A Review of Psychosocial Models in Psychogeriatrics: Implications for Care and Research

Based on an examination of the relevant literature, this article presents a survey of psychosocial models used in the psychogeriatric field. Models with a multidimensional approach to behavior problems in dementia and a focus on the individual were selected. The utility of these psychosocial models as a theoretical framework for emotion-oriented care for people with dementia, especially Alzheimer disease, is examined. In addition to describing the models, this article also reports on the target group for which these models were developed, the degree to which they have been operationalized for psychogeriatrics, and the degree to which they have been subjected to empirical testing. This study shows that all psychosocial models described may be called emotion-oriented, although they also contain, in varying degrees, elements from the consequences model. It was found that the models are used not only as a theoretical framework for research, but also in the provision of care. Despite the fact that most models have been used in the psychogeriatric field, therefore proving their practicability for psychogeriatric practice, only one of the models described has been tested empirically so far. The theoretical validity of the models in question is, therefore, not yet clear.

[1]  R. Butler,et al.  The life review: an interpretation of reminiscence in the aged. , 1963, Psychiatry.

[2]  L. Lunsky Childhood and Society. , 1965 .

[3]  N. Feil Group therapy in a home for the aged. , 1967, The Gerontologist.

[4]  C. G. Perry,et al.  General Systems Theory and Psychiatry , 1970 .

[5]  S. Folkman,et al.  Stress, appraisal, and coping , 1974 .

[6]  F. Anderson Clinical Geropsychiatry , 1976 .

[7]  Rudolf H. Moos,et al.  The Crisis of Physical Illness: An Overview , 1977 .

[8]  M. Baltes,et al.  Behavioral Analysis of Aging: A Review of the Operant Model and Research , 1979 .

[9]  N. Feil Communicating with the confused elderly patient. , 1984, Geriatrics.

[10]  On diagnosis of dementia: psychometric investigation and clinical psychiatric evaluation in relation to verified diagnosis. , 1985, Archives of gerontology and geriatrics.

[11]  M. G. M. Otr Occupational Therapists and the Teaching of Cognitive Behavioral Skills , 1987 .

[12]  L. Levy Psychosocial Intervention and Dementia, Part 11 , 1987 .

[13]  K. Buckwalter,et al.  Progressively lowered stress threshold: a conceptual model for care of adults with Alzheimer's disease. , 1987, Archives of psychiatric nursing.

[14]  B. Reisberg Functional assessment staging (FAST). , 1988, Psychopharmacology bulletin.

[15]  C. F. A. Milders,et al.  Systeemdenken en psychiatrie : een kritische oriëntatie , 1988 .

[16]  G. Hall Care of the patient with Alzheimer's disease living at home. , 1988, The Nursing clinics of North America.

[17]  L. Levy Psychosocial Intervention and Dementia, Part 11: The Cognitive Disability Perspective , 1988 .

[18]  R. Roth Analysis and Evaluation of Conceptual Models of Nursing , 1989 .

[19]  Communicating with advanced-stage dementia patients: the application of sullivanian theory. , 1989, Journal of gerontological nursing.

[20]  T. Kitwood Brain, Mind and Dementia: With Particular Reference to Alzheimer's Disease , 1989, Ageing and Society.

[21]  S. Fruehwirth An application of Johnson's behavioral model: a case study. , 1989, Journal of community health nursing.

[22]  B. Miesen Gehechtheid en dementie: ouders in de beleving van dementerende ouderen , 1990 .

[23]  T. Kitwood,et al.  The Dialectics of Dementia: With Particular Reference to Alzheimer's Disease , 1990, Ageing and Society.

[24]  K. Buckwalter,et al.  Whole disease care planning: fitting the program to the client with Alzheimer's disease. , 1991, Journal of gerontological nursing.

[25]  D. Cohen,et al.  The subjective experience of Alzheimer's disease: The anatomy of an illness as perceived by patients and families , 1991 .

[26]  L. Lein,et al.  Awareness and Denial in the Alzheimer's Disease Victim , 1992 .

[27]  J. Thornbury,et al.  The Roy Adaptation Model and Care of Persons with Alzheimer's Disease , 1992, Nursing science quarterly.

[28]  R. Schulz,et al.  The perspective of the patient with Alzheimer's disease: a neglected dimension of dementia research. , 1993, The Gerontologist.

[29]  T. Kitwood,et al.  Person and process in dementia , 1993 .

[30]  B. Miesen Alzheimer's disease, the phenomenon of parent fixation and bowlby's attachment theory , 1993 .

[31]  T. Kitwood,et al.  Towards a Theory of Dementia Care: The Interpersonal Process , 1993, Ageing and Society.

[32]  G. Hall,et al.  Caring for people with Alzheimer's disease using the conceptual model of progressively lowered stress threshold in the clinical setting. , 1994, The Nursing clinics of North America.

[33]  T. Bakker,et al.  Naar een nieuwe psychogeriatrie: pluriform en complex , 1994 .

[34]  P. Rabins The Phenomenology of Behavior: An Overview of Behavioral Principles , 1994, Alzheimer disease and associated disorders.

[35]  R. M. Droes PSYCHOSOCIALE BEHANDELING BIJ DEMENTIE , 1995 .

[36]  K. Buckwalter,et al.  Principles of Nonpharmacological Management - Caring for People with Alzheimers-Disease using a Conceptual-Model , 1995 .

[37]  K. Buckwalter,et al.  Uncovering and managing denial during the research process. , 1995, Archives of psychiatric nursing.

[38]  K. Buckwalter,et al.  Standardized care plan. Managing Alzheimer's patients at home. , 1995, Journal of gerontological nursing.

[39]  A. Norberg,et al.  Disclosure of Basic Strengths and Basic Weaknesses in Demented Patients during Morning Care, before and after Staff Training: Analysis of Video-Recordings by Means of the Erikson Theory of “Eight Stages of Man” , 1996, International journal of aging & human development.

[40]  K. Buckwalter,et al.  Caregiver training for people with Alzheimer's based on a stress threshold model. , 1996, Image--the journal of nursing scholarship.

[41]  S. Barnes,et al.  Cognitive developmental approach to dementia. , 1996, Image--the journal of nursing scholarship.

[42]  A. Kolanowski,et al.  Life-span perspective of personality in dementia. , 1996, Image--the journal of nursing scholarship.

[43]  I. Salom Weight control and nutrition: knowing when to intervene. , 1997, Geriatrics.

[44]  S. Fazio,et al.  A psychosocial model of dementia care: theoretical and empirical support. , 1997, Archives of psychiatric nursing.

[45]  I. Moore Living with Alzheimer's: understanding the family's and patient's perspective. , 1997, Geriatrics.

[46]  R. Dröes,et al.  the design of a large-scale experimental study into the effect of emotion-oriented care on demented elderly and professional carers in nursing homes , 1998 .

[47]  I. Frampton,et al.  AN EVALUATION OF THE EFFECTS OF SENSORY STIMULATION WITH PEOPLE WHO HAVE DEMENTIA , 1998, Behavioural and Cognitive Psychotherapy.

[48]  T. Kitwood,et al.  Toward a Theory of Dementia Care: Ethics and Interaction , 1998, The Journal of Clinical Ethics.

[49]  Myonghwa Park Application Of Nursing Minimum Data Set (Nmds) and Uniform Hospital Discharge Data Set (Uhdds) To Describe Nursing Care Of Patients With Dementia , 2002 .