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Giving up driving in Alzheimer's Disease - an integrative therapeutic approach
- Authors:
- BAHRO Marcel, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 10(10), October 1995, pp.871-874.
- Publisher:
- Wiley
For patients with Alzheimers Disease (AD), a recommendation to stop operating a motor vehicle can be a serious event complicated by a loss of self-esteem and personal dignity. Patients are often reluctant to give up an activity so essential, both practically and symbolically, to independent living. Describes a patient with moderately progressed AD who lacked insight of his need to cease driving. Through an integrative treatment approach, combining behavioural and psychodynamic modalities, he was helped to formulate effective ways of coping with his loss of access to independent transportation. Argues for a psychotherapeutic strategy that combines behavioural and managerial measures with dynamic patient interaction, thereby developing the patient's insight of the need to give up driving while fostering his sense of autonomy.