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Validation Therapy

Intervention Description for Biopsychosocial Assessments and Interventions for Older Adults

Samuel Bethel

on 10 December 2012

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Transcript of Validation Therapy

Foundation Brief Description Specifically Speaking Evidence-based Social Work Implications Core Reason behind behavior
-underlying meaning

Expression of needs
-love, nurturing, security, to be of use

Revert to past in attempt to resolve unfinished conflict
-expression of hidden feelings

Meaningful conversation
-validate rather than correct factual errors Naomi Feil, MS, ASCW
parents, environment

Developed 1963-1980

First publication 1982
V/F Validation: The Feil Method Intended population
Focus on emotional and psychological consequences of memory loss
Subjective reality supersedes orientation to objective reality
Four stages of dementia Validation
Therapy RO may not be beneficial & RT may not be
Increase in verbal interaction
Increase in interaction initiation
Increase in length of time for interactions
Improvement in "behaviors"
May improve depression Training and Education

Access to intervention
referral procedures

Social & Economic Justice
importance of relationships
dignity & worth Can be used one-on-one or group
5-10 members
moderate to severe memory impairment
rigid format
always same room, same seating plan References: Bleathman, C. & Morton, I. (1992). Validation
therapy: Extracts from 20 groups with dementia sufferers. Journal of Advanced Nursing, 17, 658-666.
Day, J., Higgins, I., & Keatinge, D. (2011). Orientation strategies
during delirium: Are they helpful? Journal of Clinical Nursing, 20. 3825-3294
Morton, I. & Bleathman, C. (1991). The effectiveness
of validation therapy in dementia-- A pilot study. International Journal of Geriatric Psychiatry, 6, 327-330.
Neal, M. & Briggs, M. (2003). Validation therapy for
dementia. Martin Neal (Eds.). Cochrane Database Systematic Review (3): CD001394
Full transcript