Chapter 5. Older People with Cognitive Disabilities

  1. Elspeth Stirling practising clinical psychologist

Published Online: 29 JUN 2010

DOI: 10.1002/9780470660089.ch5

Valuing Older People: Positive Psychological Practice

Valuing Older People: Positive Psychological Practice

How to Cite

Stirling, E. (2010) Older People with Cognitive Disabilities, in Valuing Older People: Positive Psychological Practice, John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9780470660089.ch5

Author Information

  1. National Health Service in the United Kingdom

Publication History

  1. Published Online: 29 JUN 2010
  2. Published Print: 16 APR 2010

ISBN Information

Print ISBN: 9780470683354

Online ISBN: 9780470660089



  • older people with cognitive disabilities;
  • standard paradigm and standard paradigm attraction;
  • understanding more - than factual account of impairment to neurological processes;
  • disease model lending itself to idea of dementia - predictable course and progressive stages;
  • new paradigm and dementia - information processing disability;
  • understanding memory in person-centred paradigm;
  • behavioural assessment in new paradigm;
  • new paradigm - dementia as information processing disability;
  • adequacy of disease model - ‘explanation’ of dementia;
  • person in terms of personal history, needs, strengths and goals - creating a positive image, sense of person as a unique individual


This chapter contains sections titled:

  • The Standard Paradigm

  • The New Paradigm– Dementia as an Information Processing Disability

  • The Meaning System and Safety System Model of Mind in Dementia

  • Understanding Memory in the Person-Centred Paradigm

  • The Place of Behavioural Assessment in the New Paradigm

  • How Society's Responses and Service Models are Influenced by Beliefs About the Nature of Dementia and Its Problems

  • The Three Levels of Disability

  • Beliefs About Dementia

  • Understanding the Person and Their Experience of Living with Dementia

  • How the Nature of Stroke and Its Problems Have Been Defined – The Shaping of Societal and Service Responses

  • Understanding the Person with Stroke and Their Behaviour – ‘Invisible’ Cognitive Disabilities

  • Definitions of Need in the ‘Old’ and ‘New’ Paradigms

  • The Seven Core Themes – Towards Attaining the Goals of Socially Valued Life Conditions and Socially Valued Roles for People at Risk of Being Devalued