Cognitive Behavioural Therapy With Older People: Interventions For Those With and Without Dementia.
Article Type: Book review
Subject: Books (Book reviews)
Author: Chakraborty, Apurba
Pub Date: 10/01/2011
Publication: Name: British Journal of Occupational Therapy Publisher: College of Occupational Therapists Ltd. Audience: Academic Format: Magazine/Journal Subject: Health Copyright: COPYRIGHT 2011 College of Occupational Therapists Ltd. ISSN: 0308-0226
Issue: Date: Oct, 2011 Source Volume: 74 Source Issue: 10
Topic: NamedWork: Cognitive Behavioural Therapy With Older People: Interventions For Those With and Without Dementia (Nonfiction work)
Persons: Reviewee: James, Ian Andrew
Accession Number: 271053269
Full Text: COGNITIVE BEHAVIOURAL THERAPY WITH OLDER PEOPLE: INTERVENTIONS FOR THOSE WITH AND WITHOUT DEMENTIA. Ian Andrew James. Jessica Kingsley Publishers, 2010. 24.99 [pounds sterling]. 256 pp. ISBN 978-1-84905-100-2 This book primarily targets psychological therapists using cognitive behavioural therapy (CBT). However, it can be of equal value to occupational therapists applying the principles of CBT in their day to day clinical practice. It clearly lays out the stages of assessments, formation of clinical hypothesis and developing a plan for bringing change in the client's beliefs and behaviours. The book is divided into three parts.

The first part describes common presentations in mood disorders, and sets a scene for how CBT can be beneficial. It not only explains the conventional CBT formats but also presents its arguments as to why and how it could be adapted to be of benefit to the older population, including people with dementia. The second part describes the assessment process, development of hypothesis and techniques of change. It also highlights concerns related to therapy and cautions against them, such as working on areas that are least likely to change (for example, core beliefs), excessive time spent in the assessment process without efficient transition into therapy and monitoring therapist's competency levels. The third part illustrates a case study and application of treatment in challenging behaviours in care facilities.

Occupational therapists would be able to agree with a number of well-presented arguments, such as excessive cognitive processing demands ('over-thinking') on people with dementia resulting in significant disability rather than 'just being confused'. The author acknowledges the fact that, depending on the nature and severity of cognitive impairment, intervention may need to be directed towards carer support using the principles of CBT.

It would have been of further benefit if the book had provided more information on the lasting effects of the changes achieved in therapy and the overall impact on clients' participation in their 'life-roles'.

The book can serve as a useful resource for occupational therapists treating older patients with emotional problems, with or without cognitive impairments.

Apurba Chakraborty, Clinical Specialist Occupational Therapist, NeuroRehabilitation Team, Rochdale Pennine Care NHS Foundation Trust.
Gale Copyright: Copyright 2011 Gale, Cengage Learning. All rights reserved.