Use of Positive Core Memories in LTC

Depression in Long-Term Care.

“…Indeed, recently developed interventions seem to be moving in the direction of integrating multiple modalities and emphasizing care tailored to the individual. For instance, Hyer and colleagues (2002) have developed an intervention that uses elements of life review to help residents apply what is learned to current circumstances, much like a cognitive‐behavioral approach. Likewise, Carpenter and colleagues (2002) have tested an intervention that incorporates strategies to enhance self‐esteem and mastery.…”

“…First, it appears that many of the psychosocial interventions surveyed do mitigate depressive symptoms in LTC residents. Although less is known about treatment effectiveness in addressing clearly defined psychiatric syndromes, such as major depression, several preliminary studies have suggested promising results (Carpenter, Ruckdeschel, Ruckdeschel, & Van Haitsma, 2002;Hyer, Sohnle, Mehan, & Ragan, 2002;Rosen et al, 1997). Beyond an impact on mood, it is less clear how these interventions influence more distal outcomes, such as functional dependence, activity participation, social engagement, or compliance with self-care and health maintenance, although there is some This document is copyrighted by the American Psychological Association or one of its allied publishers.…”

Eye movement desensitization and reprocessing therapy.

“…These outcomes are comparable to those achieved with patients under 65 year of age (e.g., Wilson et al, 1997). As reported by Hyer (1995), the treatment of a 72-year-old victim of rape with a dementia diagnosis resulted in the elimination of PTSD symptoms and restoration of normal functioning. Hyer conjectured that the EMDR procedures may be particularly suitable for older clients "because it is a more active form of reminiscence, [which] allows the client to participate in the past as currently real and to evaluate the unfolding of the process from an observer perspective" (p. 73).…”

“…On the other end of the lifespan, EMDR therapy has proven successful with elderly adults using standard procedures and protocols. The elimination of PTSD after 2 to 3 sessions is reported for clients who have experienced the traumas of war (Thomas & Gafner, 1993), sexual abuse (Hyer, 1995), and automobile accidents (Burgmer & Heuft, 2004). These outcomes are comparable to those achieved with patients under 65 year of age (e.g., Wilson et al, 1997).…”