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Application of the Frankish Model of Emotional Development in the therapeutic holding of people with dementia
 — a pilot study
Author(s)Liz Trubshaw
Journal titlePSIGE Newsletter, no 121, October 2012
Pagespp 56-64
Sourcewww.bps.org.uk
KeywordsDementia ; Adjustment ; Evaluation ; Pilot.
AnnotationTraditionally, the management of dementia has been behaviourally and chemically based, with disturbed behaviours often explained in terms of the stage of the dementia rather than as an expression of meaning for the individual. This can result in a loss of real and meaningful human contact. This paper presents findings on the application of the Frankish Model of Emotional Development (1989) in assessing the emotional development level of 15 older patients with dementia (mean age 74.67 years, SD=7.61) and in monitoring any changes every 4 months for a year. House Tree Person (HTP) tests were carried out at the beginning and end of the study. The researcher spent 5 minutes engaging with each patient two days each week in an attempt to therapeutically hold them. Tentative support for the Frankish Model was demonstrated. The emotional level was at least stable for the patients. HTP drawings showed development between Time 1 and the end of the 12 months. Engaging and providing emotional holding of the patients with dementia potentially slowed down their deterioration and enabled them to be present for longer. Even in advanced dementia, the ability to make relationships is retained, making therapeutic attachments possible. It is therefore important to teach staff how to provide the right environment that will facilitate the emotional security of people living with dementia. (RH).
Accession NumberCPA-121116205 A
ClassmarkEA: DR: 4C: 4UC

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