The role of the fear-of-loss-of-control marker within the accounts of people affected by dementia about their illness: implications for psychotherapy

Journal title QUADERNI DI PSICOTERAPIA COGNITIVA
Author/s Richard Cheston
Publishing Year 2015 Issue 2015/37 Language English
Pages 21 P. 45-65 File size 181 KB
DOI 10.3280/QPC2015-037003
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Lo studio della consapevolezza di malattia in persone affette da demenza circa il loro stato patologico in termini sociali e psicologici può essere affrontata ponendo attenzione all’analisi dei cambiamenti dei processi psicologici nel loro verificarsi, sia nel contesto psicoterapeutico che nella vita quotidiana. Il Modello dell’Assimilazione (Assimilation Model) descrive una serie di stadi ipotizzati come il percorso di assimilazione delle esperienze problematiche che il paziente effettua nel corso di un trattamento psicoterapico efficace. Gli indicatori degli stadi dell’assimilazione fanno riferimento a tipi di eventi, riconoscibili nel discorso psicoterapeutico, associati a quegli stadi, e che possono risultare utili sia nella clinica che nella ricerca. Questo lavoro descrive i modi in cui l’azione del marcatore "timore di perdere il controllo" diventa riconoscibile nelle narrative autobiografiche delle persone affette da demenza. L’analisi di esempi del marcatore "timore di perdere il controllo" suggerisce che esso possa essere associato all’evitare di far riferimento alla demenza chiamandola con il suo nome (ciò che qui definiamo fenomeni Voldemort), oppure alle esperienze di vergogna, nonché ai timori della perdita del sé, espressi per esempio attraverso la paura di impazzire. Vengono discusse le implicazioni rispetto alla presa a carico e alla terapia da intraprendere dopo la diagnosi.

Keywords: Dementia, Alzheimer’s illness, psychotherapy, assimilation, loss of control

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  • Confronting the Existential Threat of Dementia Richard Cheston, Gary Christopher, pp.73 (ISBN:978-3-030-12349-9)
  • Experiences of shame for people with dementia: An Interpretative Phenomenological Analysis Hannah Aldridge, Paul Fisher, Ken Laidlaw, in Dementia /2019 pp.1896
    DOI: 10.1177/1471301217732430
  • Living well with dementia groups: changes in participant and therapist verbal behaviour Richard Cheston, Ann Marshall, Angharad Jones, John Spreadbury, Peter Coleman, in Aging & Mental Health /2018 pp.61
    DOI: 10.1080/13607863.2016.1231171
  • Selective forgetting of self‐threatening statements: Mnemic neglect for dementia information in people with mild dementia Richard Cheston, Emily Dodd, Gary Christopher, Charlie Jones, Tim Wildschut, Constantine Sedikides, in International Journal of Geriatric Psychiatry /2018 pp.1065
    DOI: 10.1002/gps.4894
  • Markers of assimilation of problematic experiences in dementia within the LivDem project Richard Cheston, Lauren Gatting, Ann Marshall, John H Spreadbury, Peter Coleman, in Dementia /2017 pp.443
    DOI: 10.1177/1471301215602473
  • Individual and group psychotherapy with people diagnosed with dementia: a systematic review of the literature Richard Cheston, Ada Ivanecka, in International Journal of Geriatric Psychiatry /2017 pp.3
    DOI: 10.1002/gps.4529

Richard Cheston, The role of the fear-of-loss-of-control marker within the accounts of people affected by dementia about their illness: implications for psychotherapy in "QUADERNI DI PSICOTERAPIA COGNITIVA" 37/2015, pp 45-65, DOI: 10.3280/QPC2015-037003