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Alzheimer's disease and the law: positive and negative consequences of structural stigma and labelling in the legal system
- Authors:
- WERNER Perla, DORON Israel (Issi)
- Journal article citation:
- Aging and Mental Health, 21(11), 2017, pp.1206-1213.
- Publisher:
- Taylor and Francis
Objective: To explore the meaning and consequences of labelling on structural stigma in the context of Alzheimer's disease (AD) in the legal system. Method: This qualitative study was made up of three focus groups including social workers and lawyers (n = 26). Participants were asked to report their experience in circumstances in which persons with AD and their family members engage with the legal system. Thematic analysis using the constant comparative method was used. Results: The discussions in the focus groups raised two overall themes. (1) The significance of the medical diagnostic labelling of AD in the legal system and (2) the consequences of labelling of AD within the legal system. This last theme included four sub-themes: (a) negative consequences of labelling; (b) reasons associated with negative consequences of labelling; (c) positive consequences of labelling; and (d) reasons associated with positive consequences of labelling. Conclusion: Findings of the study provide a first foundation for future research on the meaning and consequences of labelling in legal cases involving persons with AD. They suggest that increasing judges' knowledge about AD and reforming the existing ‘status-based’ legal capacity legislation might benefit by limiting the legal weight given today to the medical diagnosis. (Edited publisher abstract)
Validation of the modified telephone interview for cognitive status (TICS-m) in Hebrew
- Authors:
- BEERI Michal Schnaider, et al
- Journal article citation:
- International Journal of Geriatric Psychiatry, 18(5), May 2003, pp.381-386.
- Publisher:
- Wiley
The validity of the Hebrew version of the Telephone Interview for Cognitive Status-Modified (TICS-m) for Mild Cognitive Impairment (MCI), for dementia, and for cognitive impairment (either MCI or dementia) was investigated. Of the 10 059 who took part of the Israel Ischemic Heart Disease Cohort, 1902 of the 2901 survivors in 1999 had TICS-m interviews. Those with a score of 27 or below and a random sample with a score of 28 or 29 were invited to have a physician's examination for the diagnosis of dementia. The analysis was performed on the 576 who agreed. Based on physician's diagnosis, 269 were diagnosed as suffering from dementia, 128 as suffering from MCI, and 179 were diagnosed with no cognitive impairment. The TICS-m Hebrew version's internal consistency was very high (Cronbach's alpha = 0.98) and showed a strong convergent validity with the MMSE (r = 0.82; p < 0.0005). The sensitivity was 100% for each of the conditions. Finally, after controlling for age, education and hearing impairment, TICS-m was a strong predictor of dementia, MCI and cognitive impairment. At a cut-off of 27/50 the Hebrew version of the TICS-m is a useful screening instrument to identify subjects suffering from mild cognitive impairment, dementia and cognitive impairment (MCI or dementia).
Mortality of persons with intellectual disability in residential care in Israel 1991-1997
- Author:
- MERRICK Joav
- Journal article citation:
- Journal of Intellectual and Developmental Disability, 27(4), December 2002, pp.265-272.
- Publisher:
- Taylor and Francis
Reports on the number of deaths for the period 1991-1997 in Israeli residential centres. Some 450 deaths were reported, corresponding to a mortality rate of 10.25 deaths per 1000 population per year. The number of deaths compared with those in the general population. Information on the age and sex distribution, level of intellectual disability, ethnic background and cause of death is presented.
Emotional reactions of lay persons to someone with Alzheimer's disease
- Authors:
- WERNER Perla, DAVIDSON Michael
- Journal article citation:
- International Journal of Geriatric Psychiatry, 19(4), April 2004, pp.391-397.
- Publisher:
- Wiley
Information about the nature of public reactions to people with Alzheimer's disease (AD) can help reduce stigmatization associated with the disease. The aim of this study was to examine emotional reactions to persons with AD, and its correlates. A total of 150 Jewish Israeli adults (mean age=59.9) were interviewed face-to-face regarding their emotional reactions to people with AD using a vignette methodology. Only a third of the participants gave the correct label. The person described in the vignette elicited more positive than negative emotions. Gender and perceived threat were the most important factors associated with emotional reactions. Findings suggest the need to expand the efforts to increase the recognition of AD by lay persons, and to address the negative emotions of several risk groups, such as male adults and those with greater concern about developing the disease.