Dementia orientated reality (dor): communication strategies in the treatment of people with dementia

Author/s Roberta Caiazza, Ian Andrew James, Daniela Cantone
Publishing Year 2015 Issue 2015/3 Language Italian
Pages 12 P. 447-458 File size 170 KB
DOI 10.3280/RIP2015-003001
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Research around the development of communication strategies in dementia care has had a great importance in the last twenty years. The majority of the studies, carried out in Australia and Great Britain, have highlighted the use of lies in the treatment of people with dementia. Within this stream of research, theoretical constructs have been developed in order to guarantee and implement ethical validity of this type of communication. In order to develop, within the Italian background, "untruthful" ethical communication in dementia care, this study has examined the existing Dementia Orientated Reality construct, originally developed in the English language.

Keywords: Dementia, communication strategies, therapeutic lies, ethics

  1. Blum, N.S. (1994). Deceptive practices in managing a family member with Alzheimer’s disease. Symbolic Interaction, 17(1), 21-36. DOI: 10.1525/si.1994.17.1.21
  2. Caiazza, R., & James, I.A. (2015). Re-defining the Notion of the Therapeutic Lie: Person-centered Lying. FPOP Newsletter, BPS, 130(4) 23-30.
  3. Cimmino, A., Canonico, V., Grossi, D., & Cantone, D. (2015). Mentire ai pazienti affetti da demenza tra esigenze di cura e questioni etiche: uno studio pilota italiano. Psicogeriatria, 3.
  4. Culley, H., Barber, R., Hope, A., & James, I. ( 2013). Therapeutic lying in dementia care. Nursing Standard, 28(1), 35-39.
  5. Cunningam, J. (2005). Care staff views about telling absolute truth to people with dementia. Doctoral dissertation in Clinical Psychology. UK: Ridley Building, Newcastle upon Tyne.
  6. Day, A.M., James, I.A., Meyer, T.D., & Lee, D.R. (2011). Do people with dementia find lies and deception in dementia care acceptable? Aging & Mental Health, 15(7), 822-829. DOI: 10.1080/13607863.2011
  7. Ekman, P. (1985). Telling lies: clues to deceit in the marketplace, politics and marriage. New York: Norton and Company.
  8. Elvish, R., James, I., & Milne, D. (2010). Lying in dementia care: An example of a culture that deceives in people’s best interests. Aging & Mental Health, 14(3), 255-262. DOI: 10.1080/13607861003587610
  9. Enfield, M., & Bergman, R. (1995). The therapeutic use of dolls. Perspectives in Psychiatric Care, 31(4), 21-22.
  10. Feil, N. (1993). The validation breakthrough: simple techniques for communicating with people with “Alzheimer’s type dementia.” Baltimore: Health Professionals Press. DOI: 10.4061/2010/454218
  11. General Medical Council (2013). Good medical practice. Manchester, GMC (available at:
  12. Hertogh, C.M.P.M., Mei The, B.A., Miesen, B.M.L., & Eefsting J.A. (2004). Truth telling and truthfulness in the care for patients with advanced dementia: an ethnographic study in Dutch nursing homes. Social Science & Medicine, 59, 1685-1693. DOI: 10.1177/0969733013500162
  13. James, I.A., Powell, I., Smith, T., & Fairbairn, A. (2003). Lying to residents: can the truth sometimes be unhelpful for people with dementia? PSIGE Newsletter, 82, 26-28.
  14. James, I.A. (2006). Lying to people with dementia: sparking the debate. Journal of Dementia Care, 14(6), 30-21.
  15. James, I.A., Wood-Mitchell, A.J., Waterworth, A.M., Mackenzie, L.E. & Cunningham, J. (2006). Lying to people with dementia: developing ethical guidelines for care settings. International Journal of Geriatric Psychiatry, 21(8), 800-801. DOI: 10.1002/gps.1551
  16. Mackenzie, L. (2013). The Time machine (DVD). UK: producer.
  17. Mercer, N. (2000). Words and minds: How we use language to think together. London: Routledge.
  18. Muller-Hergl, C. (2007). Distress does not justify lying. Journal of Dementia Care, 15(4), 10-11.
  19. NES, NHS Education for Scotland (2013). Responding to Stress and Distress in Dementia: Trainer’s Manual.
  20. NMC (Nursing, Midwifery Council) (2008). The Code: Standards of Conduct, Performance and Ethics for Nursing and Midwives. London: NMC.
  21. Pivetti, M., & Gabrielli, G. (Eds.) (2015). Dizionario Italiano, 3° edizione, 5/2015. Hoepli.
  22. Pool, J. (2007). Facts or feelings: do we need to choose? Journal of dementia Care, 15(2), 27.
  23. Remington, R., Abdallah, L., Melillo, K.D., Flanagan, J. (2006). Managing Problem Behaviours Associated with Dementia. Rehabilitation Nursing, 31(5),186-192. Schermer, M. (2007). Nothing but the Truth? Truth and deception in dementia care. Bioethics, 21(1), 13-22.
  24. Treccani Vocabolario on line. Istituto della Enciclopedia Italiana, Roma. Gennaio, 20, 2015. Web: http:/
  25. Tuckett, A.G. (1998). “Bending the truth’: professionals” narratives about lying and deception in nursing practice. International Journal of Nursing Studies, 35, 292-302.
  26. Tuckett, A.G. (2005). The care encounter: Pondering caring, honest communication and control. International Journal of Nursing Practice, 11, 77-84.
  27. Tuckett, A.G. (2004). Truth-telling in Clinical Practice and the arguments for and against: a review of the literature. Nursing Ethics, 11(5), 500-513.
  28. Tuckett A.G. (2012). The experience of lying in dementia care: A qualitative study. Nursing Ethics, 19(1), 7-20.
  29. Vrij, A. (2000). The social psychology of lying and detecting deceit. In A. Vrij (Ed.), Detecting lies and deceit: the psychology of lying and the implications for professional practice (pp. 1-17). Chichester: John Wiley & Sons.
  30. Walker, B. (2007). Communication: building up a toolkit of helpful responses. Journal of Dementia Care, 15(1), 28-31.
  31. Wood-Mitchell, A., Cunningham, J., & Mackenzie, L. (2007). Can a lie ever be therapeutic? The debate continues. Journal of Dementia Care, 15(2), 24-28.
  32. Woods, P., & Ashley, J. (1995). Simulated presence therapy: Using selected memories to manage problem behaviours in Alzheimer’s disease patients. Geriatric Nursing, 16, 9-14.

  • Lying to patients with dementia: Attitudes versus behaviours in nurses Daniela Cantone, Francesco Attena, Sabrina Cerrone, Antonio Fabozzi, Riccardo Rossiello, Laura Spagnoli, Concetta Paola Pelullo, in Nursing Ethics /2019 pp.984
    DOI: 10.1177/0969733017739782

Roberta Caiazza, Ian Andrew James, Daniela Cantone, Realtà orientata alla demenza (dor): strategie comunicative nel trattamento del paziente affetto da demenza in "RICERCHE DI PSICOLOGIA " 3/2015, pp 447-458, DOI: 10.3280/RIP2015-003001