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

Cheston, R., Gatting, L., Marshall, A., Coleman, P. and Spreadbury, J. (2017) Markers of assimilation of problematic experiences in dementia within the LivDem project. Dementia: the International Journal of Social Research and Policy, 16 (4). pp. 443-460. ISSN 1471-3012 Available from:

[img] Microsoft Word 2007

Publisher's URL:


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 per cent 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.

Item Type:Article
Uncontrolled Keywords:dementia, Alzheimer’s disease, group psychotherapy, assimilation, awareness
Faculty/Department:Faculty of Health and Applied Sciences > Department of Health and Social Sciences
ID Code:25899
Deposited By: Professor R. Cheston
Deposited On:08 Jul 2015 09:59
Last Modified:07 Dec 2017 12:57

Request a change to this item

Total Document Downloads in Past 12 Months

Document Downloads

Total Document Downloads

More statistics for this item...