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.
Author(s): Maggie Ellis, Arlene Astell
Publisher: Jessica Kingsley Publishers
Year: 2018
Language: English
Pages: 194
Tags: Dementia, Aged, Communication Disorders, Nonverbal Communication
Adaptive Interaction and Dementia: How to Communicate without Speech by Dr Maggie Ellis and Arlene Astell......Page 5
Contents
......Page 9
Preface......Page 13
What is this book about?......Page 15
What is dementia?......Page 18
How does dementia impact communication?......Page 23
Communication is a two-way thing......Page 26
What is Adaptive Interaction?......Page 28
Communicating without words......Page 33
The impact of dementia on relationships......Page 35
Family relationships......Page 38
Relationships with formal caregivers......Page 41
Changes in behaviour......Page 42
Malignant social psychology......Page 45
The impact of the treatment of people with advanced dementia......Page 49
Validation therapy......Page 51
Habilitation therapy......Page 52
Nonverbal communication......Page 54
Summary......Page 59
Human communication......Page 61
Infant communication......Page 62
Personhood and intersubjectivity......Page 64
Dialogic models of communication......Page 66
The collaborative model......Page 67
Individuals with additional communication needs......Page 69
Intensive Interaction......Page 73
Using Intensive Interaction with people with dementia......Page 76
Adaptive Interaction......Page 78
Summary......Page 81
Chapter 4. Let’s Work Together: Learning the Language of Dementia......Page 82
Step 1: Getting to know you......Page 83
Step 2: Communication environment......Page 84
Opportunities for communication......Page 85
Communication situations and contexts......Page 86
Observation of the communication environment......Page 87
Eye gaze......Page 91
Speech......Page 92
Physical contact......Page 93
Gesture......Page 94
Imitation......Page 95
Body position......Page 96
Turn-taking......Page 97
Step 4: Creating a connection......Page 100
Step 5: Building the connection......Page 101
Summary......Page 102
Chapter 5. A Beautiful Noise: Chrissie’s Story......Page 103
Chrissie......Page 104
Stacey......Page 107
Training in Adaptive Interaction......Page 109
Step 1: Getting to know Chrissie......Page 110
Step 2: The communication environment......Page 111
Step 3: Identifying the communication repertoire......Page 113
Step 4: Creating a connection......Page 116
Step 5: Building the connection......Page 120
Group discussion......Page 124
Summary......Page 127
Chapter 6. I’m Looking Through You: Eleanor’s Story......Page 128
Eleanor......Page 129
James......Page 131
Step 1: Getting to know Eleanor......Page 133
Step 2: The communication environment......Page 134
Step 3: Identifying the communication repertoire......Page 135
Step 4: Creating a connection......Page 140
Step 5: Building the connection......Page 143
Group discussion......Page 145
Summary......Page 147
Chapter 7. The Sound of Silence: Bert’s Story......Page 148
Bert......Page 149
Betty......Page 152
Training in Adaptive Interaction......Page 157
Step 1: Getting to know Bert......Page 158
Step 3: Identifying the communication repertoire......Page 160
Step 4: Creating a connection......Page 164
Step 5: Building the connection......Page 166
Group discussion......Page 169
Summary......Page 171
Epilogue......Page 172
Appendix: Adaptive Interaction Process Charts......Page 174
Getting to Know You chart......Page 175
Communication Environment chart......Page 176
Fundamentals of Communication chart......Page 177
References......Page 179
Subject Index......Page 188
Author Index......Page 192
