𝔖 Bobbio Scriptorium
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Giving up driving in Alzheimer's disease—an integrative therapeutic approach

✍ Scribed by Dr. Marcel Bahro; Earle Silber; Paulette Box; Trey Sunderland

Publisher
John Wiley and Sons
Year
1995
Tongue
English
Weight
372 KB
Volume
10
Category
Article
ISSN
0885-6230

No coin nor oath required. For personal study only.

✦ Synopsis

For patients with Alzheimer's disease (AD), a recommendation to stop operating a motor vehicle can be a serious event complicated by a loss of self-esteem and personal dignity. Patients are often relwtant to give up an activity so essential, both practically and symbolically, to independent living. We describe here a patient with moderately progressed AD who lacked insight of his need to cease driving. Through an integrative treatment approach, combining behavioral and psychodynamic modalities, we helped him to formulate effective ways of coping with his loss of access to independent transportation. We favor a psychotherapeutic strategy that combines behavioral and managerial measures with dynamic patient interaction, thereby developing the patient's insight of the need to give up driving while fostering his sense of autonomy.

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