Additional Information
Book Details
Abstract
This guide to Adaptive Interaction explains how to assess the communication repertoires of people with dementia who can no longer speak, and offers practical interventions for those who wish to interact with them.
Outlining the challenges faced by people living with advanced dementia, this book shows how to relieve the strain on relationships between them, their families, and professional caregivers through better, person-centred communication. It includes communication assessment tools and guidance on how to build on the communication repertoire of the individual with dementia using nonverbal means including imitation, facial expressions, sounds, movement, eye gaze and touch. With accessible evidence and case studies based on the authors' research, Adaptive Interaction can be used as the basis for developing interactions without words with people living with dementia.
Dr Maggie Ellis is Lecturer at the School of Psychology & Neuroscience, University of St Andrews, UK. Arlene Astell is Professor at the School of Psychology & Clinical Language Sciences, University of Reading, UK and at the Department of Occupational Sciences & Occupational Therapy, University of Toronto, Canada.
In this book the authors take us on an exciting learning journey by developing our understanding of communication, helping us to become communication partners and then equipping us with the knowledge of Adaptive Interaction. Using sensitive personal examples, the text enhances our ability and skills in such a way as to ensure we treat the person living with dementia as an equal and valued citizen engaged with the world and people around them in a truly meaningful way.
Henry Simmons, Chief Executive, Alzheimer Scotland
At last a book that is written in a way that everyone can understand and use in their daily work. Person-centred and practical, this is something that will without doubt change the lives of people affected by dementia.
Cathy Baldwin, Organisational Development Manager (Quality), Alzheimer's Society
The reader is provided with an overview of dementia which is easy to understand which also makes this book a valuable resource for anyone involved in the care of people living with dementia.
Angela Moore, Admiral Nurse Clinical Lead, Rutland County Council
Table of Contents
| Section Title | Page | Action | Price |
|---|---|---|---|
| Adaptive Interaction and Dementia: How to Communicate without Speech by Dr Maggie Ellis and Arlene Astell | 3 | ||
| Preface | 11 | ||
| Chapter 1. Both Sides Now: Advanced Dementia from the Inside Out | 13 | ||
| What is this book about? | 13 | ||
| What is dementia? | 16 | ||
| How does dementia impact communication? | 21 | ||
| Communication is a two-way thing | 24 | ||
| What is Adaptive Interaction? | 26 | ||
| Communicating without words | 31 | ||
| Chapter 2. We’ve Only Just Begun: Learning the Language of Dementia | 33 | ||
| The impact of dementia on relationships | 33 | ||
| Family relationships | 36 | ||
| Relationships with formal caregivers | 39 | ||
| Changes in behaviour | 40 | ||
| Malignant social psychology | 43 | ||
| The impact of the treatment of people with advanced dementia | 47 | ||
| Improving communication | 49 | ||
| Validation therapy | 49 | ||
| Habilitation therapy | 50 | ||
| Nonverbal communication | 52 | ||
| Summary | 57 | ||
| Chapter 3. I Hear You Now: Collaborative Communication | 59 | ||
| Human communication | 59 | ||
| Infant communication | 60 | ||
| Personhood and intersubjectivity | 62 | ||
| Models of communication | 64 | ||
| Monologic models of interpersonal communication | 64 | ||
| Dialogic models of communication | 64 | ||
| The collaborative model | 65 | ||
| Individuals with additional communication needs | 67 | ||
| Intensive Interaction | 71 | ||
| Using Intensive Interaction with people with dementia | 74 | ||
| Adaptive Interaction | 76 | ||
| Summary | 79 | ||
| Chapter 4. Let’s Work Together: Learning the Language of Dementia | 80 | ||
| Step 1: Getting to know you | 81 | ||
| Step 2: Communication environment | 82 | ||
| Opportunities for communication | 83 | ||
| Communication partners | 84 | ||
| Communication situations and contexts | 84 | ||
| Observation of the communication environment | 85 | ||
| Step 3: Identifying the communicative repertoire | 89 | ||
| Eye gaze | 89 | ||
| Facial expressions | 90 | ||
| Speech | 90 | ||
| Sounds | 91 | ||
| Physical contact | 91 | ||
| Gesture | 92 | ||
| Imitation | 93 | ||
| Body position | 94 | ||
| Emotion | 95 | ||
| Turn-taking | 95 | ||
| Step 4: Creating a connection | 98 | ||
| Step 5: Building the connection | 99 | ||
| Summary | 100 | ||
| Chapter 5. A Beautiful Noise: Chrissie’s Story | 101 | ||
| Chrissie | 102 | ||
| Stacey | 105 | ||
| Training in Adaptive Interaction | 107 | ||
| Step 1: Getting to know Chrissie | 108 | ||
| Step 2: The communication environment | 109 | ||
| Step 3: Identifying the communication repertoire | 111 | ||
| Step 4: Creating a connection | 114 | ||
| Step 5: Building the connection | 118 | ||
| Group discussion | 122 | ||
| Summary | 125 | ||
| Chapter 6. I’m Looking Through You: Eleanor’s Story | 126 | ||
| Eleanor | 127 | ||
| James | 129 | ||
| Training in Adaptive Interaction | 131 | ||
| Step 1: Getting to know Eleanor | 131 | ||
| Step 2: The communication environment | 132 | ||
| Step 3: Identifying the communication repertoire | 133 | ||
| Step 4: Creating a connection | 138 | ||
| Step 5: Building the connection | 141 | ||
| Group discussion | 143 | ||
| Summary | 145 | ||
| Chapter 7. The Sound of Silence: Bert’s Story | 146 | ||
| Bert | 147 | ||
| Betty | 150 | ||
| Training in Adaptive Interaction | 155 | ||
| Step 1: Getting to know Bert | 156 | ||
| Step 2: The communication environment | 158 | ||
| Step 3: Identifying the communication repertoire | 158 | ||
| Step 4: Creating a connection | 162 | ||
| Step 5: Building the connection | 164 | ||
| Group discussion | 167 | ||
| Summary | 169 | ||
| Epilogue | 170 | ||
| Appendix: Adaptive Interaction Process Charts | 172 | ||
| Getting to Know You chart | 173 | ||
| Communication Environment chart | 174 | ||
| Fundamentals of Communication chart | 175 | ||
| References | 177 | ||
| Subject Index | 186 | ||
| Author Index | 190 | ||
| Blank Page |