Practice demonstrates the impact of healthcare approaches that take into account not only the practical needs but also the emotional experience of the patient, their partners, families and friends, lay carers and professional staff.

Currently there is no cure for dementia, but the psychosocial and therapeutic approaches described in this volume have appeared to help people, both patients and carers, feel more contained and less lonely and isolated. Psychoanalytic theory provides a disciplined way of thinking about the internal world of an individual and their relationships. Each author provides their own commentary on the personal and interpersonal effects of dementia, endeavouring to understand behaviours and emotions which may otherwise seem incomprehensible. The subject is approached from a psychodynamic perspective, considering the unconscious, previous and current experiences and relationships, including those between patients and staff.

Psychodynamic Approaches to the Experience of Dementia illustrates the practical and theoretical thinking of clinicians from a wide range of disciplines who are engaged in the care of people in late life with a diagnosis of dementia. It will be essential reading for mental health and health professionals in practice and training in the field of dementia.

chapter |2 pages


BySandra Evans, Jane Garner, Rachel Darnley-Smith

chapter Chapter 1|12 pages

Encountering dementia

ByLouis Resnick

chapter Chapter 2|13 pages

Where lies the expert?

ByJane Garner

chapter Chapter 4|15 pages

Prognosis and planning

Advance care planning through a psychoanalytic frame
ByJuliette Brown

chapter Chapter 5|13 pages

The experience of loss in dementia; melancholia without the mourning?

BySandra Evans

chapter Chapter 6|12 pages

Dementia and dialogue

Acute hospitals and Liaison psychiatry
ByMatthew Hagger

chapter Chapter 7|11 pages

Psychodynamic interventions in dementia

The Australian and New Zealand experience
ByNeil Jeyasingam

chapter Chapter 8|11 pages

Art therapy with people with dementia

The present and the past
ByAngela Byers

chapter Chapter 9|15 pages

Attachment in confusional states and in dementia

Theory into practice
BySandra Evans

chapter Chapter 10|15 pages

The fragile thread of connection

Living as a couple with dementia
ByAndrew Balfour

chapter Chapter 11|11 pages

Maintaining boundaries

Counselling in a care home
BySusan Maciver, Chris McGregor, Tom C. Russ

chapter Chapter 12|12 pages

Music as mirror in the care of elderly people with dementia

ByRachel Darnley-Smith

chapter Chapter 13|13 pages

Groups for people with cognitive impairment and with dementia

What should we be doing?
BySandra Evans

chapter Chapter 14|17 pages

Disintegration and integration in dementia care

Mentalization as a means to keep whole
ByStephanie Petty, Michelle Potts, Daniel Anderson

chapter Chapter 16|15 pages

Continuing care review

A report on a thoughtful project and its untimely demise
ByJane Garner

chapter Chapter 17|17 pages

Negotiating the border

Music therapy for people in the last hours of dementia
ByAdrienne Freeman

chapter Chapter 18|13 pages

Can anything good be born of a dementia

Potential for reparation?
ByJane Garner