Psychotherapeutic Support for Family Caregivers of People With Dementia (eBook)
160 Seiten
Hogrefe Publishing GmbH (Verlag)
978-1-61334-631-0 (ISBN)
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
1 Demands, Burden, and Health Impact of Caregiving
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
3.1.3 Problem Behaviors in Dementia
3.1.4 Causes of Problem Behaviors
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
6.3 Therapy Process and Structure of the Sessions
6.4 Work Between Sessions: Therapeutic Homework
7 First Session and Relationship Building
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
7.2.6 Concluding the First Session
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
9.2.1 Psychoeducation and Guided Discovery
9.2.2 Exploring Challenging Behaviors and Encouraging Self-Disclosure
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
10.2.1 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
11.2.2 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
12.2.1 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
12.3 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
13.2 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
13.6.2 Working With Professional Services
14 Nursing-Home Placement – When the Limits of Home Care Have Been Reached
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
14.5 Dealing With the Decision
14.6 Therapeutic Procedure for Intolerable Caregiving Situations
Erscheint lt. Verlag | 11.12.2023 |
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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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