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The use of CBT in dementia care: a rationale for Communication and Interaction Therapy (CAIT) and therapeutic lies

Published online by Cambridge University Press:  07 May 2015

Ian A. James
Ian A. James*
Affiliation:
Northumberland Tyne and Wear NHS Foundation Trust & Northumbria University Akenside Unit, Campus for Ageing and Vitality, Newcastle upon Tyne, UK
*
*Address for correspondence: Dr I. A. James, Northumberland Tyne and Wear NHS Foundation Trust & Northumbria University, Akenside Unit, Campus for Ageing and Vitality, Westgate Rd, Newcastle upon Tyne, NE4 6BE (email: Ianandrew.james@ntw.nhs.uk)
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Abstract

At the very beginning of our lives we have similar needs, but as we get older the ways of maintaining our wellbeing will vary greatly. Quite simply, we get more different and complex as we age! Hence, attempts to both meet older people's needs and treat their psychological difficulties often require comprehensive assessments and biopsychosocial formulations. It is relevant to note that many of the latter formulations are informed by CBT theory, even when dealing with people presenting with dementia and challenging behaviour. Despite the conceptual complexities, there is increasing evidence to suggest that the most effective interventions for this ‘challenging’ population are basic communication strategies. This paper outlines the key principles of effective communication under the heading of Communication and Interaction Therapy (CAIT). The concepts underpinning CAIT are illustrated via a number of case studies of people living in 24-hour care. It will be argued that an implication of this approach is the judicious use of therapeutic lies, but only as a last resort.

Keywords

Alzheimerdeceptiondialoguetherapy
Type
Review
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e10
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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