Psychotherapeutic Support for Family Caregivers of People With Dementia -  Gabriele Wilz

Psychotherapeutic Support for Family Caregivers of People With Dementia (eBook)

The Tele.TAnDem Manual
eBook Download: EPUB
2023 | 1. Auflage
160 Seiten
Hogrefe Publishing GmbH (Verlag)
978-1-61334-631-0 (ISBN)
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Learn how family caregivers of people with dementia can be supported by psychotherapy Provides step-by-step guidance for face-to-face or remote therapy Illustrated with therapeutic dialogs from real cases Includes downloadable intervention handouts This handbook addresses the extremely challenging situation that family caregivers of people with dementia face and is informed by the use of evidence-based psychotherapeutic strategies to support them. The book guides readers step-by step through effective therapeutic strategies, mainly based on cognitive-behavioral therapy, and illustrated with excerpts of dialogs between therapists and family caregivers from real sessions. Different modules address topics such as dealing with challenging behavior, self-care, perfectionism and guilt, as well as changes in the relationship with the ill person, barriers to seeking social and professional support, stress management and emotion regulation, accepting one's own limits, and dealing with institutionalization. These modules can be put together to meet different individuals' needs. Particular emphasis is placed on creating a positive therapeutic alliance, resource activation, and helping caregivers develop the motivation for change. Finally, multiple handouts that can be used in clinical practice are available for download. The intervention is suitable for various settings, including face-to-face therapy or remote forms such as telephone or online therapy. This manual is ideal for clinical psychologists, gerontologists, psychotherapists, social workers, and counsellors working with people with dementia and their families.
Learn how family caregivers of people with dementia can be supported by psychotherapyProvides step-by-step guidance for face-to-face or remote therapyIllustrated with therapeutic dialogs from real casesIncludes downloadable intervention handoutsThis handbook addresses the extremely challenging situation that family caregivers of people with dementia face and is informed by the use of evidence-based psychotherapeutic strategies to support them. The book guides readers step-by step through effective therapeutic strategies, mainly based on cognitive-behavioral therapy, and illustrated with excerpts of dialogs between therapists and family caregivers from real sessions. Different modules address topics such as dealing with challenging behavior, self-care, perfectionism and guilt, as well as changes in the relationship with the ill person, barriers to seeking social and professional support, stress management and emotion regulation, accepting one's own limits, and dealing with institutionalization. These modules can be put together to meet different individuals' needs. Particular emphasis is placed on creating a positive therapeutic alliance, resource activation, and helping caregivers develop the motivation for change. Finally, multiple handouts that can be used in clinical practice are available for download. The intervention is suitable for various settings, including face-to-face therapy or remote forms such as telephone or online therapy. This manual is ideal for clinical psychologists, gerontologists, psychotherapists, social workers, and counsellors working with people with dementia and their families.

