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Markers of assimilation of problematic experiences in dementia within the LivDem project

Cheston, Richard; Gatting, Lauren; Marshall, Ann; Spreadbury, John; Coleman, Peter


Lauren Gatting

Ann Marshall

John Spreadbury

Peter Coleman


© 2015, © The Author(s) 2015. This study aimed to determine whether the Markers of Assimilation of Problematic Experiences in Dementia scale (MAPED) can be used to identify whether the way in which participants talk about dementia changed during the group. All eight sessions of a LivDem group, which were attended by participants were recorded and transcribed. An initial analysis identified 160 extracts, which were then rated using the MAPED system. Inter-rater reliability was 61% and following a resolution meeting, 35 extracts were discarded, leaving 125 extracts with an agreed marker code. All of the participants were identified as producing a speech marker relating to dementia, and these varied between 0 (warding off) to 6 (problem solution). Examples of these markers are provided. The proportion of emergence markers (indicating the initial stages of assimilation) compared to later markers changed significantly between the first four sessions and the final sessions. This difference was still significant even when the markers produced by the most verbal participant, Graham, were excluded. The use of process measures within psychotherapy complements more conventional outcome measures and has both theoretical and clinical implications.


Cheston, R., Gatting, L., Marshall, A., Spreadbury, J., & Coleman, P. (2017). Markers of assimilation of problematic experiences in dementia within the LivDem project. Dementia, 16(4), 443-460.

Journal Article Type Article
Acceptance Date Sep 1, 2015
Online Publication Date Sep 1, 2015
Publication Date May 1, 2017
Journal Dementia
Print ISSN 1471-3012
Electronic ISSN 1741-2684
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 16
Issue 4
Pages 443-460
Keywords dementia, Alzheimer’s disease, group psychotherapy, assimilation, awareness
Public URL
Publisher URL


MAPED paper - Dementia IJSRP July 2015 (Final submitted version).pdf (588 Kb)

MAPED paper - Dementia IJSRP July 2015 (Final submitted version).docx (89 Kb)

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