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Living well with dementia groups: changes in participant and therapist verbal behaviour

Cheston, Richard; Marshall, Ann; Jones, Angharad; Coleman, Peter; Spreadbury, John

Living well with dementia groups: changes in participant and therapist verbal behaviour Thumbnail


Ann Marshall

Angharad Jones

Peter Coleman

John Spreadbury


© 2016 Informa UK Limited, trading as Taylor & Francis Group. Objectives: This paper reports two related analyses of verbal material from seven Living Well with Dementia groups: the first examines changes in the verbal behaviours of participants across the course of the sessions in all seven groups; while the second contrasts therapist behaviour in two groups. Methods: In the first analysis, recordings of three sessions from each group were transcribed and participant descriptions of dementia were analysed using the Markers of Assimilation of Problematic Experiences of Dementia (MAPED) rating procedure. In the second analysis, therapist behaviour in weeks 2 and 8 from two groups (F and G) was analysed using the Hill Counsellor Verbal response rating scale. Inter-rater reliabilities for the two sets of ratings were ‘good’ and ‘very good’, respectively. Results: For the MAPED ratings, a five by four contingency table was analysed using chi-squared, which indicated a highly significant change in assimilation. There were significant higher levels of level 1 and 2 markers in the first two sessions and level 4 for sessions 5 and 6. Facilitators used significantly more direct guidance and information giving behaviour in the second session at Location F compared to Location G. Conclusions: The results suggest that important changes occurred in the way that dementia was described across the seven LivDem groups: this includes both reductions in the avoidance of direct references to dementia after the first two sessions, as well as an increase in ‘insight’ statements. Directive facilitator behaviour may be associated with poorer outcomes.


Cheston, R., Marshall, A., Jones, A., Coleman, P., & Spreadbury, J. (2018). Living well with dementia groups: changes in participant and therapist verbal behaviour. Aging and Mental Health, 22(1), 61-69.

Journal Article Type Article
Acceptance Date Aug 29, 2016
Online Publication Date Sep 27, 2016
Publication Date Jan 2, 2018
Deposit Date Aug 30, 2016
Publicly Available Date Sep 27, 2017
Journal Aging and Mental Health
Print ISSN 1360-7863
Electronic ISSN 1364-6915
Publisher Taylor & Francis (Routledge)
Peer Reviewed Peer Reviewed
Volume 22
Issue 1
Pages 61-69
Keywords Alzheimer’s disease, psychotherapy, awareness, insight, dementia
Public URL
Publisher URL
Additional Information Additional Information : This is an Accepted Manuscript of an article published by Taylor & Francis in Aging and Mental Health on 27 September 2016, available online:


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