Contents


Foreword

Preface

1  Demands, Burden, and Health Impact of Caregiving

1.1  Introduction

1.2  Overview of Specific Caregiver Burden in Dementia

1.3  Models and Predictors for Burden and Coping With Caregiving

1.3.1  Problem Behavior as Well as Noncognitive Symptoms and Neuropsychiatric Disorders

1.3.2  Grief and Family Caregivers’ Experience of Loss

1.3.3  Experiencing and Witnessing Changes in the Care Recipient due to Dementia

1.3.4  Role Changes and Taking on New Roles

1.3.5  Social Isolation and Insufficient Social Support

1.4  Family Caregivers’ Coping Strategies

1.5  Positive Aspects of Caregiving

2  Need for and Effectiveness of Psychosocial Interventions

2.1  Need for Helpful Family Caregiver Interventions

2.2  Demands for Helpful Family Caregiver Interventions

2.3  CBT-Based Caregiver Interventions: Content, Evaluation, and Recommendations

2.3.1  Recommendations for the Timing and Duration of the Intervention

2.3.2  Recommendations for Setting Conditions

2.4  Concept and Evaluation of the Tele.TAnDem Intervention

2.4.1  Overview of the Content of the Intervention Concept

2.4.2  Number of Sessions, Duration, and Setting Conditions of the Intervention Concept

2.4.3  Tele.TAnDem Evaluation Results

3  Helpful Information on Dementia and Caregiving-Specific Issues for Family Caregivers

3.1  Illness-Specific Topics

3.1.1  Dementia Diagnosis

3.1.2  Course of the Illness

3.1.3  Problem Behaviors in Dementia

3.1.4  Causes of Problem Behaviors

3.2  Medical Questions

3.3  Care-Related Questions

3.4  Legal Questions

3.5  Financial Questions

4  Diagnostic Tools for Caregiving of People With Dementia

4.1  Questionnaires for Family Caregivers

4.1.1  Psychological and Physical Burden Measurements

4.1.2  Measurements of Specific Caregiving Situation Issues

4.2  Questionnaires for the Subjective Assessment of Behavioral Problems in Dementia Patients

4.3  Assessment of the Severity of Dementia

5  Therapist Attitude and Relationship Building

5.1  The Caregivers Are Caregiving Experts

5.2  Normalizing and Depathologizing Counseling

5.3  Family Caregivers Are Doing Their Best: Appreciation and Validation of Their Efforts

5.4  Isolation and Severe Suffering: Empathy and Patience

5.5  Unchangeable Burdens and Loss of Control: Confrontation and Acceptance

6  Therapy Topics, Intervention Methods, and Framework

6.1  Individualized Therapy

6.2  Setting

6.3  Therapy Process and Structure of the Sessions

6.4  Work Between Sessions: Therapeutic Homework

7  First Session and Relationship Building

7.1  Goals of the Module

7.2  Therapeutic Approach

7.2.1  Relationship Building and Imparting Knowledge

7.2.2  Exploring the Caregiving Situation

7.2.3  Analysis and Selection of the Main Problem Areas

7.2.4  Developing Motivation to Change

7.2.5  Goal Definition

7.2.6  Concluding the First Session

8  “I Grew Up in the Countryside, and That Was a Given There”: Changing Dysfunctional Thoughts and Appraisals

8.1  Goals of the Module

8.2  Therapeutic Approach

8.2.1  Identifying, Challenging, and Criticial Examination of Dysfunctional Thoughts

8.2.2  Imagination Exercises for the Identification and Modification of Dysfunctional Thoughts

8.2.3  Working Out Effects on Dysfunctional Thoughts on Mood and Behavior

9  “You Are Still at Home Here!” – Dealing With Challenging Behavior

9.1  Goals of the Module

9.2  Therapeutic Approach

9.2.1  Psychoeducation and Guided Discovery

9.2.2  Exploring Challenging Behaviors and Encouraging Self-Disclosure

9.2.3  Behavioral Analysis

9.2.4  Goals for Dealing Better With Challenging Behaviors

9.2.5  Modification of Appraisals

9.2.6  Problem-Solving Strategies for Behavior Modification

9.2.7  Accepting Feelings Related to Challenging Behavior

10  “Anger Is Completely Normal” – Stress Management and Emotion Regulation

10.1  Goals of the Module

10.2  Therapeutic Approach

10.2.1  Decatastrophizing and Normalization of Fury and Anger in Acute Stress Situations

10.2.2  Dealing With Strong Emotionality: Four Steps for Dealing With Acute Stressful Situations

10.2.3  Encouragement of Understanding and Acceptance

10.2.4  Work on the General Level of Tension

11  “And What About Me?” – Self-Care and Value-Based Activities

11.1  Goals of the Module

11.2  Therapeutic Approach

11.2.1  Imparting and Working Out the Importance and Necessity of Self-Care and Taking Up Balancing Activities

11.2.2  Promoting Self-Care: Collecting, Selecting, and Planning Balancing Activities

11.2.3  Problem-Solving Training for Planning and Implementing Pleasant Activities

11.2.4  Reflecting the Implementation and Maintenance of Self-Care and Planned Pleasant Activities

11.2.5  Dealing With a Guilty Conscience and Feelings of Guilt: Normalization and Acceptance

12  “From the Diagnosis Until Death” – Dealing With Change, Loss, and Grief

12.1  Goals of the Module

12.2  Therapeutic Approach

12.2.1  Perceiving and Expressing Burdensome Thoughts and Feelings: Sadness, Guilt, and Anxiety

12.2.2  Confronting and Coping With Feelings of Grief, Guilt, and Anxiety

12.2.3  Accepting Thoughts and Feelings

12.2.4  Identifying and Processing Dysfunctional Thoughts in Relation to Emotional Experiences

12.2.5  Working on Redefining Roles

12.2.6  Resource Activation

12.3  The Time After the Death of the Person With Dementia

12.3.1  Consequences of Anticipatory Grief

12.3.2  Complicated Grief Reaction

13  “I Need to Do It on My Own” – Support Options for Family Caregivers of Persons With Dementia

13.1  Goals of the Module

13.2  Identifying the Need for Assistance

13.3  Overcoming Barriers to Utilizing Support

13.4  Finding the Right Time for Support

13.5  Searching for Support Options

13.6  Difficulties Regarding Utilization of Support

13.6.1  Asking for Help

13.6.2  Working With Professional Services

13.6.3  Family Caregivers Expect Support From the Therapist Regarding Legal and Organizational Questions

14  Nursing-Home Placement – When the Limits of Home Care Have Been Reached

14.1  Goals of the Module

14.2  Decision-Making Factors

14.2.1  Encouraging Caregivers to Reflect on Their Stress Limits

14.2.2  Feelings of Guilt and Fear of Making the Wrong Decision

14.2.3  Information on Institutional Care

14.3  Support in Decision Making

14.3.1  Reflecting on the Positive and Negative Aspects As Well As Consequences of Nursing Home Care

14.3.2  Working out Realistic Expectations Regarding Nursing-Home Care

14.4  Care in an Emergency

14.5  Dealing With the Decision

14.6  Therapeutic Procedure for Intolerable Caregiving Situations

15  Completion of Therapy

15.1  Goals of...

Erscheint lt. Verlag 11.12.2023
Sprache englisch
Themenwelt Sachbuch/Ratgeber Gesundheit / Leben / Psychologie
Geisteswissenschaften Psychologie
ISBN-10 1-61334-631-X / 161334631X
ISBN-13 978-1-61334-631-0 / 9781613346310
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